| Entity Name: | FAMILY PRACTICE & INTERNAL MEDICINE, P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 02 Apr 1973 |
| Business ALEI: | 0012604 |
| Business address: | 99A CIRCULAR AVE., HAMDEN, CT, 06514 |
| Mailing address: | 99A CIRCULAR AVE, HAMDEN, CT, 06514 |
| ZIP code: | 06514 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 0 |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DANIEL G FISCHER | Agent | 99A CIRCULAR AVE, HAMDEN, CT, 06514, United States | 22 WINDSOR RD E, NORTH HAVEN, CT, 06473, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| JACK F. HALICKMAN MD | Officer | 99A CIRCULAR AVE., HAMDEN, CT, 06514, United States | 36 EATON WOODS ROAD, HAMDEN, CT, 06518, United States |
| CARMEN J. BALZANO MD | Officer | 99A CIRCULAR AVE., HAMDEN, CT, 06514, United States | 8 LANDMARK TERRACE, WOODBRIDGE, CT, 06514, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | DANIEL G. FISCHER, M.D., P.C. | FAMILY PRACTICE & INTERNAL MEDICINE, P.C. | 1985-07-12 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0006834913 | 2020-03-17 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| 0006689953 | 2019-12-03 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0001859851 | 1998-06-30 | 1998-06-30 | Annual Report | Annual Report | 1998 |
| 0001739215 | 1997-05-05 | 1997-05-05 | Annual Report | Annual Report | 1997 |
| 0001638823 | 1996-07-15 | No data | Annual Report | Annual Report | 1996 |
| 0000998999 | 1985-07-12 | No data | Amendment | Amend Name | No data |
| 0000239793 | 1973-04-02 | No data | First Report | Organization and First Report | No data |
| 0000239792 | 1973-04-02 | No data | Business Formation | Certificate of Incorporation | No data |
Date of last update: 20 Jan 2025
Sources: Connecticut's Official State Website
