| Entity Name: | Bastion Health Holdings, Inc. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 06 Dec 2021 |
| Business ALEI: | 2397110 |
| Annual report due: | 06 Dec 2025 |
| NAICS code: | 621491 - HMO Medical Centers |
| Business address: | 400 Farmington Ave, Farmington, CT, 06032-1913, United States |
| Mailing address: | 400 Farmington Ave, R1848, Farmington, CT, United States, 06032-1913 |
| ZIP code: | 06032 |
| County: | Hartford |
| Place of Formation: | DELAWARE |
| E-Mail: | complianceteam@cogencyglobal.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BASTION HEALTH HOLDINGS INC. 401(K) PLAN | 2023 | 873842714 | 2024-05-06 | BASTION HEALTH HOLDINGS INC. | 9 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-06 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8608304019 |
| Plan sponsor’s address | 400 FARMINGTON AVE, FARMINGTON, CT, 06032 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Mostafa Analoui | Director | 477 Bartlett Drive, Farmington, CT, 06443, United States | IRIS 235 Nicoll St, New Haven, CT, 06511, United States |
| Reza Amin | Director | 306 Colt Hwy Apt 40, Farmington, CT, 06032-3076, United States | 306 Colt Hwy Apt 40, Farmington, CT, 06032-3076, United States |
| Peter J. Werth | Director | 1764 Litchfield Tpke, Woodbridge, CT, 06525, United States | 1764 Litchfield Tpke, Woodbridge, CT, 06525, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Reza Amin | Officer | 306 Colt Hwy Apt 40, Farmington, CT, 06032-3076, United States | 306 Colt Hwy Apt 40, Farmington, CT, 06032-3076, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012323844 | 2024-11-07 | No data | Annual Report | Annual Report | No data |
| BF-0011130309 | 2023-11-08 | No data | Annual Report | Annual Report | No data |
| BF-0010252597 | 2022-11-15 | No data | Annual Report | Annual Report | 2022 |
| BF-0010436565 | 2022-02-03 | 2022-02-03 | Change of Agent | Agent Change | No data |
| BF-0010161450 | 2021-12-06 | No data | Business Registration | Certificate of Authority | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
