| Entity Name: | MODERN PROVIDER SOLUTIONS, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 14 Apr 2015 |
| Business ALEI: | 1172753 |
| Annual report due: | 14 Apr 2016 |
| Business address: | 139 WESTBROOK ROAD, ESSEX, CT, 06426 |
| Mailing address: | No information provided |
| ZIP code: | 06426 |
| County: | Middlesex |
| Place of Formation: | CONNECTICUT |
| E-Mail: | MODERNPROVIDERSOLUTIONS@GMAIL.COM |
| Name | Role | Business address | Residence address | |
|---|---|---|---|---|
| THERESA ALEXANDER | Agent | 139 WESTBROOK ROAD, ESSEX, CT, 06426, United States | MODERNPROVIDERSOLUTIONS@GMAIL.COM | 139 WESTBROOK ROAD, ESSEX, CT, 06426, United States |
| Name | Role | Business address | Residence address | |
|---|---|---|---|---|
| THERESA ALEXANDER | Officer | 139 WESTBROOK ROAD, ESSEX, CT, 06426, United States | MODERNPROVIDERSOLUTIONS@GMAIL.COM | 139 WESTBROOK ROAD, ESSEX, CT, 06426, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011802889 | 2023-05-12 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0011694153 | 2023-02-08 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0005318955 | 2015-04-14 | 2015-04-14 | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
