| Entity Name: | SOUTHWEST CONNECTICUT SURGERY CENTER, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 28 Jan 2020 |
| Business ALEI: | 1334143 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621493 - Freestanding Ambulatory Surgical and Emergency Centers |
| Business address: | 100 AVON MEADOW LANE, AVON, CT, 06001, United States |
| Mailing address: | 100 AVON MEADOW LANE, AVON, CT, United States, 06001 |
| ZIP code: | 06001 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | katiecistulli@cbfs.us |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHWEST CONNECTICUT SURGERY CENTER, LLC 401(K) PROFIT SHARING PLAN | 2023 | 852607391 | 2024-06-18 | SOUTHWEST CONNECTICUT SURGERY CENTER, LLC | 31 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-06-18 |
| Name of individual signing | KRISTIAN MINEAU |
| 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 | 621493 |
| Sponsor’s telephone number | 8606679542 |
| Plan sponsor’s address | 60 DANBURY ROAD, WILTON, CT, 06897 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-30 |
| Name of individual signing | KRISTIAN MINEAU |
| 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 | 621493 |
| Sponsor’s telephone number | 8606679542 |
| Plan sponsor’s address | 60 DANBURY ROAD, WILTON, CT, 06897 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-21 |
| Name of individual signing | KRISTIAN MINEAU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| THEODORE KRAWIEC M.D. | Agent | C/O 100 AVON MEADOW LANE, AVON, CT, 06001, United States | C/O 100 AVON MEADOW LANE, AVON, CT, 06001, United States | +1 860-667-9542 | tracycalvert@csasurgery.com | C/O 100 AVON MEADOW LANE, AVON, CT, 06001, United States |
| Name | Role | Business address |
|---|---|---|
| SCSC HOLDINGS, LLC | Officer | 100 AVON MEADOW LANE, AVON, CT, 06001, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| ASC.0000373 | Out-Patient Surgical Facility | ACTIVE | CURRENT | 2021-08-16 | 2023-07-01 | 2025-06-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012074034 | 2024-01-23 | No data | Annual Report | Annual Report | No data |
| BF-0011358586 | 2023-01-25 | No data | Annual Report | Annual Report | No data |
| BF-0010195990 | 2022-01-28 | No data | Annual Report | Annual Report | 2022 |
| 0007120363 | 2021-02-03 | No data | Annual Report | Annual Report | 2021 |
| 0006950848 | 2020-07-22 | 2020-07-22 | Change of Business Address | Business Address Change | No data |
| 0006950184 | 2020-07-21 | 2020-07-21 | Interim Notice | Interim Notice | No data |
| 0006950099 | 2020-07-21 | 2020-07-21 | Change of Agent | Agent Change | No data |
| 0006950119 | 2020-07-21 | 2020-07-21 | Change of Agent | Agent Change | No data |
| 0006734449 | 2020-01-28 | 2020-01-28 | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
