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TRUMBULL PREMIER DENTAL, LLC

Company Details

Entity Name: TRUMBULL PREMIER DENTAL, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 07 Oct 2014 (Companies founded in October 2014)
Date of dissolution: 17 Apr 2024
Business ALEI: 1156543
NAICS code: 621210 - Offices of Dentists
Business address: 4161 MADISON AVENUE, TRUMBULL, CT, 06611, United States
Mailing address: 4161 MADISON AVENUE, TRUMBULL, CT, United States, 06611
ZIP code: 06611 (Companies in Fairfield, 06611)
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: kcuevas405@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRUMBULL PREMIER DENTAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 472029151 2024-06-19 TRUMBULL PREMIER DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 2033474300
Plan sponsor’s address 4161 MADISON AVE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2024-06-19
Name of individual signing KATHY CUEVAS
Valid signature Filed with authorized/valid electronic signature
TRUMBULL PREMIER DENTAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 472029151 2023-07-26 TRUMBULL PREMIER DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 2033474300
Plan sponsor’s address 4161 MADISON AVE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2023-07-26
Name of individual signing PABLO CUEVAS
Valid signature Filed with authorized/valid electronic signature
TRUMBULL PREMIER DENTAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 472029151 2022-08-01 TRUMBULL PREMIER DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 2033474300
Plan sponsor’s address 4161 MADISON AVE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2022-08-01
Name of individual signing TRUMBULL PREMIER DENTAL
Valid signature Filed with authorized/valid electronic signature
TRUMBULL PREMIER DENTAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 472029151 2021-07-22 TRUMBULL PREMIER DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 2033474300
Plan sponsor’s address 4161 MADISON AVE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing PABLO J CUEVAS
Valid signature Filed with authorized/valid electronic signature
TRUMBULL PREMIER DENTAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 472029151 2020-10-08 TRUMBULL PREMIER DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 2033474300
Plan sponsor’s address 4161 MADISON AVE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing PABLO CUEVAS
Valid signature Filed with authorized/valid electronic signature
TRUMBULL PREMIER DENTAL LLC 401 K PROFIT SHARING PLAN TRUST 2018 472029151 2019-07-12 TRUMBULL PREMIER DENTAL LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 2033474300
Plan sponsor’s address 4161 MADISON AVE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing TRUMBULL PREMIER DENTAL
Valid signature Filed with authorized/valid electronic signature
TRUMBULL PREMIER DENTAL LLC 401 K PROFIT SHARING PLAN TRUST 2017 472029151 2018-07-26 TRUMBULL PREMIER DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 2033474300
Plan sponsor’s address 4161 MADISON AVE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing TRUMBULL PREMIER DENTAL
Valid signature Filed with authorized/valid electronic signature
TRUMBULL PREMIER DENTAL LLC 401 K PROFIT SHARING PLAN TRUST 2016 472029151 2017-10-12 TRUMBULL PREMIER DENTAL LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 2033474300
Plan sponsor’s address 4161 MADISON AVE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing TRUMBULL PREMIER DENTAL
Valid signature Filed with authorized/valid electronic signature
TRUMBULL PREMIER DENTAL LLC 401 K PROFIT SHARING PLAN TRUST 2015 472029151 2016-07-29 TRUMBULL PREMIER DENTAL LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 2033474300
Plan sponsor’s address 4161 MADISON AVE, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing PABLO CUEVAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
ERIC D. BERNHEIM Agent 315 POST ROAD WEST, WESTPORT, CT, 06880, United States 315 POST ROAD WEST, WESTPORT, CT, 06880, United States +1 203-727-1293 kcuevas405@gmail.com 28 MARKET PLACE, MILFORD, CT, 06460, United States

Officer

Name Role Business address Residence address
PABLO CUEVAS Officer 4161 MADISON AVENUE, TRUMBULL, CT, 06611, United States 40 GATEHOUSE RD, TRUMBULL, CT, 06611, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012611177 2024-04-17 2024-04-17 Dissolution Certificate of Dissolution No data
BF-0011203416 2023-01-31 No data Annual Report Annual Report No data
BF-0010351046 2022-04-05 No data Annual Report Annual Report 2022
0007166204 2021-02-16 No data Annual Report Annual Report 2018
0007166235 2021-02-16 No data Annual Report Annual Report 2020
0007166225 2021-02-16 No data Annual Report Annual Report 2019
0007166198 2021-02-16 No data Annual Report Annual Report 2017
0007166239 2021-02-16 No data Annual Report Annual Report 2021
0007150168 2021-02-15 No data Annual Report Annual Report 2016
0005640450 2016-08-31 No data Annual Report Annual Report 2015

Related by officers

ERIC D. BERNHEIM

ROCKSTAR TATTOO, LLC BRIANA'S BARN, LLC BOX OFFICE ENTERTAINMENT, LLC WILTON TICK CONTROL, LLC BLINKED, LLC TEEN AWARENESS GROUP, INC. 4161 MADISON AVENUE, LLC 195 CHURCH STREET ASSOCIATES, LLC PFORZSOUL LLC JB AQUACULTURE LLC

PABLO CUEVAS

4161 MADISON AVENUE, LLC

Related by address

4161 MADISON AVENUE, TRUMBULL, CT, 06611, United States

4161 MADISON AVENUE, LLC

4161 MADISON AVENUE, TRUMBULL, CT, United States, 06611

4161 MADISON AVENUE, LLC

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website

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