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HERGOTT DENTAL ASSOCIATES, LLC

Company Details

Entity Name: HERGOTT DENTAL ASSOCIATES, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 11 Jan 2005 (Companies founded in January 2005)
Business ALEI: 0807335
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 166 S BROAD ST, MERIDEN, CT, 06450, United States
Mailing address: 166 S BROAD ST, MERIDEN, CT, United States, 06450
ZIP code: 06450 (Companies in New Haven, 06450)
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: drdave@hergottdental.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HERGOTT DENTAL ASSOCIATES, LLC RETIREMENT PLAN 2023 342029811 2024-07-20 HERGOTT DENTAL ASSOCIATES, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-10-27
Business code 621210
Sponsor’s telephone number 2032353738
Plan sponsor’s address 166 SOUTH BROAD STREET, MERIDEN, CT, 06450

Signature of
Role Plan administrator
Date 2024-07-20
Name of individual signing DAVID HERGOTT
Valid signature Filed with authorized/valid electronic signature
HERGOTT DENTAL ASSOCIATES, LLC RETIREMENT PLAN 2022 342029811 2023-06-28 HERGOTT DENTAL ASSOCIATES, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-10-27
Business code 621210
Sponsor’s telephone number 2032353738
Plan sponsor’s address 166 SOUTH BROAD STREET, MERIDEN, CT, 06450

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing DAVID HERGOTT
Valid signature Filed with authorized/valid electronic signature
HERGOTT DENTAL ASSOCIATES, LLC RETIREMENT PLAN 2021 342029811 2022-05-27 HERGOTT DENTAL ASSOCIATES, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-10-27
Business code 621210
Sponsor’s telephone number 2032353738
Plan sponsor’s address 166 SOUTH BROAD STREET, MERIDEN, CT, 06450

Signature of
Role Plan administrator
Date 2022-05-27
Name of individual signing DR. DAVID K. HERGOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-27
Name of individual signing DAVID K HERGOTT
Valid signature Filed with authorized/valid electronic signature
HERGOTT DENTAL ASSOCIATES, LLC RETIREMENT PLAN 2020 342029811 2021-04-25 HERGOTT DENTAL ASSOCIATES, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-10-27
Business code 621210
Sponsor’s telephone number 2032353738
Plan sponsor’s address 166 SOUTH BROAD STREET, MERIDEN, CT, 06450

Signature of
Role Plan administrator
Date 2021-04-25
Name of individual signing DR. DAVID K. HERGOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-25
Name of individual signing DAVID K HERGOTT
Valid signature Filed with authorized/valid electronic signature
HERGOTT DENTAL ASSOCIATES, LLC RETIREMENT PLAN 2019 342029811 2020-07-10 HERGOTT DENTAL ASSOCIATES, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-10-27
Business code 621210
Sponsor’s telephone number 2032353738
Plan sponsor’s address 166 SOUTH BROAD STREET, MERIDEN, CT, 06450

Signature of
Role Plan administrator
Date 2020-07-10
Name of individual signing DR. DAVID K. HERGOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-10
Name of individual signing DAVID K HERGOTT
Valid signature Filed with authorized/valid electronic signature
HERGOTT DENTAL ASSOCIATES, LLC RETIREMENT PLAN 2018 342029811 2019-05-28 HERGOTT DENTAL ASSOCIATES, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-10-27
Business code 621210
Sponsor’s telephone number 2032353738
Plan sponsor’s address 166 SOUTH BROAD STREET, MERIDEN, CT, 06450

Signature of
Role Plan administrator
Date 2019-05-28
Name of individual signing DR. DAVID K. HERGOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-28
Name of individual signing DR. DAVID K. HERGOTT
Valid signature Filed with authorized/valid electronic signature
HERGOTT DENTAL ASSOCIATES, LLC RETIREMENT PLAN 2017 342029811 2018-06-02 HERGOTT DENTAL ASSOCIATES, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-10-27
Business code 621210
Sponsor’s telephone number 2032353738
Plan sponsor’s address 166 SOUTH BROAD STREET, MERIDEN, CT, 06450

Signature of
Role Plan administrator
Date 2018-06-02
Name of individual signing DR. DAVID K. HERGOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-02
Name of individual signing DR. DAVID K. HERGOTT
Valid signature Filed with authorized/valid electronic signature
HERGOTT DENTAL ASSOCIATES, LLC RETIREMENT PLAN 2016 342029811 2017-05-17 HERGOTT DENTAL ASSOCIATES, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-10-27
Business code 621210
Sponsor’s telephone number 2032353738
Plan sponsor’s address 166 SOUTH BROAD STREET, MERIDEN, CT, 06450

Signature of
Role Plan administrator
Date 2017-05-17
Name of individual signing DR. DAVID K. HERGOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-17
Name of individual signing DR. DAVID K. HERGOTT
Valid signature Filed with authorized/valid electronic signature
HERGOTT DENTAL ASSOCIATES, LLC RETIREMENT PLAN 2015 342029811 2016-07-25 HERGOTT DENTAL ASSOCIATES, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-10-27
Business code 621210
Sponsor’s telephone number 2032353738
Plan sponsor’s address 166 SOUTH BROAD STREET, MERIDEN, CT, 06450

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing DR. DAVID K. HERGOTT
Valid signature Filed with authorized/valid electronic signature
HERGOTT DENTAL ASSOCIATES, LLC RETIREMENT PLAN 2014 342029811 2015-07-27 HERGOTT DENTAL ASSOCIATES, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-10-27
Business code 621210
Sponsor’s telephone number 2032353738
Plan sponsor’s address 166 SOUTH BROAD STREET, MERIDEN, CT, 06450

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing DR. DAVID K. HERGOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-27
Name of individual signing DR. DAVID K. HERGOTT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
DAVID K. HERGOTT Agent 166 S BROAD ST, MERIDEN, CT, 06450, United States 166 S BROAD ST, MERIDEN, CT, 06450, United States +1 203-605-0719 drdave@hergottdental.com CT, 77 JOHNSON LANE, DURHAM, CT, 06422, United States

Officer

Name Role Business address Phone E-Mail Residence address
DAVID K. HERGOTT Officer 166 S BROAD ST, MERIDEN, CT, 06450, United States +1 203-605-0719 drdave@hergottdental.com CT, 77 JOHNSON LANE, DURHAM, CT, 06422, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012267461 2024-02-13 No data Annual Report Annual Report No data
BF-0011166860 2023-02-15 No data Annual Report Annual Report No data
BF-0010239785 2022-03-27 No data Annual Report Annual Report 2022
0007177473 2021-02-19 No data Annual Report Annual Report 2021
0006746391 2020-02-07 No data Annual Report Annual Report 2020
0006691017 2019-12-05 No data Annual Report Annual Report 2018
0006691019 2019-12-05 No data Annual Report Annual Report 2019
0006030899 2018-01-24 No data Annual Report Annual Report 2015
0006030947 2018-01-24 No data Annual Report Annual Report 2017
0006030885 2018-01-24 No data Annual Report Annual Report 2014

Related by officers

DAVID K. HERGOTT

H D A REALTY, 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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