| Entity Name: | MORPH MED PLLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Sub status: | Ready for Forfeiture |
| Date Formed: | 28 Jan 2021 |
| Business ALEI: | 1375722 |
| Annual report due: | 31 Mar 2023 |
| NAICS code: | 621999 - All Other Miscellaneous Ambulatory Health Care Services |
| Business address: | 159 DANBURY RD, RIDGEFIELD, CT, 06877, United States |
| Mailing address: | 159 DANBURY RD, 105, RIDGEFIELD, CT, United States, 06877 |
| ZIP code: | 06877 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | BRITTNY.HOWELL@GMAIL.COM |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MORPH MED, PLLC 401(K) PLAN | 2023 | 861724845 | 2024-10-15 | MORPH MED, PLLC | 2 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-10-15 |
| Name of individual signing | RONALD HOWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| BRITTNY WILLIAMS HOWELL | Officer | 132 FEDERAL RD, SUITE 107, DANBURY, CT, 06811, United States | 375 WEST MOUNTAIN RD, RIDGEFIELD, CT, 06877, United States |
| Ronald Howell | Officer | No data | 375 WEST MOUNTAIN RD, RIDGEFIELD, CT, 06877, United States |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| JEREMIAH F BARRY | Agent | 100B DANBURY RD, RIDGEFIELD, CT, 06877, United States | 100B DANBURY RD, RIDGEFIELD, CT, 06877, United States | +1 914-263-7376 | jbarry@titanacs.com | 100B DANBURY ROAD, SUITE 105A, RIDGEFIELD, CT, 06877, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | MODERN VASCULAR PLLC | MORPH MED PLLC | 2022-10-05 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0013193436 | 2024-11-20 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0012727638 | 2024-08-14 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| BF-0010211172 | 2022-10-05 | No data | Annual Report | Annual Report | 2022 |
| BF-0011028526 | 2022-10-05 | 2022-10-05 | Name Change Amendment | Certificate of Amendment | No data |
| BF-0010079198 | 2021-07-08 | 2021-07-08 | Change of Business Address | Business Address Change | No data |
| BF-0010079164 | 2021-07-08 | 2021-07-08 | Interim Notice | Interim Notice | No data |
| 0007086382 | 2021-01-28 | 2021-01-28 | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
