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LORI L. GREENWALD, M.D., P.C.

Company Details

Entity Name: LORI L. GREENWALD, M.D., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Date Formed: 23 Apr 2003 (Companies founded in April 2003)
Business ALEI: 0746921
Annual report due: 23 Apr 2025
NAICS code: 621999 - All Other Miscellaneous Ambulatory Health Care Services
Business address: 1 BARNARD LANE SUITE 201, BLOOMFIELD, CT, 06002, United States
Mailing address: 1 BARNARD LANE SUITE 201, BLOOMFIELD, CT, United States, 06002
ZIP code: 06002 (Companies in Hartford, 06002)
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: drgreenwald@vanishingveins.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LORI L. GREENWALD, M.D., P.C. 401(K) PLAN AND TRUST 2023 542112510 2024-09-04 LORI L. GREENWALD, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8607616666
Plan sponsor’s address 1 BARNARD LANE SUITE 201, BLOOMFIELD, CT, 06002

Signature of
Role Plan administrator
Date 2024-09-04
Name of individual signing LORI L. GREENWALD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-04
Name of individual signing LORI L. GREENWALD
Valid signature Filed with authorized/valid electronic signature
LORI L. GREENWALD, M.D., P.C. 401(K) PLAN AND TRUST 2022 542112510 2023-09-07 LORI L. GREENWALD, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8607616666
Plan sponsor’s address 1 BARNARD LANE SUITE 201, BLOOMFIELD, CT, 06002

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing LORI L. GREENWALD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-07
Name of individual signing LORI L. GREENWALD
Valid signature Filed with authorized/valid electronic signature
LORI L. GREENWALD, M.D., P.C. 401(K) PLAN AND TRUST 2021 542112510 2022-10-12 LORI L. GREENWALD, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4137616666
Plan sponsor’s address 1 BARNARD LANE, BLOOMFIELD, CT, 06002

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing LORI L. GREENWALD
Valid signature Filed with authorized/valid electronic signature
LORI L. GREENWALD, M.D., P.C. 401(K) PLAN AND TRUST 2020 542112510 2021-07-01 LORI L. GREENWALD, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4137616666
Plan sponsor’s address 1 BARNARD LANE, BLOOMFIELD, CT, 06002

Signature of
Role Plan administrator
Date 2021-07-01
Name of individual signing LORI L. GREENWALD
Valid signature Filed with authorized/valid electronic signature
LORI L. GREENWALD, M.D., P.C. 401(K) PLAN AND TRUST 2019 542112510 2020-10-13 LORI L. GREENWALD, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4137616666
Plan sponsor’s address 1 BARNARD LANE, BLOOMFIELD, CT, 06002

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing LORI L. GREENWALD
Valid signature Filed with authorized/valid electronic signature
LORI L. GREENWALD, M.D., P.C. 401(K) PLAN AND TRUST 2018 542112510 2019-10-14 LORI L. GREENWALD, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4137616666
Plan sponsor’s address 1 BARNARD LANE, BLOOMFIELD, CT, 06002

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing LORI L. GREENWALD
Valid signature Filed with authorized/valid electronic signature
LORI L. GREENWALD, M.D., P.C. 401(K) PLAN AND TRUST 2017 542112510 2018-10-08 LORI L. GREENWALD, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4137616666
Plan sponsor’s address 1 BARNARD LANE, BLOOMFIELD, CT, 06002

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing LORI L. GREENWALD
Valid signature Filed with authorized/valid electronic signature
LORI L. GREENWALD, M.D., P.C. 401(K) PLAN AND TRUST 2016 542112510 2017-10-04 LORI L. GREENWALD, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4137616666
Plan sponsor’s address 1 BARNARD LANE, BLOOMFIELD, CT, 06002

Signature of
Role Plan administrator
Date 2017-10-04
Name of individual signing LORI L. GREENWALD
Valid signature Filed with authorized/valid electronic signature
LORI L. GREENWALD, M.D., P.C. 401(K) PLAN AND TRUST 2015 542112510 2016-09-30 LORI L. GREENWALD, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4137616666
Plan sponsor’s address 1 BARNARD LANE, BLOOMFIELD, CT, 06002

Signature of
Role Plan administrator
Date 2016-09-30
Name of individual signing LORI L. GREENWALD
Valid signature Filed with authorized/valid electronic signature
LORI L. GREENWALD, M.D., P.C. 401(K) PLAN AND TRUST 2014 542112510 2015-07-10 LORI L. GREENWALD, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4137616666
Plan sponsor’s address 1 BARNARD LANE, BLOOMFIELD, CT, 06002

Signature of
Role Plan administrator
Date 2015-07-10
Name of individual signing LORI L. GREENWALD
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
Bruce Stein Officer 1 BARNARD LANE SUITE 201, BLOOMFIELD, CT, 06002, United States 2 Murthas Way, 71, Granby, CT, 06035-2655, United States
LORI L. GREENWALD M.D. Officer 1 BARNARD LANE, BLOOMFIELD, CT, 06002, United States 2 Murthas Way, 71, Granby, CT, 06035-2655, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
JENNIFER DEAKIN Agent 271 WHITNEY AVENUE, NEW HAVEN, CT, 06511, United States 271 WHITNEY AVENUE, NEW HAVEN, CT, 06511, United States +1 860-559-2278 drgreenwald@vanishingveins.net 100 OGDEN STREET, NEW HAVEN, CT, 06511, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012068873 2024-09-17 No data Annual Report Annual Report No data
BF-0011272877 2024-09-17 No data Annual Report Annual Report No data
BF-0012757320 2024-09-05 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
BF-0010244313 2022-04-30 No data Annual Report Annual Report 2022
0007311125 2021-04-28 No data Annual Report Annual Report 2021
0007311123 2021-04-28 No data Annual Report Annual Report 2020
0007307970 2021-04-23 No data Annual Report Annual Report 2019
0006242192 2018-09-05 No data Annual Report Annual Report 2014
0006242207 2018-09-05 No data Annual Report Annual Report 2018
0006242199 2018-09-05 No data Annual Report Annual Report 2016

Related by officers

LORI L. GREENWALD M.D.

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JENNIFER DEAKIN

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Related by address

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Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website

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