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STANISLAW P. CHORZEPA, D.O., LLC

Company Details

Entity Name: STANISLAW P. CHORZEPA, D.O., LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 08 Jan 2003 (Companies founded in January 2003)
Business ALEI: 0736223
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 211 NEW BRITAIN ROAD SUITE 103, BERLIN, CT, 06037, United States
Mailing address: 211 NEW BRITAIN RD SUITE 103, KENSINGTON, CT, United States, 06037
ZIP code: 06037 (Companies in Hartford, 06037)
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: ADMINISTRATOR@DRCHORZEPA.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STANISLAW P. CHORZEPA, D.O., LLC 401(K) PLAN 2023 020664663 2024-10-15 STANISLAW P. CHORZEPA, D.O., LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8608930300
Plan sponsor’s address 211 NEW BRITAIN ROAD, SUITE 103, BERLIN, CT, 06037

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing STANISLAW P. CHORZEPA, D. O.
Valid signature Filed with authorized/valid electronic signature
STANISLAW P. CHORZEPA, D.O., LLC 401(K) PLAN 2022 020664663 2023-10-15 STANISLAW P. CHORZEPA, D.O., LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8608930300
Plan sponsor’s address 211 NEW BRITAIN ROAD, SUITE 103, BERLIN, CT, 06037

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing STANISLAW P. CHORZEPA, D. O.
Valid signature Filed with authorized/valid electronic signature
STANISLAW P. CHORZEPA, D.O., LLC 401(K) PLAN 2021 020664663 2022-10-12 STANISLAW P. CHORZEPA, D.O., LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8608930300
Plan sponsor’s address 211 NEW BRITAIN ROAD, SUITE 103, BERLIN, CT, 06037

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing STANISLAW P. CHORZEPA, D. O.
Valid signature Filed with authorized/valid electronic signature
STANISLAW P. CHORZEPA, D.O., LLC 401(K) PLAN 2020 020664663 2021-10-12 STANISLAW P. CHORZEPA, D.O., LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8608930300
Plan sponsor’s address 211 NEW BRITAIN ROAD, SUITE 103, BERLIN, CT, 06037

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing STANISLAW P. CHORZEPA, D. O.
Valid signature Filed with authorized/valid electronic signature
STANISLAW P. CHORZEPA, D. O., LLC 401(K) PLAN 2019 020664663 2021-10-11 STANISLAW P. CHORZEPA, D.O., LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8608930300
Plan sponsor’s address 211 NEW BRITAIN ROAD, SUITE 103, BERLIN, CT, 06037

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing STANISLAW P. CHORZEPA, D. O.
Valid signature Filed with authorized/valid electronic signature
STANISLAW P. CHORZEPA, D. O., LLC 401(K) PLAN 2019 020664663 2020-10-15 STANISLAW P. CHORZEPA, D.O., LLC 7
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8608930300
Plan sponsor’s address 211 NEW BRITAIN ROAD, SUITE 103, BERLIN, CT, 06037

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing STANISLAW P. CHORZEPA, D. O.
Valid signature Filed with authorized/valid electronic signature
STANISLAW P. CHORZEPA, D. O., LLC 401(K) PLAN 2018 020664663 2019-10-12 STANISLAW P. CHORZEPA, D.O., LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8608930300
Plan sponsor’s address 211 NEW BRITAIN ROAD, SUITE 103, BERLIN, CT, 06037

Signature of
Role Plan administrator
Date 2019-10-12
Name of individual signing STANISLAW P. CHORZEPA, D. O.
Valid signature Filed with authorized/valid electronic signature
STANISLAW P. CHORZEPA, D. O., LLC 401(K) PLAN 2017 020664663 2018-08-17 STANISLAW P. CHORZEPA, D.O., LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8608930300
Plan sponsor’s address 211 NEW BRITAIN ROAD, SUITE 103, BERLIN, CT, 06037

Signature of
Role Plan administrator
Date 2018-08-17
Name of individual signing STANISLAW P. CHORZEPA, D. O.
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
JANINA CHORZEPA Officer 211 NEW BRITAIN ROAD, Suite 103, BERLIN, CT, 06037, United States 211 NEW BRITAIN ROAD, SUITE 103, BERLIN, CT, 06037, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
STANISLAW P CHORZEPA D.O. Agent 211 NEW BRITAIN ROAD SUITE 103, BERLIN, CT, 06037, United States 211 NEW BRITAIN ROAD, SUITE 103, BERLIN, CT, 06037, United States +1 860-539-0985 ADMINISTRATOR@DRCHORZEPA.COM 39 OLD EDGEWOOD ROAD, BERLIN, CT, 06037, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012334525 2024-01-28 No data Annual Report Annual Report No data
BF-0011270631 2023-02-24 No data Annual Report Annual Report No data
BF-0010382390 2022-03-28 No data Annual Report Annual Report 2022
0007103945 2021-02-01 No data Annual Report Annual Report 2021
0007016857 2020-11-11 No data Annual Report Annual Report 2020
0006493223 2019-03-26 No data Annual Report Annual Report 2019
0006026697 2018-01-23 No data Annual Report Annual Report 2017
0006026704 2018-01-23 No data Annual Report Annual Report 2018
0006026691 2018-01-23 No data Annual Report Annual Report 2016
0005447642 2015-12-16 No data Annual Report Annual Report 2014

Related by officers

JANINA CHORZEPA

JSNACK, 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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