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  5. ROBERT S. CARNEVALE, D.M.D., P.C.

ROBERT S. CARNEVALE, D.M.D., P.C.

Company Details

Entity Name: ROBERT S. CARNEVALE, D.M.D., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 03 Apr 2008
Date of dissolution: 31 Dec 2020
Business ALEI: 0933937
Annual report due: 03 Apr 2021
NAICS code: 621210 - Offices of Dentists
Business address: 59 PEARL STREET, MYSTIC, CT, 06355, United States
Mailing address: 59 PEARL STREET, MYSTIC, CT, United States, 06355
ZIP code: 06355
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: JCARNEV525@GMAIL.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT S. CARNEVALE D.M.D., P.C. 401 PROFIT SHARING PLAN 2019 262271233 2020-06-19 ROBERT S. CARNEVALE, D.M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-04-08
Business code 621210
Sponsor’s telephone number 8608891781
Plan sponsor’s address 2 SHAWS COVE, SUITE 200, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2020-06-19
Name of individual signing ROBERT S. CARNEVALE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. CARNEVALE D.M.D., P.C. CASH BALANCE PLAN 2019 262271233 2020-06-19 ROBERT S. CARNEVALE, D.M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8608891781
Plan sponsor’s address 2 SHAWS COVE, SUITE 200, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2020-06-19
Name of individual signing ROBERT S. CARNEVALE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. CARNEVALE, D.M.D, P.C. CASH BALANCE PLAN 2019 262271233 2020-05-22 ROBERT S. CARNEVALE, D.M.D, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8608891781
Plan sponsor’s address 2 SHAWS COVE, SUITE 200, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2020-05-22
Name of individual signing ROBERT S. CARNEVALE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. CARNEVALE, D.M.D, P.C. 401 (K) PROFIT SHARING PLAN 2019 262271233 2020-05-22 ROBERT S. CARNEVALE, D.M.D, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-04-08
Business code 621210
Sponsor’s telephone number 8608891781
Plan sponsor’s address 2 SHAWS COVE, SUITE 200, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2020-05-22
Name of individual signing ROBERT S. CARNEVALE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. CARNEVALE, D.M.D, P.C. 401 (K) PROFIT SHARING PLAN 2018 262271233 2019-10-15 ROBERT S. CARNEVALE, D.M.D, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-04-08
Business code 621210
Sponsor’s telephone number 8608891781
Plan sponsor’s address 2 SHAWS COVE, SUITE 200, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing ROBERT S. CARNEVALE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. CARNEVALE, D.M.D, P.C. CASH BALANCE PLAN 2018 262271233 2019-10-15 ROBERT S. CARNEVALE, D.M.D, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8608891781
Plan sponsor’s address 2 SHAWS COVE, SUITE 200, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing ROBERT S. CARNEVALE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. CARNEVALE, D.M.D, P.C. 401 (K) PROFIT SHARING PLAN 2017 262271233 2018-06-13 ROBERT S. CARNEVALE, D.M.D, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-04-08
Business code 621210
Sponsor’s telephone number 8608891781
Plan sponsor’s address 2 SHAWS COVE, SUITE 200, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2018-06-13
Name of individual signing ROBERT CARNEVALE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-13
Name of individual signing ROBERT CARNEVALE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. CARNEVALE, D.M.D, P.C. CASH BALANCE PLAN 2017 262271233 2018-06-13 ROBERT S. CARNEVALE, D.M.D, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8608891781
Plan sponsor’s address 2 SHAWS COVE, SUITE 200, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2018-06-13
Name of individual signing ROBERT CARNEVALE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-13
Name of individual signing ROBERT CARNEVALE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. CARNEVALE, D.M.D, P.C. 401 (K) PROFIT SHARING PLAN 2016 262271233 2017-07-28 ROBERT S. CARNEVALE, D.M.D, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-04-08
Business code 621210
Sponsor’s telephone number 8608891781
Plan sponsor’s address 2 SHAWS COVE, SUITE 200, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing ROBERT CARNEVALE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-28
Name of individual signing ROBERT CARNEVALE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. CARNEVALE, D.M.D, P.C. CASH BALANCE PLAN 2016 262271233 2017-07-28 ROBERT S. CARNEVALE, D.M.D, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8608891781
Plan sponsor’s address 2 SHAWS COVE, SUITE 200, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing ROBERT CARNEVALE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-28
Name of individual signing ROBERT CARNEVALE
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
ROBERT S. CARNEVALE Officer 59 PEARL STREET, MYSTIC, CT, 06355, United States 59 PEARL STREET, MYSTIC, CT, 06355, United States

Agent

Name Role Business address Mailing address E-Mail Residence address
AARON L. HERSHMAN Agent HERSHMAN LEGAL GROUP, P.C., 420 E MAIN STREET, STE 10, BRANFORD, CT, 06405, United States HERSHMAN LEGAL GROUP, P.C., 420 E MAIN STREET, STE 10, BRANFORD, CT, 06405, United States JCARNEV525@GMAIL.COM 420 E Main Street, Ste 10, Branford, CT, 06405, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007039920 2020-12-16 2020-12-31 Dissolution Certificate of Dissolution No data
0006903392 2020-05-12 No data Annual Report Annual Report 2020
0006703523 2019-12-27 2019-12-27 First Report Organization and First Report No data
0003659830 2008-04-03 No data Business Formation Certificate of Incorporation No data

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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