| Entity Name: | Roy B. Pettengill Ambulance Association Incorporated |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 29 Sep 1958 |
| Business ALEI: | 0062433 |
| NAICS code: | 621910 - Ambulance Services |
| Mailing address: | PO BOX 308, MARLBOROUGH, CT, United States, 06447 |
| Business address: | 7 HEBRON RD, MARLBOROUGH, CT, 06447, United States |
| ZIP code: | 06447 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | houseofmerritt@att.net |
| E-Mail: | roybpettengillambulance@gmail.com |
| Name | Role | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|
| Mark Merritt | Agent | 72 Jones Hollow Rd, Marlborough, CT, 06477, United States | +1 860-916-9577 | lawnsnstuff@comcast.net | 72 Jones Hollow Rd, Marlborough, CT, 06447-1141, United States |
| Name | Role | Residence address |
|---|---|---|
| LORI TARKA | Officer | 2 GINA LANE, Marlborough, CT, 06447, United States |
| CORRINE MACHOWSKI | Officer | 68 VICTORIA LANE, Marlborough, CT, 06447, United States |
| MARK MERRITT | Officer | 145 ROBIN ROAD, WEST HARTFORD, CT, 06119, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| C.0C079B1 | Certified EMS Organization | ACTIVE | CURRENT | 2016-12-28 | 2024-10-01 | 2025-09-30 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | MARLBOROUGH AMBULANCE ASSOCIATION INCORPORATED, THE | ROY B. PETTENGILL AMBULANCE ASSOCIATION INCORPORATED | 1968-12-11 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0013193841 | 2024-11-20 | 2024-11-20 | Interim Notice | Interim Notice | No data |
| BF-0013193597 | 2024-11-20 | 2024-11-20 | Change of Email Address | Business Email Address Change | No data |
| BF-0012798281 | 2024-10-22 | 2024-10-22 | Reinstatement | Certificate of Reinstatement | No data |
| BF-0012037642 | 2023-10-30 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0011897726 | 2023-07-25 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| BF-0008691884 | 2022-04-22 | No data | Annual Report | Annual Report | 2019 |
| 0006279393 | 2018-11-14 | No data | Annual Report | Annual Report | 2015 |
| 0006279394 | 2018-11-14 | No data | Annual Report | Annual Report | 2016 |
| 0006279395 | 2018-11-14 | No data | Annual Report | Annual Report | 2017 |
| 0006279396 | 2018-11-14 | No data | Annual Report | Annual Report | 2018 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
