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  5. NORTHEAST PEDIATRIC SPECIALISTS, INC.

NORTHEAST PEDIATRIC SPECIALISTS, INC.

Company Details

Entity Name: NORTHEAST PEDIATRIC SPECIALISTS, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 13 Sep 2011
Date of dissolution: 25 Sep 2020
Business ALEI: 1038873
Annual report due: 14 Sep 2021
NAICS code: 624110 - Child and Youth Services
Business address: C/O CONNECTICUT CHILDREN'S MEDICAL CTR 282 WASHINGTON ST, HARTFORD, CT, 06106, United States
Mailing address: C/O CONNECTICUT CHILDREN'S MEDICAL CTR 282 WASHINGTON ST, HARTFORD, CT, United States, 06106
ZIP code: 06106
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: Compliancemail@cscinfo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2020 454092557 2021-05-24 NORTHEAST PEDIATRIC SPECIALISTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2021-05-24
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2020 454092557 2021-08-23 NORTHEAST PEDIATRIC SPECIALISTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2021-08-23
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2019 454092557 2020-06-23 NORTHEAST PEDIATRIC SPECIALISTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2018 454092557 2019-10-15 NORTHEAST PEDIATRIC SPECIALISTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2017 454092557 2018-10-08 NORTHEAST PEDIATRIC SPECIALISTS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2016 454092557 2017-09-12 NORTHEAST PEDIATRIC SPECIALISTS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2017-09-12
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2015 454092557 2016-10-17 NORTHEAST PEDIATRIC SPECIALISTS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2014 454092557 2015-09-30 NORTHEAST PEDIATRIC SPECIALISTS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2015-09-30
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2013 454092557 2015-05-20 NORTHEAST PEDIATRIC SPECIALISTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2015-05-20
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2013 454092557 2014-09-22 NORTHEAST PEDIATRIC SPECIALISTS, INC. 1
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing LAWRENCE MILAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Officer

Name Role Business address Residence address
MICHAEL CATY MD Officer C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States
CYNTHIA SPARER Officer C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREEET, HARTFORD, CT, 06106, United States C/O CONNECTICUT CHILDREN'S MEDICAL CENTER, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States
JAMES SHMERLING Officer C/O CONNECTICUT CHILDRENS MEDICAL CTR, 282 WASHINGTON ST, HARTFORD, CT, 06106, United States 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States
ALAN FRIEDMAN MD Officer C/O CONNECTICUT CHILDRENS MEDICAL CTR, 282 WASHINGTON ST, HARTFORD, CT, 06106, United States C/O CONNECTICUT CHILDRENS MEDICAL CTR, 282 WASHINGTON ST, HARTFORD, CT, 06106, United States
CHRISTINE FINCK MD Officer C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States
CLIFFORD BOGUE MD Officer C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States
WILLIAM POPIK MD Officer C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0010473531 2022-01-14 2022-01-14 Mass Agent Change � Address Agent Address Change No data
0006991572 2020-09-25 2020-09-25 Dissolution Certificate of Dissolution No data
0006976739 2020-09-10 No data Annual Report Annual Report 2020
0006950703 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006943532 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006637432 2019-09-05 No data Annual Report Annual Report 2019
0006227666 2018-08-06 No data Annual Report Annual Report 2018
0005898930 2017-08-01 No data Annual Report Annual Report 2017
0005662367 2016-10-03 No data Annual Report Annual Report 2016
0005659337 2016-09-14 2016-09-14 Change of Agent Agent Change No data

Related by officers

CYNTHIA SPARER

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JAMES SHMERLING

CCMC AFFILIATES, INC.

Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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