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SOUTHERN NEW ENGLAND SURGERY CENTER, LLC

Company Details

Entity Name: SOUTHERN NEW ENGLAND SURGERY CENTER, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Forfeited
Date Formed: 02 Feb 2012
Business ALEI: 1060809
Annual report due: 02 Feb 2013
Business address: 4695 MAIN ST., BRIDGEPORT, CT, 06606
Mailing address: No information provided
ZIP code: 06606
County: Fairfield
Place of Formation: CONNECTICUT

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN NEW ENGLAND SURGERY CENTER, LLC 401(K) PROFIT SHARING PLAN 2015 204791031 2016-09-21 SOUTHERN NEW ENGLAND SURGERY CENTER, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address P.O. BOX 1021, AVON, CT, 06001

Signature of

Role Plan administrator
Date 2016-09-21
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
SOUTHERN NEW ENGLAND SURGERY CENTER, LLC 401(K) PROFIT SHARING PLAN 2014 204791031 2015-06-04 SOUTHERN NEW ENGLAND SURGERY CENTER, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address P.O. BOX 1051, AVON, CT, 06001

Signature of

Role Plan administrator
Date 2015-06-04
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
SOUTHERN NEW ENGLAND SURGERY CENTER, LLC 401(K) PROFIT SHARING PLAN 2013 204791031 2014-06-26 SOUTHERN NEW ENGLAND SURGERY CENTER, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 505 WILLARD AVENUE, BLDG NO. 3, NEWINGTON, CT, 06111

Signature of

Role Plan administrator
Date 2014-06-26
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
SOUTHERN NEW ENGLAND SURGERY CENTER, LLC 401(K) PROFIT SHARING PLAN 2012 204791031 2013-06-17 SOUTHERN NEW ENGLAND SURGERY CENTER, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 505 WILLARD AVENUE, BLDG NO. 3, NEWINGTON, CT, 06111

Signature of

Role Plan administrator
Date 2013-06-17
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
SOUTHERN NEW ENGLAND SURGERY CENTER, LLC 401(K) PROFIT SHARING PLAN 2011 204791031 2012-07-19 SOUTHERN NEW ENGLAND SURGERY CENTER, LLC 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 505 WILLARD AVENUE, BLDG NO. 3, NEWINGTON, CT, 06111

Plan administrator’s name and address

Administrator’s EIN 204791031
Plan administrator’s name SOUTHERN NEW ENGLAND SURGERY CENTER, LLC
Plan administrator’s address 505 WILLARD AVENUE, BLDG NO. 3, NEWINGTON, CT, 06111
Administrator’s telephone number 8606650174

Signature of

Role Plan administrator
Date 2012-07-19
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
DEBORAH KAUFMAN Agent NONE, , United States 260 WESTPORT RD., EASTON, CT, 06612, United States

Officer

Name Role Business address Residence address
KIM ROBBINS M.D. Officer 4695 MAIN ST., BRIDGEPORT, CT, 06606, United States 260 WESTPORT RD., EASTON, CT, 06612, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011040501 2022-10-18 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0010682762 2022-07-18 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0004518998 2012-02-02 No data Business Formation Certificate of Organization No data

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website