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WEST HARTFORD INTERNAL MEDICINE LLC

Company Details

Entity Name: WEST HARTFORD INTERNAL MEDICINE LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 03 Jun 2010 (Companies founded in June 2010)
Date of dissolution: 06 Sep 2017
Business ALEI: 1006770
Business address: 1007 FARMINGTON AVE., WEST HARTFORD, CT, 06107
Mailing address: 1007 FARMINGTON AVENUE, SUITE 9, WEST HARTFORD, CT
ZIP code: 06107 (Companies in Hartford, 06107)
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: westhartfordmd@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST HARTFORD INTERNAL MEDICINE 401K & PROFIT SHARING PLAN 2018 273078744 2019-06-21 WEST HARTFORD INTERNAL MEDICINE 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621498
Sponsor’s telephone number 8605867825
Plan sponsor’s address 1007 FARMINGTON AVE STE 9, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2019-06-21
Name of individual signing V VENKATACHALAM
Valid signature Filed with authorized/valid electronic signature
WEST HARTFORD INTERNAL MEDICINE 401K & PROFIT SHARING PLAN 2017 273078744 2018-09-25 WEST HARTFORD INTERNAL MEDICINE 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621498
Sponsor’s telephone number 8605867825
Plan sponsor’s address 1007 FARMINGTON AVE STE 9, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2018-09-25
Name of individual signing V VENKATACHALAM
Valid signature Filed with authorized/valid electronic signature
WEST HARTFORD INTERNAL MEDICINE 401K & PROFIT SHARING PLAN 2016 273078744 2018-09-27 WEST HARTFORD INTERNAL MEDICINE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621498
Sponsor’s telephone number 8605867825
Plan sponsor’s address 1007 FARMINGTON AVE STE 9, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2018-09-27
Name of individual signing V VENKATACHALAM
Valid signature Filed with authorized/valid electronic signature
WEST HARTFORD INTERNAL MEDICINE 401K & PROFIT SHARING PLAN 2015 273078744 2016-09-30 WEST HARTFORD INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621498
Sponsor’s telephone number 8605867825
Plan sponsor’s address 1007 FARMINGTON AVE STE 9, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2016-09-30
Name of individual signing V VENKATACHALAM
Valid signature Filed with authorized/valid electronic signature
WEST HARTFORD INTERNAL MEDICINE 401K & PROFIT SHARING PLAN 2014 273078744 2015-06-20 WEST HARTFORD INTERNAL MEDICINE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621498
Sponsor’s telephone number 8605867825
Plan sponsor’s address 1007 FARMINGTON AVE STE 9, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2015-06-20
Name of individual signing V VENKATACHALAM
Valid signature Filed with authorized/valid electronic signature
WEST HARTFORD INTERNAL MEDICINE 401K & PROFIT SHARING PLAN 2013 273078744 2014-06-19 WEST HARTFORD INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621498
Sponsor’s telephone number 8605867825
Plan sponsor’s address 1007 FARMINGTON AVE STE 9, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2014-06-19
Name of individual signing V VENKATACHALAM
Valid signature Filed with authorized/valid electronic signature
WEST HARTFORD INTERNAL MEDICINE 401K & PROFIT SHARING PLAN 2012 273078744 2013-07-05 WEST HARTFORD INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621498
Sponsor’s telephone number 8605867825
Plan sponsor’s address 1007 FARMINGTON AVE STE 9, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2013-07-05
Name of individual signing V VENKATACHALAM
Valid signature Filed with authorized/valid electronic signature
WEST HARTFORD INTERNAL MEDICINE 401K & PROFIT SHARING PLAN 2011 273078744 2012-07-02 WEST HARTFORD INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621498
Sponsor’s telephone number 8605867825
Plan sponsor’s address 1007 FARMINGTON AVE STE 9, WEST HARTFORD, CT, 06107

Plan administrator’s name and address

Administrator’s EIN 273078744
Plan administrator’s name WEST HARTFORD INTERNAL MEDICINE
Plan administrator’s address 1007 FARMINGTON AVE STE 9, WEST HARTFORD, CT, 06107
Administrator’s telephone number 8605867825

Signature of

Role Plan administrator
Date 2012-07-02
Name of individual signing V VENKATACHALAM
Valid signature Filed with authorized/valid electronic signature
WEST HARTFORD INTERNAL MEDICINE 401K & PROFIT SHARING PLAN 2010 273078744 2011-11-25 WEST HARTFORD INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621498
Sponsor’s telephone number 8605867825
Plan sponsor’s address 1007 FARMINGTON AVE STE 9, WEST HARTFORD, CT, 06107

Plan administrator’s name and address

Administrator’s EIN 273078744
Plan administrator’s name WEST HARTFORD INTERNAL MEDICINE
Plan administrator’s address 1007 FARMINGTON AVE STE 9, WEST HARTFORD, CT, 06107
Administrator’s telephone number 8605867825

Signature of

Role Plan administrator
Date 2011-11-25
Name of individual signing V VENKATACHALAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
VARALAKSHMI VENKATACHALAM M.D. Agent 1007 FARMINGTON AVE., WEST HARTFORD, CT, 06107, United States 695 MOUNTAIN ROAD, WEST HARTFORD, CT, 06117, United States

Officer

Name Role Business address Residence address
VARALAKSHMI VENKATACHALAM Officer 1007 FARMINGTON AVE., WEST HARTFORD, CT, 06107, United States 695 MOUNTAIN ROAD, WEST HARTFORD, CT, 06117, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005921155 2017-09-06 2017-09-06 Dissolution Certificate of Dissolution No data
0005126881 2014-06-17 No data Annual Report Annual Report 2014
0004870834 2013-06-04 No data Annual Report Annual Report 2012
0004870826 2013-06-04 No data Annual Report Annual Report 2011
0004870837 2013-06-04 No data Annual Report Annual Report 2013
0004177437 2010-06-03 No data Business Formation Certificate of Organization No data

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website