| Entity Name: | Revival IV And Ketamine Center LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 24 May 2023 |
| Date of dissolution: | 06 Jul 2024 |
| Business ALEI: | 2792494 |
| NAICS code: | 621498 - All Other Outpatient Care Centers |
| Business address: | 120 Longview Dr, Stratford, CT, 06614-1398, United States |
| Mailing address: | 120 Longview Dr, Stratford, CT, United States, 06614-1398 |
| ZIP code: | 06614 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | revivalivcenter@gmail.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| Keisha Asante | Agent | 120 Longview Dr, Stratford, CT, 06614-1398, United States | 120 Longview Dr, Stratford, CT, 06614-1398, United States | +1 908-967-8223 | asanteyaa@gmail.com | 120 Longview Dr, Stratford, CT, 06614-1398, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| Keisha Asante | Officer | 120 Longview Dr, Stratford, CT, 06614-1398, United States | +1 908-967-8223 | asanteyaa@gmail.com | 120 Longview Dr, Stratford, CT, 06614-1398, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012682961 | 2024-07-06 | 2024-07-06 | Dissolution | Certificate of Dissolution | No data |
| BF-0011819753 | 2023-05-24 | No data | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
