| Entity Name: | MISTIQUE BOUTIQUE, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 31 Oct 2002 |
| Business ALEI: | 0730057 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 458110 - Clothing and Clothing Accessories Retailers |
| Business address: | 28 W MAIN ST, MYSTIC, CT, 06355, United States |
| Mailing address: | 28 WEST MAIN STREET, MYSTIC, CT, United States, 06355 |
| ZIP code: | 06355 |
| County: | New London |
| Place of Formation: | CONNECTICUT |
| E-Mail: | stephanie@tidalriverclothing.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MISTIQUE BOUTIQUE LLC DBA TIDAL RIVER CLOTHING CO MEDOVA LIFESTYLE HEALTH PLAN | 2021 | 113659693 | 2023-12-04 | MISTIQUE BOUTIQUE LLC | 0 | |||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT, INC. |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2023-12-04 |
| Name of individual signing | ROBERT MOORE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-09-01 |
| Business code | 448110 |
| Sponsor’s telephone number | 8605366371 |
| Plan sponsor’s DBA name | TIDAL RIVER CLOTHING |
| Plan sponsor’s address | 28 W MAIN ST, MYSTIC, CT, 063552587 |
Plan administrator’s name and address
| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-15 |
| Name of individual signing | ROBERT MOORE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| STEPHANIE A MARSHALL | Officer | 28 W MAIN ST, MYSTIC, CT, 06355, United States | +1 860-961-5645 | stephanie@tidalriverclothing.com | 120 SHEWVILLE RD, MYSTIC, CT, 06355, United States |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| STEPHANIE A MARSHALL | Agent | 28 W MAIN ST, MYSTIC, CT, 06355, United States | 28 W MAIN ST, MYSTIC, CT, 06355, United States | +1 860-961-5645 | stephanie@tidalriverclothing.com | 120 SHEWVILLE RD, MYSTIC, CT, 06355, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012135653 | 2024-03-14 | No data | Annual Report | Annual Report | No data |
| BF-0011271853 | 2023-01-24 | No data | Annual Report | Annual Report | No data |
| BF-0010257732 | 2022-01-07 | No data | Annual Report | Annual Report | 2022 |
| 0007154300 | 2021-02-15 | No data | Annual Report | Annual Report | 2021 |
| 0006765399 | 2020-02-20 | No data | Annual Report | Annual Report | 2020 |
| 0006678975 | 2019-11-13 | No data | Annual Report | Annual Report | 2019 |
| 0006678972 | 2019-11-13 | No data | Annual Report | Annual Report | 2018 |
| 0006018469 | 2018-01-19 | No data | Annual Report | Annual Report | 2017 |
| 0005666100 | 2016-10-04 | No data | Annual Report | Annual Report | 2015 |
| 0005666098 | 2016-10-04 | No data | Annual Report | Annual Report | 2013 |
Date of last update: 13 Jan 2025
Sources: Connecticut's Official State Website
