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ANDREW J. LEVI, M.D., LLC

Company Details

Entity Name: ANDREW J. LEVI, M.D., LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 09 Feb 2005 (Companies founded in February 2005)
Business ALEI: 0810812
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 5520 PARK AVENUE SUITE WPG-250, TRUMBULL, CT, 06611, United States
Mailing address: 5520 PARK AVE SUITE WPG250, TRUMBULL, CT, United States, 06611
ZIP code: 06611 (Companies in Fairfield, 06611)
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: elizabeth.heslin@parkavefertility.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANDREW J. LEVI, M.D., LLC CASH BALANCE PLAN 2023 202012393 2024-03-21 ANDREW J. LEVI, M.D., LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2033726700
Plan sponsor’s address 5520 PARK AVENUE, SUITE WPG250, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2024-03-21
Name of individual signing ANDREW J. LEVI, M.D.
Valid signature Filed with authorized/valid electronic signature
ANDREW J. LEVI, M.D., LLC 401(K) PLAN 2023 202012393 2024-05-08 ANDREW J. LEVI, M.D., LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2033726700
Plan sponsor’s address 5520 PARK AVENUE, SUITE WPG250, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2024-05-08
Name of individual signing ANDREW J. LEVI, M.D.
Valid signature Filed with authorized/valid electronic signature
ANDREW J. LEVI, M.D., LLC CASH BALANCE PLAN 2022 202012393 2023-06-16 ANDREW J. LEVI, M.D., LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2033726700
Plan sponsor’s address 5520 PARK AVENUE, SUITE WPG250, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2023-06-16
Name of individual signing ANDREW J. LEVI, M.D.
Valid signature Filed with authorized/valid electronic signature
ANDREW J. LEVI, M.D., LLC 401(K) PLAN 2022 202012393 2023-05-09 ANDREW J. LEVI, M.D., LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2033726700
Plan sponsor’s address 5520 PARK AVENUE, SUITE WPG250, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2023-05-09
Name of individual signing ANDREW J. LEVI, M.D.
Valid signature Filed with authorized/valid electronic signature
ANDREW J. LEVI, M.D., LLC 401(K) PLAN 2021 202012393 2022-04-29 ANDREW J. LEVI, M.D., LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2033726700
Plan sponsor’s address 5520 PARK AVENUE, SUITE WPG250, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2022-04-29
Name of individual signing ANDREW J. LEVI, M.D.
Valid signature Filed with authorized/valid electronic signature
ANDREW J. LEVI, M.D., LLC CASH BALANCE PLAN 2021 202012393 2022-08-10 ANDREW J. LEVI, M.D., LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2033726700
Plan sponsor’s address 5520 PARK AVENUE, SUITE WPG250, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2022-08-10
Name of individual signing ANDREW J. LEVI, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
STEPHEN L. SALTZMAN Agent 271 WHITNEY AVENUE, NEW HAVEN, CT, 06511, United States 271 WHITNEY AVENUE, NEW HAVEN, CT, 06511, United States +1 203-772-2600 elizabeth.heslin@parkavefertility.com 271 WHITNEY AVE, NEW HAVEN, CT, 06511, United States

Officer

Name Role Business address Residence address
ANDREW J. LEVI M.D. Officer 5520 PARK AVENUE SUITE WPG-250, TRUMBULL, CT, 06611, United States 620 ELEVEN O'CLOCK ROAD, FAIRFIELD, CT, 06824, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012139223 2024-01-15 No data Annual Report Annual Report No data
BF-0011164978 2023-01-17 No data Annual Report Annual Report No data
BF-0010216794 2022-03-03 No data Annual Report Annual Report 2022
0007109797 2021-02-02 No data Annual Report Annual Report 2021
0007016172 2020-11-11 No data Annual Report Annual Report 2020
0006442313 2019-03-11 No data Annual Report Annual Report 2019
0006310128 2019-01-07 No data Annual Report Annual Report 2018
0006007155 2018-01-15 No data Annual Report Annual Report 2017
0005760927 2017-02-03 No data Annual Report Annual Report 2016
0005470691 2016-01-25 No data Annual Report Annual Report 2014

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website