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BENA KALLICK, LLC

Company Details

Entity Name: BENA KALLICK, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 04 Aug 2009 (Companies founded in August 2009)
Date of dissolution: 03 Jan 2011
Business ALEI: 0979320
Business address: 12 CROOKED MILE ROAD, WESTPORT, CT, 06880
Mailing address: No information provided
ZIP code: 06880 (Companies in Fairfield, 06880)
County: Fairfield
Place of Formation: CONNECTICUT

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BENA KALLICK KEOGH RETIREMENT PLAN 2020 061147331 2021-10-15 BENA KALLICK 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 2032277261
Plan sponsor’s mailing address 12 CROOKED MILE RD, WESTPORT, CT, 068801123
Plan sponsor’s address 12 CROOKED MILE RD, WESTPORT, CT, 068801123

Number of participants as of the end of the plan year
Active participants 1
Number of participants with account balances as of the end of the plan year 1

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
BENA KALLICK KEOGH RETIREMENT PLAN 2019 061147331 2020-07-30 BENA KALLICK 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 2032277261
Plan sponsor’s mailing address 12 CROOKED MILE RD, WESTPORT, CT, 068801123
Plan sponsor’s address 12 CROOKED MILE RD, WESTPORT, CT, 068801123

Number of participants as of the end of the plan year
Active participants 1
Number of participants with account balances as of the end of the plan year 1

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-30
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
Role DFE
Date 2020-07-30
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
BENA KALLICK KEOGH RETIREMENT PLAN 2018 061147331 2019-10-15 BENA KALLICK 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 2032277261
Plan sponsor’s mailing address 12 CROOKED MILE RD, WESTPORT, CT, 068801123
Plan sponsor’s address 12 CROOKED MILE RD, WESTPORT, CT, 068801123

Number of participants as of the end of the plan year
Active participants 1

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
BENA KALLICK KEOGH RETIREMENT PLAN 2017 061147331 2018-10-15 BENA KALLICK 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 2032277261
Plan sponsor’s mailing address 12 CROOKED MILE RD, WESTPORT, CT, 068801123
Plan sponsor’s address 12 CROOKED MILE RD, WESTPORT, CT, 068801123

Number of participants as of the end of the plan year
Active participants 1

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
BENA KALLICK KEOGH RETIREMENT PLAN 2016 061147331 2017-10-16 BENA KALLICK 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 2032277261
Plan sponsor’s mailing address 12 CROOKED MILE RD, WESTPORT, CT, 068801123
Plan sponsor’s address 12 CROOKED MILE RD, WESTPORT, CT, 068801123

Number of participants as of the end of the plan year
Active participants 1

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
BENA KALLICK KEOGH RETIREMENT PLAN 2015 061147331 2016-10-17 BENA KALLICK 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 2032277261
Plan sponsor’s mailing address 12 CROOKED MILE RD, WESTPORT, CT, 068801123
Plan sponsor’s address 12 CROOKED MILE RD, WESTPORT, CT, 068801123

Number of participants as of the end of the plan year
Active participants 1

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-17
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
BENA KALLICK KEOGH RETIREMENT PLAN 2014 061147331 2015-10-15 BENA KALLICK 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 2032277261
Plan sponsor’s mailing address 12 CROOKED MILE RD, WESTPORT, CT, 06880
Plan sponsor’s address 12 CROOKED MILE RD, WESTPORT, CT, 06880

Number of participants as of the end of the plan year
Active participants 1

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
BENA KALLICK KEOGH RETIREMENT PLAN 2013 061147331 2014-11-11 BENA KALLICK 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 2032277261
Plan sponsor’s mailing address 12 CROOKED MILE RD, WESTPORT, CT, 06880
Plan sponsor’s address 12 CROOKED MILE RD, WESTPORT, CT, 06880

Number of participants as of the end of the plan year
Active participants 1
Number of participants with account balances as of the end of the plan year 1

Signature of
Role Plan administrator
Date 2014-11-11
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
BENA KALLICK KEOGH RETIREMENT PLAN 2012 061147331 2013-10-14 BENA KALLICK 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 2032277261
Plan sponsor’s mailing address 12 CROOKED MILE RD, WESTPORT, CT, 06880
Plan sponsor’s address 12 CROOKED MILE RD, WESTPORT, CT, 06880

Number of participants as of the end of the plan year
Active participants 1
Number of participants with account balances as of the end of the plan year 1

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing BENA KALLICK
Valid signature Filed with authorized/valid electronic signature
BENA KALLICK KEOGH RETIREMENT PLAN 2011 061147331 2012-10-14 BENA KALLICK 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 2032277261
Plan sponsor’s mailing address 12 CROOKED MILE RD, WESTPORT, CT, 06880
Plan sponsor’s address 12 CROOKED MILE RD, WESTPORT, CT, 06880

Plan administrator’s name and address
Administrator’s EIN 061147331
Plan administrator’s name BENA KALLICK
Plan administrator’s address 12 CROOKED MILE RD, WESTPORT, CT, 06880
Administrator’s telephone number 2032277261

Number of participants as of the end of the plan year
Active participants 1
Number of participants with account balances as of the end of the plan year 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-10-14
Name of individual signing PEARSE HUSSEY
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
BENA KALLICK Officer 12 CROOKED MILE ROAD, WESTPORT, CT, 06880, United States 12 CROOKED MILE RD, WESTPORT, CT, 06880, United States

Agent

Name Role Business address Residence address
BENA KALLICK Agent 12 CROOKED MILE ROAD, WESTPORT, CT, 06880, United States 12 CROOKED MILE RD, WESTPORT, CT, 06880, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0004305029 2011-01-03 No data Dissolution Certificate of Dissolution No data
0004273311 2010-09-23 No data Annual Report Annual Report 2010
0003982320 2009-08-04 No data Business Formation Certificate of Organization No data

Related by officers

BENA KALLICK

TECHNOLOGY PATHWAYS CORPORATION PERFORMANCE PATHWAYS, INC.

Related by address

12 CROOKED MILE ROAD, WESTPORT, CT, 06880

CHARLES J. KALLICK, M.D., P.C.

No information provided

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Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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