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  5. FAMILY MEDICINE CENTER, LLC

FAMILY MEDICINE CENTER, LLC

Company Details

Entity Name: FAMILY MEDICINE CENTER, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 13 Sep 2001
Date of dissolution: 29 Dec 2020
Business ALEI: 0690933
Business address: 574 EAST MIDDLE TPKE., MANCHESTER, CT, 06040
ZIP code: 06040
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: FAMILYMEDICINECENTERLLC@GMAIL.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY MEDICINE CENTER 401K PLAN 2022 061631039 2023-01-31 FAMILY MEDICINE CENTER, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606464060
Plan sponsor’s address 574 EAST MIDDLE TURNPIKE, MANCHESTER, CT, 06040

Signature of
Role Plan administrator
Date 2023-01-31
Name of individual signing MARTIN KEIBEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-01-31
Name of individual signing MARTIN KEIBEL
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CENTER 401K PLAN 2021 061631039 2023-01-17 FAMILY MEDICINE CENTER, LLC 7
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606464060
Plan sponsor’s address 574 EAST MIDDLE TURNPIKE, MANCHESTER, CT, 06040

Signature of
Role Plan administrator
Date 2023-01-17
Name of individual signing MARTIN KEIBEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-01-17
Name of individual signing MARTIN KEIBEL
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CENTER 401K PLAN 2021 061631039 2022-05-22 FAMILY MEDICINE CENTER, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606464060
Plan sponsor’s address 574 EAST MIDDLE TURNPIKE, MANCHESTER, CT, 06040

Signature of
Role Plan administrator
Date 2022-05-22
Name of individual signing MARTIN KEIBEL
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CENTER 401K PLAN 2020 061631039 2022-02-09 FAMILY MEDICINE CENTER, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606464060
Plan sponsor’s address 574 EAST MIDDLE TURNPIKE, MANCHESTER, CT, 06040

Signature of
Role Plan administrator
Date 2022-02-09
Name of individual signing MARTIN KEIBEL
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CENTER 401K PLAN 2019 061631039 2020-08-13 FAMILY MEDICINE CENTER, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606464060
Plan sponsor’s address 574 EAST MIDDLE TURNPIKE, MANCHESTER, CT, 06040

Signature of
Role Plan administrator
Date 2020-08-13
Name of individual signing DENISE MACLEOD
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CENTER 401K PLAN 2017 061631039 2018-06-21 FAMILY MEDICINE CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606464060
Plan sponsor’s address 574 EAST MIDDLE TURNPIKE, MANCHESTER, CT, 06040

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing DENISE MACLEOD
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CENTER 401K PLAN 2016 061631039 2017-07-26 FAMILY MEDICINE CENTER, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606464060
Plan sponsor’s address 574 EAST MIDDLE TURNPIKE, MANCHESTER, CT, 06040

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing DENISE MACLEOD
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CENTER 401K PLAN 2015 061631039 2016-10-18 FAMILY MEDICINE CENTER, LLC 9
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606464060
Plan sponsor’s address 574 EAST MIDDLE TURNPIKE, MANCHESTER, CT, 06040

Signature of
Role Plan administrator
Date 2016-10-18
Name of individual signing DENISE MACLEOD
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CENTER 401K PLAN 2015 061631039 2016-10-19 FAMILY MEDICINE CENTER, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606464060
Plan sponsor’s address 574 EAST MIDDLE TURNPIKE, MANCHESTER, CT, 06040

Signature of
Role Plan administrator
Date 2016-10-19
Name of individual signing DENISE MACLEOD
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CENTER 401K PLAN 2014 061631039 2015-06-29 FAMILY MEDICINE CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606464060
Plan sponsor’s address 574 EAST MIDDLE TURNPIKE, MANCHESTER, CT, 06040

Signature of
Role Plan administrator
Date 2015-06-29
Name of individual signing DENISE MACLEOD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
WINSHIP SERVICE CORPORATION Agent

Officer

Name Role Business address Residence address
BARBARA PHILLIPS Officer 574 EAST MIDDLE TPKE., MANCHESTER, CT, 06040, United States 61 BRIGHAM TAVERN ROAD, COVENTRY, CT, 06238, United States
MARTIN KEIBEL Officer 574 EAST MIDDLE TPKE., MANCHESTER, CT, 06040, United States 273 BOULDER ROAD, MANCHESTER, CT, 06040, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007045966 2020-12-29 2020-12-29 Dissolution Certificate of Dissolution No data
0006023109 2018-01-22 No data Annual Report Annual Report 2016
0006023119 2018-01-22 No data Annual Report Annual Report 2017
0005594532 2016-06-30 No data Annual Report Annual Report 2015
0005339507 2015-05-29 No data Annual Report Annual Report 2014
0005339502 2015-05-29 No data Annual Report Annual Report 2013
0005339496 2015-05-29 No data Annual Report Annual Report 2012
0004622531 2011-09-19 No data Annual Report Annual Report 2011
0004268084 2010-09-10 No data Annual Report Annual Report 2010
0004016274 2009-08-28 No data Annual Report Annual Report 2009

Related by officers

BARBARA PHILLIPS

MAGELLAN GROUP, INC. THE

Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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