| Entity Name: | PROSPECT ROCKVILLE HOSPITAL, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 12 Apr 2016 |
| Business ALEI: | 1203096 |
| Annual report due: | 12 Apr 2025 |
| NAICS code: | 622110 - General Medical and Surgical Hospitals |
| Business address: | 3824 Hughes Ave, Culver City, CA, 90232, United States |
| Mailing address: | 3415 S. SEPULVEDA BLVD., 9TH FLOOR, LOS ANGELES, CA, United States, 90034 |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 1000 |
| E-Mail: | cls-ctarmsevidence@wolterskluwer.com |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JYLAKZSWBKR9 | 2024-06-22 | 3415 S SEPULVEDA BLVD, FL 9, LOS ANGELES, CA, 90034, 6060, USA | 71 HAYNES ST., MANCHESTER, CT, 06040, 4131, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.echn.org |
| Congressional District | 36 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2023-06-26 |
| Initial Registration Date | 2016-11-01 |
| Entity Start Date | 2016-10-01 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CHRIS PELLETIER |
| Role | CONTROLLER |
| Address | 71 HAYNES ST., MANCHESTER, CT, 06040, USA |
| Title | ALTERNATE POC |
| Name | SHERYL DECILIO |
| Role | VP FINANCE |
| Address | 71 HAYNES ST., MANCHESTER, CT, 06040, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CHRIS PELLETIER |
| Role | CONTROLLER |
| Address | 71 HAYNES ST., MANCHESTER, CT, 06040, USA |
| Title | ALTERNATE POC |
| Name | SHERLY DECILIO |
| Role | VP FINANCE |
| Address | 71 HAYNES ST., MANCHESTER, CT, 06040, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | SHERYL DECILIO |
| Role | VP FINANCE |
| Address | 71 HAYNES STREET, MANCHESTER, CT, 06040, USA |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7R7K6 | Obsolete | Non-Manufacturer | 2016-11-18 | 2024-06-27 | No data | 2025-06-25 | |||||||||||||||
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| POC | CHRIS PELLETIER |
| Phone | +1 860-646-1222 |
| Fax | +1 860-647-6804 |
| Address | 31 UNION ST, VERNON, CT, 06066 3126, 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 |
|---|---|---|---|
| M.D. Jim Castellone | Director | 3824 Hughes Ave, Culver City, CA, 90232, United States | 3824 Hughes Ave, Culver City, CA, 90232, United States |
| Deborah Weymouth | Director | 3824 Hughes Ave, Culver City, CA, 90232, United States | 71 Haynes St, Manchester, CT, 06040-4131, United States |
| Von Crockett | Director | 3824 Hughes Ave, Culver City, CA, 90232, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Kimberly Lumia | Director | 3824 Hughes Ave, Culver City, CA, 90232, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Bruce Grimshaw | Director | 3824 Hughes Ave, Culver City, CA, 90232, United States | 3415 S. Sepulveda Blvd.,9th Floor, Los Angeles, CA, 90034, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Eric Samuels | Officer | 3824 Hughes Ave, Culver City, CA, 90232, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Frank Saidara | Officer | 3824 Hughes Ave, Culver City, CA, 90232, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012406772 | 2024-04-17 | No data | Annual Report | Annual Report | No data |
| BF-0011452651 | 2023-04-08 | No data | Annual Report | Annual Report | No data |
| BF-0010364104 | 2022-03-25 | No data | Annual Report | Annual Report | 2022 |
| 0007302863 | 2021-04-20 | No data | Annual Report | Annual Report | 2021 |
| 0006963700 | 2020-08-18 | 2020-08-18 | Interim Notice | Interim Notice | No data |
| 0006956820 | 2020-08-03 | No data | Interim Notice | Interim Notice | No data |
| 0006894810 | 2020-04-29 | No data | Annual Report | Annual Report | 2020 |
| 0006538142 | 2019-04-20 | No data | Annual Report | Annual Report | 2019 |
| 0006145900 | 2018-03-29 | No data | Annual Report | Annual Report | 2018 |
| 0005842604 | 2017-05-12 | No data | Annual Report | Annual Report | 2017 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
