| Entity Name: | CUSTOMIZED MEDICAL LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 10 Nov 2014 |
| Business ALEI: | 1159421 |
| Annual report due: | 31 Mar 2021 |
| NAICS code: | 423450 - Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers |
| Business address: | 181 MAIN ST, NORWALK, CT, 06851, United States |
| Mailing address: | 48 KENT LN, TRUMBULL, CT, United States, 06611 |
| ZIP code: | 06851 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | cberntsen2004@yahoo.com |
| Name | Role | Business address | Mailing address | Residence address | |
|---|---|---|---|---|---|
| CHRIS BERNTSEN | Agent | 181 MAIN STREET, SUITE 1A, NORWALK, CT, 06851, United States | 48 KENT LN, TRUMBULL, CT, 06611, United States | cberntsen2004@yahoo.com | 15 KITCHER CT., TRUMBULL, CT, 06611, United States |
| Name | Role | Business address | Residence address | |
|---|---|---|---|---|
| CHRIS BERNTSEN | Officer | 181 MAIN ST, NORWALK, CT, 06851, United States | cberntsen2004@yahoo.com | 15 KITCHER CT., TRUMBULL, CT, 06611, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CSW.0003398 | WHOLESALER OF DRUGS, COSMETICS & MEDICAL DEVICES | INACTIVE | No data | 2014-12-22 | 2019-07-01 | 2020-06-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012167440 | 2023-11-07 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0011918084 | 2023-08-07 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0006830699 | 2020-03-13 | No data | Annual Report | Annual Report | 2019 |
| 0006830703 | 2020-03-13 | No data | Annual Report | Annual Report | 2020 |
| 0006830683 | 2020-03-13 | No data | Annual Report | Annual Report | 2018 |
| 0006023493 | 2018-01-22 | No data | Annual Report | Annual Report | 2017 |
| 0006023461 | 2018-01-22 | No data | Annual Report | Annual Report | 2015 |
| 0006023438 | 2018-01-22 | 2018-01-22 | Change of Agent Address | Agent Address Change | No data |
| 0006023482 | 2018-01-22 | No data | Annual Report | Annual Report | 2016 |
| 0005379841 | 2015-08-11 | 2015-08-11 | Interim Notice | Interim Notice | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
