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EVOLVE BEHAVIORAL INC.

Company Details

Entity Name: EVOLVE BEHAVIORAL INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Date Formed: 18 Sep 2017 (Companies founded in September 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 (Companies in Hartford, 06001)
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: cmartin@evolvebehavioralinc.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EVOLVE BEHAVIORAL INC 2022 823448575 2023-12-05 EVOLVE BEHAVIORAL INC 1
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 2023-12-05
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
EVOLVE BEHAVIORAL INC 2022 823448575 2023-06-27 EVOLVE BEHAVIORAL INC 1
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
EVOLVE BEHAVIORAL INC 2021 823448575 2022-09-21 EVOLVE BEHAVIORAL INC 1
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

Agent

Name Role Business address Mailing address Phone E-Mail 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

Director

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

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: 11 Nov 2024

Sources: Connecticut's Official State Website