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CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC

Company Details

Entity Name: CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 07 Apr 2008
Business ALEI: 0934259
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 2447 Whitney Ave, Hamden, CT, 06518-3211, United States
Mailing address: 2447 Whitney Ave, SUITE #1, Hamden, CT, United States, 06518-3211
ZIP code: 06518
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: mvodapally@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONNECTICUT REGIONAL PAIN SPECIALISTS 401(K) PLAN 2023 300532679 2024-09-23 CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2036244400
Plan sponsor’s address 2447 WHITNEY AVE., SUITE 1, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2024-09-23
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-23
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC DEFINED BENEFIT PLAN 2023 300532679 2024-09-23 CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2036244400
Plan sponsor’s address 2447 WHITNEY AVE., SUITE 1, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2024-09-23
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-23
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC DEFINED BENEFIT PLAN 2022 300532679 2023-09-28 CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2036244400
Plan sponsor’s address 2447 WHITNEY AVE., SUITE 1, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2023-09-28
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-28
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT REGIONAL PAIN SPECIALISTS 401(K) PLAN 2022 300532679 2023-09-28 CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2036244400
Plan sponsor’s address 2447 WHITNEY AVE., SUITE 1, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2023-09-28
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-28
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT REGIONAL PAIN SPECIALISTS 401(K) PLAN 2021 300532679 2022-09-11 CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2036244400
Plan sponsor’s address 2447 WHITNEY AVE., SUITE 1, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2022-09-11
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-11
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC DEFINED BENEFIT PLAN 2021 300532679 2022-09-11 CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2036244400
Plan sponsor’s address 2447 WHITNEY AVE., SUITE 1, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2022-09-11
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-11
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC DEFINED BENEFIT PLAN 2020 300532679 2021-06-18 CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2036244400
Plan sponsor’s address 2447 WHITNEY AVE., SUITE 1, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2021-06-18
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-18
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT REGIONAL PAIN SPECIALISTS 401(K) PLAN 2020 300532679 2021-06-18 CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2036244400
Plan sponsor’s address 2447 WHITNEY AVE., SUITE 1, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2021-06-18
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-18
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT REGIONAL PAIN SPECIALISTS 401(K) PLAN 2019 300532679 2020-07-24 CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2036244400
Plan sponsor’s address 2447 WHITNEY AVE., SUITE 2B, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2020-07-24
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-24
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC DEFINED BENEFIT PLAN 2019 300532679 2020-07-24 CONNECTICUT REGIONAL PAIN SPECIALISTS, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2036244400
Plan sponsor’s address 2447 WHITNEY AVE., SUITE 2B, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2020-07-24
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-24
Name of individual signing MOHAN VODAPALLY
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
MOHAN VODAPALLY MD Officer 2447 Whitney Ave, Suite #1, Hamden, CT, 06518-3211, United States 35 SUMMER HILL CT, CHESHIRE, CT, 06410, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MOHAN VODAPALLY Agent 2447 Whitney Ave, SUITE#1, Hamden, CT, 06518-3211, United States 35 Summer Hill Ct, Cheshire, CT, 06410-1361, United States +1 203-517-6599 mvodapally@gmail.com 35 Summer Hill Ct, Cheshire, CT, 06410-1361, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CLAB.0001044 Clinical Laboratory INACTIVE INACTIVE 2022-01-06 2024-01-01 2025-12-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012133059 2024-04-17 No data Annual Report Annual Report No data
BF-0011285030 2023-06-22 No data Annual Report Annual Report No data
BF-0010532933 2023-06-22 No data Annual Report Annual Report No data
BF-0009878031 2022-01-31 No data Annual Report Annual Report No data
BF-0009337586 2022-01-29 No data Annual Report Annual Report 2020
0006624724 2019-08-15 No data Annual Report Annual Report 2019
0006619789 2019-08-09 2019-08-09 Change of Business Address Business Address Change No data
0006184196 2018-05-16 No data Annual Report Annual Report 2018
0006011902 2018-01-16 No data Annual Report Annual Report 2016
0006011906 2018-01-16 No data Annual Report Annual Report 2017

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website