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PERIMENIS FAMILY DENTAL PRACTICE, INC.

Company Details

Entity Name: PERIMENIS FAMILY DENTAL PRACTICE, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 29 Dec 2004 (Companies founded in December 2004)
Business ALEI: 0805952
Annual report due: 29 Dec 2024
NAICS code: 621210 - Offices of Dentists
Business address: 77 GLENBROOK ROAD SUITE 108 SUITE 108, STAMFORD, CT, 06902, United States
Mailing address: 77 GLENBROOK ROAD UNIT108, STAMFORD, CT, United States, 06902
ZIP code: 06902 (Companies in Fairfield, 06902)
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 10000
E-Mail: PMPERIMENIS@GMAIL.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERIMENIS FAMILY DENTAL PRACTICE, INC. RETIREMENT PLAN 2012 202033880 2013-06-04 PERIMENIS FAMILY DENTAL PRACTICE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2033481555
Plan sponsor’s address 77 GLENBROOK ROAD, STAMFORD, CT, 06902

Signature of

Role Plan administrator
Date 2013-06-04
Name of individual signing PETER P. PERIMENIS D. D. S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-04
Name of individual signing PETER P. PERIMENIS D. D. S.
Valid signature Filed with authorized/valid electronic signature
PERIMENIS FAMILY DENTAL PRACTICE, INC. RETIREMENT PLAN 2011 202033880 2012-05-24 PERIMENIS FAMILY DENTAL PRACTICE, INC. 7
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2033481555
Plan sponsor’s address 77 GLENBROOK ROAD, STAMFORD, CT, 06902

Plan administrator’s name and address

Administrator’s EIN 202033880
Plan administrator’s name PERIMENIS FAMILY DENTAL PRACTICE, INC.
Plan administrator’s address 77 GLENBROOK ROAD, STAMFORD, CT, 06902
Administrator’s telephone number 2033481555

Signature of

Role Plan administrator
Date 2012-05-24
Name of individual signing PETER P. PERIMENIS D. D. S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-24
Name of individual signing PETER P. PERIMENIS D. D. S.
Valid signature Filed with authorized/valid electronic signature
PERIMENIS FAMILY DENTAL PRACTICE, INC. RETIREMENT PLAN 2011 202033880 2012-05-24 PERIMENIS FAMILY DENTAL PRACTICE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2033481555
Plan sponsor’s address 77 GLENBROOK ROAD, STAMFORD, CT, 06902

Plan administrator’s name and address

Administrator’s EIN 202033880
Plan administrator’s name PERIMENIS FAMILY DENTAL PRACTICE, INC.
Plan administrator’s address 77 GLENBROOK ROAD, STAMFORD, CT, 06902
Administrator’s telephone number 2033481555

Signature of

Role Plan administrator
Date 2012-05-24
Name of individual signing PETER P. PERIMENIS D. D. S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-24
Name of individual signing PETER P. PERIMENIS D. D. S.
Valid signature Filed with authorized/valid electronic signature
PERIMENIS FAMILY DENTAL PRACTICE, INC. RETIREMENT PLAN 2010 202033880 2011-09-12 PERIMENIS FAMILY DENTAL PRACTICE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2033481555
Plan sponsor’s address 77 GLENBROOK ROAD, STAMFORD, CT, 06902

Plan administrator’s name and address

Administrator’s EIN 202033880
Plan administrator’s name PERIMENIS FAMILY DENTAL PRACTICE, INC.
Plan administrator’s address 77 GLENBROOK ROAD, STAMFORD, CT, 06902
Administrator’s telephone number 2033481555

Signature of

Role Plan administrator
Date 2011-09-12
Name of individual signing PETER P. PERIMENIS D.D.S.
Valid signature Filed with authorized/valid electronic signature
PERIMENIS FAMILY DENTAL PRACTICE, INC. RETIREMENT PLAN 2009 202033880 2010-07-13 PERIMENIS FAMILY DENTAL PRACTICE, INC. 6
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2033481555
Plan sponsor’s address 77 GLENBROOK ROAD, STAMFORD, CT, 06902

Plan administrator’s name and address

Administrator’s EIN 202033880
Plan administrator’s name PERIMENIS FAMILY DENTAL PRACTICE, INC.
Plan administrator’s address 77 GLENBROOK ROAD, STAMFORD, CT, 06902
Administrator’s telephone number 2033481555

Signature of

Role Plan administrator
Date 2010-07-13
Name of individual signing PETER P. PERIMENIS D.D.S.
Valid signature Filed with incorrect/unrecognized electronic signature
PERIMENIS FAMILY DENTAL PRACTICE, INC. RETIREMENT PLAN 2009 202033880 2010-07-19 PERIMENIS FAMILY DENTAL PRACTICE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2033481555
Plan sponsor’s address 77 GLENBROOK ROAD, STAMFORD, CT, 06902

Plan administrator’s name and address

Administrator’s EIN 202033880
Plan administrator’s name PERIMENIS FAMILY DENTAL PRACTICE, INC.
Plan administrator’s address 77 GLENBROOK ROAD, STAMFORD, CT, 06902
Administrator’s telephone number 2033481555

Signature of

Role Plan administrator
Date 2010-07-13
Name of individual signing PETER P. PERIMENIS D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
PETER M PERIMENIS Agent 77 GLENBROOK ROAD SUITE 108 SUITE 108, STAMFORD, CT, 06902, United States 77 GLENBROOK ROAD SUITE 108 SUITE 108, STAMFORD, CT, 06902, United States +1 203-912-5613 pmperimenis@gmail.com 283 SAWMILL ROAD, STAMFORD, CT, 06903, United States

Officer

Name Role Business address Residence address
PETER M. PERIMENIS DDS Officer 77 GLENBROOK ROAD SUITE 108 SUITE 108, STAMFORD, CT, 06902, United States 283 SAW MILL ROAD, STAMFORD, CT, 06903, United States
PETER M. PERIMENIS Officer 77 GLENBROOK ROAD SUITE 108 SUITE 108, STAMFORD, CT, 06902, United States 283 SAWMILL ROAD, STAMFORD, CT, 06903, United States

Director

Name Role Business address Residence address
PETER M. PERIMENIS Director 77 GLENBROOK ROAD SUITE 108 SUITE 108, STAMFORD, CT, 06902, United States 283 SAWMILL ROAD, STAMFORD, CT, 06903, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011164115 2023-11-30 No data Annual Report Annual Report No data
BF-0010275180 2022-11-29 No data Annual Report Annual Report 2022
BF-0009826899 2022-01-04 No data Annual Report Annual Report No data
0007095440 2021-02-01 No data Annual Report Annual Report 2020
0006717944 2020-01-09 2020-01-09 Agent Resignation Agent Resignation No data
0006676264 2019-11-11 No data Annual Report Annual Report 2019
0006332607 2019-01-22 No data Annual Report Annual Report 2018
0006194608 2018-06-04 2018-06-04 Interim Notice Interim Notice No data
0005969987 2017-11-21 No data Annual Report Annual Report 2017
0005752069 2017-01-27 No data Annual Report Annual Report 2016

Date of last update: 18 Nov 2024

Sources: Connecticut's Official State Website