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FORMATIV HEALTH MANAGEMENT, INC.

Company Details

Entity Name: FORMATIV HEALTH MANAGEMENT, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Foreign
Status: Withdrawn
Sub status: Annual report past due
Date Formed: 21 Dec 2017 (Companies founded in December 2017)
Business ALEI: 1260218
Annual report due: 21 Dec 2022
NAICS code: 541219 - Other Accounting Services
Business address: 4875 BELFORT RD, JACKSONVILLE, FL, 32256, United States
Mailing address: 4875 Belfort Rd, Jacksonville, FL, United States, 32256
Place of Formation: DELAWARE
E-Mail: william.daniel@brownwinick.com

Agent

Name Role Business address
Secretary of State Agent 165 Capitol Ave., P.O. BOX 150470, Hartford, CT, 06115-0470, United States

Director

Name Role Business address Residence address
EUGENE TANGNEY Director 4875 BELFORT RD, JACKSONVILLE, FL, 32256, United States 4875 BELFORT RD, JACKSONVILLE, FL, 32256, United States
HOLLY KOEHLER Director 4875 BELFORT RD, JACKSONVILLE, FL, 32256, United States 4875 BELFORT RD, JACKSONVILLE, FL, 32256, United States
MARK SOLAZZO Director 4875 BELFORT RD, JACKSONVILLE, FL, 32256, United States 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, United States
LAURENCE KRAEMER Director 4875 BELFORT RD, JACKSONVILLE, FL, 32256, United States 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, United States
JOSEPH MOSCOLA Director 4875 BELFORT RD, JACKSONVILLE, FL, 32256, United States 4875 BELFORT RD, JACKSONVILLE, FL, 32256, United States
MICHELE CUSACK Director 4875 BELFORT RD, JACKSONVILLE, FL, 32256, United States 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, United States

Officer

Name Role Business address Residence address
LAURENCE KRAEMER Officer 4875 BELFORT RD, JACKSONVILLE, FL, 32256, United States 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0010614912 2022-05-31 2022-05-31 Withdrawal Certificate of Withdrawal No data
BF-0009830210 2021-11-22 No data Annual Report Annual Report No data
0007024845 2020-11-23 No data Annual Report Annual Report 2020
0006691599 2019-12-05 No data Annual Report Annual Report 2019
0006542264 2019-04-16 2019-04-16 Change of Business Address Business Address Change No data
0006274700 2018-11-09 No data Annual Report Annual Report 2018
0006006043 2017-12-21 2017-12-21 Business Registration Certificate of Authority No data

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website