| Entity Name: | EVOLVE BEHAVIORAL INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 18 Sep 2017 |
| Business ALEI: | 1250168 |
| Annual report due: | 18 Sep 2025 |
| NAICS code: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| Business address: | 141 FORGE DRIVE, AVON, CT, 06001-3246, United States |
| Mailing address: | 146 Elm St, Cheshire, CT, United States, 06410-2869 |
| ZIP code: | 06001 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 5000 |
| E-Mail: | cmartin@evolvebehavioralinc.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EVOLVE BEHAVIORAL INC | 2022 | 823448575 | 2023-12-05 | EVOLVE BEHAVIORAL INC | 1 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2023-12-05 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-04-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 2037104265 |
| Plan sponsor’s address | 141 FORGE DR, AVON, CT, 06001 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-27 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-04-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 2037104265 |
| Plan sponsor’s address | 141 FORGE DR, AVON, CT, 06001 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-21 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| Carla Martin | Agent | 146 Elm St, Cheshire, CT, 06410, United States | 141 Forge Dr, Avon, CT, 06001-3246, United States | +1 203-710-4265 | cmartin@evolvebehavioralinc.com | 28 Old Chimney Rd, Barrington, RI, 02806-3234, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| CARLA L MARTIN | Director | 146 Elm St, Cheshire, CT, 06410-2869, United States | 141 FORGE DRIVE, AVON, CT, 06001, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012110829 | 2024-09-18 | No data | Annual Report | Annual Report | No data |
| BF-0011334833 | 2023-09-19 | No data | Annual Report | Annual Report | No data |
| BF-0010835421 | 2023-07-12 | No data | Annual Report | Annual Report | No data |
| BF-0009954756 | 2023-06-27 | No data | Annual Report | Annual Report | No data |
| BF-0008583488 | 2023-06-26 | No data | Annual Report | Annual Report | 2019 |
| BF-0008583487 | 2023-06-26 | No data | Annual Report | Annual Report | 2020 |
| BF-0008583486 | 2023-06-20 | No data | Annual Report | Annual Report | 2018 |
| BF-0011814930 | 2023-05-22 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0005968196 | 2017-11-17 | 2017-11-17 | First Report | Organization and First Report | No data |
| 0005930429 | 2017-09-18 | 2017-09-18 | Business Formation | Certificate of Incorporation | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
