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  5. INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC

INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC

Company Details

Entity Name: INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 03 Sep 2003
Business ALEI: 0758851
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 1952 WHITNEY AVE 3RD FLOOR 1952 WHITNEY AVE, HAMDEN, CT, 06517, United States
Mailing address: 1952 WHITNEY AVE, HAMDEN, CT, United States, 06517
ZIP code: 06517
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: margaret.chustecki@yale.edu

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC RETIREMENT PLAN 2023 331069613 2024-07-23 INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2038481803
Plan sponsor’s address 1952 WHITNEY AVENUE, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing MARGARET CHUSTECKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-23
Name of individual signing MARGARET CHUSTECKA
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC RETIREMENT PLAN 2022 331069613 2023-07-20 INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2038481803
Plan sponsor’s address 1952 WHITNEY AVENUE, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing MARGARET CHUSTECKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-20
Name of individual signing MARGARET CHUSTECKA
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC RETIREMENT PLAN 2021 331069613 2022-10-10 INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2038481803
Plan sponsor’s address 1952 WHITNEY AVENUE, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing DORIS NODELMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-10
Name of individual signing DORIS NODELMAN
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC RETIREMENT PLAN 2020 331069613 2021-10-07 INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2038481803
Plan sponsor’s address 1952 WHITNEY AVENUE, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing DORIS NODELMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-07
Name of individual signing DORIS NODELMAN
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC RETIREMENT PLAN 2019 331069613 2020-10-13 INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2038481803
Plan sponsor’s address 1952 WHITNEY AVENUE, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing DORIS NODELMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing DORIS NODELMAN
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC RETIREMENT PLAN 2018 331069613 2019-09-25 INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2038481803
Plan sponsor’s address 1952 WHITNEY AVENUE, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2019-09-23
Name of individual signing MARGARET CHUSTECKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-23
Name of individual signing MARGARET CHUSTECKI
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC RETIREMENT PLAN 2017 331069613 2018-10-05 INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2038481803
Plan sponsor’s address 1952 WHITNEY AVENUE, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing MARGARET CHUSTECKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-05
Name of individual signing MARGARET CHUSTECKA
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC RETIREMENT PLAN 2016 331069613 2017-08-28 INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2038481803
Plan sponsor’s address 1952 WHITNEY AVENUE, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2017-08-28
Name of individual signing DORIS NODELMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-28
Name of individual signing DORIS NODELMAN
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC RETIREMENT PLAN 2015 331069613 2016-09-27 INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2038481803
Plan sponsor’s address 1952 WHITNEY AVENUE, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing MARGARET CHUSTECKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-27
Name of individual signing MARGARET CHUSTECKA
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC RETIREMENT PLAN 2014 331069613 2015-10-02 INTERNAL MEDICINE OF GREATER NEW HAVEN, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2038481803
Plan sponsor’s address 1952 WHITNEY AVENUE, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing DORIS NODELMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-02
Name of individual signing DORIS NODELMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
EDWARD A. ZELINSKY ESQ. Agent 1952 WHITNEY AVE 3RD FLOOR 1952 WHITNEY AVE, HAMDEN, CT, 06517, United States 1952 WHITNEY AVE 3RD FLOOR 1952 WHITNEY AVE, HAMDEN, CT, 06517, United States +1 203-809-1700 margaret.chustecki@yale.edu 1366 GRASSO BLVD., NEW HAVEN, CT, United States

Officer

Name Role Business address Residence address
ROMAN KHODZINSKY M.D. Officer 1952 WHITNEY AVE 3RD FLOOR 1952 WHITNEY AVE, HAMDEN, CT, 06517, United States 37 SARA CIRCLE, NORTH HAVEN, CT, 06473, United States
MARGARET CHUSTECKI M.D. Officer 1952 WHITNEY AVE, 3RD FLOOR, HAMDEN, CT, 06517, United States APARTMENT 2D, 500 PROSPECT STREET, NEW HAVEN, CT, 06511, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012083325 2024-01-21 No data Annual Report Annual Report No data
BF-0011276257 2023-01-22 No data Annual Report Annual Report No data
BF-0010346703 2022-01-09 No data Annual Report Annual Report 2022
0007137807 2021-02-09 No data Annual Report Annual Report 2021
0006720089 2020-01-11 No data Annual Report Annual Report 2020
0006481323 2019-03-21 No data Annual Report Annual Report 2018
0006481317 2019-03-21 No data Annual Report Annual Report 2017
0006481331 2019-03-21 No data Annual Report Annual Report 2019
0005644876 2016-09-07 No data Annual Report Annual Report 2016
0005422648 2015-11-03 No data Annual Report Annual Report 2015

Related by officers

EDWARD A. ZELINSKY ESQ.

179 MAPLE STREET, LLC WEST HAVEN FAMILY PHYSICIAN ASSOCIATES, LLC EAST HAVEN FAMILY PHYSICIAN ASSOCIATES, LLC THOMAS COLVILLE FINE ART, LLC ZWERDLING MANAGEMENT SERVICES, LLC AMERIPOL CONSULTING, LLC ADAM I. FRIEDMAN ASSOCIATES, INC. RACHELLE KEITH COSMETICS, LTD. AJON DEVELOPMENT CORP. TECH MULTILAYER, INC.

MARGARET CHUSTECKI M.D.

REAL ESTATE OF GREATER NEW HAVEN, LLC

Related by address

1952 WHITNEY AVE, HAMDEN, CT, United States, 06517

ENDOCRINE ASSOCIATES OF CONNECTICUT, LLC INTERNAL MEDICINE OF GREATER NEW HAVEN H.R. LLC

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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