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CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC

Company Details

Entity Name: CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 23 Sep 2005 (Companies founded in September 2005)
Date of dissolution: 31 Dec 2015
Business ALEI: 0834928
Business address: 196 PARKWAY SOUTH SUITE 201, WATERFORD, CT, 06385
ZIP code: 06385 (Companies in New London, 06385)
County: New London
Place of Formation: CONNECTICUT
E-Mail: glovering.cro@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC PROFIT SHARING PLAN 2014 421677524 2015-11-11 CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8604400688
Plan sponsor’s address 196 PARKWAY SOUTH, SUITE 201, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2015-11-11
Name of individual signing JANE WADSWORTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-11-11
Name of individual signing JANE WADSWORTH
Valid signature Filed with authorized/valid electronic signature
CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC PROFIT SHARING PLAN 2014 421677524 2015-09-22 CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8604400688
Plan sponsor’s address 196 PARKWAY SOUTH, SUITE 201, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2015-09-21
Name of individual signing JANE WADSWORTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-21
Name of individual signing JANE WADSWORTH
Valid signature Filed with authorized/valid electronic signature
CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC PROFIT SHARING PLAN 2013 421677524 2014-09-17 CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8604400688
Plan sponsor’s address 196 PARKWAY SOUTH, SUITE 201, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2014-09-16
Name of individual signing DAVID STAHELSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-16
Name of individual signing DAVID STAHELSKI
Valid signature Filed with authorized/valid electronic signature
CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC PROFIT SHARING PLAN 2012 421677524 2013-10-29 CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8604400688
Plan sponsor’s address 196 PARKWAY SOUTH, SUITE 201, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2013-10-28
Name of individual signing DAVID STAHELSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-28
Name of individual signing DAVID STAHELSKI
Valid signature Filed with authorized/valid electronic signature
CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC PROFIT SHARING PLAN 2012 421677524 2013-10-09 CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC 35
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8604400688
Plan sponsor’s address 196 PARKWAY SOUTH, SUITE 201, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing DAVID STAHELSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-09
Name of individual signing DAVID STAHELSKI
Valid signature Filed with authorized/valid electronic signature
CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC PROFIT SHARING PLAN 2011 421677524 2012-07-24 CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8604400688
Plan sponsor’s address 196 PARKWAY SOUTH, SUITE 201, WATERFORD, CT, 06385

Plan administrator’s name and address
Administrator’s EIN 421677524
Plan administrator’s name CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC
Plan administrator’s address 196 PARKWAY SOUTH, SUITE 201, WATERFORD, CT, 06385
Administrator’s telephone number 8604400688

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing DAVID STAHELSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-24
Name of individual signing DAVID STAHELSKI
Valid signature Filed with authorized/valid electronic signature
CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC PROFIT SHARING PLAN 2010 421677524 2011-06-16 CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8604400688
Plan sponsor’s address 196 PARKWAY SOUTH, SUITE 201, WATERFORD, CT, 06385

Plan administrator’s name and address
Administrator’s EIN 421677524
Plan administrator’s name CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC
Plan administrator’s address 196 PARKWAY SOUTH, SUITE 201, WATERFORD, CT, 06385
Administrator’s telephone number 8604400688

Signature of
Role Plan administrator
Date 2011-06-16
Name of individual signing FRANK MALETZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-16
Name of individual signing FRANK MALETZ
Valid signature Filed with authorized/valid electronic signature
CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC PLAN 2009 421677524 2010-07-26 CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8604400688
Plan sponsor’s address 196 PARKWAY SOUTH, SUITE 201, WATERFORD, CT, 06385

Plan administrator’s name and address
Administrator’s EIN 421677524
Plan administrator’s name CROSSROADS ORTHOPAEDIC SUBSPECIALISTS, LLC
Plan administrator’s address 196 PARKWAY SOUTH, SUITE 201, WATERFORD, CT, 06385
Administrator’s telephone number 8604400688

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing FRANK MALETZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-26
Name of individual signing FRANK MALETZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
SUISMAN, SHAPIRO, WOOL, BRENNAN, GRAY & GREENBERG,P.C. Agent

Officer

Name Role Business address Residence address
FRANK W. MALETZ M.D. Officer 196 PARKWAY SOUTH, SUITE 201, WATERFORD, CT, 06385, United States 12 MCKINNON PLACE, EAST LYME, CT, 06333, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005450240 2015-12-21 2015-12-31 Dissolution Certificate of Dissolution No data
0005273237 2015-02-05 No data Annual Report Annual Report 2014
0004979619 2013-11-11 No data Annual Report Annual Report 2012
0004979627 2013-11-11 No data Annual Report Annual Report 2013
0004643111 2012-05-24 No data Annual Report Annual Report 2011
0004272683 2010-09-17 No data Annual Report Annual Report 2010
0004028926 2009-09-17 No data Annual Report Annual Report 2009
0003786331 2008-09-26 No data Annual Report Annual Report 2008
0003545934 2007-09-27 No data Annual Report Annual Report 2007
0003306052 2006-09-29 No data Annual Report Annual Report 2006

Related by officers

FRANK W. MALETZ M.D.

THAMES RIVER REAL ESTATE, LLC

Related by address

196 PARKWAY SOUTH SUITE 201, WATERFORD, CT, 06385

THAMES RIVER ORTHOPAEDIC GROUP, LLC

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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