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GREENWICH ADOLESCENT MEDICINE, LLC

Company Details

Entity Name: GREENWICH ADOLESCENT MEDICINE, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Forfeited
Date Formed: 31 May 2005 (Companies founded in May 2005)
Business ALEI: 0823089
Annual report due: 31 May 2007
Business address: 1011 HIGH RIDGE ROAD, STAMFORD, CT, 06905
ZIP code: 06905 (Companies in Fairfield, 06905)
County: Fairfield
Place of Formation: CONNECTICUT

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREENWICH ADOLESCENT MEDICINE, LLC PROFIT SHARING PLAN 2023 202946198 2024-05-16 GREENWICH ADOLESCENT MEDICINE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2035321919
Plan sponsor’s address 239 GLENVILLE ROAD, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
GREENWICH ADOLESCENT MEDICINE, LLC PROFIT SHARING PLAN 2022 202946198 2023-09-14 GREENWICH ADOLESCENT MEDICINE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2035321919
Plan sponsor’s address 239 GLENVILLE ROAD, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
GREENWICH ADOLESCENT MEDICINE, LLC PROFIT SHARING PLAN 2021 202946198 2022-10-05 GREENWICH ADOLESCENT MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2035321919
Plan sponsor’s address 239 GLENVILLE ROAD, GREENWICH, CT, 068314172

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-05
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
GREENWICH ADOLESCENT MEDICINE, LLC PROFIT SHARING PLAN 2020 202946198 2021-09-25 GREENWICH ADOLESCENT MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2035321919
Plan sponsor’s address 239 GLENVILLE ROAD, GREENWICH, CT, 068314172

Signature of
Role Plan administrator
Date 2021-09-25
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-25
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
GREENWICH ADOLESCENT MEDICINE, LLC PROFIT SHARING PLAN 2019 202946198 2020-07-23 GREENWICH ADOLESCENT MEDICINE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2035321919
Plan sponsor’s address 239 GLENVILLE ROAD, GREENWICH, CT, 068314172

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-23
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
GREENWICH ADOLESCENT MEDICINE, LLC PROFIT SHARING PLAN 2018 202946198 2019-09-15 GREENWICH ADOLESCENT MEDICINE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2035321919
Plan sponsor’s address 239 GLENVILLE ROAD, GREENWICH, CT, 068314172

Signature of
Role Plan administrator
Date 2019-09-15
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-15
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
GREENWICH ADOLESCENT MEDICINE, LLC PROFIT SHARING PLAN 2017 202946198 2018-09-28 GREENWICH ADOLESCENT MEDICINE, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2035321919
Plan sponsor’s address 239 GLENVILLE ROAD, GREENWICH, CT, 068314172

Signature of
Role Plan administrator
Date 2018-09-28
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-28
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
GREENWICH ADOLESCENT MEDICINE, LLC PROFIT SHARING PLAN 2016 202946198 2017-07-28 GREENWICH ADOLESCENT MEDICINE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2035321919
Plan sponsor’s address 239 GLENVILLE RD, GREENWICH, CT, 068314172

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
GREENWICH ADOLESCENT MEDICINE, LLC PROFIT SHARING PLAN 2015 202946198 2016-09-23 GREENWICH ADOLESCENT MEDICINE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2035321919
Plan sponsor’s address 239 GLENVILLE RD, GREENWICH, CT, 068314172

Signature of
Role Plan administrator
Date 2016-09-23
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature
GREENWICH ADOLESCENT MEDICINE, LLC PROFIT SHARING PLAN 2014 202946198 2015-07-24 GREENWICH ADOLESCENT MEDICINE LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2035321919
Plan sponsor’s address 239 GLENVILLE RD, GREENWICH, CT, 068314172

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing MARCIE SCHNEIDER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
MARCIE SCHNEIDER MD Agent 1011 HIGH RIDGE ROAD, STAMFORD, CT, 06905, United States 30 PARK AVENUE, ARDSLEY, NY, 10502, United States

Officer

Name Role Business address Residence address
MARCIE SCHNEIDER MD Officer 1011 HIGH RIDGE ROAD, STAMFORD, CT, 06905, United States 30 PARK AVENUE, ARDSLEY, NY, 10502, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0010494070 2022-03-03 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
0007375382 2021-06-17 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0003248114 2006-06-07 No data Annual Report Annual Report 2006
0002930020 2005-05-31 No data Business Formation Certificate of Organization No data

Related by officers

No related officers

Related by address

1011 HIGH RIDGE ROAD, STAMFORD, CT, 06905

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Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website

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