| Entity Name: | RIVER VALLEY ASC, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Date Formed: | 27 Jul 2012 (Companies founded in July 2012) |
| Business ALEI: | 1069409 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621493 - Freestanding Ambulatory Surgical and Emergency Centers |
| Business address: | 45 SALEM TURNPIKE, NORWICH, CT, 06360, United States |
| Mailing address: | 45 SALEM TURNPIKE, NORWICH, CT, United States, 06360 |
| ZIP code: | 06360 (Companies in New London, 06360) |
| County: | New London |
| Place of Formation: | CONNECTICUT |
| E-Mail: | CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM |
| CIK number | Mailing Address | Business Address | Phone | |
|---|---|---|---|---|
| 1748631 | 45 SALEM TURNPIKE, NORWICH, CT, 06360 | 45 SALEM TURNPIKE, NORWICH, CT, 06360 | 860-859-9948 | |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RIVER VALLEY ASC LLC 401(K) PROFIT SHARING PLAN & TRUST | 2017 | 460758315 | 2020-01-23 | RIVER VALLEY ASC LLC | 58 | |||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2020-01-23 |
| Name of individual signing | RICHARD SEARLES |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-01-23 |
| Name of individual signing | RICHARD SEARLES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 446190 |
| Sponsor’s telephone number | 9145526929 |
| Plan sponsor’s address | 45 SALEM TPKE, NORWICH, CT, 06360 |
Signature of
| Role | Plan administrator |
| Date | 2016-06-21 |
| Name of individual signing | MICHELLE DRAKE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 446190 |
| Sponsor’s telephone number | 9145526929 |
| Plan sponsor’s address | 45 SALEM TPKE, NORWICH, CT, 06360 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-02 |
| Name of individual signing | MICHELLE DRAKE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 446190 |
| Sponsor’s telephone number | 9145526929 |
| Plan sponsor’s address | 45 SALEM TPKE, NORWICH, CT, 06360 |
Signature of
| Role | Plan administrator |
| Date | 2014-06-04 |
| Name of individual signing | MICHELLE DRAKE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Residence address | |
|---|---|---|---|---|---|
| MICHELE M. VOLPE | Agent | 377 BOSTON POST RD, MADISON, CT, 06443, United States | 377 BOSTON POST RD, MADISON, CT, 06443, United States | CLS-CTARMSevidence@wolterskluwer.com | 37 BOSTON POST RD., MADISON, CT, 06443, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Richard Martin | Officer | 45 SALEM TURNPIKE, NORWICH, CT, 06360, United States | 16 Bridle Path Trl, Newtown, CT, 06470, United States |
| Frank Dellacano | Officer | 45 SALEM TURNPIKE, NORWICH, CT, 06360, United States | 45 SALEM TURNPIKE, NORWICH, CT, 06360, United States |
| Jennifer Gale | Officer | 45 SALEM TURNPIKE, NORWICH, CT, 06360, United States | 45 SALEM TURNPIKE, NORWICH, CT, 06360, United States |
| Donna Stassi | Officer | 45 SALEM TURNPIKE, NORWICH, CT, 06360, United States | 4920 MAIN STREET, BRIDGEPORT, CT, 06606, United States |
| Paul Abbate | Officer | 45 SALEM TURNPIKE, NORWICH, CT, 06360, United States | 226 WHITE STREET, DANBURY, CT, 06810, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| SE.1111970 | Securities - Exemptions | ACTIVE | ACTIVE | No data | 2019-06-18 | No data |
| SE.1106318 | Securities - Exemptions | ACTIVE | ACTIVE | No data | 2018-08-06 | No data |
| CSP.0074905-HOSP | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS | ACTIVE | CURRENT | 2020-08-12 | 2023-03-01 | 2025-02-28 |
| ASC.0000338 | Out-Patient Surgical Facility | ACTIVE | CURRENT | 2013-07-30 | 2023-07-01 | 2025-06-30 |
| ASC.0000336 | Out-Patient Surgical Facility | INACTIVE | INACTIVE | 2012-11-07 | 2012-11-07 | 2014-09-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012197244 | 2024-03-04 | No data | Annual Report | Annual Report | No data |
| BF-0011435022 | 2023-02-23 | No data | Annual Report | Annual Report | No data |
| BF-0010237005 | 2022-03-24 | No data | Annual Report | Annual Report | 2022 |
| 0007256919 | 2021-03-24 | No data | Annual Report | Annual Report | 2021 |
| 0006862788 | 2020-03-31 | No data | Annual Report | Annual Report | 2020 |
| 0006356188 | 2019-02-02 | No data | Annual Report | Annual Report | 2019 |
| 0006187029 | 2018-05-21 | No data | Annual Report | Annual Report | 2017 |
| 0006187036 | 2018-05-21 | No data | Annual Report | Annual Report | 2018 |
| 0005608959 | 2016-07-22 | No data | Annual Report | Annual Report | 2016 |
| 0005407304 | 2015-10-05 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 04 Nov 2024
Sources: Connecticut's Official State Website
