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  5. JORGE DABDOUB INTERNAL MEDICINE, LLC

JORGE DABDOUB INTERNAL MEDICINE, LLC

Company Details

Entity Name: JORGE DABDOUB INTERNAL MEDICINE, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 16 Mar 2006
Date of dissolution: 26 Oct 2023
Business ALEI: 0852659
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 12 CASE STREET SUITE 104, NORWICH, CT, 06360, United States
Mailing address: 12 CASE STREET SUITE 104, NORWICH, CT, United States, 06360
ZIP code: 06360
County: New London
Place of Formation: CONNECTICUT
E-Mail: cdabdoub@comcast.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JORGE DABDOUB INTERNAL MEDICINE, LLC 401K PROFIT SHARING PLAN 2023 204453906 2024-10-10 JORGE DABDOUB INTERNAL MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604643119
Plan sponsor’s address 12 CASE ST STE 104, SUITE 104, NORWICH, CT, 063602222

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing CAROLINA DABDOUB
Valid signature Filed with authorized/valid electronic signature
JORGE DABDOUB INTERNAL MEDICINE, LLC 401K PROFIT SHARING PLAN 2022 204453906 2023-09-29 JORGE DABDOUB INTERNAL MEDICINE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604643119
Plan sponsor’s address 12 CASE ST STE 104, SUITE 104, NORWICH, CT, 063602222

Signature of
Role Plan administrator
Date 2023-09-29
Name of individual signing CAROLINA DABDOUB
Valid signature Filed with authorized/valid electronic signature
JORGE DABDOUB INTERNAL MEDICINE, LLC 401K PROFIT SHARING PLAN 2021 204453906 2022-10-14 JORGE DABDOUB INTERNAL MEDICINE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604643119
Plan sponsor’s address 12 CASE ST STE 104, SUITE 104, NORWICH, CT, 063602222

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing CAROLINA DABDOUB
Valid signature Filed with authorized/valid electronic signature
JORGE DABDOUB INTERNAL MEDICINE, LLC 401K PROFIT SHARING PLAN 2020 204453906 2021-10-11 JORGE DABDOUB INTERNAL MEDICINE, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604643119
Plan sponsor’s address 12 CASE ST STE 104, SUITE 104, NORWICH, CT, 063602222

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing DR. JORGE DABDOUB
Valid signature Filed with authorized/valid electronic signature
JORGE DABDOUB INTERNAL MEDICINE, LLC 401K PROFIT SHARING PLAN 2019 204453906 2020-10-09 JORGE DABDOUB INTERNAL MEDICINE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604643119
Plan sponsor’s address 12 CASE ST STE 104, SUITE 104, NORWICH, CT, 063602222
JORGE DABDOUB INTERNAL MEDICINE, LLC 401K PROFIT SHARING PLAN 2018 204453906 2019-07-26 JORGE DABDOUB INTERNAL MEDICINE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604643119
Plan sponsor’s address 12 CASE ST STE 104, SUITE 104, NORWICH, CT, 063602222
JORGE DABDOUB INTERNAL MEDICINE, LLC 401K PROFIT SHARING PLAN 2017 204453906 2018-05-16 JORGE DABDOUB INTERNAL MEDICINE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604643119
Plan sponsor’s address 12 CASE ST STE 104, SUITE 104, NORWICH, CT, 063602222
JORGE DABDOUB INTERNAL MEDICINE, LLC 401K PROFIT SHARING PLAN 2016 204453906 2017-04-14 JORGE DABDOUB INTERNAL MEDICINE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604643119
Plan sponsor’s address 12 CASE ST STE 104, SUITE 104, NORWICH, CT, 063602222
JORGE DABDOUB INTERNAL MEDICINE, LLC 401K PROFIT SHARING PLAN 2015 204453906 2016-09-23 JORGE DABDOUB INTERNAL MEDICINE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604643119
Plan sponsor’s address 12 CASE ST STE 104, SUITE 104, NORWICH, CT, 063602222
JORGE DABDOUB INTERNAL MEDICINE, LLC 401K PROFIT SHARING PLAN 2014 204453906 2015-10-02 JORGE DABDOUB INTERNAL MEDICINE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604643119
Plan sponsor’s address 12 CASE ST STE 104, SUITE 104, NORWICH, CT, 063602222

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing JORGE DABDOUB
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Jorge Dabdoub Agent 12 Case St, 104, Norwich, CT, 06360, United States 12 Case St, 104, Norwich, CT, 06360, United States +1 860-334-6491 cdabdoub@comcast.net 29 Wales Rd, Norwich, CT, 06360-9410, United States

Officer

Name Role Business address Residence address
JORGE DABDOUB Officer 12 CASE STREET, STE. 104, NORWICH, CT, 06360, United States 29 WALES RD., NORWICH, CT, 06360, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012034728 2023-10-26 2023-10-26 Dissolution Certificate of Dissolution No data
BF-0010628919 2022-11-28 No data Annual Report Annual Report No data
BF-0008663424 2022-06-06 No data Annual Report Annual Report 2020
BF-0008663426 2022-06-06 No data Annual Report Annual Report 2019
BF-0008663425 2022-06-06 No data Annual Report Annual Report 2018
BF-0009963045 2022-06-06 No data Annual Report Annual Report No data
0005780577 2017-03-03 No data Annual Report Annual Report 2017
0005584190 2016-06-09 No data Annual Report Annual Report 2016
0005584186 2016-06-09 No data Annual Report Annual Report 2013
0005584180 2016-06-09 No data Annual Report Annual Report 2012

Related by officers

No related officers

Related by address

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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