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MEDSTAFF NATIONWIDE LLC

Company Details

Entity Name: MEDSTAFF NATIONWIDE LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 06 Apr 2016
Business ALEI: 1203496
Annual report due: 31 Mar 2025
NAICS code: 541990 - All Other Professional, Scientific, and Technical Services
Business address: 93 Boston Post Rd, MILFORD, CT, 06460, United States
Mailing address: 93 Boston Post Rd, MILFORD, CT, United States, 06460
ZIP code: 06460
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: pat@medstaffnationwide.com

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FLSGW2HXB6Z7 2021-11-17 599 NEW HAVEN AVE, MILFORD, CT, 06460, 3621, USA 599 NEW HAVEN AVE, MILFORD, CT, 06460, 3621, USA

Business Information

Congressional District 03
State/Country of Incorporation CT, USA
Activation Date 2020-05-25
Initial Registration Date 2020-04-29
Entity Start Date 2016-04-06
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 339112, 423450
Product and Service Codes 6510, 6515, 6532

Points of Contacts

Electronic Business
Title PRIMARY POC
Name PAT R CICCAGLIONE
Role CEO/OWNER
Address 599 NEW HAVEN AVE, MILFORD, CT, 06460, USA
Government Business
Title PRIMARY POC
Name PAT R CICCAGLIONE
Role CEO/OWNER
Address 599 NEW HAVEN AVE, MILFORD, CT, 06460, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDSTAFF NATIONWIDE 401(K) PLAN 2023 812272568 2024-05-14 MEDSTAFF NATIONWIDE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 561300
Sponsor’s telephone number 2033447768
Plan sponsor’s address 599 NEW HAVEN AVE, MILFORD, CT, 06460

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-14
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
MEDSTAFF NATIONWIDE 401(K) PLAN 2022 812272568 2023-05-27 MEDSTAFF NATIONWIDE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 561300
Sponsor’s telephone number 2033447768
Plan sponsor’s address 599 NEW HAVEN AVE, MILFORD, CT, 06460

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
MEDSTAFF NATIONWIDE 401(K) PLAN 2021 812272568 2022-05-19 MEDSTAFF NATIONWIDE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 561300
Sponsor’s telephone number 2033447768
Plan sponsor’s address 599 NEW HAVEN AVE, MILFORD, CT, 06460

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-05-19
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
MEDSTAFF NATIONWIDE 401(K) PLAN 2020 812272568 2021-07-16 MEDSTAFF NATIONWIDE 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 561300
Sponsor’s telephone number 2033447768
Plan sponsor’s address 599 NEW HAVEN AVE, MILFORD, CT, 06460

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2021-07-15
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
PATSY CICCAGLIONE Agent 93 Boston Post Road, MILFORD, CT, 06460, United States 93 Boston Post Road, MILFORD, CT, 06460, United States +1 203-909-8639 pciccaglione@sbcglobal.net 93 Boston Post Road, MILFORD, CT, 06460, United States

Officer

Name Role Business address Phone E-Mail Residence address
PATSY CICCAGLIONE Officer 599 NEW HAVEN AVE, MILFORD, CT, 06460, United States +1 203-909-8639 pciccaglione@sbcglobal.net 93 Boston Post Road, MILFORD, CT, 06460, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012408066 2024-09-03 No data Annual Report Annual Report No data
BF-0011450060 2023-03-06 No data Annual Report Annual Report No data
BF-0010660455 2022-06-28 No data Change of Business Address Business Address Change No data
BF-0010312207 2022-02-17 No data Annual Report Annual Report 2022
0007339881 2021-05-17 No data Annual Report Annual Report 2021
0007115043 2021-02-03 No data Annual Report Annual Report 2020
0006541970 2019-04-24 No data Annual Report Annual Report 2018
0006541971 2019-04-24 No data Annual Report Annual Report 2019
0006541968 2019-04-24 No data Annual Report Annual Report 2017
0005541681 2016-04-06 2016-04-06 Business Formation Certificate of Organization No data

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website