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  5. FAIRFIELD SHORE ENDODONTICS, P.C.

FAIRFIELD SHORE ENDODONTICS, P.C.

Company Details

Entity Name: FAIRFIELD SHORE ENDODONTICS, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 27 May 2010
Business ALEI: 1006025
Annual report due: 27 May 2025
NAICS code: 621210 - Offices of Dentists
Business address: 61 SHERMAN STREET, FAIRFIELD, CT, 06824, United States
Mailing address: 61 SHERMAN STREET, FAIRFIELD, CT, United States, 06824
ZIP code: 06824
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: edc2104@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAIRFIELD SHORE ENDODONTICS 401(K) & PROFIT SHARING PLAN 2023 272789365 2024-06-03 FAIRFIELD SHORE ENDODONTICS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2032553636
Plan sponsor’s address 61 SHERMAN STREET, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2024-06-03
Name of individual signing EVAN CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD SHORE ENDODONTICS 401(K) & PROFIT SHARING PLAN 2022 272789365 2023-05-18 FAIRFIELD SHORE ENDODONTICS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2032553636
Plan sponsor’s address 61 SHERMAN STREET, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2023-05-18
Name of individual signing EVAN CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD SHORE ENDODONTICS 401(K) & PROFIT SHARING PLAN 2021 272789365 2022-06-08 FAIRFIELD SHORE ENDODONTICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2032553636
Plan sponsor’s address 61 SHERMAN STREET, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2022-06-08
Name of individual signing EVAN CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD SHORE ENDODONTICS 401(K) & PROFIT SHARING PLAN 2020 272789365 2021-05-17 FAIRFIELD SHORE ENDODONTICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2032553636
Plan sponsor’s address 61 SHERMAN STREET, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2021-05-17
Name of individual signing EVAN CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD SHORE ENDODONTICS 401(K) & PROFIT SHARING PLAN 2019 272789365 2020-05-14 FAIRFIELD SHORE ENDODONTICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2032553636
Plan sponsor’s address 61 SHERMAN STREET, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2020-05-14
Name of individual signing EVAN CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD SHORE ENDODONTICS 401(K) & PROFIT SHARING PLAN 2018 272789365 2019-06-14 FAIRFIELD SHORE ENDODONTICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2032553636
Plan sponsor’s address 61 SHERMAN STREET, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2019-06-14
Name of individual signing EVAN CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD SHORE ENDODONTICS 401(K) & PROFIT SHARING PLAN 2017 272789365 2018-06-04 FAIRFIELD SHORE ENDODONTICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2032553636
Plan sponsor’s address 61 SHERMAN STREET, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2018-06-04
Name of individual signing EVAN CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD SHORE ENDODONTICS 401(K) & PROFIT SHARING PLAN 2016 272789365 2017-05-08 FAIRFIELD SHORE ENDODONTICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2032553636
Plan sponsor’s address 61 SHERMAN STREET, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2017-05-08
Name of individual signing EVAN CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD SHORE ENDODONTICS 401(K) & PROFIT SHARING PLAN 2015 272789365 2016-07-26 FAIRFIELD SHORE ENDODONTICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2032553636
Plan sponsor’s address 61 SHERMAN STREET, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing EVAN CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Phone E-Mail Residence address
EVAN CHRISTENSEN Officer 61 SHERMAN STREET, FAIRFIELD, CT, 06824, United States +1 801-556-8815 edc2104@gmail.com 61 SHERMAN STREET, FAIRFIELD, CT, 06824, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
EVAN CHRISTENSEN Agent 61 SHERMAN STREET, FAIRFIELD, CT, 06824, United States 61 SHERMAN STREET, FAIRFIELD, CT, 06824, United States +1 801-556-8815 edc2104@gmail.com 61 SHERMAN STREET, FAIRFIELD, CT, 06824, United States

Director

Name Role Business address Phone E-Mail Residence address
EVAN CHRISTENSEN Director 61 SHERMAN STREET, FAIRFIELD, CT, 06824, United States +1 801-556-8815 edc2104@gmail.com 61 SHERMAN STREET, FAIRFIELD, CT, 06824, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012156750 2024-04-29 No data Annual Report Annual Report No data
BF-0011181653 2023-05-02 No data Annual Report Annual Report No data
BF-0010225132 2022-04-27 No data Annual Report Annual Report 2022
0007291249 2021-04-09 No data Annual Report Annual Report 2021
0006916066 2020-06-02 No data Annual Report Annual Report 2020
0006543205 2019-04-25 No data Annual Report Annual Report 2019
0006180451 2018-05-09 No data Annual Report Annual Report 2018
0005834925 2017-05-05 No data Annual Report Annual Report 2017
0005565763 2016-05-18 No data Annual Report Annual Report 2014
0005565653 2016-05-18 No data Annual Report Annual Report 2013

Related by officers

No related officers

Related by address

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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