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THEODORE J. ADAMIDIS, D.M.D., INC.

Company Details

Entity Name: THEODORE J. ADAMIDIS, D.M.D., INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Forfeited
Date Formed: 04 Jan 2013 (Companies founded in January 2013)
Business ALEI: 1092723
Place of Formation: CONNECTICUT
Total authorized shares: 15000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THEODORE J. ADAMIDIS, D.M.D., INC. 401(K) PROFIT-SHARING PLAN 2023 461720401 2024-04-01 THEODORE J. ADAMIDIS, D.M.D., INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8606667910
Plan sponsor’s address 365 WILLARD AVENUE, NEWINGTON, CT, 06111

Signature of

Role Plan administrator
Date 2024-04-01
Name of individual signing THEODORE ADAMIDIS
Valid signature Filed with authorized/valid electronic signature
THEODORE J. ADAMIDIS, D.M.D., INC. 401(K) PROFIT-SHARING PLAN 2022 461720401 2023-02-21 THEODORE J. ADAMIDIS, D.M.D., INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8606667910
Plan sponsor’s address 365 WILLARD AVENUE, NEWINGTON, CT, 06111

Signature of

Role Plan administrator
Date 2023-02-21
Name of individual signing THEODORE ADAMIDIS
Valid signature Filed with authorized/valid electronic signature
THEODORE J. ADAMIDIS, D.M.D., INC. 401(K) PROFIT-SHARING PLAN 2021 461720401 2022-02-23 THEODORE J. ADAMIDIS, D.M.D., INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8606667910
Plan sponsor’s address 365 WILLARD AVENUE, NEWINGTON, CT, 06111

Signature of

Role Plan administrator
Date 2022-02-23
Name of individual signing THEODORE ADAMIDIS
Valid signature Filed with authorized/valid electronic signature
THEODORE J. ADAMIDIS, D.M.D., INC. 401(K) PROFIT-SHARING PLAN 2020 461720401 2021-02-23 THEODORE J. ADAMIDIS, D.M.D., INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8606667910
Plan sponsor’s address 365 WILLARD AVENUE, NEWINGTON, CT, 06111

Signature of

Role Plan administrator
Date 2021-02-23
Name of individual signing THEODORE ADAMIDIS
Valid signature Filed with authorized/valid electronic signature
THEODORE J. ADAMIDIS, D.M.D., INC. 401(K) PROFIT-SHARING PLAN 2019 461720401 2020-06-03 THEODORE J. ADAMIDIS, D.M.D., INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8606667910
Plan sponsor’s address 365 WILLARD AVENUE, NEWINGTON, CT, 06111

Signature of

Role Plan administrator
Date 2020-06-03
Name of individual signing THEODORE ADAMIDIS
Valid signature Filed with authorized/valid electronic signature
THEODORE J. ADAMIDIS, D.M.D., INC. 401(K) PROFIT-SHARING PLAN 2018 461720401 2019-07-22 THEODORE J. ADAMIDIS, D.M.D., INC. 10
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8606667910
Plan sponsor’s address 365 WILLARD AVENUE, NEWINGTON, CT, 06111

Signature of

Role Plan administrator
Date 2019-07-22
Name of individual signing ADAM DANIELS
Valid signature Filed with authorized/valid electronic signature
THEODORE J. ADAMIDIS, D.M.D., INC. 401(K) PROFIT-SHARING PLAN 2018 461720401 2019-09-24 THEODORE J. ADAMIDIS, D.M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8606667910
Plan sponsor’s address 365 WILLARD AVENUE, NEWINGTON, CT, 06111

Signature of

Role Plan administrator
Date 2019-09-24
Name of individual signing THEODORE ADAMIDIS
Valid signature Filed with authorized/valid electronic signature
THEODORE J. ADAMIDIS, D.M.D., INC. 401(K) PROFIT-SHARING PLAN 2017 461720401 2018-07-17 THEODORE J. ADAMIDIS, D.M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8606667910
Plan sponsor’s address 365 WILLARD AVENUE, NEWINGTON, CT, 06111

Signature of

Role Plan administrator
Date 2018-07-17
Name of individual signing THEODORE ADAMIDIS
Valid signature Filed with authorized/valid electronic signature
THEODORE J. ADAMIDIS, D.M.D., INC. 401(K) PROFIT-SHARING PLAN 2016 461720401 2017-06-05 THEODORE J. ADAMIDIS, D.M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8606667910
Plan sponsor’s address 365 WILLARD AVENUE, NEWINGTON, CT, 06111

Signature of

Role Plan administrator
Date 2017-06-05
Name of individual signing THEODORE ADAMIDIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-05
Name of individual signing THEODORE ADAMIDIS
Valid signature Filed with authorized/valid electronic signature
THEODORE J. ADAMIDIS, D.M.D., INC. 401(K) PROFIT-SHARING PLAN 2015 461720401 2016-08-17 THEODORE J. ADAMIDIS, D.M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8606667910
Plan sponsor’s address 365 WILLARD AVENUE, NEWINGTON, CT, 06111

Signature of

Role Plan administrator
Date 2016-08-17
Name of individual signing THEODORE ADAMIDIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-17
Name of individual signing THEODORE ADAMIDIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
THEODORE ADAMIDIS Agent 365 WILLARD AVENUE, #2F, NEWINGTON, CT, 06111, United States 9 WEST RIDGE DR., ROCKY HILL, CT, 06067, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012536153 2024-01-23 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0012023694 2023-10-17 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0004774618 2013-01-04 No data Business Formation Certificate of Incorporation No data

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website