| Entity Name: | DARIEN SIGNATURE HEALTH INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Date Formed: | 30 Mar 2017 (Companies founded in March 2017) |
| Business ALEI: | 1234481 |
| Annual report due: | 30 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 53 OLD KINGS HIGHWAY NORTH 2ND FLOOR, DARIEN, CT, 06820, United States |
| Mailing address: | 53 OLD KINGS HIGHWAY NORTH 2ND FLOOR, DARIEN, CT, United States, 06820 |
| ZIP code: | 06820 (Companies in Fairfield, 06820) |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 200 |
| E-Mail: | jtsakiridis@jmlevy.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DARIEN SIGNATURE HEALTH 401(K) PROFIT SHARING PLAN | 2023 | 821033354 | 2024-09-06 | DARIEN SIGNATURE HEALTH | 3 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-09-06 |
| Name of individual signing | AMANDA COLLINS BAINE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-09-06 |
| Name of individual signing | AMANDA COLLINS BAINE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2032865604 |
| Plan sponsor’s address | 53 OLD KINGS HIGHWAY NORTH, SUITE 205, DARIEN, CT, 06820 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-07 |
| Name of individual signing | AMANDA COLLINS-BAINE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-06-07 |
| Name of individual signing | AMANDA COLLINS-BAINE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2032865604 |
| Plan sponsor’s address | 53 OLD KINGS HIGHWAY NORTH, SUITE 205, DARIEN, CT, 06820 |
Signature of
| Role | Plan administrator |
| Date | 2022-04-12 |
| Name of individual signing | AMANDA COLLINS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-04-12 |
| Name of individual signing | AMANDA COLLINS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| AMANADA COLLINS BAINE | Officer | 53 OLD KINGS HIGHWAY NORTH, 2ND FLOOR, DARIEN, CT, 06820, United States | +1 516-467-1472 | filing@acs123.com | 49 ARCADIA ROAD, OLD GREENWICH, CT, 06870, United States |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| AMANADA COLLINS BAINE | Agent | 49 ARCADIA ROAD, OLD GREENWICH, CT, 06870, United States | 9 ARCADIA ROAD, OLD GREENWICH, CT, 06870, United States | +1 516-467-1472 | filing@acs123.com | 49 ARCADIA ROAD, OLD GREENWICH, CT, 06870, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012284715 | 2024-03-26 | No data | Annual Report | Annual Report | No data |
| BF-0011326901 | 2023-04-05 | No data | Annual Report | Annual Report | No data |
| BF-0010389626 | 2022-03-30 | No data | Annual Report | Annual Report | 2022 |
| BF-0009794843 | 2021-06-28 | No data | Annual Report | Annual Report | No data |
| 0007241692 | 2021-03-18 | No data | Annual Report | Annual Report | 2018 |
| 0007241698 | 2021-03-18 | No data | Annual Report | Annual Report | 2019 |
| 0007241706 | 2021-03-18 | No data | Annual Report | Annual Report | 2020 |
| 0005843185 | 2017-05-13 | 2017-05-13 | First Report | Organization and First Report | No data |
| 0005806222 | 2017-03-30 | 2017-03-30 | Business Formation | Certificate of Incorporation | No data |
Date of last update: 04 Nov 2024
Sources: Connecticut's Official State Website
