| Entity Name: | MEDSERV IPA, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 06 Nov 1985 |
| Business ALEI: | 0176219 |
| Business address: | 1520 HIGHLAND AVENUE, CHESHIRE, CT, 06410 |
| Mailing address: | 520 HIGHLAND AVENUE, CHESHIRE, CT, 06410 |
| ZIP code: | 06410 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ETHEL E. YARNELL | Agent | 20 N. WHITTLESEY AVE, WALLINGFORD, CT, 06492, United States | 3 CHERYL AVE, WALLINGFORD, CT, 06492, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ROBERT A. GREEN M.D. | Officer | 1000 ASYLUM AVENUE, HARTFORDURY, CT, 06105, United States | 8 TIMROD LANE, WEST HARTFORD, CT, 06107, United States |
| J. ROBERT GALVIN MD | Officer | 131 NEW LONDON TPKE, SUITE 103, GLASTONBURY, CT, 06033-2246, United States | 2060 MAIN STREET, GLASTONBURY, CT, 06033-2202, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | PROCARE IPA, INC. | MEDSERV IPA, INC. | 1996-05-29 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0006946273 | 2020-07-14 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| 0006807290 | 2020-03-03 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0001915309 | 1998-11-12 | 1998-11-12 | Annual Report | Annual Report | 1998 |
| 0001863962 | 1998-07-13 | 1998-07-13 | Annual Report | Annual Report | 1997 |
| 0001685736 | 1997-01-03 | 1997-01-03 | Annual Report | Annual Report | 1996 |
| 0001608722 | 1996-05-29 | No data | Amendment | Amend Name | No data |
| 0000708291 | 1985-11-06 | No data | Business Formation | Certificate of Incorporation | No data |
| 0000708292 | 1985-11-06 | No data | First Report | Organization and First Report | No data |
Date of last update: 20 Jan 2025
Sources: Connecticut's Official State Website
