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EVERGREEN FAMILY DENTAL CARE, LLC

Company Details

Entity Name: EVERGREEN FAMILY DENTAL CARE, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 03 Jul 2012
Business ALEI: 1076714
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 30 PROSPECT STREET UNIT 100 SUITE#100, RIDGEFIELD, CT, 06877, United States
Mailing address: 30 PROSPECT STREET UNIT 100 SUITE#100, RIDGEFIELD, CT, United States, 06877
ZIP code: 06877
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: nyudds04@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN 2023 455627539 2024-05-24 EVERGREEN FAMILY DENTAL CARE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2034382176
Plan sponsor’s address 30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877

Signature of

Role Plan administrator
Date 2024-05-24
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-24
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN 2022 455627539 2023-04-16 EVERGREEN FAMILY DENTAL CARE, 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 2034382176
Plan sponsor’s address 30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877

Signature of

Role Plan administrator
Date 2023-04-16
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-16
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN 2021 455627539 2022-05-08 EVERGREEN FAMILY DENTAL CARE, 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 2034382176
Plan sponsor’s address 30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877

Signature of

Role Plan administrator
Date 2022-05-08
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-08
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN 2020 455627539 2021-03-26 EVERGREEN FAMILY DENTAL CARE, 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 2034382176
Plan sponsor’s address 30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877

Signature of

Role Plan administrator
Date 2021-03-26
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-26
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN 2019 455627539 2020-05-27 EVERGREEN FAMILY DENTAL CARE, 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 2034382176
Plan sponsor’s address 30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877

Signature of

Role Plan administrator
Date 2020-05-27
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-27
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN 2018 455627539 2019-04-15 EVERGREEN FAMILY DENTAL CARE, 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 2034382176
Plan sponsor’s address 30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877

Signature of

Role Plan administrator
Date 2019-04-15
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-15
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN 2017 455627539 2018-04-11 EVERGREEN FAMILY DENTAL CARE, 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 2034382176
Plan sponsor’s address 30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877

Signature of

Role Plan administrator
Date 2018-04-11
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-11
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN 2016 455627539 2017-02-19 EVERGREEN FAMILY DENTAL CARE, 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 2034382176
Plan sponsor’s address 30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877

Signature of

Role Plan administrator
Date 2017-02-19
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-19
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN 2015 455627539 2016-02-21 EVERGREEN FAMILY DENTAL CARE, 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 2034382176
Plan sponsor’s address 30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877

Signature of

Role Plan administrator
Date 2016-02-21
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-21
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
EVERGREEN FAMILY DENTAL CARE, LLC 401(K) PROFIT SHARING PLAN 2014 455627539 2015-03-01 EVERGREEN FAMILY DENTAL CARE, 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 2034382176
Plan sponsor’s address 30 PROSPECT STREET, SUITE 100, RIDGEFIELD, CT, 06877

Signature of

Role Plan administrator
Date 2015-03-01
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-01
Name of individual signing HARINDER SANDHU
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
HARINDER SINGH SANDHU DDS Officer 30 PROSPECT STREET, UNIT 100, RIDGEFIELD, CT, 06877, United States 90 NURESERY ROAD, RIDGEFIELD, CT, 06877, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Harinder Sandhu Agent 30 PROSPECT STREET UNIT 100 SUITE#100, RIDGEFIELD, CT, 06877, United States 30 PROSPECT STREET UNIT 100 SUITE#100, RIDGEFIELD, CT, 06877, United States +1 201-410-5137 evergreenfamilydental@gmail.com 90 Nursery Rd, Ridgefield, CT, 06877-3527, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012140020 2024-02-24 No data Annual Report Annual Report No data
BF-0011435966 2023-12-03 No data Annual Report Annual Report No data
BF-0010375029 2022-02-25 No data Annual Report Annual Report 2022
0007339415 2021-05-15 No data Annual Report Annual Report 2021
0006954249 2020-07-29 No data Annual Report Annual Report 2020
0006360647 2019-02-04 No data Annual Report Annual Report 2019
0006360645 2019-02-04 No data Annual Report Annual Report 2018
0006111084 2018-03-07 No data Annual Report Annual Report 2017
0005679676 2016-10-24 No data Annual Report Annual Report 2016
0005679673 2016-10-24 No data Annual Report Annual Report 2013

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website