| Entity Name: | LIGHTHOUSE SURGERY CENTER, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Date Formed: | 25 Sep 2018 (Companies founded in September 2018) |
| Business ALEI: | 1285861 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621493 - Freestanding Ambulatory Surgical and Emergency Centers |
| Business address: | 129 WOODLAND STREET, HARTFORD, CT, 06105, United States |
| Mailing address: | 129 WOODLAND STREET, HARTFORD, CT, United States, 06105 |
| ZIP code: | 06105 (Companies in Hartford, 06105) |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | compliancemail@cscglobal.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIGHTHOUSE SURGERY CENTER RETIREMENT PLAN | 2023 | 832096116 | 2024-05-03 | LIGHTHOUSE SURGERY CENTER, LLC | 103 | |||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-05-03 |
| Name of individual signing | CHRISTINE JACKSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-05-03 |
| Name of individual signing | CHRISTINE JACKSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 8608401364 |
| Plan sponsor’s address | 129 WOODLAND STREET, HARTFORD, CT, 06105 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-26 |
| Name of individual signing | CHRISTINE JACKSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 8608401364 |
| Plan sponsor’s address | 129 WOODLAND STREET, HARTFORD, CT, 06105 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-25 |
| Name of individual signing | CHRISTINE JACKSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address |
|---|---|---|
| LIGHTHOUSE SURGERY HOLDINGS, LLC | Officer | 129 WOODLAND STREET, HARTFORD, CT, 06105, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| ASC.0000369 | Out-Patient Surgical Facility | ACTIVE | CURRENT | 2020-02-10 | 2024-01-01 | 2025-12-31 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | WOODLAND SURGERY CENTER, LLC | LIGHTHOUSE SURGERY CENTER, LLC | 2019-03-28 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012070586 | 2024-02-28 | No data | Annual Report | Annual Report | No data |
| BF-0011237458 | 2023-02-27 | No data | Annual Report | Annual Report | No data |
| BF-0010236295 | 2022-02-17 | No data | Annual Report | Annual Report | 2022 |
| 0007347137 | 2021-05-19 | No data | Annual Report | Annual Report | 2021 |
| 0007347134 | 2021-05-19 | No data | Annual Report | Annual Report | 2020 |
| 0006514069 | 2019-04-01 | No data | Annual Report | Annual Report | 2019 |
| 0006506777 | 2019-03-28 | 2019-03-28 | Amendment | Amend Name | No data |
| 0006325456 | 2019-01-18 | 2019-01-18 | Change of Business Address | Business Address Change | No data |
| 0006251095 | 2018-09-25 | 2018-09-25 | Business Formation | Certificate of Organization | No data |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
