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CHAPEL PULMONARY AND CRITICAL CARE, LLC

Company Details

Entity Name: CHAPEL PULMONARY AND CRITICAL CARE, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Date Formed: 25 Feb 2008 (Companies founded in February 2008)
Business ALEI: 0929364
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 136 SHERMAN AVE. SUITE 205, NEW HAVEN, CT, 06511, United States
Mailing address: 136 SHERMAN AVE. SUITE 205, NEW HAVEN, CT, United States, 06511
ZIP code: 06511 (Companies in New Haven, 06511)
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: fermin504@comcast.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAPEL PULMONARY AND CRITICAL CARE, LLC. 401(K) PROFIT SHARING PLAN 2023 262121311 2024-03-26 CHAPEL PULMONARY AND CRITICAL CARE, LLC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2037875115
Plan sponsor’s address 136 SHERMAN AVENUE - SUITE 205, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2024-03-26
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-26
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
CHAPEL PULMONARY AND CRITICAL CARE, LLC. 401(K) PROFIT SHARING PLAN 2022 262121311 2023-06-15 CHAPEL PULMONARY AND CRITICAL CARE, LLC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2037875115
Plan sponsor’s address 136 SHERMAN AVENUE - SUITE 205, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2023-04-06
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-06
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
CHAPEL PULMONARY AND CRITICAL CARE, LLC. 401(K) PROFIT SHARING PLAN 2021 262121311 2022-03-31 CHAPEL PULMONARY AND CRITICAL CARE, LLC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2037875115
Plan sponsor’s address 136 SHERMAN AVENUE - SUITE 205, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2022-03-31
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-31
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
CHAPEL PULMONARY AND CRITICAL CARE, LLC. 401(K) PROFIT SHARING PLAN 2020 262121311 2021-04-08 CHAPEL PULMONARY AND CRITICAL CARE, LLC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2037875115
Plan sponsor’s address 136 SHERMAN AVENUE - SUITE 205, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2021-04-08
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-08
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
CHAPEL PULMONARY AND CRITICAL CARE, LLC. 401(K) PROFIT SHARING PLAN 2019 262121311 2020-03-12 CHAPEL PULMONARY AND CRITICAL CARE, LLC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2037875115
Plan sponsor’s address 136 SHERMAN AVENUE - SUITE 205, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2020-03-12
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-12
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
CHAPEL PULMONARY AND CRITICAL CARE, LLC. 401(K) PROFIT SHARING PLAN 2018 262121311 2019-04-11 CHAPEL PULMONARY AND CRITICAL CARE, LLC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2037875115
Plan sponsor’s address 136 SHERMAN AVENUE - SUITE 205, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2019-04-03
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-03
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
CHAPEL PULMONARY AND CRITICAL CARE, LLC. 401(K) PROFIT SHARING PLAN 2017 262121311 2018-04-12 CHAPEL PULMONARY AND CRITICAL CARE, LLC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2037875115
Plan sponsor’s address 136 SHERMAN AVENUE - SUITE 205, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2018-04-11
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-11
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
CHAPEL PULMONARY & CRITICAL CARE 401(K) P/S PLAN 2016 262121311 2017-03-15 CHAPEL PULMONARY AND CRITICAL CARE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2037875115
Plan sponsor’s address 136 SHERMAN AVE., SUITE 205, NEW HAVEN, CT, 06511

Plan administrator’s name and address
Administrator’s EIN 262121311
Plan administrator’s name CHAPEL PULMONARY AND CRITICAL CARE LLC
Plan administrator’s address 136 SHERMAN AVE., SUITE 205, NEW HAVEN, CT, 06511
Administrator’s telephone number 2037875115

Signature of
Role Plan administrator
Date 2017-03-15
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
CHAPEL PULMONARY & CRITICAL CARE 401(K) P/S PLAN 2015 262121311 2016-06-02 CHAPEL PULMONARY AND CRITICAL CARE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2037875115
Plan sponsor’s address 136 SHERMAN AVE., SUITE 205, NEW HAVEN, CT, 06511

Plan administrator’s name and address
Administrator’s EIN 262121311
Plan administrator’s name CHAPEL PULMONARY AND CRITICAL CARE LLC
Plan administrator’s address 136 SHERMAN AVE., SUITE 205, NEW HAVEN, CT, 06511
Administrator’s telephone number 2037875115

Signature of
Role Plan administrator
Date 2016-06-02
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature
CHAPEL PULMONARY & CRITICAL CARE 401(K) P/S PLAN 2014 262121311 2015-06-03 CHAPEL PULMONARY AND CRITICAL CARE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2037875115
Plan sponsor’s address 136 SHERMAN AVE., SUITE 205, NEW HAVEN, CT, 06511

Plan administrator’s name and address
Administrator’s EIN 262121311
Plan administrator’s name CHAPEL PULMONARY AND CRITICAL CARE LLC
Plan administrator’s address 136 SHERMAN AVE., SUITE 205, NEW HAVEN, CT, 06511
Administrator’s telephone number 2037875115

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing ALLAN RODRIGUES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
ALLAN J. RODRIGUES Agent 136 SHERMAN AVE. SUITE 205, NEW HAVEN, CT, 06511, United States 136 SHERMAN AVE. SUITE 205, NEW HAVEN, CT, 06511, United States +1 203-988-2161 fermin504@comcast.net 15 MIMOSA LANE, SHELTON, CT, 06484, United States

Officer

Name Role Business address Phone E-Mail Residence address
ALLAN J. RODRIGUES Officer 136 SHERMAN AVE., SUITE 205, NEW HAVEN, CT, 06511, United States +1 203-988-2161 fermin504@comcast.net 15 MIMOSA LANE, SHELTON, CT, 06484, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012129895 2024-01-25 No data Annual Report Annual Report No data
BF-0011284458 2023-02-09 No data Annual Report Annual Report No data
BF-0010385458 2022-03-11 No data Annual Report Annual Report 2022
0007347173 2021-05-19 No data Annual Report Annual Report 2021
0007026513 2020-11-25 No data Annual Report Annual Report 2020
0006458636 2019-03-13 No data Annual Report Annual Report 2019
0006013872 2018-01-17 No data Annual Report Annual Report 2018
0005758351 2017-02-01 No data Annual Report Annual Report 2017
0005473852 2016-01-27 No data Annual Report Annual Report 2016
0005265223 2015-01-23 No data Annual Report Annual Report 2015

Related by officers

ALLAN J. RODRIGUES

MIMOSA REALTY, LLC

Related by address

No related companies by address

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website

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