| Entity Name: | PRISM SPORTS MEDICINE, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 24 Oct 2019 |
| Business ALEI: | 1325513 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 31 SEYMOUR ST, STE #204, HARTFORD, CT, 06106, United States |
| Mailing address: | 31 PINNACLE RIDGE ROAD, FARMINGTON, CT, United States, 06032 |
| ZIP code: | 06106 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | carlwnissen@gmail.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| CARL W NISSEN | Agent | 31 Seymour St, Ste #204, 31 PINNACLE RIDGE RD, Hartford, CT, 06106, United States | 31 PINNACLE RIDGE RD, 31 PINNACLE RIDGE RD, FARMINGTON, CT, 06032, United States | +1 860-550-4109 | CARLWNISSEN@GMAIL.COM | 5 ASCOT PL., FARMINGTON, CT, 06032, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| CARL W NISSEN | Officer | 31 Pinnacle Ridge Rd, FARMINGTON, CT, 06032, United States | +1 860-550-4109 | CARLWNISSEN@GMAIL.COM | 5 ASCOT PL., FARMINGTON, CT, 06032, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | PRISM SPORT MEDICINE, LLC | PRISM SPORTS MEDICINE, LLC | 2020-05-06 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012062032 | 2024-03-09 | No data | Annual Report | Annual Report | No data |
| BF-0011492235 | 2023-02-11 | No data | Annual Report | Annual Report | No data |
| BF-0010203946 | 2022-03-25 | No data | Annual Report | Annual Report | 2022 |
| 0007158203 | 2021-02-16 | No data | Annual Report | Annual Report | 2021 |
| 0006915036 | 2020-06-01 | 2020-06-01 | Change of Agent Address | Agent Address Change | No data |
| 0006912005 | 2020-05-28 | 2020-05-28 | Change of Business Address | Business Address Change | No data |
| 0006901035 | 2020-05-06 | 2020-05-06 | Amendment | Amend Name | No data |
| 0006873744 | 2020-04-03 | No data | Annual Report | Annual Report | 2020 |
| 0006667238 | 2019-10-24 | 2019-10-24 | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
