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WEST SHORE FAMILY DENTAL, LLC

Company Details

Entity Name: WEST SHORE FAMILY DENTAL, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Date Formed: 28 Oct 2016 (Companies founded in October 2016)
Business ALEI: 1220497
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 141 CAPTAIN THOMAS BOULEVARD, WEST HAVEN, CT, 06516, United States
Mailing address: 141 CAPTAIN THOMAS BLVD, WEST HAVEN, CT, United States, 06516
ZIP code: 06516 (Companies in New Haven, 06516)
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: drbaylis@westshorefamily.dental

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST SHORE FAMILY DENTAL 401(K) PLAN 2023 814290395 2024-04-29 WEST SHORE FAMILY DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2039323675
Plan sponsor’s address 141 CAPTAIN THOMAS BLVD., WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2024-04-29
Name of individual signing ALLISON BAYLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-29
Name of individual signing ALLISON BAYLIS
Valid signature Filed with authorized/valid electronic signature
WEST SHORE FAMILY DENTAL 401(K) PLAN 2022 814290395 2023-04-28 WEST SHORE FAMILY DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2039323675
Plan sponsor’s address 141 CAPTAIN THOMAS BLVD., WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2023-04-28
Name of individual signing ALLISON BAYLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-28
Name of individual signing ALLISON BAYLIS
Valid signature Filed with authorized/valid electronic signature
WEST SHORE FAMILY DENTAL 401(K) PLAN 2021 814290395 2022-05-19 WEST SHORE FAMILY DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2039323675
Plan sponsor’s address 141 CAPTAIN THOMAS BLVD., WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing ALLISON BAYLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-19
Name of individual signing ALLISON BAYLIS
Valid signature Filed with authorized/valid electronic signature
WEST SHORE FAMILY DENTAL 401(K) PLAN 2020 814290395 2021-07-30 WEST SHORE FAMILY DENTAL, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2039323675
Plan sponsor’s address 141 CAPTAIN THOMAS BLVD., WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing ALLISON BAYLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-30
Name of individual signing ALLISON BAYLIS
Valid signature Filed with authorized/valid electronic signature
WEST SHORE FAMILY DENTAL 401(K) PLAN 2019 814290395 2020-03-05 WEST SHORE FAMILY DENTAL, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2039323675
Plan sponsor’s address 141 CAPTAIN THOMAS BLVD., WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2020-03-05
Name of individual signing ALLISON BAYLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-05
Name of individual signing ALLISON BAYLIS
Valid signature Filed with authorized/valid electronic signature
WEST SHORE FAMILY DENTAL 401(K) PLAN 2018 814290395 2019-04-25 WEST SHORE FAMILY DENTAL, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2039323675
Plan sponsor’s address 141 CAPTAIN THOMAS BLVD., WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2019-04-25
Name of individual signing ALLISON BAYLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-25
Name of individual signing ALLISON BAYLIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
ALLISON BAYLIS DMD Agent 141 CAPTAIN THOMAS BLVD, WEST HAVEN, CT, 06516, United States 141 CAPTAIN THOMAS BLVD, WEST HAVEN, CT, 06516, United States +1 203-464-9635 drbaylis@westshorefamily.dental 322 HOLLOW ROAD, ORANGE, CT, 06477, United States

Officer

Name Role Business address Phone E-Mail Residence address
ALLISON BAYLIS DMD Officer 141 CAPTAIN THOMAS BLVD, WEST HAVEN, CT, 06516, United States +1 203-464-9635 drbaylis@westshorefamily.dental 322 HOLLOW ROAD, ORANGE, CT, 06477, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012246339 2024-04-01 No data Annual Report Annual Report No data
BF-0011466965 2023-02-06 No data Annual Report Annual Report No data
BF-0010359603 2022-02-17 No data Annual Report Annual Report 2022
0007152070 2021-02-15 No data Annual Report Annual Report 2021
0007110658 2021-02-02 No data Annual Report Annual Report 2020
0006455011 2019-03-12 No data Annual Report Annual Report 2019
0006383392 2019-02-14 No data Annual Report Annual Report 2018
0006080956 2018-02-15 No data Annual Report Annual Report 2017
0005683400 2016-10-28 2016-10-28 Business Formation Certificate of Organization No data

Related by officers

No related officers

Related by address

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Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website

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