| Entity Name: | MED-FORM, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 24 Feb 2004 |
| Business ALEI: | 0775488 |
| Annual report due: | 23 Feb 2008 |
| Business address: | 197 HUNTINGDON AVE, WATERBURY, CT, 06708 |
| Mailing address: | 197 HUNTINGDON AVE., WATERBURY, CT, 06708 |
| ZIP code: | 06708 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| THOMAS P. RUSH | Agent | 519 CARMEL HILL RD NORTH, BETHLEHEM, CT, 06751-1007, United States | 519 CARMEL HILL ROAD NORTH, BETHLEHEM, CT, 06751-1007, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| TIMOTHY F. LUCID IV | Officer | 197 HUNTINGDON AVE, WATERBURY, CT, 06708, United States | 38 MARNE PLACE, BANTAM, CT, 06750, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0010618997 | 2022-06-02 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0010496487 | 2022-03-04 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0003482610 | 2007-06-25 | No data | Annual Report | Annual Report | 2005 |
| 0003482649 | 2007-06-25 | No data | Annual Report | Annual Report | 2007 |
| 0003482625 | 2007-06-25 | No data | Annual Report | Annual Report | 2006 |
| 0002692751 | 2004-02-24 | No data | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
