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GREATER WATERBURY RETINA, LLC

Company Details

Entity Name: GREATER WATERBURY RETINA, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 29 Jun 2006
Date of dissolution: 07 Jul 2016
Business ALEI: 0865043
Business address: 166 WATERBURY RD SUITE 201, PROSPECT, CT, 06712
ZIP code: 06712
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: pzrn@gwretina.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREATER WATERBURY RETINA LLC 401(K) PROFIT SHARING PLAN & TRUST 2015 205176213 2017-11-16 GREATER WATERBURY RETINA LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621320
Sponsor’s telephone number 2032660296
Plan sponsor’s address 133 TRANSYLVANIA ROAD, WOODBURY, CT, 06798

Signature of

Role Plan administrator
Date 2017-11-15
Name of individual signing PAULINE ZIMMERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-15
Name of individual signing PAULINE ZIMMERMAN
Valid signature Filed with authorized/valid electronic signature
GREATER WATERBURY RETINA LLC 401 K PROFIT SHARING PLAN TRUST 2014 205176213 2015-08-13 GREATER WATERBURY RETINA LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621320
Sponsor’s telephone number 2032660296
Plan sponsor’s address 133 TRANSYLVANIA ROAD, WOODBURY, CT, 067983325

Signature of

Role Plan administrator
Date 2015-08-13
Name of individual signing PAULINE M. ZIMMERMAN
Valid signature Filed with authorized/valid electronic signature
GREATER WATERBURY RETINA LLC 401 K PROFIT SHARING PLAN TRUST 2013 205176213 2014-07-28 GREATER WATERBURY RETINA LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621320
Sponsor’s telephone number 2032660296
Plan sponsor’s address 166 WATERBURY RD STE 201, PROSPECT, CT, 067121247

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing PAULINE M. ZIMMERMAN
Valid signature Filed with authorized/valid electronic signature
GREATER WATERBURY RETINA LLC 401 K PROFIT SHARING PLAN TRUST 2012 205176213 2013-06-05 GREATER WATERBURY RETINA LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621320
Sponsor’s telephone number 2032660296
Plan sponsor’s address 166 WATERBURY RD STE 201, PROSPECT, CT, 067121247

Signature of

Role Plan administrator
Date 2013-06-05
Name of individual signing GREATER WATERBURY RETINA LLC
Valid signature Filed with authorized/valid electronic signature
GREATER WATERBURY RETINA LLC 401 K PROFIT SHARING PLAN TRUST 2011 205176213 2012-06-14 GREATER WATERBURY RETINA LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621320
Sponsor’s telephone number 2032660296
Plan sponsor’s address 166 WATERBURY RD STE 201, PROSPECT, CT, 067121247

Plan administrator’s name and address

Administrator’s EIN 205176213
Plan administrator’s name GREATER WATERBURY RETINA LLC
Plan administrator’s address 166 WATERBURY RD STE 201, PROSPECT, CT, 067121247
Administrator’s telephone number 2032660296

Signature of

Role Plan administrator
Date 2012-06-14
Name of individual signing GREATER WATERBURY RETINA LLC
Valid signature Filed with authorized/valid electronic signature
GREATER WATERBURY RETINA LLC 401 K PROFIT SHARING PLAN TRUST 2010 205176213 2011-07-11 GREATER WATERBURY RETINA LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621320
Sponsor’s telephone number 2032660296
Plan sponsor’s address 166 WATERBURY ROAD, SUITE 201, PROSPECT, CT, 06712

Plan administrator’s name and address

Administrator’s EIN 205176213
Plan administrator’s name GREATER WATERBURY RETINA LLC
Plan administrator’s address 166 WATERBURY ROAD, SUITE 201, PROSPECT, CT, 06712
Administrator’s telephone number 2032660296

Signature of

Role Plan administrator
Date 2011-07-11
Name of individual signing GREATER WATERBURY RETINA LLC
Valid signature Filed with authorized/valid electronic signature
GREATER WATERBURY RETINA LLC 2009 205176213 2010-07-15 GREATER WATERBURY RETINA LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621320
Sponsor’s telephone number 2032660296
Plan sponsor’s address 166 WATERBURY ROAD, SUITE 201, PROSPECT, CT, 06712

Plan administrator’s name and address

Administrator’s EIN 205176213
Plan administrator’s name GREATER WATERBURY RETINA LLC
Plan administrator’s address 166 WATERBURY ROAD, SUITE 201, PROSPECT, CT, 06712
Administrator’s telephone number 2032660296

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing GREATER WATERBURY RETINA LLC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
JEFFREY J. TINLEY Agent TINLEY, NASTRI, RENEHAN & DOST, LLP, 60 NORTH MAIN ST, 2ND FLOOR, WATERBURY, CT, 06702, United States 381 TEPI DRIVE, SOUTHBURY, CT, 06488, United States

Officer

Name Role Business address Residence address
NEAL ZIMMERMAN Officer 166 WATERBURY RD, SUITE 201, PROSPECT, CT, 06712, United States 82 FOXRIDGE ROAD, WEST HARTFORD, CT, 06107, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005597517 2016-07-07 2016-07-07 Dissolution Certificate of Dissolution No data
0004870716 2013-06-04 No data Annual Report Annual Report 2013
0004629424 2012-05-16 No data Annual Report Annual Report 2012
0004551799 2011-05-24 No data Annual Report Annual Report 2011
0004222991 2010-06-16 No data Annual Report Annual Report 2010
0003974539 2009-06-18 No data Annual Report Annual Report 2009
0003728478 2008-06-12 No data Annual Report Annual Report 2008
0003482255 2007-06-18 No data Annual Report Annual Report 2007
0003239296 2006-06-29 No data Business Formation Certificate of Organization No data

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website