| Entity Name: | AMERGIS HEALTHCARE STAFFING, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Date Formed: | 20 Feb 2019 (Companies founded in February 2019) |
| Business ALEI: | 1299933 |
| Annual report due: | 20 Feb 2025 |
| NAICS code: | 561320 - Temporary Help Services |
| Business address: | 7223 LEE DEFOREST DR, COLUMBIA, MD, 21046-3236, United States |
| Mailing address: | 7223 LEE DEFOREST DR, COLUMBIA, MD, United States, 21046-3236 |
| Place of Formation: | MARYLAND |
| E-Mail: | tax@maximstaffing.com |
| Name | Role |
|---|---|
| AMERGIS HEALTHCARE STAFFING, INC. | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| SCOTT CARTER | Officer | 7227 LEE DEFOREST DR, COLUMBIA, MD, 21046-3236, United States | 158 NW Fourth St, Flora, MS, 39071-9774, United States |
| CARRIE O'BRIEN | Officer | 7227 LEE DEFOREST DR, COLUMBIA, MD, 21046-3236, United States | 41 PALMER STREET, STAMFORD, CT, 06907, United States |
| WILLIAM BUTZ | Officer | 7227 LEE DEFOREST DR, COLUMBIA, MD, 21046-3236, United States | 7227 LEE DEFOREST DR, COLUMBIA, MD, 21046-3236, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| WILLIAM BUTZ | Director | 7227 LEE DEFOREST DR, COLUMBIA, MD, 21046-3236, United States | 7227 LEE DEFOREST DR, COLUMBIA, MD, 21046-3236, United States |
| JAMES DAVIS | Director | 7227 LEE DEFOREST DR, COLUMBIA, MD, 21046-3236, United States | 64 MELROSE AVE, HAMDEN, CT, 06518, United States |
| RANDALL SONES | Director | 7227 LEE DEFOREST DR, COLUMBIA, MD, 21046-3236, United States | 7227 LEE DEFOREST DR, COLUMBIA, MD, 21046-3236, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| TNSA.0000172 | Temporary Nursing Service Agency | ACTIVE | CURRENT | 2022-12-30 | 2024-07-01 | 2025-06-30 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | MAXIM HEALTHCARE STAFFING SERVICES, INC. | AMERGIS HEALTHCARE STAFFING, INC. | 2024-04-01 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012596608 | 2024-04-01 | 2024-04-01 | Amendment | Amended Certificate of Authority | No data |
| BF-0012596963 | 2024-04-01 | 2024-04-01 | Change of Business Address | Business Address Change | No data |
| BF-0012127373 | 2024-01-25 | No data | Annual Report | Annual Report | No data |
| BF-0011246938 | 2023-02-07 | No data | Annual Report | Annual Report | No data |
| BF-0010192796 | 2022-02-08 | No data | Annual Report | Annual Report | 2022 |
| BF-0010458475 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| 0007051206 | 2021-01-04 | No data | Annual Report | Annual Report | 2021 |
| 0006950703 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006943532 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006750429 | 2020-02-10 | No data | Annual Report | Annual Report | 2020 |
Date of last update: 04 Nov 2024
Sources: Connecticut's Official State Website
