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  5. POWDER RIDGE VETERINARY HOSPITAL, LLC

POWDER RIDGE VETERINARY HOSPITAL, LLC

Company Details

Entity Name: POWDER RIDGE VETERINARY HOSPITAL, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 10 Mar 2014
Date of dissolution: 09 May 2019
Business ALEI: 1136111
Business address: 375 BAILEYVILLE ROAD, MIDDLEFIELD, CT, 06455, United States
Mailing address: 375 BAILEYVILLE ROAD, MIDDLEFIELD, CT, United States, 06455
ZIP code: 06455
County: Middlesex
Place of Formation: CONNECTICUT
E-Mail: PETDOCSPRVH@GMAIL.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POWDER RIDGE VETERINARY HOSPITAL RETIREMENT PLAN 2019 061171335 2020-07-10 POWDER RIDGE VETERINARY HOSPITAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 8603499107
Plan sponsor’s address 375 ROUTE 147, MIDDLEFIELD, CT, 06455
POWDER RIDGE VETERINARY HOSPITAL RETIREMENT PLAN 2018 061171335 2019-04-09 POWDER RIDGE VETERINARY HOSPITAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 8603499107
Plan sponsor’s address 375 ROUTE 147, MIDDLEFIELD, CT, 06455
POWDER RIDGE VETERINARY HOSPITAL RETIREMENT PLAN 2017 061171335 2018-06-21 POWDER RIDGE VETERINARY HOSPITAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 8603499107
Plan sponsor’s address 375 ROUTE 147, MIDDLEFIELD, CT, 06455
POWDER RIDGE VETERINARY HOSPITAL RETIREMENT PLAN 2016 061171335 2017-06-30 POWDER RIDGE VETERINARY HOSPITAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 8603499107
Plan sponsor’s address 375 ROUTE 147, MIDDLEFIELD, CT, 06455
POWDER RIDGE VETERINARY HOSPITAL RETIREMENT PLAN 2015 061171335 2016-10-17 POWDER RIDGE VETERINARY HOSPITAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 8603499107
Plan sponsor’s address 375 ROUTE 147, MIDDLEFIELD, CT, 064551026
POWDER RIDGE VETERINARY HOSPITAL RETIREMENT PLAN 2014 061171335 2015-10-19 POWDER RIDGE VETERINARY HOSPITAL 7
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 8603499107
Plan sponsor’s address 375 ROUTE 147, MIDDLEFIELD, CT, 06455

Signature of
Role Plan administrator
Date 2015-10-19
Name of individual signing LAWRENCE BROOKS
Valid signature Filed with authorized/valid electronic signature
POWDER RIDGE VETERINARY HOSPITAL RETIREMENT PLAN 2014 061171335 2016-10-04 POWDER RIDGE VETERINARY HOSPITAL 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 8603499107
Plan sponsor’s address 375 ROUTE 147, MIDDLEFIELD, CT, 064551026

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing LAWRENCE BROOKS
Valid signature Filed with authorized/valid electronic signature
POWDER RIDGE VETERINARY HOSPITAL RETIREMENT PLAN 2013 061171335 2014-10-10 POWDER RIDGE VETERINARY HOSPITAL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 8603499107
Plan sponsor’s address 375 ROUTE 147, MIDDLEFIELD, CT, 06455

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing LAWRENCE BROOKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-10
Name of individual signing LAWRENCE BROOKS
Valid signature Filed with authorized/valid electronic signature
POWDER RIDGE VETERINARY HOSPITAL RETIREMENT PLAN 2012 061171335 2013-10-15 POWDER RIDGE VETERINARY HOSPITAL 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 8603499107
Plan sponsor’s address 375 ROUTE 147, MIDDLEFIELD, CT, 06455

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing LAWRENCE BROOKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing LAWRENCE BROOKS
Valid signature Filed with authorized/valid electronic signature
POWDER RIDGE VETERINARY HOSPITAL RETIREMENT PLAN 2011 061171335 2012-10-09 POWDER RIDGE VETERINARY HOSPITAL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 8603499107
Plan sponsor’s address 375 ROUTE 147, MIDDLEFIELD, CT, 06455

Plan administrator’s name and address
Administrator’s EIN 061171335
Plan administrator’s name POWDER RIDGE VETERINARY HOSPITAL
Plan administrator’s address 375 ROUTE 147, MIDDLEFIELD, CT, 06455
Administrator’s telephone number 8603499107

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing LAWRENCE BROOKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-09
Name of individual signing LAWRENCE BROOKS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
LAWRENCE BROOKS Agent 375 BAILEYVILLE ROAD, MIDDLEFIELD, CT, 06455, United States 25 WEST HILL DR, WEST HARTFORD, CT, 06119, United States

Officer

Name Role Business address Residence address
LAWRENCE BROOKS Officer 375 BAILEYVILLE ROAD, MIDDLEFIELD, CT, 06455, United States 25 WEST HILL DR, WEST HARTFORD, CT, 06119, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006558586 2019-05-09 2019-05-09 Dissolution Certificate of Dissolution No data
0006444068 2019-03-11 No data Annual Report Annual Report 2018
0006444004 2019-03-11 No data Annual Report Annual Report 2017
0005529581 2016-04-06 No data Annual Report Annual Report 2016
0005529578 2016-04-06 No data Annual Report Annual Report 2015
0005065887 2014-03-10 No data Business Formation Certificate of Organization No data

Related by officers

No related officers

Related by address

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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