| Entity Name: | CIVIC Wilton, PLLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 25 May 2017 |
| Business ALEI: | 1241009 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621999 - All Other Miscellaneous Ambulatory Health Care Services |
| Business address: | 249 DANBURY ROAD, WILTON, CT, 06897, United States |
| Mailing address: | 249 DANBURY ROAD, WILTON, CT, United States, 06897 |
| ZIP code: | 06897 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | cls-ctarmsevidence@wolterskluwer.com |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | CIVIC Wilton, PLLC, KENTUCKY | 1195774 | KENTUCKY |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Dan Allen | Officer | 249 Danbury Road, 2nd Floor, WILTON, CT, 06897, United States | 249 Danbury Road, 2nd Floor, WILTON, CT, 06897, United States |
| Barry D. Stein | Officer | 249 Danbury Road, 2nd Floor, WILTON, CT, 06897, United States | 249 Danbury Road, 2nd Floor, WILTON, CT, 06897, United States |
| Christopher Reef | Officer | 249 Danbury Road, 2nd Floor, WILTON, CT, 06897, United States | 249 Danbury Road, 2nd Floor, WILTON, CT, 06897, United States |
| Sue Rottura | Officer | 249 Danbury Road, 2nd Floor, WILTON, CT, 06897, United States | 249 Danbury Road, 2nd Floor, WILTON, CT, 06897, United States |
| MD Robert M Roteman | Officer | 249 Danbury Road, 2nd Floor, WILTON, CT, 06897, United States | 249 Danbury Road, 2nd Floor, WILTON, CT, 06897, United States |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| RAYMOND C. BERSHTEIN ESQ. | Agent | 105 COURT STREET, SUITE 304, NEW HAVEN, CT, 06511, United States | 105 COURT STREET, SUITE 304, NEW HAVEN, CT, 06511, United States | +1 203-858-4450 | bstein@civicinfusion.com | 12 HOLLOW OAK ROAD, WOODBRIDGE, CT, 06525, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | CONNECTICUT IV INFUSION CENTER (CIVIC), LLC | CIVIC Wilton, PLLC | 2022-03-28 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011334724 | 2024-03-11 | No data | Annual Report | Annual Report | No data |
| BF-0012117039 | 2024-03-11 | No data | Annual Report | Annual Report | No data |
| BF-0010233583 | 2022-05-20 | No data | Annual Report | Annual Report | 2022 |
| BF-0010521897 | 2022-03-28 | 2022-03-28 | Name Change Amendment | Certificate of Amendment | No data |
| 0007192071 | 2021-02-26 | No data | Annual Report | Annual Report | 2021 |
| 0006865577 | 2020-03-31 | No data | Annual Report | Annual Report | 2020 |
| 0006409594 | 2019-02-25 | No data | Annual Report | Annual Report | 2019 |
| 0006200839 | 2018-06-14 | No data | Annual Report | Annual Report | 2018 |
| 0005856530 | 2017-05-25 | 2017-05-25 | Business Formation | Certificate of Organization | No data |
Date of last update: 13 Jan 2025
Sources: Connecticut's Official State Website
