| Entity Name: | GARY A. LETTS, M.D. LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report past due |
| Date Formed: | 03 Apr 2008 (Companies founded in April 2008) |
| Business ALEI: | 0933678 |
| Annual report due: | 31 Mar 2024 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 148 EAST AVE. 2D, NORWALK, CT, 06851, United States |
| Mailing address: | 148 EAST AVE. 2D, NORWALK, CT, United States, 06851 |
| ZIP code: | 06851 (Companies in Fairfield, 06851) |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | garylettsmd@coriumdx.com |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6ZHN6 | Active | Non-Manufacturer | 2013-09-27 | 2024-03-08 | No data | No data | |||||||||||||
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| POC | GARY LETTS |
| Phone | +1 203-832-3737 |
| Address | 39 MAPLE TREE AVE UNIT 10, STAMFORD, FAIRFIELD, CT, 06906 2271, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GAL 401(K) RETIREMENT PLAN | 2021 | 262370367 | 2022-10-17 | GARY A. LETTS, M.D., LLC | 2 | |||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-10-17 |
| Name of individual signing | GARY LETTS, TRUSTEE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-10-17 |
| Name of individual signing | GARY LETTS, PRINCIPAL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2033487546 |
| Plan sponsor’s DBA name | CORIUM DIAGNOSTICS |
| Plan sponsor’s address | 148 EAST AVENUE, STE 2D, NORWALK, CT, 06851 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-15 |
| Name of individual signing | GARY LETTS, TRUSTEE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-10-15 |
| Name of individual signing | GARY LETTS, PRINCIPAL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2033487546 |
| Plan sponsor’s DBA name | CORIUM DIAGNOSTICS |
| Plan sponsor’s address | 148 EAST AVENUE, STE 2D, NORWALK, CT, 06851 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-14 |
| Name of individual signing | GARY LETTS, TRUSTEE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-10-14 |
| Name of individual signing | GARY LETTS, PRINCIPAL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| GARY A. LETTS | Agent | 148 East Ave, Norwalk, CT, 06851, United States | 148 East Ave, Norwalk, CT, 06851, United States | +1 203-832-3737 | garylettsmd@coriumdx.com | 8 Hunter Street, #10, Old Greenwich, CT, 06870, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| GARY A LETTS | Officer | 148 EAST AVE. 2D, NORWALK, CT, 06851, United States | 39 MAPLE TREE AVE., SUITE #10, STAMFORD, CT, 06906, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CLAB.0000662 | Clinical Laboratory | ACTIVE | CURRENT | 2018-06-07 | 2024-07-01 | 2026-06-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0008662897 | 2023-06-01 | No data | Annual Report | Annual Report | 2020 |
| BF-0009851475 | 2023-06-01 | No data | Annual Report | Annual Report | No data |
| BF-0010804832 | 2023-06-01 | No data | Annual Report | Annual Report | No data |
| BF-0011286337 | 2023-06-01 | No data | Annual Report | Annual Report | No data |
| 0006441687 | 2019-03-11 | No data | Annual Report | Annual Report | 2019 |
| 0006070052 | 2018-02-12 | No data | Annual Report | Annual Report | 2018 |
| 0005807461 | 2017-04-03 | No data | Annual Report | Annual Report | 2017 |
| 0005536057 | 2016-04-12 | No data | Annual Report | Annual Report | 2016 |
| 0005536051 | 2016-04-12 | No data | Annual Report | Annual Report | 2015 |
| 0005205171 | 2014-10-22 | No data | Annual Report | Annual Report | 2014 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
