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DR. PHILIP A. MONGELLUZZO, JR., LLC

Company Details

Entity Name: DR. PHILIP A. MONGELLUZZO, JR., LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 04 Apr 2002 (Companies founded in April 2002)
Date of dissolution: 04 Feb 2021
Business ALEI: 0710826
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 2247 EAST MAIN STREET SUITE 103, WATERBURY, CT, 06705, United States
Mailing address: 2247 EAST MAIN STREET SUITE 103, WATERBURY, CT, United States, 06705
ZIP code: 06705 (Companies in New Haven, 06705)
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: drphil@pulse4pulse.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. PHILIP A. MONGELLUZZO JR. LLC 401(K) PLAN 2019 043630261 2020-10-14 DR. PHILIP A. MONGELLUZZO JR. LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621498
Sponsor’s telephone number 2037573486
Plan sponsor’s address 2247 EAST MAIN STREET, SUITE 103, WATERBURY, CT, 06705

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing MARIA MONGELLUZZO
Valid signature Filed with authorized/valid electronic signature
DR. PHILIP A. MONGELLUZZO JR. LLC 401(K) PLAN 2018 043630261 2019-10-14 DR. PHILIP A. MONGELLUZZO JR. LLC 27
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621498
Sponsor’s telephone number 2037573486
Plan sponsor’s address 2247 EAST MAIN STREET, SUITE 103, WATERBURY, CT, 06705

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing MARIA MONGELLUZZO
Valid signature Filed with authorized/valid electronic signature
DR. PHILIP A. MONGELLUZZO JR. LLC 401(K) PLAN 2018 043630261 2019-10-15 DR. PHILIP A. MONGELLUZZO JR. LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621498
Sponsor’s telephone number 2037573486
Plan sponsor’s address 2247 EAST MAIN STREET, SUITE 103, WATERBURY, CT, 06705

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing MARIA MONGELLUZZO
Valid signature Filed with authorized/valid electronic signature
DR. PHILIP A. MONGELLUZZO JR. LLC 401(K) PLAN 2017 043630261 2018-10-15 DR. PHILIP A. MONGELLUZZO JR. LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621498
Sponsor’s telephone number 2037573486
Plan sponsor’s address 2247 EAST MAIN STREET, SUITE 103, WATERBURY, CT, 06705

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MARIA MONGELLUZZO
Valid signature Filed with authorized/valid electronic signature
DR. PHILIP A. MONGELLUZZO JR. LLC 401K PLAN 2016 043630261 2017-08-04 DR. PHILIP A. MONGELLUZZO JR. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621498
Sponsor’s telephone number 2037573486
Plan sponsor’s address 2247 EAST MAIN STREET, SUITE 103, WATERBURY, CT, 06705

Signature of
Role Plan administrator
Date 2017-08-04
Name of individual signing MARIA MONGELLUZZO
Valid signature Filed with authorized/valid electronic signature
DR. PHILIP A. MONGELLUZZO JR. LLC 401K PLAN 2015 043630261 2016-08-01 DR. PHILIP A. MONGELLUZZO JR. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621498
Sponsor’s telephone number 2037573486
Plan sponsor’s address 2247 EAST MAIN STREET, SUITE 103, WATERBURY, CT, 06705

Signature of
Role Plan administrator
Date 2016-08-01
Name of individual signing MARIA MONGELLUZZO
Valid signature Filed with authorized/valid electronic signature
DR. PHILIP A. MONGELLUZZO JR. LLC 401K PLAN 2014 043630261 2015-09-23 DR. PHILIP A. MONGELLUZZO JR. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621498
Sponsor’s telephone number 2037573486
Plan sponsor’s address 2247 EAST MAIN STREET, SUITE 103, WATERBURY, CT, 06705

Signature of
Role Plan administrator
Date 2015-09-23
Name of individual signing MARIA MONGELLUZZO
Valid signature Filed with authorized/valid electronic signature
DR. PHILIP A. MONGELLUZZO JR. LLC 401K PLAN 2013 043630261 2014-06-27 DR. PHILIP A. MONGELLUZZO JR. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621498
Sponsor’s telephone number 2037573486
Plan sponsor’s address 2247 EAST MAIN STREET, SUITE 103, WATERBURY, CT, 06705

Signature of
Role Plan administrator
Date 2014-06-27
Name of individual signing MARIA MONGELLUZZO
Valid signature Filed with authorized/valid electronic signature
DR. PHILIP A. MONGELLUZZO JR. LLC 401K PLAN 2012 043630261 2014-06-27 DR. PHILIP A. MONGELLUZZO JR. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621498
Sponsor’s telephone number 2037573486
Plan sponsor’s address 2247 EAST MAIN STREET, SUITE 103, WATERBURY, CT, 06705

Signature of
Role Plan administrator
Date 2014-06-27
Name of individual signing MARIA MONGELLUZZO
Valid signature Filed with authorized/valid electronic signature
DR. PHILIP A. MONGELLUZZO JR. LLC 401K PLAN 2011 043630261 2014-06-27 DR. PHILIP A. MONGELLUZZO JR. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621498
Sponsor’s telephone number 2037573486
Plan sponsor’s address 2247 EAST MAIN STREET, SUITE 103, WATERBURY, CT, 06705

Plan administrator’s name and address
Administrator’s EIN 043630261
Plan administrator’s name DR. PHILIP A. MONGELLUZZO JR.
Plan administrator’s address 2247 EAST MAIN STREET, SUITE 103, WATERBURY, CT, 06705
Administrator’s telephone number 2037573486

Signature of
Role Plan administrator
Date 2014-06-27
Name of individual signing MARIA MONGELLUZZO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address E-Mail Residence address
BRIAN J. MONGELLUZZO ESQ. Agent 1211 CHASE PARKWAY, WATERBURY, CT, 06708, United States 1211 CHASE PARKWAY, WATERBURY, CT, 06708, United States drphil@pulse4pulse.com 32 RIDGELAND DRIVE, WATERBURY, CT, 06708, United States

Officer

Name Role Business address Residence address
PHILIP A. MONGELLUZZO JR. Officer 2247 EAST MAIN ST, SUITE 103, WATERBURY, CT, 06705, United States 70 JOSHUA TOWN DRIVE, WATERBURY, CT, 06708, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007126599 2021-02-04 2021-02-04 Dissolution Certificate of Dissolution No data
0007025417 2020-11-23 No data Annual Report Annual Report 2020
0007025416 2020-11-23 2020-11-23 Change of Email Address Business Email Address Change No data
0006440920 2019-03-11 No data Annual Report Annual Report 2019
0006147186 2018-03-30 No data Annual Report Annual Report 2018
0005807950 2017-04-03 No data Annual Report Annual Report 2017
0005553259 2016-04-29 No data Annual Report Annual Report 2016
0005386737 2015-08-26 No data Annual Report Annual Report 2015
0005098147 2014-04-30 No data Annual Report Annual Report 2013
0005098150 2014-04-30 No data Annual Report Annual Report 2014

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Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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