| Entity Name: | FAIRFIELD SURGERY CENTER, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 25 Jan 1999 |
| Business ALEI: | 0612154 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621493 - Freestanding Ambulatory Surgical and Emergency Centers |
| Business address: | 305 Black Rock Turnpike, Fairfield, CT, 06825, United States |
| Mailing address: | 305 Black Rock Turnpike, Fairfield, CT, United States, 06825 |
| ZIP code: | 06825 |
| County: | Fairfield |
| Place of Formation: | TENNESSEE |
| E-Mail: | cwallace@fairfieldasc.com |
| Name | Role |
|---|---|
| PULLMAN & COMLEY, LLC | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| John Awad | Officer | 305 Black Rock Turnpike, Fairfield, CT, 06825, United States | 6 N Sasco Cmn, Westport, CT, 06880, United States |
| Ross Richer | Officer | 305 Black Rock Turnpike, Fairfield, CT, 06825, United States | 305 Black Rock Turnpike, Fairfield, CT, 06825, United States |
| Henry Backe | Officer | 305 Black Rock Turnpike, Fairfield, CT, 06825, United States | 305 Black Rock Turnpike, Fairfield, CT, 06825, United States |
| Patrick Kwok | Officer | 305 Black Rock Turnpike, Fairfield, CT, 06825, United States | 305 Black Rock Turnpike, Fairfield, CT, 06825, United States |
| Dante Brittis | Officer | 305 Black Rock Turnpike, Fairfield, CT, 06825, United States | 305 Black Rock Turnpike, Fairfield, CT, 06825, United States |
| James Fitzgibbons | Officer | 305 Black Rock Turnpike, Fairfield, CT, 06825, United States | 305 Black Rock Turnpike, Fairfield, CT, 06825, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| ASC.0000353 | Out-Patient Surgical Facility | ACTIVE | CURRENT | 2016-10-03 | 2024-10-01 | 2026-09-30 |
| ASC.0000268 | Out-Patient Surgical Facility | INACTIVE | INACTIVE | 2009-04-01 | 2015-04-01 | 2017-03-31 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | ORTHOPAEDIC SPECIALTY SURGERY CENTER, LLC | FAIRFIELD SURGERY CENTER, LLC | 1999-09-21 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012269434 | 2024-01-18 | No data | Annual Report | Annual Report | No data |
| BF-0011154653 | 2023-01-03 | No data | Annual Report | Annual Report | No data |
| BF-0011022258 | 2022-09-29 | 2022-09-29 | Change of Business Address | Business Address Change | No data |
| BF-0010189301 | 2022-03-04 | No data | Annual Report | Annual Report | 2022 |
| BF-0010455771 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| 0007231125 | 2021-03-15 | No data | Annual Report | Annual Report | 2021 |
| 0006943532 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006950703 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006772067 | 2020-02-21 | No data | Annual Report | Annual Report | 2020 |
| 0006443676 | 2019-03-11 | No data | Annual Report | Annual Report | 2019 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
