| Entity Name: | FERNWOOD REST HOME, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report past due |
| Date Formed: | 19 Oct 1972 |
| Business ALEI: | 0017032 |
| Annual report due: | 19 Oct 2024 |
| NAICS code: | 623990 - Other Residential Care Facilities |
| Business address: | 400 TORRINGTON RD., LITCHFIELD, CT, 06759, United States |
| Mailing address: | P O BOX 548, LITCHFIELD, CT, United States, 06759 |
| ZIP code: | 06759 |
| County: | Litchfield |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 1000 |
| E-Mail: | administrator@fernwoodrch.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| MARIO P. MUSILLI | Agent | 1100 SUMMER STREET, STAMFORD, CT, 06905, United States | 1100 SUMMER STREET, STAMFORD, CT, 06905, United States | +1 203-348-6611 | mario@musillilaw.com | 253 SKYVIEW DRIVE, STAMFORD, CT, 06902, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| PATRICIA A. ADKINS | Officer | 400 TORRINGTON ROAD, LITCHFIELD, CT, 06759, United States | 400 TORRINGTON ROAD, LITCHFIELD, CT, 06759, United States |
| BRAD ADKINS | Officer | 400 TORRINGTON ROAD, LITCHFIELD, CT, 06759, United States | 400 TORRINGTON ROAD, LITCHFIELD, CT, 06759, United States |
| BONNIE ADKINS | Officer | 400 TORRINGTON ROAD, LITCHFIELD, CT, 06759, United States | 139 DIAMOND CITY DRIVE, HARKERS ISLAND, NC, 28531, United States |
| BRENT W. ADKINS | Officer | 400 TORRINGTON ROAD, LITCHFIELD, CT, 06759, United States | 139 DIAMOND CITY DRIVE, HARKERS ISLAND, NC, 28531, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| RCH.1699RCH | Residential Care Facility | ACTIVE | CURRENT | 2009-04-01 | 2024-04-01 | 2027-03-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011088813 | 2024-05-16 | No data | Annual Report | Annual Report | No data |
| BF-0010356745 | 2022-10-19 | No data | Annual Report | Annual Report | 2022 |
| BF-0009816874 | 2021-10-27 | No data | Annual Report | Annual Report | No data |
| BF-0010084510 | 2021-06-22 | 2021-07-13 | Change of Agent | Agent Change | No data |
| 0007370978 | 2021-06-14 | No data | Interim Notice | Interim Notice | No data |
| 0007187815 | 2021-02-24 | No data | Annual Report | Annual Report | 2018 |
| 0007187824 | 2021-02-24 | No data | Annual Report | Annual Report | 2019 |
| 0007187834 | 2021-02-24 | No data | Annual Report | Annual Report | 2020 |
| 0006008932 | 2018-01-16 | No data | Annual Report | Annual Report | 2014 |
| 0006008971 | 2018-01-16 | No data | Annual Report | Annual Report | 2016 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
