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LIGHTHOUSE DENTAL CARE, LLC

Company Details

Entity Name: LIGHTHOUSE DENTAL CARE, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 02 Dec 2005
Date of dissolution: 13 Dec 2018
Business ALEI: 0841473
Business address: 88 RYDERS LANE, STRATFORD, CT, 06614
ZIP code: 06614
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: drmsamuels@yahoo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIGHTHOUSE DENTAL CARE, LLC 401K PROFIT SHARING PLAN & TRUST 2015 203887743 2016-03-22 LIGHTHOUSE DENTAL CARE, LLC 16
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-08-01
Business code 621210
Sponsor’s telephone number 2033781566
Plan sponsor’s address 88 RYDERS LANE, STRATFORD, CT, 06614
LIGHTHOUSE DENTAL CARE, LLC 401K PROFIT SHARING PLAN & TRUST 2014 203887743 2015-08-10 LIGHTHOUSE DENTAL CARE, LLC 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-08-01
Business code 621210
Sponsor’s telephone number 2033781566
Plan sponsor’s address 88 RYDERS LANE, STRATFORD, CT, 06614
LIGHTHOUSE DENTAL CARE, LLC 401K PROFIT SHARING PLAN & TRUST 2013 203887743 2014-07-28 LIGHTHOUSE DENTAL CARE, LLC 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-08-01
Business code 621210
Sponsor’s telephone number 2033781566
Plan sponsor’s address 88 RYDERS LANE, STRATFORD, CT, 06614
LIGHTHOUSE DENTAL CARE, LLC 401K PROFIT SHARING PLAN & TRUST 2012 203887743 2013-06-18 LIGHTHOUSE DENTAL CARE, LLC 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-08-01
Business code 621210
Sponsor’s telephone number 2033781566
Plan sponsor’s address 88 RYDERS LANE, STRATFORD, CT, 06614

Signature of

Role Plan administrator
Date 2013-06-18
Name of individual signing MARK SAMUELS
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE DENTAL CARE, LLC 401K PROFIT SHARING PLAN & TRUST 2011 203887743 2012-03-20 LIGHTHOUSE DENTAL CARE, LLC 15
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-08-01
Business code 621210
Sponsor’s telephone number 2033781566
Plan sponsor’s address 88 RYDERS LANE, STRATFORD, CT, 06614

Plan administrator’s name and address

Administrator’s EIN 203887743
Plan administrator’s name LIGHTHOUSE DENTAL CARE, LLC
Plan administrator’s address 88 RYDERS LANE, STRATFORD, CT, 06614
Administrator’s telephone number 2033781566

Signature of

Role Plan administrator
Date 2012-03-20
Name of individual signing MARK SAMUELS
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE DENTAL CARE, LLC 401K PROFIT SHARING PLAN & TRUST 2010 203887743 2011-07-06 LIGHTHOUSE DENTAL CARE, LLC 16
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-08-01
Business code 621210
Sponsor’s telephone number 2033781566
Plan sponsor’s address 88 RYDERS LANE, STRATFORD, CT, 06614

Plan administrator’s name and address

Administrator’s EIN 203887743
Plan administrator’s name LIGHTHOUSE DENTAL CARE, LLC
Plan administrator’s address 88 RYDERS LANE, STRATFORD, CT, 06614
Administrator’s telephone number 2033781566

Signature of

Role Plan administrator
Date 2011-07-06
Name of individual signing MARK SAMUELS
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE DENTAL CARE, LLC 401K PROFIT SHARING PLAN & TRUST 2009 203887743 2010-10-13 LIGHTHOUSE DENTAL CARE, LLC 16
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-08-01
Business code 621210
Sponsor’s telephone number 2033781566
Plan sponsor’s address 88 RYDERS LANE, STRATFORD, CT, 06614

Plan administrator’s name and address

Administrator’s EIN 203887743
Plan administrator’s name LIGHTHOUSE DENTAL CARE, LLC
Plan administrator’s address 88 RYDERS LANE, STRATFORD, CT, 06614
Administrator’s telephone number 2033781566

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing MARK SAMUELS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
SAMUEL L. BRAUNSTEIN Agent 1 ELIOT PL., FAIRFIELD, CT, 06824, United States 17 FINCHWOOD DRIVE, TRUMBULL, CT, 06611, United States

Officer

Name Role Business address Residence address
MARK S. SAMUELS Officer 88 RYDERS LANE, STRATFORD, CT, 06614, United States 266 HARLEM AVE, BRIDGEPORT, CT, 06606, United States

History

Type Old value New value Date of change
Name change LIGHTHOUSE DENTAL CARE TRANSITIONAL, LLC LIGHTHOUSE DENTAL CARE, LLC 2006-02-16

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006292137 2018-12-13 2018-12-13 Dissolution Certificate of Dissolution No data
0005976227 2017-11-30 No data Annual Report Annual Report 2016
0005976226 2017-11-30 No data Annual Report Annual Report 2015
0005976230 2017-11-30 No data Annual Report Annual Report 2017
0005223045 2014-11-21 No data Annual Report Annual Report 2014
0004995200 2013-12-09 No data Annual Report Annual Report 2013
0004785622 2013-01-21 No data Annual Report Annual Report 2012
0004551510 2012-03-22 No data Annual Report Annual Report 2011
0004551508 2012-03-22 No data Annual Report Annual Report 2010
0004543582 2012-03-08 No data Annual Report Annual Report 2009

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website