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  5. INTERNAL MEDICINE OF NEW CANAAN, P.C.

INTERNAL MEDICINE OF NEW CANAAN, P.C.

Company Details

Entity Name: INTERNAL MEDICINE OF NEW CANAAN, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 25 Jun 2014
Business ALEI: 1147487
Annual report due: 25 Jun 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 173 EAST AVENUE, NEW CANAAN, CT, 06840, United States
Mailing address: 173 EAST AVENUE, NEW CANAAN, CT, United States, 06840
ZIP code: 06840
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: tslim1294@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTERNAL MEDICINE OF NEW CANAAN PROFIT SHARING PLAN 2023 471237678 2024-09-26 INTERNAL MEDICINE OF NEW CANAAN 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840
INTERNAL MEDICINE OF NEW CANAAN PROFIT SHARING PLAN 2022 471237678 2023-07-20 INTERNAL MEDICINE OF NEW CANAAN 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840
INTERNAL MEDICINE OF NEW CANAAN PROFIT SHARING PLAN 2021 471237678 2022-10-14 INTERNAL MEDICINE OF NEW CANAAN 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-14
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF NEW CANAAN PROFIT SHARING PLAN 2020 471237678 2021-08-17 INTERNAL MEDICINE OF NEW CANAAN 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2021-08-17
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-17
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF NEW CANAAN PROFIT SHARING PLAN 2019 471237678 2020-08-20 INTERNAL MEDICINE OF NEW CANAAN 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2020-08-20
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-20
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF NEW CANAAN PROFIT SHARING PLAN 2018 471237678 2019-10-01 INTERNAL MEDICINE OF NEW CANAAN 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF NEW CANAAN PROFIT SHARING PLAN 2017 471237678 2018-09-21 INTERNAL MEDICINE OF NEW CANAAN 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2018-09-21
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-21
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF NEW CANAAN PROFIT SHARING PLAN 2016 471237678 2017-08-17 INTERNAL MEDICINE OF NEW CANAAN 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2017-08-17
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-17
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Phone E-Mail Residence address
SHIELA SUBRAMANIAN M.D. Officer 173 EAST AVENUE, NEW CANAAN, CT, 06840, United States +1 203-952-9733 tslim1294@gmail.com 19 WALNUT HILL RD., RIDGEFIELD, CT, 06877, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
SHIELA SUBRAMANIAN M.D. Agent 173 EAST AVENUE, NEW CANAAN, CT, 06840, United States 173 EAST AVENUE, NEW CANAAN, CT, 06840, United States +1 203-952-9733 tslim1294@gmail.com 19 WALNUT HILL RD., RIDGEFIELD, CT, 06877, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012228765 2024-06-05 No data Annual Report Annual Report No data
BF-0011196002 2023-06-19 No data Annual Report Annual Report No data
BF-0010373850 2022-06-17 No data Annual Report Annual Report 2022
BF-0009753960 2021-07-15 No data Annual Report Annual Report No data
0006921274 2020-06-10 No data Annual Report Annual Report 2020
0006576057 2019-06-13 No data Annual Report Annual Report 2019
0006189508 2018-05-24 No data Annual Report Annual Report 2018
0005862358 2017-06-08 No data Annual Report Annual Report 2017
0005586776 2016-05-23 No data Annual Report Annual Report 2016
0005586775 2016-05-23 No data Annual Report Annual Report 2015

Related by officers

No related officers

Related by address

173 EAST AVENUE, NEW CANAAN, CT, 06840, United States

NEW CANAAN MEDICAL GROUP, P.C. NEW CANAAN MEDICAL PROPERTIES, LLP 106 MANAGEMENT ASSOCIATES, LLC NEW CANAAN MEDICAL PRACTICE, P.C. NEW CANAAN PRIVATE MEDICINE, P.C.

173 EAST AVENUE, NEW CANAAN, CT, United States, 06840

NEW CANAAN MEDICAL GROUP, P.C. NEW CANAAN MEDICAL PROPERTIES, LLP NEW CANAAN MEDICAL PRACTICE, P.C. NEW CANAAN PRIVATE MEDICINE, P.C.

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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