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EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC

Company Details

Entity Name: EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Foreign
Status: Active
Date Formed: 08 May 2014 (Companies founded in May 2014)
Business ALEI: 1141761
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States
Mailing address: 1A Burton Hills Blvd Ste 300, NASHVILLE, TN, United States, 37215
Mailing jurisdiction address: 1A Burton Hills Blvd Ste 300, NASHVILLE, TN, 37215, United States
Place of Formation: TENNESSEE
E-Mail: compliancemail@cscglobal.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PROFIT SHARING PLAN 2020 061557216 2021-04-01 EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621111
Sponsor’s telephone number 8608867800
Plan sponsor’s address 79 WAWECUS STREET - SUITE 107, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing WALKER CANDELARIO
Valid signature Filed with authorized/valid electronic signature
EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PROFIT SHARING PLAN 2019 061557216 2020-07-14 EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621111
Sponsor’s telephone number 8608867800
Plan sponsor’s address 79 WAWECUS STREET - SUITE 107, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing WALKER CANDELARIO
Valid signature Filed with authorized/valid electronic signature
EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PROFIT SHARING PLAN 2018 061557216 2019-03-13 EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621111
Sponsor’s telephone number 8608867800
Plan sponsor’s address 79 WAWECUS STREET - SUITE 107, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2019-03-12
Name of individual signing FRANK BLAIR
Valid signature Filed with authorized/valid electronic signature
EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PROFIT SHARING PLAN 2017 061557216 2018-04-23 EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621111
Sponsor’s telephone number 8608867800
Plan sponsor’s address 79 WAWECUS STREET - SUITE 107, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2018-04-23
Name of individual signing FRANK BLAIR
Valid signature Filed with authorized/valid electronic signature
EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PROFIT SHARING PLAN 2016 061557216 2017-06-16 EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621111
Sponsor’s telephone number 8608867800
Plan sponsor’s address 79 WAWECUS STREET - SUITE 107, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2017-06-16
Name of individual signing FRANK BLAIR
Valid signature Filed with authorized/valid electronic signature
EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PROFIT SHARING PLAN 2015 061557216 2016-03-24 EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621111
Sponsor’s telephone number 8608867800
Plan sponsor’s address 79 WAWECUS STREET - SUITE 107, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2016-03-24
Name of individual signing FRANK BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-24
Name of individual signing FRANK BLAIR
Valid signature Filed with authorized/valid electronic signature
EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PROFIT SHARING PLAN 2014 061557216 2015-06-18 EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621111
Sponsor’s telephone number 8608867800
Plan sponsor’s address 79 WAWECUS STREET - SUITE 107, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2015-06-17
Name of individual signing FRANK BLAIR
Valid signature Filed with authorized/valid electronic signature
EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PROFIT SHARING PLAN 2013 061557216 2014-06-11 EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621111
Sponsor’s telephone number 8608867800
Plan sponsor’s address 79 WAWECUS STREET - SUITE 107, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2014-06-10
Name of individual signing ASHAN MANOHAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Officer

Name Role Business address Residence address
You Sung Sang MD Officer 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States
Libby Wylie Officer 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States 1A BURTON HILLS BLVD., SUITE 300, NASHVILLE, TN, 37215, United States
Chris Doyle Officer 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States 1A BURTON HILLS BLVD., SUITE 300, NASHVILLE, TN, 37215, United States
Shivani Sood MD Officer 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
ASC.0000295 Out-Patient Surgical Facility ACTIVE CURRENT 2008-10-01 2024-10-01 2026-09-30

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012309542 2024-03-19 No data Annual Report Annual Report No data
BF-0011318695 2023-03-17 No data Annual Report Annual Report No data
BF-0010236140 2022-03-28 No data Annual Report Annual Report 2022
BF-0010475313 2022-01-14 2022-01-14 Mass Agent Change � Address Agent Address Change No data
0007225174 2021-03-11 No data Annual Report Annual Report 2021
0006950703 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006943532 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006761513 2020-02-19 No data Annual Report Annual Report 2020
0006438732 2019-03-09 No data Annual Report Annual Report 2019
0006111111 2018-03-07 No data Annual Report Annual Report 2018

Related by officers

Libby Wylie

BLOOMFIELD EYE SURGERY CENTER, LLC CONNECTICUT EYE SURGERY CENTER SOUTH, LLC

Chris Doyle

BLOOMFIELD EYE SURGERY CENTER, LLC CONNECTICUT EYE SURGERY CENTER SOUTH, LLC

Related by address

1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States

Ambulatory Intermediate Co 2, LLC BLOOMFIELD EYE SURGERY CENTER, LLC WILTON SURGERY CENTER, LLC STAMFORD/NSC MANAGEMENT, LLC DIAGNOSTIC ENDOSCOPY, LLC CONNECTICUT EYE SURGERY CENTER SOUTH, LLC AMSURG STAMFORD ANESTHESIA, LLC CONNECTICUT EYE ANESTHESIA, LLC EHG EYE CT, P.C.

1A Burton Hills Blvd Ste 300, NASHVILLE, TN, United States, 37215

CONNECTICUT EYE SURGERY CENTER SOUTH, LLC

1A Burton Hills Blvd Ste 300, NASHVILLE, TN, 37215, United States

CONNECTICUT EYE SURGERY CENTER SOUTH, LLC

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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