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NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC

Company Details

Entity Name: NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 01 Oct 2007 (Companies founded in October 2007)
Business ALEI: 0914170
Annual report due: 31 Mar 2025
NAICS code: 624230 - Emergency and Other Relief Services
Business address: 136 Vista Ter, New Haven, CT, 06515-2404, United States
Mailing address: 136 Vista Ter, New Haven, CT, United States, 06515-2404
ZIP code: 06515 (Companies in New Haven, 06515)
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: sallentuch@nemsed.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHEAST EMERGENCY MEDICINE SPECIALISTS 401K PLAN 2019 261569466 2020-09-09 NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9727393092
Plan sponsor’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226

Plan administrator’s name and address
Administrator’s EIN 261569466
Plan administrator’s name NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Plan administrator’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226
Administrator’s telephone number 9727393092

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing DR. GREGORY SHANGOLD
Valid signature Filed with authorized/valid electronic signature
NORTHEAST EMERGENCY MEDICINE SPECIALISTS 401K PLAN 2018 261569466 2019-08-30 NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9727393092
Plan sponsor’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226

Plan administrator’s name and address
Administrator’s EIN 261569466
Plan administrator’s name NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Plan administrator’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226
Administrator’s telephone number 9727393092

Signature of
Role Plan administrator
Date 2019-08-30
Name of individual signing DR. GREGORY SHANGOLD
Valid signature Filed with authorized/valid electronic signature
NORTHEAST EMERGENCY MEDICINE SPECIALISTS 401K PLAN 2017 261569466 2018-10-05 NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9727393092
Plan sponsor’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226

Plan administrator’s name and address
Administrator’s EIN 261569466
Plan administrator’s name NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Plan administrator’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226
Administrator’s telephone number 9727393092

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing DR. GREGORY SHANGOLD
Valid signature Filed with authorized/valid electronic signature
NORTHEAST EMERGENCY MEDICINE SPECIALISTS 401K PLAN 2016 261569466 2017-07-26 NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9727393092
Plan sponsor’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226

Plan administrator’s name and address
Administrator’s EIN 261569466
Plan administrator’s name NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Plan administrator’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226
Administrator’s telephone number 9727393092

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing DR. GREGORY SHANGOLD
Valid signature Filed with authorized/valid electronic signature
NORTHEAST EMERGENCY MEDICINE SPECIALISTS 401K PLAN 2015 261569466 2016-07-11 NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9727393092
Plan sponsor’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226

Plan administrator’s name and address
Administrator’s EIN 261569466
Plan administrator’s name NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Plan administrator’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226
Administrator’s telephone number 9727393092

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing DR. GREGORY SHANGOLD
Valid signature Filed with authorized/valid electronic signature
NORTHEAST EMERGENCY MEDICINE SPECIALISTS 401K PLAN 2014 261569466 2015-07-20 NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9727393092
Plan sponsor’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226

Plan administrator’s name and address
Administrator’s EIN 261569466
Plan administrator’s name NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Plan administrator’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226
Administrator’s telephone number 9727393092

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing DR. GREGORY SHANGOLD
Valid signature Filed with authorized/valid electronic signature
NORTHEAST EMERGENCY MEDICINE SPECIALISTS 401K PLAN 2013 261569466 2014-07-25 NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9727393092
Plan sponsor’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226

Plan administrator’s name and address
Administrator’s EIN 261569466
Plan administrator’s name NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Plan administrator’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226
Administrator’s telephone number 9727393092

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing DR. EUGENE WINCHESTER
Valid signature Filed with authorized/valid electronic signature
NORTHEAST EMERGENCY MEDICINE SPECIALISTS 401K PLAN 2012 261569466 2013-07-25 NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9727393092
Plan sponsor’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226

Plan administrator’s name and address
Administrator’s EIN 261569466
Plan administrator’s name NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Plan administrator’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226
Administrator’s telephone number 9727393092

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing DR. EUGENE WINCHESTER
Valid signature Filed with authorized/valid electronic signature
NORTHEAST EMERGENCY MEDICINE SPECIALISTS 401K PLAN 2011 261569466 2012-07-12 NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9727393092
Plan sponsor’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226

Plan administrator’s name and address
Administrator’s EIN 261569466
Plan administrator’s name NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Plan administrator’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226
Administrator’s telephone number 9727393092

Signature of
Role Plan administrator
Date 2012-07-12
Name of individual signing DR. EUGENE WINCHESTER
Valid signature Filed with authorized/valid electronic signature
NORTHEAST EMERGENCY MEDICINE SPECIALISTS 401K PLAN 2010 261569466 2011-06-29 NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9727393092
Plan sponsor’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226

Plan administrator’s name and address
Administrator’s EIN 261569466
Plan administrator’s name NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Plan administrator’s address 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 06226
Administrator’s telephone number 9727393092

Signature of
Role Plan administrator
Date 2011-06-29
Name of individual signing DR. EUGENE WINCHESTER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Simon Allentuch Agent 136 Vista Ter, New Haven, CT, 06515-2404, United States 136 Vista Ter, New Haven, CT, 06515-2404, United States +1 203-435-2467 sallentuch@nemsed.com 136 Vista Ter, New Haven, CT, 06515-2404, United States

Officer

Name Role Business address Residence address
GREGORY SHANGOLD Officer 112 MANSFIELD AVENUE, WILLIMANTIC, CT, 62269, United States 66 BEACON HILL DRIVE, CONNECTICUT, MANSFIELD STORRS, CT, 06268, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011419958 2024-06-10 No data Annual Report Annual Report No data
BF-0012286993 2024-06-10 No data Annual Report Annual Report No data
BF-0010385345 2022-04-05 No data Annual Report Annual Report 2022
BF-0010142630 2021-11-04 2021-11-04 Change of Agent Agent Change No data
0007182184 2021-02-22 No data Annual Report Annual Report 2021
0006796766 2020-02-28 No data Annual Report Annual Report 2020
0006435591 2019-03-08 No data Annual Report Annual Report 2019
0006089138 2018-02-21 No data Annual Report Annual Report 2018
0005955994 2017-10-27 No data Annual Report Annual Report 2017
0005643475 2016-09-06 No data Annual Report Annual Report 2016

Related by officers

Simon Allentuch

Northeast EM Management, LLC

Related by address

136 Vista Ter, New Haven, CT, 06515-2404, United States

NEMS PLLC Northeast EM Management, LLC

136 Vista Ter, New Haven, CT, United States, 06515-2404

Northeast EM Management, LLC

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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