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HARTFORD PHARMACY II, INC.

Company Details

Entity Name: HARTFORD PHARMACY II, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Date Formed: 29 Dec 2016 (Companies founded in December 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 (Companies in Hartford, 06106)
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: dhulipallap@yahoo.com

form 5500

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
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 2024-05-03
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
HARTFORD PHARMACY II INC 401(K) PROFIT SHARING PLAN & TRUST 2022 814851903 2023-04-07 HARTFORD PHARMACY II INC 19
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
HARTFORD PHARMACY II INC 401(K) PROFIT SHARING PLAN & TRUST 2021 814851903 2022-06-11 HARTFORD PHARMACY II INC 23
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
HARTFORD PHARMACY II INC 401(K) PROFIT SHARING PLAN & TRUST 2020 814851903 2021-04-02 HARTFORD PHARMACY II INC 24
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

Agent

Name Role Business address Phone E-Mail 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

Director

Name Role Residence address
RAJENDRA P. APPALANENI Director 62 Stoney Ridge Rd, Saddle River, NJ, 07458-2510, United States

Officer

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

License

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

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: 04 Nov 2024

Sources: Connecticut's Official State Website