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DAVID GARRELL, M.D., LLC

Company Details

Entity Name: DAVID GARRELL, M.D., LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 18 Jul 2002 (Companies founded in July 2002)
Date of dissolution: 31 Oct 2018
Business ALEI: 0720882
Business address: 2238 BLACK ROCK TURNPIKE, FAIRFIELD, CT, 06824
ZIP code: 06824 (Companies in Fairfield, 06824)
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: garrell@sbcglobal.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID GARRELL, M.D., LLC INCENTIVE SAVINGS TRUST 2017 743050217 2018-01-02 DAVID GARRELL, M.D. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2033663869
Plan sponsor’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2018-01-02
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-02
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
DAVID GARRELL, M.D., LLC INCENTIVE SAVINGS TRUST 2016 743050217 2017-09-18 DAVID GARRELL, M.D. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2033663869
Plan sponsor’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2017-09-18
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-18
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
DAVID GARRELL, M.D., LLC INCENTIVE SAVINGS TRUST 2015 743050217 2016-07-25 DAVID GARRELL, M.D. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2033663869
Plan sponsor’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2016-07-22
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-22
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
DAVID GARRELL, M.D., LLC INCENTIVE SAVINGS TRUST 2014 743050217 2015-09-16 DAVID GARRELL, M.D. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2033663869
Plan sponsor’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2015-09-16
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-16
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
DAVID GARRELL, M.D., LLC INCENTIVE SAVINGS TRUST 2013 743050217 2014-09-22 DAVID GARRELL, M.D. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2033663869
Plan sponsor’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing GARRELL, DAVID
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-22
Name of individual signing GARRELL, DAVID
Valid signature Filed with authorized/valid electronic signature
DAVID GARRELL, M.D., LLC INCENTIVE SAVINGS TRUST 2012 743050217 2013-08-20 DAVID GARRELL, M.D. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2033663869
Plan sponsor’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2013-08-20
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-20
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
DAVID GARRELL, M.D., LLC INCENTIVE SAVINGS TRUST 2011 743050217 2012-10-02 DAVID GARRELL, M.D. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2033663869
Plan sponsor’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824

Plan administrator’s name and address
Administrator’s EIN 743050217
Plan administrator’s name DAVID GARRELL, M.D.
Plan administrator’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824
Administrator’s telephone number 2033663869

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-02
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
DAVID GARRELL, M.D., LLC INCENTIVE SAVINGS TRUST 2010 743050217 2011-09-20 DAVID GARRELL, M.D. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2033663869
Plan sponsor’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824

Plan administrator’s name and address
Administrator’s EIN 743050217
Plan administrator’s name DAVID GARRELL, M.D.
Plan administrator’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824
Administrator’s telephone number 2033663869

Signature of
Role Plan administrator
Date 2011-09-13
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-13
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
DAVID GARRELL, M.D., LLC INCENTIVE SAVINGS TRUST 2009 743050217 2010-10-01 DAVID GARRELL, M.D. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2033663869
Plan sponsor’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824

Plan administrator’s name and address
Administrator’s EIN 743050217
Plan administrator’s name DAVID GARRELL, M.D.
Plan administrator’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824
Administrator’s telephone number 2033663869

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-01
Name of individual signing DAVID GARRELL
Valid signature Filed with authorized/valid electronic signature
DAVID GARRELL, M.D., LLC INCENTIVE SAVINGS TRUST 2009 743050217 2011-02-10 DAVID GARRELL, M.D. No data
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2033663869
Plan sponsor’s mailing address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824
Plan sponsor’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824

Plan administrator’s name and address
Administrator’s EIN 743050217
Plan administrator’s name DAVID GARRELL, M.D.
Plan administrator’s address 2228 BLACK ROCK TURNPIKE, SUITE 211, FAIRFIELD, CT, 06824
Administrator’s telephone number 2033663869

Agent

Name Role Business address Residence address
DAVID GARRELL Agent 2228 BLACK ROCK TPK, STE 211, FAIRFIELD, CT, United States 1355 FAIRFIELD BEACH RD, FAIRFIELD, CT, United States

Officer

Name Role Business address Residence address
DAVID GARRELL MD Officer 2228 BLACK ROCK TPK, STE 211, FAIRFIELD, CT, United States 1355 FAIRFIELD BEACH RD, FAIRFIELD, CT, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006269966 2018-10-31 2018-10-31 Dissolution Certificate of Dissolution No data
0006005087 2018-01-12 No data Annual Report Annual Report 2017
0005611138 2016-07-25 No data Annual Report Annual Report 2016
0005410887 2015-10-13 No data Annual Report Annual Report 2014
0005410888 2015-10-13 No data Annual Report Annual Report 2015
0004887612 2013-07-02 No data Annual Report Annual Report 2013
0004675624 2012-06-26 No data Annual Report Annual Report 2012
0004581652 2011-06-16 No data Annual Report Annual Report 2011
0004237746 2010-07-08 No data Annual Report Annual Report 2010
0003994994 2009-07-15 No data Annual Report Annual Report 2009

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Date of last update: 18 Nov 2024

Sources: Connecticut's Official State Website

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