| Entity Name: | SHORELINE PSYCHOLOGICAL, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 23 Apr 2008 |
| Business ALEI: | 0936131 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| Business address: | 17A WOODLAND RD, MADISON, CT, 06443, United States |
| Mailing address: | 17A WOODLAND RD, MADISON, CT, United States, 06443 |
| ZIP code: | 06443 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | contactus@shorelinepsychological.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHORELINE PSYCHOLOGICAL 401(K) PLAN | 2023 | 262545037 | 2024-05-03 | SHORELINE PSYCHOLOGICAL, LLC | 5 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-03 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 2037795490 |
| Plan sponsor’s address | 17A WOODLAND RD, SUITE 1, MADISON, CT, 06443 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| ABBY LIPSCHUTZ DR. | Agent | 17A WOODLAND RD, MADISON, CT, 06443, United States | 28 FAIRFIELD PL, MADISON, CT, 06443, United States | +1 646-265-2850 | contactus@shorelinepsychological.com | 28 FAIRFIELD PL, MADISON, CT, 06443, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DR. ABBY LIPSCHUTZ | Officer | 17 WOODLAND RD, MADISON, CT, 06443, United States | 28 FAIRFIELD PLACE, CONNECTICUT, MADISON, CT, 06443, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012048500 | 2024-03-04 | No data | Annual Report | Annual Report | No data |
| BF-0010803238 | 2023-02-01 | No data | Annual Report | Annual Report | No data |
| BF-0011284391 | 2023-02-01 | No data | Annual Report | Annual Report | No data |
| BF-0009783568 | 2023-02-01 | No data | Annual Report | Annual Report | No data |
| 0007013118 | 2020-11-04 | No data | Annual Report | Annual Report | 2020 |
| 0007013075 | 2020-11-04 | 2020-11-04 | Change of Business Address | Business Address Change | No data |
| 0007013110 | 2020-11-04 | No data | Annual Report | Annual Report | 2019 |
| 0006195612 | 2018-06-06 | No data | Annual Report | Annual Report | 2015 |
| 0006195616 | 2018-06-06 | No data | Annual Report | Annual Report | 2018 |
| 0006195615 | 2018-06-06 | No data | Annual Report | Annual Report | 2017 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
