| Entity Name: | PROSPECT HEALTH SERVICES CT, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 13 Aug 2015 |
| Business ALEI: | 1183414 |
| Annual report due: | 13 Aug 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 71 Haynes St, Manchester, CT, 06040, United States |
| Mailing address: | 71 Haynes St, Manchester, CT, United States, 06040 |
| ZIP code: | 06040 |
| County: | Hartford |
| Place of Formation: | DELAWARE |
| E-Mail: | oliver.camales@prospectmedical.com |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Crystal Lautrup | Officer | 71 Haynes St, Manchester, CT, 06040, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| ERIC SAMUELS | Officer | 71 Haynes St, Manchester, CT, 06040, United States | 600 CITY PARKWAY WEST, SUITE 800, ORANGE, CA, 92868, United States |
| Von Crockett | Officer | 71 Haynes St, Manchester, CT, 06040, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| DAVID TOPPER | Officer | 3828 DELMAS TERRACE, CULVER CITY, CA, 90232, United States | 55 EAST 52ND STREET, NEW YORK, NY, 10055, United States |
| Earl Opena | Officer | 71 Haynes St, Manchester, CT, 06040, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| STEPHEN O'DELL | Officer | 71 Haynes St, Manchester, CT, 06040, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Alfredo Sabillo | Officer | 71 Haynes St, Manchester, CT, 06040, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Mitchell Lew M.D. | Officer | 71 Haynes St, Manchester, CT, 06040, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Frank Saidara | Officer | 71 Haynes St, Manchester, CT, 06040, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Von Crockett | Director | 71 Haynes St, Manchester, CT, 06040, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| DAVID TOPPER | Director | 3828 DELMAS TERRACE, CULVER CITY, CA, 90232, United States | 55 EAST 52ND STREET, NEW YORK, NY, 10055, United States |
| STEPHEN O'DELL | Director | 71 Haynes St, Manchester, CT, 06040, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| M.D. Mitchell Lew | Director | 71 Haynes St, Manchester, CT, 06040, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012411007 | 2024-07-30 | No data | Annual Report | Annual Report | No data |
| BF-0011217837 | 2023-07-14 | No data | Annual Report | Annual Report | No data |
| BF-0010257902 | 2022-08-02 | No data | Annual Report | Annual Report | 2022 |
| BF-0009807775 | 2021-07-30 | No data | Annual Report | Annual Report | No data |
| 0006962080 | 2020-08-14 | No data | Annual Report | Annual Report | 2020 |
| 0006590476 | 2019-07-04 | No data | Annual Report | Annual Report | 2019 |
| 0006211132 | 2018-07-05 | No data | Annual Report | Annual Report | 2018 |
| 0005879818 | 2017-07-05 | No data | Annual Report | Annual Report | 2017 |
| 0005717237 | 2016-12-05 | 2016-12-05 | Change of Business Address | Business Address Change | No data |
| 0005599528 | 2016-07-11 | No data | Annual Report | Annual Report | 2016 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
