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  5. ONE MEDICAL PASSPORT, INC.

ONE MEDICAL PASSPORT, INC.

Company Details

Entity Name: ONE MEDICAL PASSPORT, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Foreign
Status: Active
Sub status: Annual report due
Date Formed: 26 Aug 2015
Business ALEI: 1184444
Annual report due: 26 Aug 2025
NAICS code: 541519 - Other Computer Related Services
Business address: 156 RIVER RD STE 2301, WILLINGTON, CT, 06279, United States
Mailing address: PO BOX 69, WILLINGTON, CT, United States, 06279
ZIP code: 06279
County: Tolland
Place of Formation: DELAWARE
E-Mail: barbara.kehoe@1mp.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ONE MEDICAL PASSPORT INC 401(K) PROFIT SHARING PLAN & TRUST 2022 474582910 2023-03-30 ONE MEDICAL PASSPORT INC 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8604771200
Plan sponsor’s address P.O. BOX 69, WILLINGTON, CT, 06279

Signature of
Role Plan administrator
Date 2023-03-30
Name of individual signing DEVONA HASLAM
Valid signature Filed with authorized/valid electronic signature
ONE MEDICAL PASSPORT INC 401(K) PROFIT SHARING PLAN & TRUST 2021 474582910 2022-06-24 ONE MEDICAL PASSPORT INC 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8604771200
Plan sponsor’s address P.O. BOX 69, WILLINGTON, CT, 06279

Signature of
Role Plan administrator
Date 2022-06-24
Name of individual signing STEPHEN PUNZAK
Valid signature Filed with authorized/valid electronic signature
ONE MEDICAL PASSPORT INC 401(K) PROFIT SHARING PLAN & TRUST 2020 474582910 2021-06-09 ONE MEDICAL PASSPORT INC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8604771200
Plan sponsor’s address P.O. BOX 69, WILLINGTON, CT, 06279

Signature of
Role Plan administrator
Date 2021-06-09
Name of individual signing STEPHEN PUNZAK
Valid signature Filed with authorized/valid electronic signature
ONE MEDICAL PASSPORT INC 401(K) PROFIT SHARING PLAN & TRUST 2019 474582910 2020-05-06 ONE MEDICAL PASSPORT INC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8604771200
Plan sponsor’s address P.O. BOX 69, WILLINGTON, CT, 06279

Signature of
Role Plan administrator
Date 2020-05-06
Name of individual signing STEPHEN PUNZAK
Valid signature Filed with authorized/valid electronic signature
ONE MEDICAL PASSPORT INC 401 K PROFIT SHARING PLAN TRUST 2018 474582910 2019-03-22 ONE MEDICAL PASSPORT INC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8604771200
Plan sponsor’s address P.O. BOX 69, WILLINGTON, CT, 06279

Signature of
Role Plan administrator
Date 2019-03-22
Name of individual signing STEPHEN PUNZAK
Valid signature Filed with authorized/valid electronic signature
ONE MEDICAL PASSPORT INC 401 K PROFIT SHARING PLAN TRUST 2017 474582910 2018-07-17 ONE MEDICAL PASSPORT INC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8604771200
Plan sponsor’s address P.O. BOX 69, WILLINGTON, CT, 06279

Signature of
Role Plan administrator
Date 2018-07-17
Name of individual signing STEPHEN T PUNZAK
Valid signature Filed with authorized/valid electronic signature
ONE MEDICAL PASSPORT INC 401 K PROFIT SHARING PLAN TRUST 2016 474582910 2017-05-11 ONE MEDICAL PASSPORT INC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8604771200
Plan sponsor’s address P.O. BOX 69, WILLINGTON, CT, 06279

Signature of
Role Plan administrator
Date 2017-05-11
Name of individual signing STEPHEN PUNZAK
Valid signature Filed with authorized/valid electronic signature
ONE MEDICAL PASSPORT INC 401 K PROFIT SHARING PLAN TRUST 2015 474582910 2016-05-27 ONE MEDICAL PASSPORT INC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8604771200
Plan sponsor’s address P.O. BOX 69, WILLINGTON, CT, 06279

Signature of
Role Plan administrator
Date 2016-05-27
Name of individual signing BARBARA KEHOE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail
Secretary of State Agent 165 Capitol Ave., P.O. BOX 150470, Hartford, CT, 06115-0470, United States barbara.kehoe@1mp.com

Officer

Name Role Business address Residence address
Derek Smith Officer 95 Argonaut, Aliso Viejo, CA, 92656, United States W222N833 Cheaney Rd, Waukesha, WI, 53186-1688, United States
Justin Zaitz Officer 95 Argonaut, Aliso Viejo, CA, 92656, United States 13240 Misty St, Broomfield, CO, 80020-5240, United States

Director

Name Role Business address Residence address
Derek Smith Director 95 Argonaut, Aliso Viejo, CA, 92656, United States W222N833 Cheaney Rd, Waukesha, WI, 53186-1688, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012412206 2024-07-29 No data Annual Report Annual Report No data
BF-0011214586 2023-07-27 No data Annual Report Annual Report No data
BF-0010350364 2022-07-27 No data Annual Report Annual Report 2022
BF-0009808151 2021-09-27 No data Annual Report Annual Report No data
0006945012 2020-07-13 No data Annual Report Annual Report 2020
0006596634 2019-07-15 No data Annual Report Annual Report 2019
0006214309 2018-07-12 No data Annual Report Annual Report 2018
0006098723 2018-02-28 No data Annual Report Annual Report 2017
0006092828 2018-02-23 No data Annual Report Annual Report 2016
0005589080 2016-06-20 No data Interim Notice Interim Notice No data

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Derek Smith

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Justin Zaitz

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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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