| Entity Name: | KOZLOWSKI ORTHODONTICS, P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 30 Nov 2021 |
| Business ALEI: | 0923360 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621210 - Offices of Dentists |
| Business address: | 190 HEMPSTEAD ST, NEW LONDON, CT, 06320, United States |
| Mailing address: | 190 HEMPSTEAD ST, NEW LONDON, CT, United States, 06320 |
| ZIP code: | 06320 |
| County: | New London |
| Total authorized shares: | 1000 |
| E-Mail: | ljager@wnj.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KOZLOWSKI ROTH 401(K) PLAN | 2019 | 261651421 | 2020-02-17 | KOZLOWSKI ORTHODONTICS, P.C. | 18 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2020-02-17 |
| Name of individual signing | CHRISSY MCBRIDE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-02-17 |
| Name of individual signing | CHRISSY MCBRIDE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8604424421 |
| Plan sponsor’s address | 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320 |
Signature of
| Role | Plan administrator |
| Date | 2020-02-17 |
| Name of individual signing | CHRISSY MCBRIDE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-02-17 |
| Name of individual signing | CHRISSY MCBRIDE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8604424421 |
| Plan sponsor’s address | 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320 |
Signature of
| Role | Plan administrator |
| Date | 2019-02-10 |
| Name of individual signing | CHRISSY MCBRIDE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-02-10 |
| Name of individual signing | CHRISSY MCBRIDE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8605369661 |
| Plan sponsor’s address | 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320 |
Signature of
| Role | Plan administrator |
| Date | 2018-04-24 |
| Name of individual signing | JEFFREY KOZLOWSKI |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-04-24 |
| Name of individual signing | JEFFREY KOZLOWSKI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| JEFFREY T. KOZLOWSKI DDS | Officer | 190 HEMPSTEAD ST, NEW LONDON, CT, 06320, United States | 30 BISHOP STREET, WATERFORD, CT, 06385, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | KOZLOWSKI ORTHODONTICS, P.C. | KOZLOWSKI ORTHODONTICS, P.C. | 2021-11-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012291043 | 2024-02-21 | No data | Annual Report | Annual Report | No data |
| BF-0011281764 | 2023-03-30 | No data | Annual Report | Annual Report | No data |
| BF-0010222546 | 2022-03-31 | No data | Annual Report | Annual Report | 2022 |
| BF-0010158658 | 2021-11-30 | 2021-11-30 | Conversion | Certificate of Conversion | No data |
| 0007365011 | 2021-06-09 | No data | Annual Report | Annual Report | 2021 |
| 0006756603 | 2020-02-11 | No data | Annual Report | Annual Report | 2020 |
| 0006679683 | 2019-11-13 | 2019-11-13 | Amendment | Restated | No data |
| 0006673573 | 2019-11-06 | No data | Annual Report | Annual Report | 2019 |
| 0006295001 | 2018-12-18 | No data | Annual Report | Annual Report | 2018 |
| 0005742377 | 2017-01-17 | No data | Annual Report | Annual Report | 2017 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
