TRI-STATE VETERINARY SERVICES LLC

Business Information

Congressional District	05
State/Country of Incorporation	CT, USA
Activation Date	2024-02-01
Initial Registration Date	2024-01-30
Entity Start Date	2018-10-12
Fiscal Year End Close Date	Dec 31

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	LISA DAUTEN
Role	DR.
Address	499 BANTAM ROAD, STE D, LITCHFIELD, CT, 06759, USA

Government Business
Title	PRIMARY POC
Name	LISA DAUTEN
Role	DR.
Address	499 BANTAM ROAD, STE D, LITCHFIELD, CT, 06759, USA

Past Performance	Information not Available

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	541940
Sponsor’s telephone number	2032333654
Plan sponsor’s address	499 BANTAM ROAD, STE D, LITCHFIELD, CT, 06759

Signature of

Role	Plan administrator
Date	2024-05-06
Name of individual signing	LISA DAUTEN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	541940
Sponsor’s telephone number	8604590986
Plan sponsor’s address	499 BANTAM ROAD, UNIT D, LITCHFIELD, CT, 06759

Signature of

Role	Plan administrator
Date	2023-09-18
Name of individual signing	LISA DAUTEN
Valid signature	Filed with authorized/valid electronic signature