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SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC

Company Details

Entity Name: SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report past due
Date Formed: 13 Sep 2001 (Companies founded in September 2001)
Business ALEI: 0690990
Annual report due: 31 Mar 2024
NAICS code: 621210 - Offices of Dentists
Business address: 381 HOPMEADOW STREET SUITE 202 SUITE 202, SIMSBURY, CT, 06089, United States
Mailing address: 381 HOPMEADOW STREET STE. 202, SIMSBURY, CT, United States, 06089
ZIP code: 06089 (Companies in Hartford, 06089)
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: maryamazadpur@yahoo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2023 061631122 2024-04-18 SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8606587548
Plan sponsor’s address 381 HOPEMEADOW STREET, SUITE 202, SIMSBURY, CT, 06089

Signature of

Role Plan administrator
Date 2024-04-19
Name of individual signing MARYAM AZADPUR, D.M.D.
Valid signature Filed with authorized/valid electronic signature
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2022 061631122 2023-06-12 SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY,LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8606587548
Plan sponsor’s address 381 HOPMEADOW STREET STE 202, SIMSBURY, CT, 06089

Signature of

Role Plan administrator
Date 2023-06-12
Name of individual signing MARYAM AZADPUR, D.M.D.
Valid signature Filed with authorized/valid electronic signature
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2021 061631122 2022-05-30 SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8606587548
Plan sponsor’s address 381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089

Signature of

Role Plan administrator
Date 2022-05-30
Name of individual signing MARYAM AZADPUR, D.M.D.
Valid signature Filed with authorized/valid electronic signature
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2020 061631122 2021-06-03 SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8606587548
Plan sponsor’s address 381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089

Signature of

Role Plan administrator
Date 2021-06-03
Name of individual signing MARYAM AZADPUR, D.M.D.
Valid signature Filed with authorized/valid electronic signature
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2019 061631122 2020-05-17 SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8606587548
Plan sponsor’s address 381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089

Signature of

Role Plan administrator
Date 2020-05-17
Name of individual signing MARYAM AZADPUR, D.M.D.
Valid signature Filed with authorized/valid electronic signature
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2018 061631122 2019-09-29 SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8606587548
Plan sponsor’s address 381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089

Signature of

Role Plan administrator
Date 2019-09-29
Name of individual signing MARYAM AZADPUR, D.M.D.
Valid signature Filed with authorized/valid electronic signature
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2017 061631122 2018-06-25 SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8606587548
Plan sponsor’s address 381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089

Signature of

Role Plan administrator
Date 2018-06-25
Name of individual signing MARYAM AZADPUR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-25
Name of individual signing MARYAM AZADPUR
Valid signature Filed with authorized/valid electronic signature
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2016 061631122 2017-05-22 SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8606587548
Plan sponsor’s address 381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089

Signature of

Role Plan administrator
Date 2017-05-22
Name of individual signing MARYAM AZADPUR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-22
Name of individual signing MARYAM AZADPUR
Valid signature Filed with authorized/valid electronic signature
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2015 061631122 2016-07-18 SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8606587548
Plan sponsor’s address 381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089

Signature of

Role Plan administrator
Date 2016-07-17
Name of individual signing MARYAM AZADPUR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-17
Name of individual signing MARYAM AZADPUR
Valid signature Filed with authorized/valid electronic signature
SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2014 061631122 2015-08-19 SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8606587548
Plan sponsor’s address 381 HOPMEADOW STREET, STE 202, SIMSBURY, CT, 06089

Signature of

Role Plan administrator
Date 2015-08-19
Name of individual signing MARYAM AZADPUR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-19
Name of individual signing MARYAM AZADPUR
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
MARYAM AZADPUR Officer 381 HOPMEADOW ST, SUITE 202, SIMSBURY, CT, 06089, United States 9 TALLWOOD LANE, SIMSBURY, CT, 06070, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MARYAM AZADPUR D.M.D. Agent 381 HOPMEADOW STREET, STE. 202, SIMSBURY, CT, 06089, United States 381 HOPMEADOW STREET, STE. 202, SIMSBURY, CT, 06089, United States +1 860-604-4569 maryamazadpur@yahoo.com 9 TALLWOOD LANE, SIMSBURY, CT, 06089, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011400106 2023-06-24 No data Annual Report Annual Report No data
BF-0010300669 2022-04-06 No data Annual Report Annual Report 2022
0007340898 2021-05-17 No data Annual Report Annual Report 2021
0007021913 2020-11-18 No data Annual Report Annual Report 2020
0006702723 2019-12-27 No data Annual Report Annual Report 2019
0006702721 2019-12-27 No data Annual Report Annual Report 2018
0005931699 2017-09-20 No data Annual Report Annual Report 2017
0005931692 2017-09-20 No data Annual Report Annual Report 2016
0005644532 2016-09-06 No data Annual Report Annual Report 2013
0005644543 2016-09-06 No data Annual Report Annual Report 2015

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website