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MANSFIELD FAMILY DENTISTRY, LLC

Company Details

Entity Name: MANSFIELD FAMILY DENTISTRY, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 25 Jul 2006
Date of dissolution: 02 Dec 2020
Business ALEI: 0867259
NAICS code: 621210 - Offices of Dentists
Business address: 6 STORRS RD P.O. BOX 459, MANSFIELD CENTER, CT, 06250, United States
Mailing address: P.O. BOX 459, MANSFIELD CENTER, CT, United States, 06250
ZIP code: 06250
County: Tolland
Place of Formation: CONNECTICUT
E-Mail: alessandrosmile36@yahoo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2021 205259836 2022-09-24 MANSFIELD FAMILY DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8604561808
Plan sponsor’s address 6 STORRS ROAD P.O. BOX 459, P.O. BOX 459, MANSFIELD CENTER, CT, 06250

Signature of

Role Plan administrator
Date 2022-09-24
Name of individual signing VALERIE J. ALESSANDRO, D.D.S
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2021 205259836 2022-12-12 MANSFIELD FAMILY DENTISTRY LLC 4
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8604561808
Plan sponsor’s address 6 STORRS RD. P.O. BOX 459, MANSFIELD CENTER, CT, 06250

Signature of

Role Plan administrator
Date 2022-12-11
Name of individual signing VALERIE J. ALESSANDRO, D.D.S
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2020 205259836 2021-07-29 MANSFIELD FAMILY DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8604561808
Plan sponsor’s address 6 STORRS ROAD P.O. BOX 459, P.O. BOX 459, MANSFIELD CENTER, CT, 06250

Signature of

Role Plan administrator
Date 2021-07-29
Name of individual signing VALERIE J. ALESSANDRO, D.D.S
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2019 205259836 2020-10-12 MANSFIELD FAMILY DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8604561808
Plan sponsor’s address 6 STORRS ROAD P.O. BOX 459, P.O. BOX 459, MANSFIELD CENTER, CT, 06250

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing VALERIE J. ALESSANDRO, D.D.S
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2018 205259836 2019-10-14 MANSFIELD FAMILY DENTISTRY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8604561808
Plan sponsor’s address 6 STORRS ROAD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing VALERIE J. ALESSANDRO, D.D.S
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2017 205259836 2018-10-11 MANSFIELD FAMILY DENTISTRY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8604561808
Plan sponsor’s address 6 STORRS ROAD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing VALERIE ALESSANDRO
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2016 205259836 2017-07-27 MANSFIELD FAMILY DENTISTRY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8604561808
Plan sponsor’s address 6 STORRS ROAD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250

Signature of

Role Plan administrator
Date 2017-07-26
Name of individual signing VALERIE ALESSANDRO
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2015 205259836 2016-07-26 MANSFIELD FAMILY DENTISTRY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8604561808
Plan sponsor’s address 6 STORRS ROAD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250

Signature of

Role Plan administrator
Date 2016-07-25
Name of individual signing VALERIE ALESSANDRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-25
Name of individual signing VALERIE ALESSANDRO
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2014 205259836 2015-10-14 MANSFIELD FAMILY DENTISTRY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8604561808
Plan sponsor’s address 6 STORRS ROAD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing VALERIE ALESSANDRO
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2013 205259836 2014-10-13 MANSFIELD FAMILY DENTISTRY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8604561808
Plan sponsor’s address 6 STORRS ROAD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250

Signature of

Role Plan administrator
Date 2014-10-11
Name of individual signing VALERIE ALESSANDRO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address E-Mail Residence address
WILLIAM H ST. ONGE Agent ST ONGE & BROUILLARD, 50 RT 171, WOODSTOCK, CT, 06281, United States ST ONGE & BROUILLARD, 50 RT 171, WOODSTOCK, CT, 06281, United States alessandrosmile36@yahoo.com 147 LIBERTY HIGHWAY, PUTNAM, CT, United States

Officer

Name Role Business address Residence address
VALERIE J ALESSANDRO Officer 6 STORRS RD, P.O. BOX 459, MANSFIELD CENTER, CT, 06250, United States 108 KENWOOD ESTATES, GRISWOLD, CT, 06351, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007030394 2020-12-02 2020-12-02 Dissolution Certificate of Dissolution No data
0006840661 2020-03-19 No data Annual Report Annual Report 2020
0006535576 2019-04-17 No data Annual Report Annual Report 2019
0006170635 2018-04-26 No data Annual Report Annual Report 2018
0006170633 2018-04-26 No data Annual Report Annual Report 2017
0005603667 2016-07-16 No data Annual Report Annual Report 2016
0005393882 2015-09-09 No data Annual Report Annual Report 2015
0005143562 2014-07-12 No data Annual Report Annual Report 2013
0005143561 2014-07-12 No data Annual Report Annual Report 2012
0005143563 2014-07-12 No data Annual Report Annual Report 2014

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website