| Entity Name: | JENNIFER PARK SEVERENKO, CRNA, P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 02 Feb 2024 |
| Business ALEI: | 2939247 |
| Annual report due: | 03 Apr 2025 |
| NAICS code: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| Business address: | 98 Scott Ridge Rd, Ridgefield, CT, 06877-2336, United States |
| Mailing address: | 98 Scott Ridge Rd, Ridgefield, CT, United States, 06877-2336 |
| ZIP code: | 06877 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 200 |
| E-Mail: | jseverenko@gmail.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| JENNIFER PARK SEVERENKO | Agent | 98 Scott Ridge Rd, Ridgefield, CT, 06877-2336, United States | 98 Scott Ridge Rd, Ridgefield, CT, 06877-2336, United States | +1 516-582-9754 | jseverenko@gmail.com | 98 Scott Ridge Rd, Ridgefield, CT, 06877-2336, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| JENNIFER PARK SEVERENKO | Officer | 98 Scott Ridge Rd, Ridgefield, CT, 06877-2336, United States | +1 516-582-9754 | jseverenko@gmail.com | 98 Scott Ridge Rd, Ridgefield, CT, 06877-2336, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| JENNIFER PARK SEVERENKO | Director | 98 Scott Ridge Rd, Ridgefield, CT, 06877-2336, United States | +1 516-582-9754 | jseverenko@gmail.com | 98 Scott Ridge Rd, Ridgefield, CT, 06877-2336, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012545134 | 2024-04-03 | 2024-04-03 | First Report | Organization and First Report | No data |
| BF-0012545046 | 2024-02-02 | No data | Business Formation | Certificate of Incorporation | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
