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SUSAN J. DEVINE OD, LLC

Company Details

Entity Name: SUSAN J. DEVINE OD, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 21 May 2002 (Companies founded in May 2002)
Date of dissolution: 13 Mar 2021
Business ALEI: 0714124
NAICS code: 621320 - Offices of Optometrists
Business address: 1654 KING ST SUITE 6, ENFIELD, CT, 06082, United States
Mailing address: 31 WATCHAUG RD 31 WATCHAUG RD, SOMERS, SOMERS, CT, United States, 06071
ZIP code: 06082 (Companies in Hartford, 06082)
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: drsuebee@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUSAN J. DEVINE, OD 401K SAFE HARBOR PLAN 2016 061537800 2017-11-01 SUSAN J. DEVINE, OD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-08-01
Business code 621320
Sponsor’s telephone number 8606238013
Plan sponsor’s address 44 PROSPECT HILL RD, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2017-11-01
Name of individual signing SUSAN DEVINE
Valid signature Filed with authorized/valid electronic signature
SUSAN J. DEVINE, OD 401K SAFE HARBOR PLAN 2016 061537800 2017-07-19 SUSAN J. DEVINE, OD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-08-01
Business code 621320
Sponsor’s telephone number 8606238013
Plan sponsor’s address 44 PROSPECT HILL RD, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2017-07-19
Name of individual signing SUSAN DEVINE
Valid signature Filed with authorized/valid electronic signature
SUSAN J. DEVINE, OD 401K SAFE HARBOR PLAN 2015 061537800 2016-07-29 SUSAN J. DEVINE, OD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-08-01
Business code 621320
Sponsor’s telephone number 8606238013
Plan sponsor’s address 44 PROSPECT HILL RD, EAST WINDSOR, CT, 06088
SUSAN J. DEVINE, OD 401K SAFE HARBOR PLAN 2014 061537800 2015-05-04 SUSAN J. DEVINE, OD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-08-01
Business code 812990
Sponsor’s telephone number 8606238013
Plan sponsor’s address 44 PROSPECT HILL RD, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2015-05-04
Name of individual signing SUSAN J. DEVINE
Valid signature Filed with authorized/valid electronic signature
SUSAN J. DEVINE, OD 401K SAFE HARBOR PLAN 2013 061537800 2014-07-24 SUSAN J. DEVINE, OD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-08-01
Business code 812990
Sponsor’s telephone number 8606238013
Plan sponsor’s address 44 PROSPECT HILL RD., EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature
SUSAN J. DEVINE, OD 401K SAFE HARBOR PLAN 2013 061537800 2014-05-27 SUSAN J. DEVINE, OD 3
Three-digit plan number (PN) 001
Effective date of plan 2011-08-01
Business code 812990
Sponsor’s telephone number 8606238013
Plan sponsor’s address 44 PROSPECT HILL RD., EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing SUSAN J. DEVINE
Valid signature Filed with authorized/valid electronic signature
SUSAN J. DEVINE, OD 401K SAFE HARBOR PLAN 2012 061537800 2013-03-15 SUSAN J. DEVINE, OD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-08-01
Business code 812990
Sponsor’s telephone number 8606238013
Plan sponsor’s address 69 PROSPECT HILL RD., EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2013-03-15
Name of individual signing SUSAN J. DEVINE
Valid signature Filed with authorized/valid electronic signature
SUSAN J. DEVINE, OD 401K SAFE HARBOR PLAN 2011 061537800 2012-06-26 SUSAN J. DEVINE, OD 0
Three-digit plan number (PN) 001
Effective date of plan 2011-08-01
Business code 812990
Sponsor’s telephone number 8606238013
Plan sponsor’s address 69 PROSPECT HILL RD., EAST WINDSOR, CT, 06088

Plan administrator’s name and address
Administrator’s EIN 061537800
Plan administrator’s name SUSAN J. DEVINE, OD
Plan administrator’s address 69 PROSPECT HILL RD., EAST WINDSOR, CT, 06088
Administrator’s telephone number 8606238013

Signature of
Role Plan administrator
Date 2012-06-26
Name of individual signing SUSAN J. DEVINE
Valid signature Filed with authorized/valid electronic signature
SUSAN J. DEVINE, OD 401K SAFE HARBOR PLAN 2011 061537800 2012-07-06 SUSAN J. DEVINE, OD 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-08-01
Business code 812990
Sponsor’s telephone number 8606238013
Plan sponsor’s address 69 PROSPECT HILL RD., EAST WINDSOR, CT, 06088

Plan administrator’s name and address
Administrator’s EIN 061537800
Plan administrator’s name SUSAN J. DEVINE, OD
Plan administrator’s address 69 PROSPECT HILL RD., EAST WINDSOR, CT, 06088
Administrator’s telephone number 8606238013

Signature of
Role Plan administrator
Date 2012-07-06
Name of individual signing SUSAN J. DEVINE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address E-Mail Residence address
SUSAN J. DEVINE Agent 1654 KING ST SUITE 6, ENFIELD, CT, 06082, United States 31 WATCHAUG RD, SOMERS, ENFIELD, CT, 06071, United States thewonderpuppy@cox.net 31 WATCHAUG RD, SOMERS, CT, 06071, United States

Officer

Name Role Business address Residence address
SUSAN J DEVINE Officer 1654 KING ST SUITE 6, 1654 KING ST SUITE 6, ENFIELD, CT, 06082, United States 31 WATCHAUG ROAD, SOMERS, CT, 06071, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007230993 2021-03-04 2021-03-13 Dissolution Certificate of Dissolution No data
0007046727 2020-12-30 No data Annual Report Annual Report 2017
0007046733 2020-12-30 No data Annual Report Annual Report 2018
0007046737 2020-12-30 No data Annual Report Annual Report 2019
0007046740 2020-12-30 No data Annual Report Annual Report 2020
0005845867 2017-05-09 2017-05-09 Change of Business Address Business Address Change No data
0005639822 2016-08-30 No data Annual Report Annual Report 2015
0005639823 2016-08-30 No data Annual Report Annual Report 2016
0005090736 2014-04-23 No data Annual Report Annual Report 2013
0005090754 2014-04-23 No data Annual Report Annual Report 2014

Related by officers

SUSAN J DEVINE

FOCUS FAMILY EYECARE, LLC

Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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