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  5. COLCHESTER FAMILY MEDICINE, LLC

COLCHESTER FAMILY MEDICINE, LLC

Company Details

Entity Name: COLCHESTER FAMILY MEDICINE, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 31 Jan 2007
Date of dissolution: 21 Feb 2012
Business ALEI: 0887548
Business address: 123 BROADWAY STREET, COLCHESTER, CT, 06415
Mailing address: 123 BROADWAY STREET PO BOX 288, COLCHESTER, CT, 06415
ZIP code: 06415
County: New London
Place of Formation: CONNECTICUT
E-Mail: wayeni@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLCHESTER FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2011 208401049 2012-04-23 COLCHESTER FAMILY MEDICINE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8605373204
Plan sponsor’s address 123 BROADWAY STREET, PO BOX 288, COLCHESTER, CT, 06415

Plan administrator’s name and address
Administrator’s EIN 208401049
Plan administrator’s name COLCHESTER FAMILY MEDICINE, LLC
Plan administrator’s address 123 BROADWAY STREET, PO BOX 288, COLCHESTER, CT, 06415
Administrator’s telephone number 8605373204

Signature of
Role Plan administrator
Date 2012-04-18
Name of individual signing OLAWALE AYENI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-18
Name of individual signing OLAWALE AYENI
Valid signature Filed with authorized/valid electronic signature
COLCHESTER FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2011 208401049 2012-03-22 COLCHESTER FAMILY MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8605373204
Plan sponsor’s address 123 BROADWAY STREET, PO BOX 288, COLCHESTER, CT, 06415

Plan administrator’s name and address
Administrator’s EIN 208401049
Plan administrator’s name COLCHESTER FAMILY MEDICINE, LLC
Plan administrator’s address 123 BROADWAY STREET, PO BOX 288, COLCHESTER, CT, 06415
Administrator’s telephone number 8605373204

Signature of
Role Plan administrator
Date 2012-03-20
Name of individual signing OLAWALE AYENI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-20
Name of individual signing OLAWALE AYENI
Valid signature Filed with authorized/valid electronic signature
COLCHESTER FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2010 208401049 2011-05-07 COLCHESTER FAMILY MEDICINE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8605373204
Plan sponsor’s address 123 BROADWAY STREET, PO BOX 288, COLCHESTER, CT, 06415

Plan administrator’s name and address
Administrator’s EIN 208401049
Plan administrator’s name COLCHESTER FAMILY MEDICINE, LLC
Plan administrator’s address 123 BROADWAY STREET, PO BOX 288, COLCHESTER, CT, 06415
Administrator’s telephone number 8605373204

Signature of
Role Plan administrator
Date 2011-05-05
Name of individual signing OLAWALE AYENI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-05
Name of individual signing OLAWALE AYENI
Valid signature Filed with authorized/valid electronic signature
COLCHESTER FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2009 208401049 2010-09-30 COLCHESTER FAMILY MEDICINE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8605373204
Plan sponsor’s address 123 BROADWAY STREET, PO BOX 288, COLCHESTER, CT, 06415

Plan administrator’s name and address
Administrator’s EIN 208401049
Plan administrator’s name COLCHESTER FAMILY MEDICINE, LLC
Plan administrator’s address 123 BROADWAY STREET, PO BOX 288, COLCHESTER, CT, 06415
Administrator’s telephone number 8605373204

Signature of
Role Plan administrator
Date 2010-09-21
Name of individual signing OLAWALE AYENI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-21
Name of individual signing OLAWALE AYENI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
OLAWALE O. AYENI Agent 46 LAUREL LANE, MARLBOROUGH, CT, 06447, United States 46 LAUREL LANE, MARLBOROUGH, CT, 06447, United States

Officer

Name Role Business address Residence address
OLAWALE AYENIMD Officer 123 BROADWAY STREET, COLCHESTER, CT, 06415, United States 46 LAUREL LANE, MARLBOROUGH, CT, 06447, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0004531459 2012-02-21 No data Dissolution Certificate of Dissolution No data
0004311083 2011-01-25 No data Annual Report Annual Report 2011
0004099923 2010-01-25 No data Annual Report Annual Report 2010
0003859405 2009-02-02 No data Annual Report Annual Report 2009
0003634092 2008-02-27 No data Annual Report Annual Report 2008
0003529049 2007-09-04 No data Designation Of Address Designation Of Address No data
0003386852 2007-01-31 No data Business Formation Certificate of Organization No data

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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