| Entity Name: | Roy B. Pettengill Ambulance Association Incorporated |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 29 Sep 1958 |
| Business ALEI: | 0062433 |
| NAICS code: | 621910 - Ambulance Services |
| Mailing address: | PO BOX 308, MARLBOROUGH, CT, United States, 06447 |
| Business address: | 7 HEBRON RD, MARLBOROUGH, CT, 06447, United States |
| ZIP code: | 06447 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | houseofmerritt@att.net |
| E-Mail: | roybpettengillambulance@gmail.com |
| Name | Role |
|---|---|
| KENNETH BARBER AND ASSOCIATES, LLC | Agent |
| Name | Role | Residence address |
|---|---|---|
| Carrie Asklar | Officer | 100 South Rd, Marlborough, CT, 06447-1517, United States |
| Corinne Machowski | Officer | 68 Victoria Lane, Marlborough, CT, 06447, United States |
| Lori Tarka | Officer | 4 Gina Ln, Marlborough, CT, 06447-1255, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| C.0C079B1 | Certified EMS Organization | ACTIVE | CURRENT | 2016-12-28 | 2024-10-01 | 2025-09-30 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | MARLBOROUGH AMBULANCE ASSOCIATION INCORPORATED, THE | ROY B. PETTENGILL AMBULANCE ASSOCIATION INCORPORATED | 1968-12-11 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0013232118 | 2024-11-27 | 2024-11-27 | Change of Agent | Agent Change | No data |
| BF-0013193841 | 2024-11-20 | 2024-11-20 | Interim Notice | Interim Notice | No data |
| BF-0013193597 | 2024-11-20 | 2024-11-20 | Change of Email Address | Business Email Address Change | No data |
| BF-0012798281 | 2024-10-22 | 2024-10-22 | Reinstatement | Certificate of Reinstatement | No data |
| BF-0012037642 | 2023-10-30 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0011897726 | 2023-07-25 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| BF-0008691884 | 2022-04-22 | No data | Annual Report | Annual Report | 2019 |
| 0006279393 | 2018-11-14 | No data | Annual Report | Annual Report | 2015 |
| 0006279394 | 2018-11-14 | No data | Annual Report | Annual Report | 2016 |
| 0006279395 | 2018-11-14 | No data | Annual Report | Annual Report | 2017 |
Date of last update: 06 Jan 2025
Sources: Connecticut's Official State Website
