| Entity Name: | WATERBURY MEDICAL ASSOCIATION, INCORPORATED |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 23 Mar 1908 |
| Business ALEI: | 0061122 |
| Annual report due: | 23 Mar 2025 |
| NAICS code: | 813920 - Professional Organizations |
| Business address: | ONE REGENCY DRIVE P. O. BOX 30, BLOOMFIELD, CT, 06002, United States |
| Mailing address: | P. O. BOX 30 ONE REGENCY DR., BLOOMFIELD, CT, United States, 06002 |
| ZIP code: | 06002 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | myokose@ssmgt.com |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| MARY YOKOSE | Agent | ONE REGENCY DR, SUITE 209, BLOOMFIELD, CT, 06002, United States | +1 860-243-3977 | MYOKOSE@SSMGT.COM | 23 COLUMBINE RD, TOLLAND, CT, 06084, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DWIGHT MILLER M.D. | Director | One Regency Dr., Suite 209, Bloomfield, CT, 06002, United States | 200 Leeder Hill Dr, Apt 342, Hamden, CT, 06517, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| MARY YOKOSE | Officer | ONE REGENCY DR., PO BOX 30, BLOOMFIELD, CT, 06002, United States | +1 860-243-3977 | MYOKOSE@SSMGT.COM | 23 COLUMBINE RD, TOLLAND, CT, 06084, United States |
| STEPHEN TORREY M.D. | Officer | 49 Groveway, Clinton, CT, 06413-2226, United States | No data | No data | 49 Groveway, Clinton, CT, 06413, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CHR.0009354-EXEMPT | PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS | ACTIVE | No data | No data | No data | No data |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012046267 | 2024-02-22 | No data | Annual Report | Annual Report | No data |
| BF-0011085471 | 2023-02-22 | No data | Annual Report | Annual Report | No data |
| BF-0010356081 | 2022-02-22 | No data | Annual Report | Annual Report | 2022 |
| 0007210636 | 2021-03-09 | No data | Annual Report | Annual Report | 2021 |
| 0006778823 | 2020-02-20 | No data | Annual Report | Annual Report | 2020 |
| 0006427765 | 2019-03-06 | No data | Annual Report | Annual Report | 2019 |
| 0006119220 | 2018-03-13 | No data | Annual Report | Annual Report | 2018 |
| 0005773503 | 2017-02-24 | No data | Annual Report | Annual Report | 2017 |
| 0005508024 | 2016-03-08 | No data | Annual Report | Annual Report | 2016 |
| 0005508016 | 2016-03-08 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
