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  5. JARED PERCYZ, DDS, LLC

JARED PERCYZ, DDS, LLC

Company Details

Entity Name: JARED PERCYZ, DDS, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 10 Sep 2010
Business ALEI: 1014910
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489, United States
Mailing address: 27 MERIDEN AVENUE, SOUTHINGTON, CT, United States, 06489
ZIP code: 06489
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: jpercyzdds@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JARED PERCYZ DDS LLC 401(K) PROFIT SHARING PLAN 2023 273600545 2024-05-09 JARED PERCYZ, DDS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 8606285531
Plan sponsor’s address 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
JARED PERCYZ DDS LLC 401(K) PROFIT SHARING PLAN 2022 273600545 2023-05-16 JARED PERCYZ, DDS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 8606285531
Plan sponsor’s address 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489

Signature of
Role Plan administrator
Date 2023-05-16
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
JARED PERCYZ DDS LLC 401(K) PROFIT SHARING PLAN 2021 273600545 2022-05-26 JARED PERCYZ, DDS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 8606285531
Plan sponsor’s address 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489

Signature of
Role Plan administrator
Date 2022-05-26
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-26
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
JARED PERCYZ DDS LLC 401(K) PROFIT SHARING PLAN 2020 273600545 2021-05-20 JARED PERCYZ, DDS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 8606285531
Plan sponsor’s address 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489

Signature of
Role Plan administrator
Date 2021-05-20
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-20
Name of individual signing JARED
Valid signature Filed with authorized/valid electronic signature
JARED PERCYZ DDS LLC 401(K) PROFIT SHARING PLAN 2019 273600545 2020-05-12 JARED PERCYZ, DDS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 8606285531
Plan sponsor’s address 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489

Signature of
Role Plan administrator
Date 2020-05-12
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-12
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
JARED PERCYZ DDS LLC 401(K) PROFIT SHARING PLAN 2018 273600545 2019-03-29 JARED PERCYZ, DDS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 8606285531
Plan sponsor’s address 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489

Signature of
Role Plan administrator
Date 2019-03-29
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
JARED PERCYZ DDS LLC 401(K) PROFIT SHARING PLAN 2017 273600545 2018-05-14 JARED PERCYZ, DDS, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 8606285531
Plan sponsor’s address 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489

Signature of
Role Plan administrator
Date 2018-05-14
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
JARED PERCYZ DDS LLC 401(K) PROFIT SHARING PLAN 2016 273600545 2017-04-05 JARED PERCYZ, DDS, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 8606285531
Plan sponsor’s address 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489

Signature of
Role Plan administrator
Date 2017-04-05
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-05
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
JARED PERCYZ DDS LLC 401(K) PROFIT SHARING PLAN 2015 273600545 2016-06-09 JARED PERCYZ, DDS, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 8606285531
Plan sponsor’s address 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-09
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature
JARED PERCYZ DDS LLC 401(K) PROFIT SHARING PLAN 2014 273600545 2015-07-23 JARED PERCYZ, DDS, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 8606285531
Plan sponsor’s address 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing JARED PERCYZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
JARED PERCYZ DDS Agent 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489, United States 27 MERIDEN AVE, SOUTHINGTON, CT, 06489, United States +1 631-745-0892 jpercyzdds@gmail.com 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489, United States

Officer

Name Role Business address Residence address
JARED PERCYZ Officer 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489, United States 27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012156364 2024-02-08 No data Annual Report Annual Report No data
BF-0011183054 2023-01-23 No data Annual Report Annual Report No data
BF-0010361802 2022-02-28 No data Annual Report Annual Report 2022
0007093713 2021-02-01 No data Annual Report Annual Report 2021
0006783212 2020-02-25 No data Annual Report Annual Report 2020
0006439959 2019-03-11 No data Annual Report Annual Report 2019
0006023286 2018-01-22 No data Annual Report Annual Report 2018
0005927038 2017-09-15 No data Annual Report Annual Report 2017
0005643477 2016-09-06 No data Annual Report Annual Report 2015
0005643505 2016-09-06 No data Annual Report Annual Report 2016

Related by officers

JARED PERCYZ

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Related by address

27 MERIDEN AVENUE, SOUTHINGTON, CT, 06489, United States

SOUTHINGTON OPTOMETRIC CARE, LLC JANELINE INVESTMENTS, LLC

27 MERIDEN AVENUE, SOUTHINGTON, CT, United States, 06489

SOUTHINGTON OPTOMETRIC CARE, LLC JANELINE INVESTMENTS, LLC

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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