| Entity Name: | COS COB HEALTH, PLLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Sub status: | Ready for Forfeiture |
| Date Formed: | 09 Mar 2021 |
| Business ALEI: | 1381604 |
| Annual report due: | 31 Mar 2023 |
| NAICS code: | 622110 - General Medical and Surgical Hospitals |
| Business address: | 14 HILTON HEATH, COS COB, CT, 06807, United States |
| Mailing address: | 14 HILTON HEATH, COS COB, CT, United States, 06807 |
| ZIP code: | 06807 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | zec@principiumpsychiatry.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COS COB HEALTH, PLLC 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 862562435 | 2024-06-20 | COS COB HEALTH PLLC | 1 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-20 |
| Name of individual signing | EDWARD ROJAS |
| 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 | 812990 |
| Sponsor’s telephone number | 6466600111 |
| Plan sponsor’s address | 14 HILTON HEATH, COS COB, CT, 06807 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-10 |
| Name of individual signing | EDWARD ROJAS |
| 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 | 812990 |
| Sponsor’s telephone number | 6466600111 |
| Plan sponsor’s address | 14 HILTON HEATH, COS COB, CT, 06807 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-03 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| ZIV E. COHEN | Agent | 14 HILTON HEATH, COS COB, CT, 06807, United States | 14 HILTON HEATH, COS COB, CT, 06807, United States | +1 646-660-0111 | zec@principiumpsychiatry.com | 14 HILTON HEATH, COS COB, CT, 06807, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| ZIV E. COHEN | Officer | 14 HILTON HEATH, COS COB, CT, 06807, United States | +1 646-660-0111 | zec@principiumpsychiatry.com | 14 HILTON HEATH, COS COB, CT, 06807, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0013172933 | 2024-11-19 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0012726398 | 2024-08-13 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| BF-0010191195 | 2022-06-24 | No data | Annual Report | Annual Report | 2022 |
| 0007214020 | 2021-03-09 | 2021-03-09 | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
