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FAMILY DENTISTRY OF WINDSOR PC

Company Details

Entity Name: FAMILY DENTISTRY OF WINDSOR PC
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 03 Jan 2008
Date of dissolution: 07 Feb 2024
Business ALEI: 0923239
Annual report due: 03 Jan 2022
NAICS code: 621210 - Offices of Dentists
Business address: 309 Boston Post Rd, Madison, CT, 06443-2938, United States
Mailing address: 309 Boston Post Rd, Madison, CT, United States, 06443-2938
ZIP code: 06443
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 600
E-Mail: davidbenberel@comcast.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN 2019 262458548 2020-03-25 FAMILY DENTISTRY OF WINDSOR, PC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8606884634
Plan sponsor’s address 230 BROAD STREET, WINDSOR, CT, 06095

Signature of

Role Plan administrator
Date 2020-03-25
Name of individual signing STEPHEN LIPMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-25
Name of individual signing STEPHEN LIPMAN
Valid signature Filed with authorized/valid electronic signature
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN 2018 262458548 2019-10-01 FAMILY DENTISTRY OF WINDSOR, PC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8606884634
Plan sponsor’s address 230 BROAD STREET, WINDSOR, CT, 06095

Signature of

Role Plan administrator
Date 2019-10-01
Name of individual signing STEPHEN LIPMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing STEPHEN LIPMAN
Valid signature Filed with authorized/valid electronic signature
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN 2014 262458548 2015-10-13 FAMILY DENTISTRY OF WINDSOR, PC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8606884634
Plan sponsor’s address 230 BROAD STREET, WINDSOR, CT, 06095
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN 2013 262458548 2014-10-09 FAMILY DENTISTRY OF WINDSOR, PC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8606884634
Plan sponsor’s address 230 BROAD STREET, WINDSOR, CT, 06095
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN 2012 262458548 2013-07-31 FAMILY DENTISTRY OF WINDSOR, PC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8606884634
Plan sponsor’s address 230 BROAD STREET, WINDSOR, CT, 06095

Signature of

Role Plan administrator
Date 2013-07-31
Name of individual signing DIANE HEBERT
Valid signature Filed with authorized/valid electronic signature
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN 2011 262458548 2012-10-10 FAMILY DENTISTRY OF WINDSOR, PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8606884634
Plan sponsor’s address 230 BROAD STREET, WINDSOR, CT, 06095

Plan administrator’s name and address

Administrator’s EIN 262458548
Plan administrator’s name FAMILY DENTISTRY OF WINDSOR, PC
Plan administrator’s address 230 BROAD STREET, WINDSOR, CT, 06095
Administrator’s telephone number 8606884634

Signature of

Role Plan administrator
Date 2012-10-10
Name of individual signing DIANE HEBERT
Valid signature Filed with authorized/valid electronic signature
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN 2010 262458548 2011-09-15 FAMILY DENTISTRY OF WINDSOR, PC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8606884634
Plan sponsor’s address 230 BROAD STREET, WINDSOR, CT, 06095

Plan administrator’s name and address

Administrator’s EIN 262458548
Plan administrator’s name FAMILY DENTISTRY OF WINDSOR, PC
Plan administrator’s address 230 BROAD STREET, WINDSOR, CT, 06095
Administrator’s telephone number 8606884634

Signature of

Role Plan administrator
Date 2011-09-15
Name of individual signing JAMES CONSOLATI
Valid signature Filed with authorized/valid electronic signature
FAMILY DENTISTRY OF WINDSOR, PC 401(K) PLAN 2009 262458548 2010-08-09 FAMILY DENTISTRY OF WINDSOR, PC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8606884634
Plan sponsor’s address 230 BROAD STREET, WINDSOR, CT, 06095

Plan administrator’s name and address

Administrator’s EIN 262458548
Plan administrator’s name FAMILY DENTISTRY OF WINDSOR, PC
Plan administrator’s address 230 BROAD STREET, WINDSOR, CT, 06095
Administrator’s telephone number 8606884634

Signature of

Role Plan administrator
Date 2010-08-09
Name of individual signing STEPHEN LIPMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
SHELLEY LIPMAN Agent 309 Boston Post Road, Madison, CT, 06443, United States 309 Boston Post Road, Madison, CT, 06443, United States +1 860-830-5569 thesingindentist@gmail.com 309 Boston Post Road, Madison, CT, 06443, United States

Director

Name Role Business address Residence address
STEPHEN LIPMAN Director 309 Boston Post Road, Madison, CT, 06443, United States 309 Boston Post Road, Madison, CT, 06443, United States

Officer

Name Role Business address Residence address
SHELLEY R LIPMAN Officer 309 Boston Post Rd, Madison, CT, 06443-2938, United States 309 Boston Post Rd, Madison, CT, 06443-2938, United States

History

Type Old value New value Date of change
Name change FAMILY DENTRISTRY OF WINDSOR PC FAMILY DENTISTRY OF WINDSOR PC 2008-05-16

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012548956 2024-02-07 2024-02-07 Dissolution Certificate of Dissolution No data
BF-0009805104 2022-06-10 No data Annual Report Annual Report No data
0006720186 2020-01-13 No data Annual Report Annual Report 2020
0006295021 2018-12-18 No data Annual Report Annual Report 2019
0006029692 2018-01-24 No data Annual Report Annual Report 2018
0005764469 2017-02-08 No data Annual Report Annual Report 2017
0005506148 2016-03-07 No data Annual Report Annual Report 2016
0005266306 2015-01-26 No data Annual Report Annual Report 2015
0004999498 2013-12-12 No data Annual Report Annual Report 2014
0004794312 2013-02-04 No data Annual Report Annual Report 2013

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website