Search icon

PARK AVENUE MEDICAL, LLC

Company Details

Entity Name: PARK AVENUE MEDICAL, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 19 Mar 2012
Business ALEI: 1066061
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 85 BARNES RD SUITE 202, WALLINGFORD, CT, 06492, United States
Mailing address: 85 BARNES RD SUITE 202, WALLINGFORD, CT, United States, 06492
ZIP code: 06492
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: nadashaarbaf@yahoo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARK AVENUE MEDICAL, LLC 401(K) PLAN 2023 454900537 2024-08-20 PARK AVENUE MEDICAL, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2033090070
Plan sponsor’s address 85 BARNES ROAD, WALLINGFORD, CT, 06492

Signature of

Role Plan administrator
Date 2024-08-20
Name of individual signing ANACE SAID
Valid signature Filed with authorized/valid electronic signature
PARK AVENUE MEDICAL, LLC 401(K) PLAN 2022 454900537 2023-09-22 PARK AVENUE MEDICAL, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2033090070
Plan sponsor’s address 85 BARNES ROAD, WALLINGFORD, CT, 06492

Signature of

Role Plan administrator
Date 2023-09-22
Name of individual signing ANACE SAID
Valid signature Filed with authorized/valid electronic signature
PARK AVENUE MEDICAL, LLC 401(K) PLAN 2021 454900537 2022-08-01 PARK AVENUE MEDICAL, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2033090070
Plan sponsor’s address 85 BARNES ROAD, WALLINGFORD, CT, 06492

Signature of

Role Plan administrator
Date 2022-08-01
Name of individual signing ANACE SAID
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-01
Name of individual signing ANACE SAID
Valid signature Filed with authorized/valid electronic signature
PARK AVENUE MEDICAL, LLC 401(K) PLAN 2020 454900537 2021-10-04 PARK AVENUE MEDICAL, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2033090070
Plan sponsor’s address 85 BARNES ROAD, WALLINGFORD, CT, 06492

Signature of

Role Plan administrator
Date 2021-10-04
Name of individual signing ANACE SAID
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-04
Name of individual signing ANACE SAID
Valid signature Filed with authorized/valid electronic signature
PARK AVENUE MEDICAL, LLC 401(K) PLAN 2019 454900537 2020-07-20 PARK AVENUE MEDICAL, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2033090070
Plan sponsor’s address 85 BARNES ROAD, WALLINGFORD, CT, 06492

Signature of

Role Plan administrator
Date 2020-07-20
Name of individual signing ANACE SAID
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
JOHN F. MEZZANOTTE Agent 256 NORTH MAIN STREET, WALLINGFORD, CT, 06492, United States 256 NORTH MAIN STREET, WALLINGFORD, CT, 06492, United States +1 718-690-1183 nadashaarbaf@yahoo.com 19 SMOKE RISE ROAD, WALLINGFORD, CT, 06492, United States

Officer

Name Role Business address Residence address
ANACE SAID M.D. Officer 85 BARNES RD, SUITE 202, WALLINGFORD, CT, 06492, United States 127 PIERSON DRIVE, WALLINGFORD, CT, 06492, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012201823 2024-01-24 No data Annual Report Annual Report No data
BF-0012015629 2023-10-11 2023-10-11 Interim Notice Interim Notice No data
BF-0011437959 2023-02-15 No data Annual Report Annual Report No data
BF-0010387558 2022-03-27 No data Annual Report Annual Report 2022
0007155972 2021-02-15 No data Annual Report Annual Report 2021
0007155945 2021-02-15 No data Annual Report Annual Report 2020
0006447082 2019-03-11 No data Annual Report Annual Report 2019
0006447065 2019-03-11 No data Annual Report Annual Report 2018
0006060117 2018-02-07 No data Annual Report Annual Report 2017
0005783052 2017-03-06 No data Annual Report Annual Report 2016

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website