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  5. ORTHODONTIC BOUTIQUE, P.C.

ORTHODONTIC BOUTIQUE, P.C.

Company Details

Entity Name: ORTHODONTIC BOUTIQUE, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Sub status: Annual report past due
Date Formed: 10 Jun 2013
Date of dissolution: 19 Nov 2024
Business ALEI: 1109255
Annual report due: 10 Jun 2024
NAICS code: 621210 - Offices of Dentists
Business address: 126 MONROE TPKE, TRUMBULL, CT, 06611, United States
Mailing address: 126 MONROE TPKE, TRUMBULL, CT, United States, 06611
ZIP code: 06611
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 1000
E-Mail: drk@orthodonticboutique.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORTHODONTIC BOUTIQUE, P.C. 401(K) PLAN 2023 463008175 2024-10-16 ORTHODONTIC BOUTIQUE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2035903222
Plan sponsor’s address 126 MONROE TURNPIKE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2024-10-16
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-16
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
ORTHODONTIC BOUTIQUE, P.C. 401(K) PLAN 2023 463008175 2024-05-13 ORTHODONTIC BOUTIQUE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2035903222
Plan sponsor’s address 126 MONROE TURNPIKE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-09
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
ORTHODONTIC, P.C. CASH BALANCE PLAN 2023 463008175 2024-05-13 ORTHODONTIC BOUTIQUE, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2035903222
Plan sponsor’s address 126 MONROE TURNPIKE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-09
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
ORTHODONTIC BOUTIQUE, P.C. 401(K) PLAN 2022 463008175 2023-06-19 ORTHODONTIC BOUTIQUE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2035903222
Plan sponsor’s address 126 MONROE TURNPIKE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2023-06-16
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-16
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
ORTHODONTIC, P.C. CASH BALANCE PLAN 2022 463008175 2023-06-19 ORTHODONTIC BOUTIQUE, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2035903222
Plan sponsor’s address 126 MONROE TURNPIKE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2023-06-16
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-16
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
TRUMBULL ORTHODONTICS, P.C. CASH BALANCE PLAN 2021 463008175 2022-07-27 TRUMBULL ORTHODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2035903222
Plan sponsor’s address 126 MONROE TURNPIKE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-27
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
TRUMBULL ORTHODONTICS, P.C. 401(K) PLAN 2021 463008175 2022-06-14 TRUMBULL ORTHODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2035903222
Plan sponsor’s address 126 MONROE TURNPIKE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2022-06-14
Name of individual signing LUBA KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-14
Name of individual signing LUBA KHAN
Valid signature Filed with authorized/valid electronic signature
TRUMBULL ORTHODONTICS, P.C. CASH BALANCE PLAN 2020 463008175 2021-07-12 TRUMBULL ORTHODONTICS, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2035903222
Plan sponsor’s address 126 MONROE TURNPIKE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-12
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
TRUMBULL ORTHODONTICS, P.C. 401(K) PLAN 2020 463008175 2021-07-12 TRUMBULL ORTHODONTICS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2035903222
Plan sponsor’s address 126 MONROE TURNPIKE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-12
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
TRUMBULL ORTHODONTICS, P.C. CASH BALANCE PLAN 2019 463008175 2020-07-28 TRUMBULL ORTHODONTICS, P.C. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2035903222
Plan sponsor’s address 126 MONROE TURNPIKE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-28
Name of individual signing LUBNA KHAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
ZANGARI COHN CUTHBERTSON DUHL & GRELLO P.C. Agent

Officer

Name Role Business address Residence address
LUBNA KHAN Officer 126 MONROE TPKE, TRUMBULL, CT, 06611, United States 126 MONROE TPKE, TRUMBULL, CT, 06611, United States

History

Type Old value New value Date of change
Name change TRUMBULL ORTHODONTICS, P.C. ORTHODONTIC BOUTIQUE, P.C. 2020-07-24

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0013173293 2024-11-19 2024-11-19 Dissolution Certificate of Dissolution No data
BF-0011297027 2023-06-06 No data Annual Report Annual Report No data
BF-0009754526 2023-04-17 No data Annual Report Annual Report No data
BF-0010816238 2023-04-17 No data Annual Report Annual Report No data
0007059759 2021-01-08 No data Annual Report Annual Report 2020
0006954767 2020-07-24 2020-07-24 Amendment Amend Name No data
0006903126 2020-05-12 No data Annual Report Annual Report 2018
0006903133 2020-05-12 No data Annual Report Annual Report 2019
0005943576 2017-10-10 No data Annual Report Annual Report 2017
0005575167 2016-05-26 No data Annual Report Annual Report 2016

Related by officers

LUBNA KHAN

KHAN BROTHERS TRUCKING, LLC COASTAL CONNECTICUT ORTHODONTICS, LLC

Related by address

126 MONROE TPKE, TRUMBULL, CT, 06611, United States

NETWORK SYNERGY CORP. FEOLA AND LANZANTE PROPERTY MANAGEMENT LLC

126 MONROE TPKE, TRUMBULL, CT, United States, 06611

FEOLA AND LANZANTE PROPERTY MANAGEMENT LLC

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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