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LAFAYETTE DENTAL GROUP, P.C.

Company Details

Entity Name: LAFAYETTE DENTAL GROUP, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 18 Jul 2006
Business ALEI: 0866607
Annual report due: 18 Jul 2025
NAICS code: 621210 - Offices of Dentists
Business address: 67 LAFAYETTE STREET, NORWICH, CT, 06360, United States
Mailing address: 67 LAFAYETTE STREET, NORWICH, CT, United States, 06360
ZIP code: 06360
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: lafayette.dds@sbcglobal.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAFAYETTE DENTAL GROUP 401(K) PLAN 2023 205249331 2024-06-11 LAFAYETTE DENTAL GROUP, P.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8608895213
Plan sponsor’s address 67 LAFAYETTE STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2024-06-11
Name of individual signing NICHOLAS PROVAU
Valid signature Filed with authorized/valid electronic signature
LAFAYETTE DENTAL GROUP 401(K) PLAN 2022 205249331 2023-07-13 LAFAYETTE DENTAL GROUP, P.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8608895213
Plan sponsor’s address 67 LAFAYETTE STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2023-07-13
Name of individual signing DR. DAVID RICHARDSON
Valid signature Filed with authorized/valid electronic signature
LAFAYETTE DENTAL GROUP 401(K) PLAN 2021 205249331 2022-06-13 LAFAYETTE DENTAL GROUP, P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8608895213
Plan sponsor’s address 67 LAFAYETTE STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2022-06-13
Name of individual signing DR. DAVID RICHARDSON
Valid signature Filed with authorized/valid electronic signature
LAFAYETTE DENTAL GROUP 401(K) PLAN 2020 205249331 2021-10-04 LAFAYETTE DENTAL GROUP, P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8608895213
Plan sponsor’s address 67 LAFAYETTE STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2021-10-04
Name of individual signing DR. DAVID RICHARDSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
PETER D. HERSHMAN ESQ. Agent 59 ELM STREET, SUITE 400, NEW HAVEN, CT, 06510, United States 59 ELM STREET, SUITE 400, NEW HAVEN, CT, 06510, United States +1 203-777-0001 lafayette.dds@sbcglobal.net 121 LIMEWOOD AVENUE, BRANFORD, CT, 06405, United States

Officer

Name Role Business address Residence address
DAVID S RICHARDSON Officer 67 LAFAYETTE STREET, NORWICH, CT, 06360, United States 72 SEAVIEW RD, OLD LYME, CT, 06371, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012110180 2024-10-15 No data Annual Report Annual Report No data
BF-0011409625 2023-07-18 No data Annual Report Annual Report No data
BF-0010867244 2023-06-27 No data Annual Report Annual Report No data
BF-0009228777 2023-06-27 No data Annual Report Annual Report 2020
BF-0009898091 2023-06-27 No data Annual Report Annual Report No data
0006606390 2019-07-25 No data Annual Report Annual Report 2014
0006606393 2019-07-25 No data Annual Report Annual Report 2016
0006606400 2019-07-25 No data Annual Report Annual Report 2017
0006606391 2019-07-25 No data Annual Report Annual Report 2015
0006606386 2019-07-25 No data Annual Report Annual Report 2013

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website