| Entity Name: | HARTFORD PHARMACY II, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 29 Dec 2016 |
| Business ALEI: | 1225501 |
| Annual report due: | 29 Dec 2024 |
| NAICS code: | 456110 - Pharmacies and Drug Retailers |
| Business address: | 57 PARK ST, HARTFORD, CT, 06106, United States |
| Mailing address: | 57 PARK ST, HARTFORD, CT, United States, 06106 |
| ZIP code: | 06106 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | dhulipallap@yahoo.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HARTFORD PHARMACY II INC 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 814851903 | 2024-05-03 | HARTFORD PHARMACY II INC | 16 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s address | 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-03 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| 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 | 541990 |
| Sponsor’s telephone number | 2012708013 |
| Plan sponsor’s address | 57 PARK ST., HARTFORD, CT, 06106 |
Plan administrator’s name and address
| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s address | 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-07 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| 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 | 541990 |
| Sponsor’s telephone number | 2012708013 |
| Plan sponsor’s address | 57 PARK ST., HARTFORD, CT, 06106 |
Plan administrator’s name and address
| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s address | 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-11 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| 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 | 541990 |
| Sponsor’s telephone number | 2012708013 |
| Plan sponsor’s address | 57 PARK ST., HARTFORD, CT, 06106 |
Signature of
| Role | Plan administrator |
| Date | 2021-04-02 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| PRAVEEN K DHULIPALLA | Agent | 57 PARK STREET, HARTFORD, CT, 06032, United States | +1 860-422-8888 | dhulipallap@yahoo.com | 6 THATCHER TERRACE, FARMINGTON, CT, 06032, United States |
| Name | Role | Residence address |
|---|---|---|
| RAJENDRA P. APPALANENI | Director | 62 Stoney Ridge Rd, Saddle River, NJ, 07458-2510, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| PRAVEEN K. DHULIPALLA | Officer | 469 PARK STREET, HARTFORD, CT, 06106, United States | 6 THATCHER TERRACE, FARMINGTON, CT, 06032, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| PCY.0002349 | PHARMACY | ACTIVE | CURRENT | 2017-05-31 | 2024-09-01 | 2025-08-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011466640 | 2024-01-29 | No data | Annual Report | Annual Report | No data |
| BF-0010247007 | 2023-01-16 | No data | Annual Report | Annual Report | 2022 |
| BF-0009826418 | 2021-11-30 | No data | Annual Report | Annual Report | No data |
| 0007014794 | 2020-11-09 | No data | Annual Report | Annual Report | 2020 |
| 0006671744 | 2019-11-04 | No data | Annual Report | Annual Report | 2019 |
| 0006271575 | 2018-11-05 | No data | Annual Report | Annual Report | 2018 |
| 0006236396 | 2018-08-22 | No data | Change of Agent Address | Agent Address Change | No data |
| 0006236348 | 2018-08-22 | No data | Interim Notice | Interim Notice | No data |
| 0005958187 | 2017-11-01 | No data | Annual Report | Annual Report | 2017 |
| 0005861391 | 2017-06-07 | No data | Change of Business Address | Business Address Change | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
