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CONNECTICUT EYE SURGERY CENTER SOUTH, LLC

Company Details

Entity Name: CONNECTICUT EYE SURGERY CENTER SOUTH, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Foreign
Status: Active
Date Formed: 26 Jun 2014 (Companies founded in June 2014)
Business ALEI: 1147287
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
CONNECTICUT EYE SURGERY CENTER SOUTH 401(K) PLAN 2013 061622068 2014-06-30 CONNECTICUT EYE SURGERY CENTER SOUTH 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-02
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 505 WILLARD AVE., BLDG. NO. 3, NEWINGTON, CT, 06111

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT EYE SURGERY CENTER SOUTH 401(K) PLAN 2012 061622068 2013-06-17 CONNECTICUT EYE SURGERY CENTER SOUTH 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-02
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 505 WILLARD AVE., BLDG. NO. 3, NEWINGTON, CT, 06111

Signature of
Role Plan administrator
Date 2013-06-17
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT EYE SURGERY CENTER SOUTH 401(K) PLAN 2011 061622068 2012-10-11 CONNECTICUT EYE SURGERY CENTER SOUTH 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-02
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 60 WELLINGTON ROAD, MILFORD, CT, 06460

Plan administrator’s name and address
Administrator’s EIN 061622068
Plan administrator’s name CONNECTICUT EYE SURGERY CENTER SOUTH
Plan administrator’s address 60 WELLINGTON ROAD, MILFORD, CT, 06460
Administrator’s telephone number 8606650174

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT EYE SURGERY CENTER SOUTH 401(K) PLAN 2010 061622068 2011-07-26 CONNECTICUT EYE SURGERY CENTER SOUTH 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-02
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 60 WELLINGTON ROAD, MILFORD, CT, 06460

Plan administrator’s name and address
Administrator’s EIN 061622068
Plan administrator’s name CONNECTICUT EYE SURGERY CENTER SOUTH
Plan administrator’s address 60 WELLINGTON ROAD, MILFORD, CT, 06460
Administrator’s telephone number 8606650174

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT EYE SURGERY CENTER SOUTH 401(K) PLAN 2009 061622068 2010-10-07 CONNECTICUT EYE SURGERY CENTER SOUTH 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-02
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 60 WELLINGTON ROAD, MILFORD, CT, 06460

Plan administrator’s name and address
Administrator’s EIN 061622068
Plan administrator’s name CONNECTICUT EYE SURGERY CENTER SOUTH
Plan administrator’s address 60 WELLINGTON ROAD, MILFORD, CT, 06460
Administrator’s telephone number 8606650174

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Officer

Name Role Business address Residence address
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
Jeffrey Caplan MD Officer 1A Burton Hills Blvd Ste 300, NASHVILLE, TN, 37215, United States 1A Burton Hills Blvd Ste 300, NASHVILLE, TN, 37215, 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
Marc L. Weitzman 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

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012229483 2024-03-19 No data Annual Report Annual Report No data
BF-0011323772 2023-03-17 No data Annual Report Annual Report No data
BF-0010219882 2022-03-28 No data Annual Report Annual Report 2022
BF-0010455489 2022-01-14 2022-01-14 Mass Agent Change � Address Agent Address Change No data
0007220122 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
0006761558 2020-02-19 No data Annual Report Annual Report 2020
0006429417 2019-03-06 No data Annual Report Annual Report 2019
0006110702 2018-03-07 No data Annual Report Annual Report 2018

Related by officers

Chris Doyle

BLOOMFIELD EYE SURGERY CENTER, LLC EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC

Libby Wylie

BLOOMFIELD EYE SURGERY CENTER, LLC EASTERN CONNECTICUT ENDOSCOPY CENTER, 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 EASTERN CONNECTICUT ENDOSCOPY CENTER, 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

EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC

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

EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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