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  5. SMILES IN BLOOM, LLC

SMILES IN BLOOM, LLC

Company Details

Entity Name: SMILES IN BLOOM, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 12 May 2011
Business ALEI: 1037584
Annual report due: 31 Mar 2018
Business address: 137 PROSPECT HILL RD, EAST WINDSOR, CT, 06088, UNITED STATES
Mailing address: P. O. Box 806, EAST WINDSOR, CT, UNITED STATES, 06088
ZIP code: 06088
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: gabbysmileinbloom@gmail.com
E-Mail: mysmileinbloom@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SMILES IN BLOOM, LLC 401(K) PLAN 2023 452260713 2024-07-30 SMILES IN BLOOM, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8602545840
Plan sponsor’s address 137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2024-07-30
Name of individual signing JUSTIN BLOOM
Valid signature Filed with authorized/valid electronic signature
SMILES IN BLOOM, LLC 401(K) PLAN 2022 452260713 2023-10-16 SMILES IN BLOOM, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8602545840
Plan sponsor’s address 137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing JUSTIN BLOOM
Valid signature Filed with authorized/valid electronic signature
SMILES IN BLOOM, LLC 401(K) PLAN 2021 452260713 2022-09-27 SMILES IN BLOOM, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8602545840
Plan sponsor’s address 137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing JUSTIN BLOOM
Valid signature Filed with authorized/valid electronic signature
SMILES IN BLOOM, LLC 401(K) PLAN 2020 452260713 2021-08-02 SMILES IN BLOOM, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8602545840
Plan sponsor’s address 137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2021-08-02
Name of individual signing JUSTIN BLOOM
Valid signature Filed with authorized/valid electronic signature
SMILES IN BLOOM, LLC 401(K) PLAN 2019 452260713 2020-09-09 SMILES IN BLOOM, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8602545840
Plan sponsor’s address 137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing JUSTIN BLOOM
Valid signature Filed with authorized/valid electronic signature
SMILES IN BLOOM, LLC 401(K) PLAN 2018 452260713 2019-10-08 SMILES IN BLOOM, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8602545840
Plan sponsor’s address 137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing JUSTIN BLOOM
Valid signature Filed with authorized/valid electronic signature
SMILES IN BLOOM, LLC 401(K) PLAN 2017 452260713 2018-10-02 SMILES IN BLOOM, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8602545840
Plan sponsor’s address 137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2018-10-02
Name of individual signing JUSTIN BLOOM
Valid signature Filed with authorized/valid electronic signature
SMILES IN BLOOM, LLC 401(K) PLAN 2016 452260713 2017-10-05 SMILES IN BLOOM, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8602545840
Plan sponsor’s address 137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing JUSTIN BLOOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-05
Name of individual signing SMILES IN BLOOM
Valid signature Filed with authorized/valid electronic signature
SMILES IN BLOOM, LLC 401(K) PLAN 2015 452260713 2016-09-28 SMILES IN BLOOM, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8602545840
Plan sponsor’s address 137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing JUSTIN BLOOM
Valid signature Filed with authorized/valid electronic signature
SMILES IN BLOOM, LLC 401(K) PLAN 2014 452260713 2015-07-23 SMILES IN BLOOM, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8602545840
Plan sponsor’s address 137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

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

Agent

Name Role
ANDROS, FLOYD & MILLER, P.C. Agent

Officer

Name Role Business address Residence address
JUSTIN BLOOM D.M.D. Officer 258 TUNXIS ROAD, WEST HARTFORD, CT, 06107, United States 258 TUNXIS ROAD, WEST HARTFORD, CT, 06107, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0013215068 2024-11-21 2024-11-21 Reinstatement Certificate of Reinstatement No data
BF-0011915398 2023-08-04 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0011791539 2023-05-04 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0005847916 2017-05-22 No data Annual Report Annual Report 2017
0005847912 2017-05-22 No data Annual Report Annual Report 2013
0005847911 2017-05-22 No data Annual Report Annual Report 2012
0005847913 2017-05-22 No data Annual Report Annual Report 2014
0005847915 2017-05-22 No data Annual Report Annual Report 2016
0005847914 2017-05-22 No data Annual Report Annual Report 2015
0004373228 2011-05-12 No data Business Formation Certificate of Organization No data

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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