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  5. PROSPECT FAMILY DENTAL, LLC

PROSPECT FAMILY DENTAL, LLC

Company Details

Entity Name: PROSPECT FAMILY DENTAL, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 11 Feb 2002
Date of dissolution: 20 Aug 2018
Business ALEI: 0704999
Business address: 2457 EAST MAIN STREET, WATERBURY, CT, 06705
ZIP code: 06705
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: vdagostino@sbcglobal.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROSPECT FAMILY DENTAL LLC 401K PLAN 2018 030474316 2019-01-25 PROSPECT FAMILY DENTAL LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2037552744
Plan sponsor’s address 2457 EAST MAIN STREET, WATERBURY, CT, 067052685

Signature of
Role Plan administrator
Date 2019-01-25
Name of individual signing VINCENT D'AGOSTINO
Valid signature Filed with authorized/valid electronic signature
PROSPECT FAMILY DENTAL LLC 401K PLAN 2017 030474316 2018-02-16 PROSPECT FAMILY DENTAL LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2037552744
Plan sponsor’s address 2457 EAST MAIN STREET, WATERBURY, CT, 067052685

Signature of
Role Plan administrator
Date 2018-02-16
Name of individual signing VINCENT D'AGOSTINO
Valid signature Filed with authorized/valid electronic signature
PROSPECT FAMILY DENTAL LLC 401K PLAN 2016 030474316 2017-02-25 PROSPECT FAMILY DENTAL LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2037552744
Plan sponsor’s address 2457 EAST MAIN STREET, WATERBURY, CT, 067052685

Signature of
Role Plan administrator
Date 2017-02-25
Name of individual signing VINCENT D'AGOSTINO
Valid signature Filed with authorized/valid electronic signature
PROSPECT FAMILY DENTAL LLC 401K PLAN 2015 030474316 2016-06-24 PROSPECT FAMILY DENTAL LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2037552744
Plan sponsor’s address 2457 EAST MAIN STREET, WATERBURY, CT, 067052685

Signature of
Role Plan administrator
Date 2016-06-24
Name of individual signing VINCENT D'AGOSTINO
Valid signature Filed with authorized/valid electronic signature
PROSPECT FAMILY DENTAL LLC 401K PLAN 2014 030474316 2015-01-27 PROSPECT FAMILY DENTAL LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2037552744
Plan sponsor’s address 2457 EAST MAIN STREET, WATERBURY, CT, 067052685

Signature of
Role Plan administrator
Date 2015-01-27
Name of individual signing VINCENT D'AGOSTINO
Valid signature Filed with authorized/valid electronic signature
PROSPECT FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST 2010 030474316 2011-07-18 PROSPECT FAMILY DENTAL LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2037552744
Plan sponsor’s address 2457 EAST MAIN STREET, WATERBURY, CT, 067052685

Plan administrator’s name and address
Administrator’s EIN 030474316
Plan administrator’s name PROSPECT FAMILY DENTAL LLC
Plan administrator’s address 2457 EAST MAIN STREET, WATERBURY, CT, 067052685
Administrator’s telephone number 2037552744

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing PROSPECT FAMILY DENTAL LLC
Valid signature Filed with authorized/valid electronic signature
PROSPECT FAMILY DENTAL LLC 2009 030474316 2010-07-22 PROSPECT FAMILY DENTAL LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2037552744
Plan sponsor’s address 2457 EAST MAIN STREET, WATERBURY, CT, 067052685

Plan administrator’s name and address
Administrator’s EIN 030474316
Plan administrator’s name PROSPECT FAMILY DENTAL LLC
Plan administrator’s address 2457 EAST MAIN STREET, WATERBURY, CT, 067052685
Administrator’s telephone number 2037552744

Signature of
Role Plan administrator
Date 2010-07-22
Name of individual signing PROSPECT FAMILY DENTAL LLC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
VINCENT D'AGOSTINO Agent 2457 EAST MAIN STREET, WATERBURY, CT, 06705, United States 45 TURKEY HILL RD SOUTH, WESTPORT, CT, 06880, United States

Officer

Name Role Business address Residence address
VINCENT D'AGOSTINO Officer 2457 EAST MAIN ST, WATERBURY, CT, 06705, United States 45 TURKEY HILL RD SOUTH, WESTPORT, CT, 06880, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006234938 2018-08-20 2018-08-20 Dissolution Certificate of Dissolution No data
0005932691 2017-09-21 No data Annual Report Annual Report 2017
0005761616 2017-02-03 No data Annual Report Annual Report 2015
0005761618 2017-02-03 No data Annual Report Annual Report 2016
0005258707 2015-01-16 No data Annual Report Annual Report 2014
0005258695 2015-01-16 No data Annual Report Annual Report 2013
0004781438 2013-01-14 No data Annual Report Annual Report 2012
0004781434 2013-01-14 No data Annual Report Annual Report 2011
0004130191 2010-02-08 No data Annual Report Annual Report 2010
0003891560 2009-02-17 No data Annual Report Annual Report 2009

Related by officers

VINCENT D'AGOSTINO

LEVEL UP VILLAGE, INC. D'AGOSTINO FAMILY DENTAL, LLC

Related by address

2457 EAST MAIN STREET, WATERBURY, CT, 06705

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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