| Entity Name: | MICHAEL D. ROBACK, M.D., A MEDICAL CORPORATION |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Withdrawn |
| Date Formed: | 16 Mar 2005 (Companies founded in March 2005) |
| Business ALEI: | 0815024 |
| Annual report due: | 16 Mar 2012 |
| Business address: | 315 SILVER HILL ROAD, EASTON, CT, 06612 |
| ZIP code: | 06612 (Companies in Fairfield, 06612) |
| County: | Fairfield |
| Place of Formation: | CALIFORNIA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL D. ROBACK, M.D., AMC PROFIT SHARING PLAN | 2009 | 953975036 | 2010-07-27 | MICHAEL D. ROBACK, M.D., A MEDICAL | 5 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 953975036 |
| Plan administrator’s name | MICHAEL D. ROBACK, M.D., A MEDICAL |
| Plan administrator’s address | 315 SILVER HILL ROAD, EASTON, CT, 06612 |
| Administrator’s telephone number | 2032682461 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-27 |
| Name of individual signing | MICHAEL D. ROBACK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address |
|---|---|---|
| Secretary of State | Agent | 165 Capitol Ave., P.O. BOX 150470, Hartford, CT, 06115-0470, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MICHAEL D. ROBACK M.D. | Officer | 315 SILVER HILL ROAD, EASTON, CT, 06612, United States | 315 SILVER HILL ROAD, EASTON, CT, 06612, United States |
| GAIL ROBACK | Officer | 315 SILVER HILL ROAD, EASTON, CT, 06612, United States | 315 SILVER HILL ROAD, EASTON, CT, 06612, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0005632205 | 2016-08-15 | 2016-08-15 | Withdrawal | Certificate of Withdrawal | No data |
| 0004345075 | 2011-03-24 | No data | Annual Report | Annual Report | 2011 |
| 0004126476 | 2010-03-23 | No data | Annual Report | Annual Report | 2010 |
| 0003916318 | 2009-03-23 | No data | Annual Report | Annual Report | 2009 |
| 0003683308 | 2008-04-07 | No data | Annual Report | Annual Report | 2008 |
| 0003427136 | 2007-04-02 | No data | Annual Report | Annual Report | 2007 |
| 0003202931 | 2006-04-03 | No data | Annual Report | Annual Report | 2006 |
| 0002885100 | 2005-03-16 | No data | Business Registration | Certificate of Authority | No data |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
