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NEW LONDON OB GYN & MIDWIFERY, LLC

Company Details

Entity Name: NEW LONDON OB GYN & MIDWIFERY, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 14 Sep 2017
Business ALEI: 1249934
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 3 Shaws Cv, New London, CT, 06320-4952, United States
Mailing address: 20 Fairwood Ct, Milford, CT, United States, 06460
ZIP code: 06320
County: New London
Place of Formation: CONNECTICUT
E-Mail: sjfleischman@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW LONDON OB GYN & MIDWIFERY 401(K) PLAN 2023 822796101 2024-07-03 NEW LONDON OB GYN & MIDWIFERY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-08
Business code 621111
Sponsor’s telephone number 2034942353
Plan sponsor’s address 20 FAIRWOOD AVENUE, MILFORD, CT, 06460

Plan administrator’s name and address

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 2024-07-02
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
NEW LONDON OB GYN & MIDWIFERY 401(K) PLAN 2022 822796101 2023-08-11 NEW LONDON OB GYN & MIDWIFERY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-08
Business code 621111
Sponsor’s telephone number 2034942353
Plan sponsor’s address 20 FAIRWOOD AVENUE, MILFORD, CT, 06460

Plan administrator’s name and address

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 2023-08-11
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
NEW LONDON OB GYN & MIDWIFERY 401(K) PLAN 2021 822796101 2022-05-20 NEW LONDON OB GYN & MIDWIFERY, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-08
Business code 621111
Sponsor’s telephone number 2034942353
Plan sponsor’s address 20 FAIRWOOD AVENUE, MILFORD, CT, 06460

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-05-20
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
NEW LONDON OB GYN & MIDWIFERY 401(K) PLAN 2020 822796101 2021-05-11 NEW LONDON OB GYN & MIDWIFERY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-08
Business code 621111
Sponsor’s telephone number 2034942353
Plan sponsor’s address 360 STATE ST, APT 3106, NEW HAVEN, CT, 06510

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2021-05-11
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
NEW LONDON OB GYN & MIDWIFERY 401(K) PLAN 2019 822796101 2020-05-20 NEW LONDON OB GYN & MIDWIFERY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-08
Business code 621111
Sponsor’s telephone number 2034942353
Plan sponsor’s address 148 RIMMON ROAD, WOODBRIDGE, CT, 06525

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2020-05-19
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
NEW LONDON OB GYN & MIDWIFERY 401(K) PLAN 2018 822796101 2019-07-24 NEW LONDON OB GYN & MIDWIFERY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-08
Business code 621111
Sponsor’s telephone number 2034942353
Plan sponsor’s address 148 RIMMON ROAD, WOODBRIDGE, CT, 06525

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2019-07-24
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
STEVEN FLEISCHMAN Agent 3 Shaws Cv, New London, CT, 06320-4952, United States 20 Fairwood Ave, Milford, CT, 06460-5830, United States +1 203-494-2353 sjfleischman@gmail.com 148 RIMMON ROAD, 20 Fairwood Ave, Milford, CT, 06460-5830, United States

Officer

Name Role Business address Phone E-Mail Residence address
STEVEN FLEISCHMAN Officer 3 Shaws Cv, New London, CT, 06320-4952, United States +1 203-494-2353 sjfleischman@gmail.com 148 RIMMON ROAD, 20 Fairwood Ave, Milford, CT, 06460-5830, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012109786 2024-03-13 No data Annual Report Annual Report No data
BF-0011338798 2023-06-22 No data Annual Report Annual Report No data
BF-0010392902 2022-05-16 No data Annual Report Annual Report 2022
BF-0009789637 2021-09-27 No data Annual Report Annual Report No data
0006777017 2020-02-24 No data Annual Report Annual Report 2018
0006777028 2020-02-24 No data Annual Report Annual Report 2019
0006777037 2020-02-24 No data Annual Report Annual Report 2020
0005926170 2017-09-14 2017-09-14 Business Formation Certificate of Organization No data

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website