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TOLLAND IMAGING CENTER, LLC

Company Details

Entity Name: TOLLAND IMAGING CENTER, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 26 Feb 2007 (Companies founded in February 2007)
Date of dissolution: 02 Jan 2018
Business ALEI: 0890071
Business address: 6 FIELDSTONE COMMONS SUITE E, TOLLAND, CT, 06084
ZIP code: 06084 (Companies in Tolland, 06084)
County: Tolland
Place of Formation: CONNECTICUT
E-Mail: sholmes@echn.org

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TOLLAND IMAGING CENTER TRADITIONAL 401K PLAN 2015 208688982 2016-07-14 TOLLAND IMAGING CENTER, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 8608964847
Plan sponsor’s address 6 FIELDSTONE COMMONS, SUITE E, TOLLAND, CT, 06084

Signature of

Role Plan administrator
Date 2016-07-14
Name of individual signing LAURIE KINGSBURY
Valid signature Filed with authorized/valid electronic signature
TOLLAND IMAGING CENTER TRADITIONAL 401K PLAN 2014 208688982 2015-06-19 TOLLAND IMAGING CENTER, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 8608964847
Plan sponsor’s address 6 FIELDSTONE COMMONS, SUITE E, TOLLAND, CT, 06084

Signature of

Role Plan administrator
Date 2015-06-19
Name of individual signing LAURIE KINGSBURY
Valid signature Filed with authorized/valid electronic signature
TOLLAND IMAGING CENTER TRADITIONAL 401K PLAN 2013 208688982 2014-05-28 TOLLAND IMAGING CENTER, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 8608964847
Plan sponsor’s address 6 FIELDSTONE COMMONS SUITE E, TOLLAND, CT, 06084

Signature of

Role Plan administrator
Date 2014-05-28
Name of individual signing LAURIE KINGSBURY
Valid signature Filed with authorized/valid electronic signature
TOLLAND IMAGING CENTER TRADITIONAL 401K PLAN 2012 208688982 2013-06-13 TOLLAND IMAGING CENTER, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 8608964847
Plan sponsor’s address 6 FIELDSTONE COMMONS SUITE E, TOLLAND, CT, 06084

Signature of

Role Plan administrator
Date 2013-06-12
Name of individual signing LAURIE KINGSBURY
Valid signature Filed with authorized/valid electronic signature
TOLLAND IMAGING CENTER TRADITIONAL 401K PLAN 2011 208688982 2012-07-03 TOLLAND IMAGING CENTER, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 8608964847
Plan sponsor’s address 6 FIELDSTONE COMMONS SUITE E, TOLLAND, CT, 06084

Plan administrator’s name and address

Administrator’s EIN 208688982
Plan administrator’s name TOLLAND IMAGING CENTER, LLC
Plan administrator’s address 6 FIELDSTONE COMMONS SUITE E, TOLLAND, CT, 06084
Administrator’s telephone number 8608964847

Signature of

Role Plan administrator
Date 2012-07-03
Name of individual signing HEATHER MELENDEZ
Valid signature Filed with authorized/valid electronic signature
TOLLAND IMAGING CENTER TRADITIONAL 401K PLAN 2010 208688982 2011-07-28 TOLLAND IMAGING CENTER, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 8608964847
Plan sponsor’s address 6 FIELDSTONE COMMONS SUITE E, TOLLAND, CT, 06084

Plan administrator’s name and address

Administrator’s EIN 208688982
Plan administrator’s name TOLLAND IMAGING CENTER, LLC
Plan administrator’s address 6 FIELDSTONE COMMONS SUITE E, TOLLAND, CT, 06084
Administrator’s telephone number 8608964847

Signature of

Role Plan administrator
Date 2011-07-28
Name of individual signing HEATHER MELENDEZ
Valid signature Filed with authorized/valid electronic signature
TOLLAND IMAGING CENTER TRADITIONAL 401K PLAN 2010 208688982 2011-07-22 TOLLAND IMAGING CENTER, LLC 7
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 8608964847
Plan sponsor’s address 6 FIELDSTONE COMMONS SUITE E, TOLLAND, CT, 06084

Plan administrator’s name and address

Administrator’s EIN 208688982
Plan administrator’s name TOLLAND IMAGING CENTER, LLC
Plan administrator’s address 6 FIELDSTONE COMMONS SUITE E, TOLLAND, CT, 06084
Administrator’s telephone number 8608964847

Signature of

Role Plan administrator
Date 2011-07-22
Name of individual signing HEATHER MELENDEZ
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role
R&C SERVICE COMPANY Agent

Officer

Name Role Business address Residence address
JOHNSON MEMORIAL HOSPITAL Officer 201 CHESTNUT HILL ROAD, PO BOX 860, STAFFORD SPRINGS, CT, 06076, United States 201 CHESTNUT HILL ROAD, STAFFORD SPRINGS, CT, 06076, United States
WINDHAM COMMUNITY MEMORIAL HOSPITAL Officer 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226, United States No data
ROCKVILLE GENERAL HOSPITAL Officer 31 UNION STREET, MANCHESTER, CT, 06040, United States No data
MANCHESTER MEMORIAL HOSPITAL Officer 71 HAYNES ST., MANCHESTER, CT, 06040, United States No data

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012733072 2024-08-14 No data Mass Agent Change � Address Agent Address Change No data
0005994479 2018-01-02 2018-01-02 Dissolution Certificate of Dissolution No data
0005633341 2016-08-18 No data Annual Report Annual Report 2016
0005269080 2015-01-29 No data Annual Report Annual Report 2015
0005101016 2014-05-05 No data Annual Report Annual Report 2014
0004857708 2013-05-10 No data Annual Report Annual Report 2013
0004650502 2012-06-01 No data Annual Report Annual Report 2012
0004326797 2011-02-28 No data Annual Report Annual Report 2011
0004184910 2010-04-27 No data Annual Report Annual Report 2010
0003912352 2009-03-17 No data Annual Report Annual Report 2009

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website