| Entity Name: | PROSPECT MANCHESTER HOSPITAL, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 12 Apr 2016 |
| Business ALEI: | 1203094 |
| Annual report due: | 12 Apr 2025 |
| NAICS code: | 622110 - General Medical and Surgical Hospitals |
| Business address: | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Mailing address: | 3824 Hughes Ave, Culver City, CA, United States, 90232-2716 |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 1000 |
| E-Mail: | cls-ctarmsevidence@wolterskluwer.com |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7R5M3 | Obsolete | Non-Manufacturer | 2016-11-16 | 2024-07-01 | No data | 2025-06-27 | |||||||||||||||
|
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| POC | CHRIS PELLETIER |
| Phone | +1 860-646-1222 |
| Fax | +1 860-647-6804 |
| Address | 71 HAYNES ST, MANCHESTER, CT, 06040 4131, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Sheryl DeCilio | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave., Culver City, CA, 90232, United States |
| Frank Saidara | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Von Crockett | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Alfredo Sabillo | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Deborah Weymouth | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040-4131, United States |
| Eric Samuels | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Crystal Lautrup | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| David Topper | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Kimberly Lumia | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Bruce Grimshaw | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3415 S. Sepulveda Blvd.,9th Floor, Los Angeles, CA, 90034, United States |
| Von Crockett | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Deborah Weymouth | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040-4131, United States |
| Jim Castellone M.D. | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012406635 | 2024-04-10 | No data | Annual Report | Annual Report | No data |
| BF-0011452649 | 2023-04-08 | No data | Annual Report | Annual Report | No data |
| BF-0010198177 | 2022-03-25 | No data | Annual Report | Annual Report | 2022 |
| 0007302808 | 2021-04-19 | No data | Annual Report | Annual Report | 2021 |
| 0006956819 | 2020-08-03 | No data | Interim Notice | Interim Notice | No data |
| 0006894769 | 2020-04-29 | No data | Annual Report | Annual Report | 2020 |
| 0006538139 | 2019-04-20 | No data | Annual Report | Annual Report | 2019 |
| 0006145895 | 2018-03-29 | No data | Annual Report | Annual Report | 2018 |
| 0005842582 | 2017-05-12 | No data | Annual Report | Annual Report | 2017 |
| 0005841546 | 2017-05-10 | 2017-05-10 | First Report | Organization and First Report | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
