| Entity Name: | LIVWELL PAIN MANAGEMENT, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Admin Dissolution Initiated |
| Date Formed: | 02 May 2019 (Companies founded in May 2019) |
| Business ALEI: | 1308236 |
| Annual report due: | 31 Mar 2023 |
| NAICS code: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| Business address: | 764 Campbell Ave, WEST HAVEN, CT, 06516, United States |
| Mailing address: | 287 WEST SPRING STREET, WEST HAVEN, CT, United States, 06516 |
| ZIP code: | 06516 (Companies in New Haven, 06516) |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | SURYA_KICHU@YAHOO.COM |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIVWELL PAIN MANAGEMENT 401(K) PLAN | 2023 | 834635652 | 2024-07-22 | LIVWELL PAIN MANAGEMENT | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-22 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| KRIPA PLAPETTA DAMODHARAN | Agent | 764 Campbell Ave, F, WEST HAVEN, CT, 06516, United States | 287 WEST SPRING STREET, WEST HAVEN, CT, 06516, United States | +1 203-285-5900 | livwellpainmanagement@gmail.com | 287 WEST SPRING STREET, WEST HAVEN, CT, 06516, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| KRIPA PLAPETTA DAMODHARAN | Officer | 764 Campbell Ave, F, West Haven, CT, 06516, United States | +1 203-285-5900 | livwellpainmanagement@gmail.com | 287 WEST SPRING STREET, WEST HAVEN, CT, 06516, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CLAB.0001090 | Clinical Laboratory | ACTIVE IN RENEWAL | CURRENT | 2023-02-16 | 2023-02-16 | 2025-03-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012736233 | 2024-08-20 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| BF-0009673842 | 2022-11-15 | No data | Annual Report | Annual Report | 2020 |
| BF-0010910028 | 2022-11-15 | No data | Annual Report | Annual Report | No data |
| BF-0009891712 | 2022-11-15 | No data | Annual Report | Annual Report | No data |
| 0006550487 | 2019-05-02 | 2019-05-02 | Business Formation | Certificate of Organization | No data |
Date of last update: 18 Nov 2024
Sources: Connecticut's Official State Website
