Entity Name: | SMALL VICTORIES WELLNESS SERVICES, PLLC |
Jurisdiction: | Connecticut |
Legal type: | LLC |
Citizenship: | Domestic |
Status: | Active |
Sub status: | Annual report due |
Date Formed: | 15 Sep 2017 |
Business ALEI: | 1249958 |
Annual report due: | 31 Mar 2025 |
NAICS code: | 621420 - Outpatient Mental Health and Substance Abuse Centers |
Business address: | 360 MAIN ST, SUITE 2D, MIDDLETOWN, CT, 06457, United States |
Mailing address: | 360 MAIN ST, SUITE 2D, MIDDLETOWN, CT, United States, 06457 |
ZIP code: | 06457 |
County: | Middlesex |
Place of Formation: | CONNECTICUT |
E-Mail: | drcpp@smallvictorieswellness.com |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SMALL VICTORIES WELLNESS SERVICES, PLLC 401(K) PLAN | 2023 | 822742145 | 2024-05-14 | SMALL VICTORIES WELLNESS SERVICES, PLLC | 25 | |||||||||||||||||||||||||||||||
|
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 | 2024-05-14 |
Name of individual signing | QIAN LIU |
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 | 621420 |
Sponsor’s telephone number | 8602486041 |
Plan sponsor’s address | 360 MAIN ST, SUITE 2D, MIDDLETOWN, CT, 06457 |
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 | 2023-05-27 |
Name of individual signing | CHRISTINE RIMER |
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 | 621420 |
Sponsor’s telephone number | 8602486041 |
Plan sponsor’s address | 360 MAIN ST, SUITE 2D, MIDDLETOWN, CT, 06457 |
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 | 2022-05-19 |
Name of individual signing | CHRISTINE RIMER |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Business address | Mailing address | Phone | Residence address | |
---|---|---|---|---|---|---|
Carrissa Williams | Agent | 360 MAIN ST, SUITE 2D, MIDDLETOWN, CT, 06457, United States | 360 MAIN ST, SUITE 2D, MIDDLETOWN, CT, 06457, United States | +1 860-248-6041 | drcpp@smallvictorieswellness.com | 89 Bretton Rd, Middletown, CT, 06457-4111, United States |
Name | Role | Business address | Phone | Residence address | |
---|---|---|---|---|---|
Carrissa Williams | Officer | 360 MAIN ST, SUITE 2D, MIDDLETOWN, CT, 06457, United States | +1 860-248-6041 | drcpp@smallvictorieswellness.com | 89 Bretton Rd, Middletown, CT, 06457-4111, United States |
Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
---|---|---|---|---|---|
BF-0012110471 | 2024-03-19 | No data | Annual Report | Annual Report | No data |
BF-0011339221 | 2024-01-11 | No data | Annual Report | Annual Report | No data |
BF-0010205547 | 2022-02-10 | No data | Annual Report | Annual Report | 2022 |
0007103587 | 2021-02-01 | No data | Annual Report | Annual Report | 2021 |
0006836162 | 2020-03-17 | No data | Annual Report | Annual Report | 2020 |
0006410188 | 2019-02-26 | No data | Annual Report | Annual Report | 2019 |
0006120023 | 2018-03-13 | No data | Annual Report | Annual Report | 2018 |
0005928426 | 2017-09-15 | 2017-09-15 | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website