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  5. HEALTHYCT, INC.

HEALTHYCT, INC.

Company Details

Entity Name: HEALTHYCT, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Forfeited
Date Formed: 15 Sep 2011
Business ALEI: 1048308
Business address: 35 THORPE AVENUE STE. 104, WALLINGFORD, CT, 06492
ZIP code: 06492
County: New Haven
Place of Formation: CONNECTICUT

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
6JZX2 Obsolete Non-Manufacturer 2011-10-04 2024-03-07 2022-01-31 No data

Contact Information
POC LAURIE REDEKER
Phone +1 773-867-8672
Fax +1 773-867-8674
Address 35 THORPE AVE STE 104, WALLINGFORD, NEW HAVEN, CT, 06492 1948, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALTHYCT, INC. 401(K) PLAN 2017 453366866 2018-12-07 HEALTHYCT, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-01
Business code 524140
Sponsor’s telephone number 2039491602
Plan sponsor’s address 35 THORPE AVENUE, SUITE 104, WALLINGFORD, CT, 06492

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DR, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2018-12-07
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
HEALTHYCT, INC. 401(K) PLAN 2017 453366866 2018-05-24 HEALTHYCT, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-01
Business code 524140
Sponsor’s telephone number 2039491602
Plan sponsor’s address 35 THORPE AVENUE, SUITE 104, WALLINGFORD, CT, 06492

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2018-05-24
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
HEALTHYCT, INC. 401(K) PLAN 2016 453366866 2017-07-10 HEALTHYCT, INC. 72
Three-digit plan number (PN) 001
Effective date of plan 2013-08-01
Business code 524140
Sponsor’s telephone number 2039491602
Plan sponsor’s address 35 THORPE AVENUE, SUITE 104, WALLINGFORD, CT, 06492

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
HEALTHYCT, INC. 401(K) PLAN 2016 453366866 2018-05-21 HEALTHYCT, INC. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-01
Business code 524140
Sponsor’s telephone number 2039491602
Plan sponsor’s address 35 THORPE AVENUE, SUITE 104, WALLINGFORD, CT, 06492

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
HEALTHYCT, INC. 401(K) PLAN 2015 453366866 2016-07-18 HEALTHYCT, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-01
Business code 524140
Sponsor’s telephone number 2039491602
Plan sponsor’s address 35 THORPE AVENUE, SUITE 104, WALLINGFORD, CT, 06492

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
HEALTHYCT, INC. 401(K) PLAN 2014 453366866 2015-06-18 HEALTHYCT, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-01
Business code 524140
Sponsor’s telephone number 2039491602
Plan sponsor’s address 35 THORPE AVENUE, SUITE 104, WALLINGFORD, CT, 06492

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2015-06-18
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
HEALTHYCT, INC. 401(K) PLAN 2013 453366866 2014-06-26 HEALTHYCT, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-01
Business code 524140
Sponsor’s telephone number 2039491602
Plan sponsor’s address 35 THORPE AVENUE, SUITE 104, WALLINGFORD, CT, 06492

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2014-06-26
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Officer

Name Role Business address Residence address
DAVID S. KATZ M.D. Officer 831 BOSTON POST ROAD, #202, MILFORD, CT, 06460, United States 18 WEPAWAUG ROAD, WOODBRIDGE, CT, 06525, United States
STEPHEN SALZER M.D. Officer 49 LAKE AVENUE, GREENWICH, CT, 06830, United States 23 WEST BROTHER DRIVE, GREENWICH, CT, 06830, United States
KENNETH R. LALIME Officer 160 SAINT RONAN STREET, NEW HAVEN, CT, 06511, United States 137 PARTRICK AVENUE, NORWALK, CT, 06851, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012533418 2024-01-19 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0012007216 2023-10-03 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
BF-0010452001 2022-01-14 2022-01-14 Mass Agent Change � Address Agent Address Change No data
0006943532 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006950703 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0004862034 2013-05-17 2013-05-17 Amendment Restate No data
0004799019 2013-01-28 2013-01-28 Change of Business Address Business Address Change No data
0004712604 2012-09-06 2012-09-06 Amendment Restate No data
0004458124 2011-10-12 2011-10-12 Amendment Amend No data
0004458121 2011-10-12 2011-10-12 First Report Organization and First Report No data

Related by officers

DAVID S. KATZ M.D.

MILFORD SURGICAL ASSOCIATES, P.C.

KENNETH R. LALIME

KRLHEALTH LLC

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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