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  5. BRIDGEPORT FAMILY MEDICINE LLC

BRIDGEPORT FAMILY MEDICINE LLC

Company Details

Entity Name: BRIDGEPORT FAMILY MEDICINE LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 18 Jun 2015
Business ALEI: 1179038
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 112 SUNNYRIDGE AVENUE, FAIRFIELD, CT, 06824, United States
Mailing address: 112 SUNNYRIDGE AVENUE, FAIRFIELD, CT, United States, 06824
ZIP code: 06824
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: usmedicalextern@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BFM 401(K) PLAN 2023 474274150 2024-10-14 BRIDGEPORT FAMILY MEDICINE, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039232204
Plan sponsor’s address 754 CLINTON AVENUE, BRIDGEPORT, CT, 06604

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing AWAIS MALIK
Valid signature Filed with authorized/valid electronic signature
BFM 401(K) PLAN 2022 474274150 2023-10-12 BRIDGEPORT FAMILY MEDICINE, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039232204
Plan sponsor’s address 754 CLINTON AVENUE, BRIDGEPORT, CT, 06604

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing AWAIS MALIK
Valid signature Filed with authorized/valid electronic signature
BFM 401(K) PLAN 2021 474274150 2022-10-14 BRIDGEPORT FAMILY MEDICINE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039232204
Plan sponsor’s address 754 CLINTON AVENUE, BRIDGEPORT, CT, 06604

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing AWAIS MALIK
Valid signature Filed with authorized/valid electronic signature
BFM 401(K) PLAN 2020 474274150 2021-10-15 BRIDGEPORT FAMILY MEDICINE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039232204
Plan sponsor’s address 754 CLINTON AVENUE, BRIDGEPORT, CT, 06604

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing AWAIS MALIK
Valid signature Filed with authorized/valid electronic signature
BFM 401(K) PLAN 2019 474274150 2020-08-21 BRIDGEPORT FAMILY MEDICINE, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039232204
Plan sponsor’s address 754 CLINTON AVENUE, BRIDGEPORT, CT, 06604

Signature of
Role Plan administrator
Date 2020-08-21
Name of individual signing AWAIS MALIK
Valid signature Filed with authorized/valid electronic signature
BFM 401(K) RETIREMENT PLAN 2018 474274150 2019-07-28 BRIDGEPORT FAMILY MEDICINE LLC 1
Three-digit plan number (PN) 001
Effective date of plan 2017-12-31
Business code 621111
Sponsor’s telephone number 2032436018
Plan sponsor’s DBA name BRIDGEPORT FAMILY MEDICINE LLC
Plan sponsor’s address 754 CLINTON AVE, BRIDGEPORT, CT, 066042301

Signature of
Role Employer/plan sponsor
Date 2019-07-28
Name of individual signing AWAIS MALIK
Valid signature Filed with authorized/valid electronic signature
BFM 401(K) RETIREMENT PLAN 2018 474274150 2019-09-27 BRIDGEPORT FAMILY MEDICINE LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-12-31
Business code 621111
Sponsor’s telephone number 2032436018
Plan sponsor’s DBA name BRIDGEPORT FAMILY MEDICINE LLC
Plan sponsor’s address 754 CLINTON AVE, BRIDGEPORT, CT, 066042301

Signature of
Role Plan administrator
Date 2019-09-27
Name of individual signing AHMED EBRAHIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-27
Name of individual signing AHMED EBRAHIM
Valid signature Filed with authorized/valid electronic signature
BFM 401(K) PLAN 2018 474274150 2020-02-21 BRIDGEPORT FAMILY MEDICINE, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039232204
Plan sponsor’s address 754 CLINTON AVENUE, BRIDGEPORT, CT, 06604

Signature of
Role Plan administrator
Date 2020-02-21
Name of individual signing AWAIS MALIK
Valid signature Filed with authorized/valid electronic signature
BFM 401(K) PLAN 2017 474274150 2020-02-21 BRIDGEPORT FAMILY MEDICINE, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039232204
Plan sponsor’s address 754 CLINTON AVENUE, BRIDGEPORT, CT, 06604

Signature of
Role Plan administrator
Date 2020-02-21
Name of individual signing AWAIS MALIK
Valid signature Filed with authorized/valid electronic signature
BFM 401(K) RETIREMENT PLAN 2017 474274150 2019-06-17 BRIDGEPORT FAMILY MEDICINE LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-12-31
Business code 621111
Sponsor’s telephone number 2032436018
Plan sponsor’s address 754 CLINTON AVE, BRIDGEPORT, CT, 066042301

Signature of
Role Plan administrator
Date 2019-06-17
Name of individual signing AWAIS MALIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-17
Name of individual signing AWAIS MALIK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
AWAIS MALIK Agent 112 SUNNYRIDGE AVE, FAIRFIELD, CT, 06824, United States 112 SUNNYRIDGE AVE, FAIRFIELD, CT, 06824, United States +1 203-243-6018 SONICS110@YAHOO.COM 754 Clinton Ave, Bridgeport, CT, 06604-2369, United States

Officer

Name Role Business address Phone E-Mail Residence address
AWAIS MALIK Officer 112 SUNNYRIDGE AVENUE, FAIRFIELD, CT, 06824, United States +1 203-243-6018 SONICS110@YAHOO.COM 754 Clinton Ave, Bridgeport, CT, 06604-2369, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012416319 2024-01-26 No data Annual Report Annual Report No data
BF-0011213193 2023-01-14 No data Annual Report Annual Report No data
BF-0010649281 2022-06-24 No data Annual Report Annual Report No data
BF-0009833377 2022-06-14 No data Annual Report Annual Report No data
BF-0009123215 2022-06-14 No data Annual Report Annual Report 2020
0006457822 2019-03-13 No data Annual Report Annual Report 2019
0006377445 2019-02-11 No data Annual Report Annual Report 2018
0006377439 2019-02-11 No data Annual Report Annual Report 2017
0005858625 2017-06-06 No data Annual Report Annual Report 2016
0005353490 2015-06-18 2015-06-18 Business Formation Certificate of Organization No data

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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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