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FAIRFIELD COUNTY MEDICAL ASSOCIATION CORPORATION

Company Details

Entity Name: FAIRFIELD COUNTY MEDICAL ASSOCIATION CORPORATION
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Date Formed: 13 Mar 2014 (Companies founded in March 2014)
Business ALEI: 1136583
Annual report due: 07 Sep 2025
NAICS code: 813920 - Professional Organizations
Business address: 100 Beard Sawmill Rd, Shelton, CT, 06484, United States
Mailing address: 100 Beard Sawmill Rd, 109, Shelton, CT, United States, 06484
ZIP code: 06484 (Companies in Fairfield, 06484)
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: johnb@fcma.org

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAIRFIELD COUNTY MEDICAL ASSOCIATION EMPLOYEES RETIREMENT PLAN 2022 060688181 2023-04-19 FAIRFIELD COUNTY MEDICAL ASSOCIATION 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2035132045
Plan sponsor’s address 100 BEARD SAWMILL RD STE 109, SHELTON, CT, 06484

Signature of

Role Plan administrator
Date 2023-04-19
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-19
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL ASSOCIATION EMPLOYEES RETIREMENT PLAN 2021 060688181 2022-07-08 FAIRFIELD COUNTY MEDICAL ASSOCIATION 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2035132045
Plan sponsor’s address 100 BEARD SAWMILL RD STE 109, SHELTON, CT, 06484

Signature of

Role Plan administrator
Date 2022-07-08
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-08
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL ASSOCIATION EMPLOYEES RETIREMENT PLAN 2020 060688181 2021-06-22 FAIRFIELD COUNTY MEDICAL ASSOCIATION 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2035132045
Plan sponsor’s address 917 BRIDGEPORT AVE, SHELTON, CT, 06484

Signature of

Role Plan administrator
Date 2021-06-22
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-22
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL ASSOCIATION EMPLOYEES RETIREMENT PLAN 2019 060688181 2020-06-08 FAIRFIELD COUNTY MEDICAL ASSOCIATION 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2035132045
Plan sponsor’s address 917 BRIDGEPORT AVE, SHELTON, CT, 06484

Signature of

Role Plan administrator
Date 2020-06-08
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-08
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL ASSOCIATION EMPLOYEES RETIREMENT PLAN 2018 060688181 2019-07-09 FAIRFIELD COUNTY MEDICAL ASSOCIATION 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2035132045
Plan sponsor’s address 917 BRIDGEPORT AVE, SHELTON, CT, 06484

Signature of

Role Plan administrator
Date 2019-07-09
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-09
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL ASSOCIATION EMPLOYEES RETIREMENT PLAN 2017 060688181 2018-05-11 FAIRFIELD COUNTY MEDICAL ASSOCIATION 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2035132045
Plan sponsor’s address 917 BRIDGEPORT AVE, SHELTON, CT, 06484

Signature of

Role Plan administrator
Date 2018-05-09
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-09
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL ASSOCIATION EMPLOYEES RETIREMENT PLAN 2017 060688181 2018-05-07 FAIRFIELD COUNTY MEDICAL ASSOCIATION 6
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2035132045
Plan sponsor’s address 917 BRIDGEPORT AVE, SHELTON, CT, 06484
FAIRFIELD COUNTY MEDICAL ASSOCIATION EMPLOYEES RETIREMENT PLAN 2016 060688181 2017-04-05 FAIRFIELD COUNTY MEDICAL ASSOCIATION 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2035132045
Plan sponsor’s address 917 BRIDGEPORT AVE, SHELTON, CT, 06484

Signature of

Role Plan administrator
Date 2017-04-05
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-05
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL ASSOCIATION EMPLOYEES RETIREMENT PLAN 2015 060688181 2016-07-21 FAIRFIELD COUNTY MEDICAL ASSOCIATION 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2035132045
Plan sponsor’s address 917 BRIDGEPORT AVE, SHELTON, CT, 06484

Signature of

Role Plan administrator
Date 2016-07-21
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-21
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL ASSOCIATION EMPLOYEES RETIREMENT PLAN 2014 060688181 2015-07-01 FAIRFIELD COUNTY MEDICAL ASSOCIATION 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2035132045
Plan sponsor’s address 917 BRIDGEPORT AVE, SHELTON, CT, 06484

Signature of

Role Plan administrator
Date 2015-06-30
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-30
Name of individual signing MARK THOMPSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
John Brannelly Agent 100 Beard Sawmill Rd, 109, Shelton, CT, 06484, United States +1 619-405-3523 johnb@fcma.org 1475 Burr St, Fairfield, CT, 06824-1861, United States

Officer

Name Role Residence address
Camelia Lawrence Officer 4 Cisco Dr, Shelton, CT, 06484-6159, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0003053-EXEMPT PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS ACTIVE No data No data No data No data

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011964813 2024-08-12 No data Annual Report Annual Report No data
BF-0008002587 2023-09-07 2023-09-07 First Report Organization and First Report 2016
0005068597 2014-03-13 No data Business Formation Certificate of Incorporation No data

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website