| Entity Name: | SUBURBAN HOME MEDICAL, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 02 Jan 2007 |
| Date of dissolution: | 08 Sep 2014 |
| Business ALEI: | 0883392 |
| Annual report due: | 02 Jan 2014 |
| Business address: | 141 SOUTH STREET, WEST HARTFORD, CT, 06110 |
| ZIP code: | 06110 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 20000 |
| E-Mail: | jczapiga@stewart.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUBURBAN HOME MEDICAL, INC. 401 K PROFIT SHARING PLAN TRUST | 2012 | 208264269 | 2013-10-16 | SUBURBAN HOME MEDICAL INC | 42 | |||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-10-16 |
| Name of individual signing | SUBURBAN HOME MEDICAL INC |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 8602360755 |
| Plan sponsor’s address | 141 SOUTH STREET, WEST HARTFORD, CT, 06110 |
Plan administrator’s name and address
| Administrator’s EIN | 208264269 |
| Plan administrator’s name | SUBURBAN HOME MEDICAL, INC. |
| Plan administrator’s address | 141 SOUTH STREET, WEST HARTFORD, CT, 06110 |
| Administrator’s telephone number | 8602360755 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-27 |
| Name of individual signing | GREG CZAPIGA |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 8602360755 |
| Plan sponsor’s address | 141 SOUTH STREET, WEST HARTFORD, CT, 06110 |
Plan administrator’s name and address
| Administrator’s EIN | 208264269 |
| Plan administrator’s name | SUBURBAN HOME MEDICAL, INC. |
| Plan administrator’s address | 141 SOUTH STREET, WEST HARTFORD, CT, 06110 |
| Administrator’s telephone number | 8602360755 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-27 |
| Name of individual signing | GREG CZAPIGA |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 8602360755 |
| Plan sponsor’s address | 141 SOUTH STREET, WEST HARTFORD, CT, 06110 |
Plan administrator’s name and address
| Administrator’s EIN | 208264269 |
| Plan administrator’s name | SUBURBAN HOME MEDICAL, INC. |
| Plan administrator’s address | 141 SOUTH STREET, WEST HARTFORD, CT, 06110 |
| Administrator’s telephone number | 8602360755 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-27 |
| Name of individual signing | GREG CZAPIGA |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Name | Role | Business address |
|---|---|---|
| CONVICER, PERCY & GREEN, LLP | Agent | 701 HEBRON AVE, GLASTONBURY, CT, 06033, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| GREGORY M. CZAPIGA | Officer | 141 SOUTH STREET, WEST HARTFORD, CT, 06110, United States | 48 CRESCENT RD, GLASTONBURY, CT, 06033, United States |
| RICHARD S. KORRIS | Officer | 141 SOUTH ST, WEST HARTFORD, CT, 06110, United States | 30 QUAIL HOLLOW, WEST HARTFORD, CT, 06117, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CSW.0002399 | WHOLESALER OF DRUGS, COSMETICS & MEDICAL DEVICES | INACTIVE | REGISTRATION NOT REQUIRED | No data | No data | No data |
| CSW.0002432 | WHOLESALER OF DRUGS, COSMETICS & MEDICAL DEVICES | INACTIVE | REGISTRATION NOT REQUIRED | No data | No data | No data |
| CSW.0002431 | WHOLESALER OF DRUGS, COSMETICS & MEDICAL DEVICES | DENIED | REGISTRATION NOT REQUIRED | No data | No data | No data |
| SHD.0016597 | SECONDHAND DEALER OF BEDDING & UPHOLSTERED FURNITURE | INACTIVE | WITHDRAWN | No data | No data | No data |
| STP.0100239 | STERILIZATION PERMIT FOR BEDDING & UPHOLSTERED FURNITURE | INACTIVE | No data | No data | No data | No data |
| STP.CT.0002683 | STERILIZATION PERMIT FOR BEDDING & UPHOLSTERED FURNITURE | INACTIVE | EXPIRED MORE THAN 3 YEARS - MUST REAPPLY | 2010-02-09 | 2013-05-01 | 2014-04-30 |
| STP.CT.0002684 | STERILIZATION PERMIT FOR BEDDING & UPHOLSTERED FURNITURE | INACTIVE | EXPIRED MORE THAN 3 YEARS - MUST REAPPLY | 2010-02-09 | 2013-05-01 | 2014-04-30 |
| CSW.0002343 | WHOLESALER OF DRUGS, COSMETICS & MEDICAL DEVICES | INACTIVE | No data | 2009-11-02 | 2012-07-01 | 2013-06-30 |
| SHD.CT.0006587 | SECONDHAND DEALER OF BEDDING & UPHOLSTERED FURNITURE | INACTIVE | EXPIRED MORE THAN 3 YEARS - MUST REAPPLY | 2007-10-17 | 2011-05-25 | 2012-04-30 |
| STP.CT.0002619 | STERILIZATION PERMIT FOR BEDDING & UPHOLSTERED FURNITURE | INACTIVE | EXPIRED MORE THAN 3 YEARS - MUST REAPPLY | 2007-10-17 | 2013-05-01 | 2014-04-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0005177957 | 2014-09-08 | 2014-09-08 | Dissolution | Certificate of Dissolution | No data |
| 0004914116 | 2013-07-30 | No data | Interim Notice | Interim Notice | No data |
| 0004896826 | 2013-07-15 | 2013-07-15 | Change of Agent | Agent Change | No data |
| 0004827601 | 2013-03-25 | No data | Annual Report | Annual Report | 2013 |
| 0004709656 | 2012-08-27 | No data | Interim Notice | Interim Notice | No data |
| 0004538160 | 2012-03-05 | No data | Annual Report | Annual Report | 2012 |
| 0004435152 | 2011-08-29 | No data | Annual Report | Annual Report | 2011 |
| 0004129657 | 2010-03-24 | 2010-03-24 | Change of Agent | Agent Change | No data |
| 0004129113 | 2010-02-01 | No data | Annual Report | Annual Report | 2010 |
| 0004071469 | 2009-12-28 | No data | Interim Notice | Interim Notice | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
