| Entity Name: | HEALTHNET PHO, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 22 Feb 1995 |
| Business ALEI: | 0508600 |
| Business address: | 320 POMFRET STREET, PUTNAM, CT, 06260 |
| Mailing address: | 320 POMFRET ST PO BOX 552, PUTNAM, CT, 06260 |
| ZIP code: | 06260 |
| County: | Windham |
| Place of Formation: | CONNECTICUT |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MICHELE GOODIER | Agent | 320 POMFRET S., PUTNAM, CT, 06260, United States | 126 GRANDVIEW TERRACE, BROOKLYN, CT, 06234, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| WILLIAM BRADBURY MD | Officer | 320 POMFRET ST., PUTNAM, CT, 06260, United States | 330 POMFRET ST., PUTNAM, CT, 06260, United States |
| GAIL DICKINSON MD | Officer | 320 POMFRET ST., PUTNAM, CT, 06260, United States | 168 ROUTE 171, WOODSTOCK, CT, 06281, United States |
| CHARLES F SCHNEIDER | Officer | 320 POMFRET ST, PUTNAM, CT, 06260, United States | 44 L'HOMME ST, DANIELSON, CT, 06239, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0006686124 | 2019-11-25 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| 0006621171 | 2019-08-13 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0001815717 | 1997-12-01 | 1997-12-01 | Annual Report | Annual Report | 1997 |
| 0001607413 | 1996-03-01 | No data | Annual Report | Annual Report | 1996 |
| 0001515444 | 1995-02-22 | No data | Business Formation | Certificate of Incorporation | No data |
| 0001515457 | 1995-02-22 | No data | First Report | Organization and First Report | No data |
Date of last update: 06 Jan 2025
Sources: Connecticut's Official State Website
