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  5. GUILFORD SURGERY CENTER, LLC

GUILFORD SURGERY CENTER, LLC

Company Details

Entity Name: GUILFORD SURGERY CENTER, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 26 Jan 2015
Business ALEI: 1159284
Annual report due: 31 Mar 2025
NAICS code: 621493 - Freestanding Ambulatory Surgical and Emergency Centers
Business address: 246 Goose Lane Suite 203, GUILFORD, CT, 06437, United States
Mailing address: 246 GOOSE LANE SUITE 203, GUILFORD, CT, United States, 06437
ZIP code: 06437
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: cls-ctarmsevidence@wolterskluwer.com

Central Index Key

CIK number Mailing Address Business Address Phone
1996131 569 BROOKWOOD VILLAGE, SUITE 901, BIRMINGHAM, AL, 35209 569 BROOKWOOD VILLAGE, SUITE 901, BIRMINGHAM, AL, 35209 205-545-2734

Filings since 2024-02-23
Form type D
File number 021-505966
Filing date 2024-02-23
File View File

Filings since 2023-10-12
Form type D
File number 021-494572
Filing date 2023-10-12
File View File

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GUILFORD SURGERY CENTER 401(K) RETIREMENT PLAN 2022 473071064 2023-09-19 GUILFORD SURGERY CENTER 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 2034530416
Plan sponsor’s address 246 GOOSE LANE, SUITE 203, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2023-09-19
Name of individual signing RICHARD SEARLES
Valid signature Filed with authorized/valid electronic signature
GUILFORD SURGERY CENTER 401(K) RETIREMENT PLAN 2022 473071064 2023-07-24 GUILFORD SURGERY CENTER 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 2034530416
Plan sponsor’s address 246 GOOSE LANE, SUITE 203, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing RICHARD SEARLES
Valid signature Filed with authorized/valid electronic signature
GUILFORD SURGERY CENTER 401(K) RETIREMENT PLAN 2021 473071064 2022-06-24 GUILFORD SURGERY CENTER 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 2034530416
Plan sponsor’s address 246 GOOSE LANE, SUITE 203, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2022-06-23
Name of individual signing RICHARD SEARLES
Valid signature Filed with authorized/valid electronic signature
GUILFORD SURGERY CENTER 401(K) RETIREMENT PLAN 2020 473071064 2021-06-08 GUILFORD SURGERY CENTER 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 2034530416
Plan sponsor’s address 246 GOOSE LANE, SUITE 203, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2021-06-08
Name of individual signing RICHARD SEARLES
Valid signature Filed with authorized/valid electronic signature
GUILFORD SURGERY CENTER 401(K) RETIREMENT PLAN 2020 473071064 2021-05-24 GUILFORD SURGERY CENTER 36
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 2034530416
Plan sponsor’s address 246 GOOSE LANE, SUITE 203, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2021-05-22
Name of individual signing RICHARD SEARLES
Valid signature Filed with authorized/valid electronic signature
GUILFORD SURGERY CENTER 401(K) RETIREMENT PLAN 2019 473071064 2020-06-11 GUILFORD SURGERY CENTER 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 2034530416
Plan sponsor’s address 246 GOOSE LANE, SUITE 203, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2020-06-11
Name of individual signing BETH ANN VARA
Valid signature Filed with authorized/valid electronic signature
GUILFORD SURGERY CENTER 401(K) RETIREMENT PLAN 2018 473071064 2019-09-09 GUILFORD SURGERY CENTER 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 2034530416
Plan sponsor’s address 246 GOOSE LANE, SUITE 203, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2019-09-09
Name of individual signing BETH ANN VARA
Valid signature Filed with authorized/valid electronic signature
GUILFORD SURGERY CENTER 401(K) RETIREMENT PLAN 2017 473071064 2018-09-04 GUILFORD SURGERY CENTER 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621493
Sponsor’s telephone number 2034530416
Plan sponsor’s address 246 GOOSE LANE, SUITE 203, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2018-09-04
Name of individual signing BETH ANN VARA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

Officer

Name Role Business address Residence address
Gina Mondo Officer 246 Goose Lane Suite 203, GUILFORD, CT, 06437, United States 4920 MAIN STREET, BRIDGEPORT, CT, 06606, United States
Jennifer Gale Officer 246 Goose Lane Suite 203, GUILFORD, CT, 06437, United States 45 SALEM TURNPIKE, NORWICH, CT, 06360, United States
Paul Abbate Officer 246 Goose Lane Suite 203, GUILFORD, CT, 06437, United States 226 WHITE STREET, DANBURY, CT, 06810, United States
Sepehr Sajjad Officer 246 Goose Lane Suite 203, GUILFORD, CT, 06437, United States 246 Goose Lane Suite 203, GUILFORD, CT, 06437, United States
Howard Boey Officer 246 Goose Lane Suite 203, GUILFORD, CT, 06437, United States 883 PADDOCK AVENUE, MERIDEN, CT, 06450, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
ASC.0000352 Out-Patient Surgical Facility ACTIVE CURRENT 2016-09-19 2024-07-01 2026-06-30
ASC.0000346 Out-Patient Surgical Facility CLOSED CLOSED 2015-04-27 2015-04-24 2017-03-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012264603 2024-03-01 No data Annual Report Annual Report No data
BF-0011198250 2023-03-21 No data Annual Report Annual Report No data
BF-0011709157 2023-02-22 2023-02-22 Change of Agent Agent Change No data
BF-0010242819 2022-02-24 No data Annual Report Annual Report 2022
0007095048 2021-02-01 No data Annual Report Annual Report 2021
0006794812 2020-02-28 No data Annual Report Annual Report 2020
0006309664 2019-01-07 No data Annual Report Annual Report 2019
0006040345 2018-01-29 No data Annual Report Annual Report 2018
0005748511 2017-01-24 No data Annual Report Annual Report 2017
0005488594 2016-02-17 No data Annual Report Annual Report 2016

Related by officers

Gina Mondo

THE SURGICAL CENTER OF CONNECTICUT, LLC SCA DANBURY SURGICAL CENTER, LLC SUMMER STREET ASC, LLC GREATER NEW HAVEN ASC, LLC

Jennifer Gale

RIVER VALLEY ASC, LLC BLOOMFIELD ASC, LLC

Paul Abbate

WESTERN CONNECTICUT ORTHOPEDIC SURGICAL CENTER, LLC RIVER VALLEY ASC, LLC BLOOMFIELD ASC, LLC

Howard Boey

RUSHFORD CENTER, INC.

Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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