| Entity Name: | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 15 Apr 2016 |
| Business ALEI: | 1203951 |
| Annual report due: | 15 Apr 2025 |
| NAICS code: | 813990 - Other Similar Organizations (except Business, Professional, Labor, and Political Organizations) |
| 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 |
| E-Mail: | CLS-CTARMSevidence@wolterskluwer.com |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| David Topper | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Frank Saidara | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Justin Lundbye M.D. | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Deborah Weymouth | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040-4131, United States |
| Mitchell Lew M.D. | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040, 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 |
| Alfredo Sabillo | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Stephen O'Dell | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Von Crockett | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Crystal Lautrup | Officer | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Justin Lundbye M.D. | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Deborah Weymouth | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040-4131, United States |
| Mitchell Lew M.D. | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Linda Mathew M.D. | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Richard Orris M.D. | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Joe DeLuca M.D. | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| David Pizzuto M.D. | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Stephen O'Dell | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States |
| Greg Williams | Director | 3824 Hughes Ave, Culver City, CA, 90232-2716, United States | 100 SAW MILL ROAD, DANBURY, CT, 06810, United States |
| Danny Korkmaz ,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-0012407803 | 2024-04-10 | No data | Annual Report | Annual Report | No data |
| BF-0011450271 | 2023-04-08 | No data | Annual Report | Annual Report | No data |
| BF-0010219986 | 2022-03-25 | No data | Annual Report | Annual Report | 2022 |
| 0007301357 | 2021-04-16 | No data | Annual Report | Annual Report | 2021 |
| 0006894070 | 2020-04-28 | No data | Annual Report | Annual Report | 2020 |
| 0006568622 | 2019-06-03 | 2019-06-03 | Amendment | Restated | No data |
| 0006538129 | 2019-04-20 | No data | Annual Report | Annual Report | 2019 |
| 0006145882 | 2018-03-29 | No data | Annual Report | Annual Report | 2018 |
| 0005842521 | 2017-05-12 | No data | Annual Report | Annual Report | 2017 |
| 0005841519 | 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
