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CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC

Company Details

Entity Name: CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Date Formed: 21 Sep 2001 (Companies founded in September 2001)
Business ALEI: 0691512
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 230 BOSTON POST ROAD, MADISON, CT, 06443, United States
Mailing address: 230 BOSTON POST ROAD, MADISON, CT, United States, 06443
ZIP code: 06443 (Companies in New Haven, 06443)
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: anne.golino@comcast.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN 2020 061631409 2021-06-16 CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2032450496
Plan sponsor’s address 230 BOSTON POST ROAD, MADISON, CT, 06443

Signature of

Role Plan administrator
Date 2021-06-16
Name of individual signing ERIC BAUM
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN 2019 061631409 2020-04-06 CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2032450496
Plan sponsor’s address 230 BOSTON POST ROAD, MADISON, CT, 06443

Signature of

Role Plan administrator
Date 2020-04-06
Name of individual signing ERIC BAUM
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN 2018 061631409 2019-05-09 CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2032450496
Plan sponsor’s address 230 BOSTON POST ROAD, MADISON, CT, 06443

Signature of

Role Plan administrator
Date 2019-05-09
Name of individual signing ERIC BAUM
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN 2017 061631409 2018-04-26 CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2032450496
Plan sponsor’s address 230 BOSTON POST ROAD, MADISON, CT, 06443

Signature of

Role Plan administrator
Date 2018-04-26
Name of individual signing ERIC BAUM
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN 2016 061631409 2017-05-11 CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2032450496
Plan sponsor’s DBA name YNGOLOGY
Plan sponsor’s address 230 BOSTON POST ROAD, MADISON, CT, 06443

Signature of

Role Plan administrator
Date 2017-05-11
Name of individual signing ERIC BAUM
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN 2015 061631409 2016-05-14 CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2032450496
Plan sponsor’s DBA name YNGOLOGY
Plan sponsor’s address 230 BOSTON POST ROAD, MADISON, CT, 06443

Signature of

Role Plan administrator
Date 2016-05-14
Name of individual signing ERIC BAUM
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN 2014 061631409 2015-05-21 CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2032450496
Plan sponsor’s DBA name YNGOLOGY
Plan sponsor’s address 230 BOSTON POST ROAD, MADISON, CT, 06443

Signature of

Role Plan administrator
Date 2015-05-21
Name of individual signing ERIC BAUM
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN 2013 061631409 2014-06-19 CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2032450496
Plan sponsor’s DBA name YNGOLOGY
Plan sponsor’s address 230 BOSTON POST ROAD, MADISON, CT, 06443

Signature of

Role Plan administrator
Date 2014-06-19
Name of individual signing ERIC BAUM
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN 2012 061631409 2013-10-10 CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, 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 2032450496
Plan sponsor’s DBA name YNGOLOGY
Plan sponsor’s address 230 BOSTON POST ROAD, MADISON, CT, 06443

Signature of

Role Plan administrator
Date 2013-10-10
Name of individual signing ERIC BAUM
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/ PROFIT SHARING PLAN 2011 061631409 2012-07-24 CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2032450496
Plan sponsor’s address 230 BOSTON POST ROAD, MADISON, CT, 06443

Plan administrator’s name and address

Administrator’s EIN 061631409
Plan administrator’s name CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC
Plan administrator’s address 230 BOSTON POST ROAD, MADISON, CT, 06443
Administrator’s telephone number 2032450496

Signature of

Role Plan administrator
Date 2012-07-10
Name of individual signing ERIC BAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-10
Name of individual signing ASCENSUS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
ERIC D. BAUM Agent 230 BOSTON POST RD, MADISON, CT, 06443, United States 230 BOSTON POST RD, MADISON, CT, 06443, United States +1 203-605-5538 anne.golino@comcast.net 45 EDGEHILL TERRACE, HAMDEN, CT, 06517, United States

Officer

Name Role Business address Phone E-Mail Residence address
ERIC D. BAUM Officer 230 BOSTON POST ROAD, MADISON, CT, 06443, United States +1 203-605-5538 anne.golino@comcast.net 45 EDGEHILL TERRACE, HAMDEN, CT, 06517, United States
DAVID EDWARD KARAS Officer 230 BOSTON POST ROAD, MADISON, CT, 06443, United States No data No data 14 WILLARD AVE, MADISON, CT, 06443, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012144438 2024-01-17 No data Annual Report Annual Report No data
BF-0011401623 2023-01-16 No data Annual Report Annual Report No data
BF-0010414569 2022-03-09 No data Annual Report Annual Report 2022
0007117855 2021-02-03 No data Annual Report Annual Report 2021
0007085636 2021-01-27 2021-01-28 Change of Agent Agent Change No data
0006876074 2020-04-06 No data Annual Report Annual Report 2020
0006376649 2019-02-11 No data Annual Report Annual Report 2019
0006008414 2018-01-15 No data Annual Report Annual Report 2018
0005928302 2017-09-18 No data Annual Report Annual Report 2017
0005685052 2016-11-01 No data Annual Report Annual Report 2016

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website