| Entity Name: | COASTAL EYE SURGEONS PLLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 20 Jul 2017 |
| Business ALEI: | 1244254 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 600 WEST PUTNAM AVE LOWER LEVEL, GREENWICH, CT, 06830, United States |
| Mailing address: | 600 W PUTNAM AVE LOWER LEVEL, GREENWICH, CT, United States, 06830 |
| ZIP code: | 06830 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | omar.shakir@gmail.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COASTAL EYE SURGEONS 401(K) PLAN | 2023 | 822419515 | 2024-05-23 | COASTAL EYE SURGEONS PLLC | 0 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-23 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| OMAR SHAKIR | Agent | 600 WEST PUTNAM AVE LOWER LEVEL, GREENWICH, CT, 06830, United States | 600 WEST PUTNAM AVE LOWER LEVEL, GREENWICH, CT, 06830, United States | +1 321-960-2664 | omar.shakir@gmail.com | 600 WEST PUTNAM AVE LOWER LEVEL, GREENWICH, CT, 06830, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| OMAR SHAKIR | Officer | 600 W PUTNAM AVE, LOWER LEVEL, GREENWICH, CT, 06830, United States | +1 321-960-2664 | omar.shakir@gmail.com | 600 WEST PUTNAM AVE LOWER LEVEL, GREENWICH, CT, 06830, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | COASTAL EYE SURGEONS LLC | COASTAL EYE SURGEONS PLLC | 2019-04-25 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012120167 | 2024-10-01 | No data | Annual Report | Annual Report | No data |
| BF-0011342033 | 2024-10-01 | No data | Annual Report | Annual Report | No data |
| BF-0012738586 | 2024-08-21 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| BF-0010268607 | 2022-06-11 | No data | Annual Report | Annual Report | 2022 |
| 0007136299 | 2021-02-09 | No data | Annual Report | Annual Report | 2021 |
| 0006994633 | 2020-10-01 | No data | Annual Report | Annual Report | 2018 |
| 0006994636 | 2020-10-01 | No data | Annual Report | Annual Report | 2019 |
| 0006994638 | 2020-10-01 | No data | Annual Report | Annual Report | 2020 |
| 0006543676 | 2019-04-25 | 2019-04-25 | Amendment | Amend Name | No data |
| 0006538408 | 2019-04-22 | 2019-04-22 | Change of Agent Address | Agent Address Change | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
