| Entity Name: | DAVID M. BASS, M.D., P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 01 Jun 1979 |
| Business ALEI: | 0093072 |
| Annual report due: | 01 Jun 2025 |
| NAICS code: | 622310 - Specialty (except Psychiatric and Substance Abuse) Hospitals |
| Business address: | 85 SEYMOUR STREET SUITE 718, HARTFORD, CT, 06106, United States |
| Mailing address: | 85 SEYMOUR STREET SUITE 718, HARTFORD, CT, United States, 06106 |
| ZIP code: | 06106 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 5000 |
| E-Mail: | bill@slomancpa.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| DANIEL BLUME ESQ. | Agent | 433 SOUTH MAIN ST, #111, WEST HARTFORD, CT, 06110, United States | 433 SOUTH MAIN ST, #111, WEST HARTFORD, CT, 06110, United States | +1 860-997-2080 | dmbassmd@aol.com | 160 JEROME AVENUE, BURLINGTON, CT, 06013, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| DAVID M. BASS M.D. | Officer | 85 SEYMOUR STREET SUITE 718, HARTFORD, CT, 06106, United States | No data | No data | 40 Fawn Run, Glastonbury, CT, 06033-4167, United States |
| DANIEL BLUME ESQ. | Officer | 1001 FARMINGTON AVENUE, WEST HARTFORD, CT, 06107, United States | +1 860-997-2080 | dmbassmd@aol.com | 160 JEROME AVENUE, BURLINGTON, CT, 06013, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| DAVID M. BASS M.D. | Director | 85 SEYMOUR STREET SUITE 718, HARTFORD, CT, 06106, United States | No data | No data | 40 Fawn Run, Glastonbury, CT, 06033-4167, United States |
| DANIEL BLUME ESQ. | Director | 1001 FARMINGTON AVENUE, WEST HARTFORD, CT, 06107, United States | +1 860-997-2080 | dmbassmd@aol.com | 160 JEROME AVENUE, BURLINGTON, CT, 06013, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012043990 | 2024-09-06 | No data | Annual Report | Annual Report | No data |
| BF-0011078938 | 2024-09-06 | No data | Annual Report | Annual Report | No data |
| BF-0012749393 | 2024-08-29 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| BF-0010410912 | 2022-05-31 | No data | Annual Report | Annual Report | 2022 |
| BF-0009752297 | 2021-07-01 | No data | Annual Report | Annual Report | No data |
| 0007352773 | 2021-05-26 | No data | Annual Report | Annual Report | 2017 |
| 0007352778 | 2021-05-26 | No data | Annual Report | Annual Report | 2020 |
| 0007352774 | 2021-05-26 | No data | Annual Report | Annual Report | 2018 |
| 0007352776 | 2021-05-26 | No data | Annual Report | Annual Report | 2019 |
| 0005877516 | 2017-06-29 | No data | Annual Report | Annual Report | 2016 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
