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EAST HAMPTON FAMILY DENTAL LLC

Company Details

Entity Name: EAST HAMPTON FAMILY DENTAL LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Date Formed: 07 Oct 2015 (Companies founded in October 2015)
Business ALEI: 1187695
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 41 W HIGH ST,, EAST HAMPTON, CT, 06424, United States
Mailing address: 41 W HIGH ST, EAST HAMPTON, CT, United States, 06424
ZIP code: 06424 (Companies in Middlesex, 06424)
County: Middlesex
Place of Formation: CONNECTICUT
E-Mail: canakalav@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST HAMPTON 401(K) PLAN 2023 475297188 2024-09-18 EAST HAMPTON FAMILY DENTAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8602679904
Plan sponsor’s address 41 WEST HIGH STREET, EAST HAMPTON, CT, 06424

Signature of

Role Plan administrator
Date 2024-09-18
Name of individual signing MUKESH AGARWAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-18
Name of individual signing MUKESH AGARWAL
Valid signature Filed with authorized/valid electronic signature
EAST HAMPTON 401(K) PLAN 2022 475297188 2023-07-31 EAST HAMPTON FAMILY DENTAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8602679904
Plan sponsor’s address 41 WEST HIGH STREET, EAST HAMPTON, CT, 06424

Signature of

Role Plan administrator
Date 2023-07-31
Name of individual signing MUKESH AGARWAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-31
Name of individual signing MUKESH AGARWAL
Valid signature Filed with authorized/valid electronic signature
EAST HAMPTON 401(K) PLAN 2022 475297188 2023-05-16 EAST HAMPTON FAMILY DENTAL LLC 8
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8602679904
Plan sponsor’s address 41 WEST HIGH STREET, EAST HAMPTON, CT, 06424

Signature of

Role Plan administrator
Date 2023-05-16
Name of individual signing MUKESH AGARWAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-16
Name of individual signing MUKESH AGARWAL
Valid signature Filed with authorized/valid electronic signature
LASALLE AND EAST HAMPTON 401(K) PLAN 2021 475297188 2022-05-13 EAST HAMPTON FAMILY DENTAL LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8602679904
Plan sponsor’s address 41 WEST HIGH STREET, EAST HAMPTON, CT, 06424

Signature of

Role Plan administrator
Date 2022-05-13
Name of individual signing MUKESH AGARWAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-13
Name of individual signing MUKESH AGARWAL
Valid signature Filed with authorized/valid electronic signature
LASALLE AND EAST HAMPTON 401(K) PLAN 2020 475297188 2021-06-09 EAST HAMPTON FAMILY DENTAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8602679904
Plan sponsor’s address 41 WEST HIGH STREET, EAST HAMPTON, CT, 06424

Signature of

Role Plan administrator
Date 2021-06-09
Name of individual signing VIJAYALAKSHMI CANAKALAVENKATA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-09
Name of individual signing VIJAYALAKSHMI CANAKALAVENKATA
Valid signature Filed with authorized/valid electronic signature
LASALLE AND EAST HAMPTON 401(K) PLAN 2019 475297188 2020-06-12 EAST HAMPTON FAMILY DENTAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8602679904
Plan sponsor’s address 41 WEST HIGH STREET, EAST HAMPTON, CT, 06424

Signature of

Role Plan administrator
Date 2020-06-12
Name of individual signing VIJAYALAKSHMI CANAKALAVENKATA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-12
Name of individual signing VIJAYALAKSHMI CANAKALAVENKATA
Valid signature Filed with authorized/valid electronic signature
EAST HAMPTON FAMILY DENTAL LLC 401(K) PLAN 2018 475297188 2019-03-29 EAST HAMPTON FAMILY DENTAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8602679904
Plan sponsor’s address 41 WEST HIGH STREET, EAST HAMPTON, CT, 06424

Signature of

Role Plan administrator
Date 2019-03-29
Name of individual signing MUKESH AGARWAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-29
Name of individual signing MUKESH AGARWAL
Valid signature Filed with authorized/valid electronic signature
EAST HAMPTON FAMILY DENTAL LLC 401(K) PLAN 2017 475297188 2018-05-04 EAST HAMPTON FAMILY DENTAL LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8602679904
Plan sponsor’s address 41 WEST HIGH STREET, EAST HAMPTON, CT, 06424

Signature of

Role Plan administrator
Date 2018-05-04
Name of individual signing VIJAYALAKSHMI CANAKALAVENKATA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-04
Name of individual signing VIJAYALAKSHMI CANAKALAVENKATA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Vijayalakshmi Canakalavenkata Agent 41 W HIGH ST,, EAST HAMPTON, CT, 06424, United States 41 W HIGH ST,, EAST HAMPTON, CT, 06424, United States +1 617-504-0406 canakalav@gmail.com 27 Franks Way, South Windsor, CT, 06074-4280, United States

Officer

Name Role Business address Residence address
VIJAYALAKSHMI CANAKALAVENKATA Officer 41 WEST HIGH STREET, EAST HAMPTON, CT, 06424, United States 27 FRANKS WAY, SOUTH WINDSOR, CT, 06074, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012413078 2024-04-01 No data Annual Report Annual Report No data
BF-0011217959 2023-03-11 No data Annual Report Annual Report No data
BF-0010229021 2022-03-13 No data Annual Report Annual Report 2022
0007340923 2021-05-17 No data Annual Report Annual Report 2021
0006863299 2020-03-31 No data Annual Report Annual Report 2020
0006716479 2020-01-08 No data Annual Report Annual Report 2019
0006716477 2020-01-08 No data Annual Report Annual Report 2018
0006028974 2018-01-23 No data Annual Report Annual Report 2017
0005673225 2016-10-14 No data Annual Report Annual Report 2016
0005409321 2015-10-07 2015-10-07 Business Formation Certificate of Organization No data

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website