| Entity Name: | PHYSICIANS BILLING SERVICE, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 28 Nov 2005 |
| Date of dissolution: | 01 Apr 2015 |
| Business ALEI: | 0840928 |
| Business address: | 1187 HIGHLAND AVENUE SUITE 206, CHESHIRE, CT, 06410 |
| ZIP code: | 06410 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | tjamele@physiciansbilling1187.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHYSICIANS BILLING SERVICE 401 K PROFIT SHARING PLAN TRUST | 2010 | 203854516 | 2011-08-04 | PHYSICIANS BILLING SERVICE LLC | 9 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 203854516 |
| Plan administrator’s name | PHYSICIANS BILLING SERVICE LLC |
| Plan administrator’s address | 1187 HIGHLAND AVE, CHESHIRE, CT, 06410 |
| Administrator’s telephone number | 2032722274 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-04 |
| Name of individual signing | PHYSICIANS BILLING SERVICE LLC |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2032722274 |
| Plan sponsor’s address | 1187 HIGHLAND AVE, CHESHIRE, CT, 06410 |
Plan administrator’s name and address
| Administrator’s EIN | 203854516 |
| Plan administrator’s name | PHYSICIANS BILLING SERVICE LLC |
| Plan administrator’s address | 1187 HIGHLAND AVE, CHESHIRE, CT, 06410 |
| Administrator’s telephone number | 2032722274 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-20 |
| Name of individual signing | PHYSICIANS BILLING SERVICE LLC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ROBERT L. IAMONACO | Agent | 330 MAIN ST, HARTFORD, CT, 06106, United States | 297 FOUNDERS ROAD, GLASTONBURY, CT, 06033, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| TANYA JAMELE | Officer | 1187 HIGHLAND AVENUE, SUITE 206, CHESHIRE, CT, 06410, United States | 1090 S MAIN ST, CHESHIRE, CT, 06410, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0005629408 | 2016-08-11 | 2015-04-01 | Dissolution | Certificate of Dissolution | No data |
| 0005511824 | 2016-03-11 | No data | Annual Report | Annual Report | 2015 |
| 0005205433 | 2014-10-22 | No data | Annual Report | Annual Report | 2014 |
| 0004979171 | 2013-11-09 | No data | Annual Report | Annual Report | 2013 |
| 0004747198 | 2012-11-16 | No data | Annual Report | Annual Report | 2012 |
| 0004653571 | 2011-11-22 | No data | Annual Report | Annual Report | 2011 |
| 0004388696 | 2011-01-21 | No data | Annual Report | Annual Report | 2010 |
| 0004088564 | 2009-12-09 | No data | Annual Report | Annual Report | 2009 |
| 0003830683 | 2008-11-18 | No data | Annual Report | Annual Report | 2008 |
| 0003582004 | 2007-11-26 | No data | Annual Report | Annual Report | 2007 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
