| Entity Name: | ENFIELD PEDIATRIC ASSOCIATES, P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 29 Apr 2011 (Companies founded in April 2011) |
| Date of dissolution: | 31 Dec 2016 |
| Business ALEI: | 1036623 |
| Annual report due: | 28 Apr 2012 |
| Business address: | 155 HAZARD AVENUE SUITE 14, ENFIELD, CT, 06082 |
| ZIP code: | 06082 (Companies in Hartford, 06082) |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 100 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ENFIELD PEDIATRIC ASSOCIATES 401 K PROFIT SHARING PLAN TRUST | 2016 | 452559642 | 2017-07-27 | ENFIELD PEDIATRIC ASSOCIATES | 19 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2017-07-27 |
| Name of individual signing | ROSS PORTER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2007-02-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8607493169 |
| Plan sponsor’s address | 155 HAZARD AVENUE, SUITE 14, ENFIELD, CT, 06082 |
Signature of
| Role | Plan administrator |
| Date | 2016-09-02 |
| Name of individual signing | ROSS PORTER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2016-09-02 |
| Name of individual signing | ROSS PORTER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2007-02-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8607493169 |
| Plan sponsor’s address | 155 HAZARD AVENUE, ENFIELD, CT, 06082 |
Signature of
| Role | Plan administrator |
| Date | 2016-09-02 |
| Name of individual signing | ROSS PORTER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2016-09-02 |
| Name of individual signing | ROSS PORTER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2007-02-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8607493169 |
| Plan sponsor’s address | 155 HAZARD AVE STE 14, ENFIELD, CT, 060824586 |
Signature of
| Role | Plan administrator |
| Date | 2014-07-28 |
| Name of individual signing | ROSS W PORTER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ROSS PORTER M.D. | Agent | 155 HAZARD AVENUE, SUITE 14, ENFIELD, CT, 06082, United States | 65 LANCE DRIVE, SOMERS, CT, 06071, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ROSS PORTER M.D. | Officer | 155 HAZARD AVENUE, SUITE 14, ENFIELD, CT, 06082, United States | 65 LANCE DRIVE, SOMERS, CT, 06071, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CSP.0025917 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | INACTIVE | No data | No data | 1997-08-11 | 1998-02-28 |
| 1.036234 | Physician/Surgeon | INACTIVE | LAPSED DUE TO NON-RENEWAL | 1997-07-25 | No data | 1998-01-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0005728523 | 2016-12-31 | 2016-12-31 | Dissolution | Certificate of Dissolution | No data |
| 0004366895 | 2011-04-29 | 2011-04-29 | First Report | Organization and First Report | No data |
| 0004366882 | 2011-04-29 | No data | Business Formation | Certificate of Incorporation | No data |
Date of last update: 04 Nov 2024
Sources: Connecticut's Official State Website
