| Entity Name: | LUCID LANE PROVIDERS, P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Revoked |
| Sub status: | Ready for Revocation |
| Date Formed: | 08 Mar 2022 (Companies founded in March 2022) |
| Business ALEI: | 2486475 |
| Annual report due: | 08 Mar 2023 |
| Business address: | 3251 PLACE DU JARDIN, SAN JOSE, CA, 95148, US |
| Mailing address: | 3251 PLACE DU JARDIN, SAN JOSE, CA, US, 95148 |
| Place of Formation: | CALIFORNIA |
| E-Mail: | mubeena.siddiqui@lucidlane.com |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| AHMED ZAAFRAN, M.D. | Officer | 3251 PLACE DU JARDIN, SAN JOSE, CA, 95148, United States | 3251 PLACE DU JARDIN, SAN JOSE, CA, 95148, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| AHMED ZAAFRAN, M.D. | Director | 3251 PLACE DU JARDIN, SAN JOSE, CA, 95148, United States | 3251 PLACE DU JARDIN, SAN JOSE, CA, 95148, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012910465 | 2024-11-06 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0012707641 | 2024-07-30 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| BF-0010502929 | 2022-03-08 | 2022-03-08 | Business Registration | Certificate of Authority | No data |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
