| Entity Name: | DANBURY MIDWIFERY GROUP, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 13 Dec 2016 |
| Business ALEI: | 1224456 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| Business address: | 94 LOCUST AVENUE, DANBURY, CT, 06810, United States |
| Mailing address: | 94 LOCUST AVENUE, DANBURY, CT, United States, 06810 |
| ZIP code: | 06810 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | kpblau@gmail.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANBURY MIDWIFERY GROUP RETIREMENT PLAN | 2023 | 812877563 | 2024-07-23 | DANBURY MIDWIFERY GROUP LLC | 14 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-07-23 |
| Name of individual signing | KENNETH BLAU |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-07-23 |
| Name of individual signing | KENNETH BLAU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2037486000 |
| Plan sponsor’s address | 94 LOCUST AVENUE, DANBURY, CT, 06810 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-17 |
| Name of individual signing | KENNETH BLAU |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-07-17 |
| Name of individual signing | KENNETH BLAU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2037486000 |
| Plan sponsor’s address | 94 LOCUST AVENUE, DANBURY, CT, 06810 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-25 |
| Name of individual signing | KENNETH BLAU |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-07-25 |
| Name of individual signing | KENNETH BLAU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2037486000 |
| Plan sponsor’s address | 94 LOCUST AVENUE, DANBURY, CT, 06810 |
Signature of
| Role | Plan administrator |
| Date | 2021-05-26 |
| Name of individual signing | KENNETH BLAU |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-05-26 |
| Name of individual signing | KENNETH BLAU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| KENNETH P BLAU M.D. | Agent | 94 LOCUST AVENUE, DANBURY, CT, 06810, United States | 94 LOCUST AVENUE, DANBURY, CT, 06810, United States | +1 203-733-6582 | kpblau@gmail.com | 29 GROVE AVENUE, MADISON, CT, 06443, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| KENNETH BLAU | Officer | 94 LOCUST AVENUE, DANBURY, CT, 06810, United States | 29 GROVE AVENUE, MADISON, CT, 06443, United States |
| PATRICIA WHITCOMBE | Officer | 94 LOCUST AVENUE, DANBURY, CT, 06810, United States | 60 Deer Hill Ave, Danbury, CT, 06810-7937, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | CCWC PROFESSIONAL PRACTICE GROUP, LLC | DANBURY MIDWIFERY GROUP, LLC | 2019-04-08 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012246439 | 2024-04-17 | No data | Annual Report | Annual Report | No data |
| BF-0011469211 | 2023-07-04 | No data | Annual Report | Annual Report | No data |
| BF-0010273946 | 2022-04-04 | No data | Annual Report | Annual Report | 2022 |
| 0007108626 | 2021-02-02 | No data | Annual Report | Annual Report | 2021 |
| 0006935946 | 2020-06-30 | No data | Annual Report | Annual Report | 2019 |
| 0006935943 | 2020-06-30 | No data | Annual Report | Annual Report | 2018 |
| 0006935942 | 2020-06-30 | No data | Annual Report | Annual Report | 2017 |
| 0006935947 | 2020-06-30 | No data | Annual Report | Annual Report | 2020 |
| 0006529184 | 2019-04-08 | 2019-04-08 | Amendment | Amend Name | No data |
| 0005718172 | 2016-12-13 | 2016-12-13 | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
