| Entity Name: | PROSPECT INTEGRATED BEHAVIORAL HEALTH, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Revoked |
| Date Formed: | 05 Jul 2019 |
| Business ALEI: | 1314586 |
| Annual report due: | 05 Jul 2020 |
| Business address: | 3415 SOUTH SEPULVEDA BOULEVARD 9TH FLOOR, LOS ANGELES, CA, 90034 |
| Place of Formation: | DELAWARE |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ELLEN J. SHIN ESQ. | Officer | 3415 SOUTH SEPULVEDA BOULEVARD, 9TH FLOOR, LOS ANGELES, CA, 90034, United States | 3415 SOUTH SEPULVEDA BOULEVARD, 9TH FLOOR, LOS ANGELES, CA, 90034, United States |
| MARY BETH FORMBY | Officer | 3415 SOUTH SEPULVEDA BOULEVARD, 9TH FLOOR, LOS ANGELES, CA, 90034, United States | 3415 SOUTH SEPULVEDA BOULEVARD, 9TH FLOOR, LOS ANGELES, CA, 90034, United States |
| STEPHEN O'DELL | Officer | 3415 SOUTH SEPULVEDA BOULEVARD, 9TH FLOOR, LOS ANGELES, CA, 90034, United States | 71 Haynes St, Manchester, CT, 06040, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012039555 | 2023-10-31 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0011903355 | 2023-07-27 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0006590746 | 2019-07-05 | 2019-07-05 | Business Registration | Certificate of Authority | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
