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EVERGREEN PROSTHODONTIC ASSOCIATES, LLC

Company Details

Entity Name: EVERGREEN PROSTHODONTIC ASSOCIATES, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Date Formed: 15 Dec 2010 (Companies founded in December 2010)
Business ALEI: 1023495
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 2 POMPERAUG OFFICE PARK, SUITE 304, SOUTHBURY, CT, 06488, United States
Mailing address: 2 POMPERAUG OFFICE PARK, SUITE 304, SOUTHBURY, CT, United States, 06488
ZIP code: 06488 (Companies in New Haven, 06488)
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: mhna22@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EVERGREEN PROSTHODONTIC ASSOCIATES, L.L.C. CASH BALANCE PLAN 2023 274347849 2024-10-15 EVERGREEN PROSTHODONTIC ASSOCIATES, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2032641620
Plan sponsor’s address 2 POMPERAUG OFFICE PARK, SUITE 304, SOUTHBURY, CT, 06488

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing MIN-SUNG YOON
Valid signature Filed with authorized/valid electronic signature
EVERGREEN PROSTHODONTIC ASSOCIATES, L.L.C. CASH BALANCE PLAN 2022 274347849 2023-09-27 EVERGREEN PROSTHODONTIC ASSOCIATES, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2032641620
Plan sponsor’s address 2 POMPERAUG OFFICE PARK, SUITE 304, SOUTHBURY, CT, 06488

Signature of

Role Plan administrator
Date 2023-09-27
Name of individual signing MIN-SUNG YOON
Valid signature Filed with authorized/valid electronic signature
EVERGREEN PROSTHODONTIC ASSOCIATES, L.L.C. CASH BALANCE PLAN 2021 274347849 2022-10-11 EVERGREEN PROSTHODONTIC ASSOCIATES, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2032641620
Plan sponsor’s address 2 POMPERAUG OFFICE PARK, SUITE 304, SOUTHBURY, CT, 06488

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing MIN-SUNG YOON
Valid signature Filed with authorized/valid electronic signature
EVERGREEN PROSTHODONTIC ASSOCIATES, L.L.C. CASH BALANCE PLAN 2020 274347849 2021-10-13 EVERGREEN PROSTHODONTIC ASSOCIATES, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2032641620
Plan sponsor’s address 2 POMPERAUG OFFICE PARK, SUITE 304, SOUTHBURY, CT, 06488

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing MIN-SUNG YOON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MICHELLE NA Agent 2 POMPERAUG OFFICE PARK, SUITE 304, SOUTHBURY, CT, 06488, United States 2 POMPERAUG OFFICE PARK, SUITE 304, SOUTHBURY, CT, 06488, United States +1 860-202-8359 mhna22@gmail.com 2 POMPERAUG OFFICEPARK, SUITE 304, SOUTHBURY, CT, 06488, United States

Officer

Name Role Business address Residence address
MINSUNG YOON DDS Officer 1300 POST RD, SUITE 101, FAIRFIELD, CT, 06824, United States 347 Tucker Hill Rd, Middlebury, CT, 06762-2430, United States
MICHELLE NA DDS Officer 2 POMPERAUG OFFICE PARK, SUITE 304, SOUTHBURY, CT, 06488, United States 347 Tucker Hill Rd, Middlebury, CT, 06762-2430, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012052354 2024-01-25 No data Annual Report Annual Report No data
BF-0011422731 2023-01-19 No data Annual Report Annual Report No data
BF-0010396968 2022-02-28 No data Annual Report Annual Report 2022
0007094029 2021-02-01 No data Annual Report Annual Report 2021
0006823326 2020-03-05 No data Annual Report Annual Report 2020
0006418123 2019-03-01 No data Annual Report Annual Report 2019
0006315845 2019-01-10 No data Annual Report Annual Report 2018
0006028238 2018-01-23 No data Annual Report Annual Report 2017
0005716880 2016-12-12 No data Annual Report Annual Report 2016
0005490848 2016-02-22 No data Annual Report Annual Report 2015

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website