| Entity Name: | WIH FACULTY PHYSICIANS, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report past due |
| Date Formed: | 10 Jul 2009 (Companies founded in July 2009) |
| Business ALEI: | 0976953 |
| Annual report due: | 10 Jul 2024 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 17 CASE STREET, NORWICH, CT, 06360, United States |
| Mailing address: | 17 CASE STREET, NORWICH, CT, United States, 06360 |
| ZIP code: | 06360 (Companies in New London, 06360) |
| County: | New London |
| Place of Formation: | MASSACHUSETTS |
| E-Mail: | amlogan@carene.org |
| Name | Role |
|---|---|
| HASLAW, INC. | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| STEPHEN R. CARR M.D. | Director | 101 DUDLEY STREET, PROVIDENCE, RI, 02905, United States | 31 HILLTOP AVENUE, BARRINGTON, RI, 02806, United States |
| SHANNON SULLIVAN | Director | 101 Dudley St, Providence, RI, 02905-2401, United States | 101 Dudley St, Providence, RI, 02905-2401, United States |
| PAUL DISILVESTRO M.D. | Director | 101 DUDLEY STREET, PROVIDENCE, RI, 02905, United States | 101 DUDLEY STREET, PROVIDENCE, RI, 02905, United States |
| METHODIUS TUULI, M.D. | Director | 101 Dudley St, Providence, RI, 02905-2401, United States | 101 Dudley St, Providence, RI, 02905-2401, United States |
| JILL MARON, M.D., MPH | Director | 101 Dudley St, Providence, RI, 02905-2401, United States | 101 Dudley St, Providence, RI, 02905-2401, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| JILL MARON, M.D., MPH | Officer | 101 Dudley St, Providence, RI, 02905-2401, United States | 101 Dudley St, Providence, RI, 02905-2401, United States |
| THOMAS RICCI | Officer | 101 Dudley St, Providence, RI, 02905-2401, United States | 101 Dudley St, Providence, RI, 02905-2401, United States |
| METHODIUS TUULI, M.D. | Officer | 101 Dudley St, Providence, RI, 02905-2401, United States | 101 Dudley St, Providence, RI, 02905-2401, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011177424 | 2023-10-05 | No data | Annual Report | Annual Report | No data |
| BF-0010734575 | 2023-10-05 | No data | Annual Report | Annual Report | No data |
| BF-0009104409 | 2023-10-05 | No data | Annual Report | Annual Report | 2020 |
| BF-0009914485 | 2023-10-05 | No data | Annual Report | Annual Report | No data |
| BF-0011903713 | 2023-07-27 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0006586040 | 2019-06-26 | No data | Annual Report | Annual Report | 2019 |
| 0006209416 | 2018-07-02 | No data | Annual Report | Annual Report | 2018 |
| 0005881050 | 2017-07-07 | No data | Annual Report | Annual Report | 2017 |
| 0005611839 | 2016-07-25 | No data | Annual Report | Annual Report | 2016 |
| 0005371267 | 2015-07-27 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
