| Entity Name: | EVAN PROVISOR, M.D. P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 10 Dec 1985 (Companies founded in December 1985) |
| Business ALEI: | 0177473 |
| Business address: | SHARON MEDICAL ARTS CENTER PO BOX 786 29 HOSPITAL HILL RD., SHARON, CT, 06069 |
| Mailing address: | SHARON MEDICAL ARTS CTR. PO BOX 786 29 HOSPITAL HILL ROAD, SHARON, CT, 06069 |
| ZIP code: | 06069 (Companies in Litchfield, 06069) |
| County: | Litchfield |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 5000 |
| E-Mail: | evan@provisor.us |
| Name | Role | Business address | Residence address | |
|---|---|---|---|---|
| EVAN PROVISOR M.D. | Agent | SAME AS RES | evan@provisor.us | SHARON MEDICAL ARTS CT, HOSPITAL HILL ROAD, SHARON, CT, 06069, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| PAMELA ANN PROVISOR | Officer | 50 HOSPITAL HILL ROAD, SHARON, CT, 06069, United States | 60 CORNWALL BRIDGE ROAD, SHARON, CT, 06069, United States |
| EVAN PAUL PROVISOR | Officer | 29 HOSPITAL HILL ROAD, SHARON, CT, 06069, United States | 60 CORNWALL BRIDGE ROAD, SHARON, CT, 06069, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0010673867 | 2022-07-11 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0010547873 | 2022-04-11 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0003818702 | 2008-11-22 | No data | Annual Report | Annual Report | 2008 |
| 0003594958 | 2007-12-19 | No data | Annual Report | Annual Report | 2007 |
| 0003352596 | 2006-12-14 | No data | Annual Report | Annual Report | 2006 |
| 0003070590 | 2005-12-15 | No data | Annual Report | Annual Report | 2005 |
| 0002973661 | 2005-01-04 | No data | Annual Report | Annual Report | 2004 |
| 0002756353 | 2004-01-13 | 2004-01-13 | Annual Report | Annual Report | 2003 |
| 0002666533 | 2003-06-18 | 2003-06-18 | Annual Report | Annual Report | 2001 |
| 0002666534 | 2003-06-18 | 2003-06-18 | Annual Report | Annual Report | 2002 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
