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PERVIS ENTERPRISE LLC

Company Details

Entity Name: PERVIS ENTERPRISE LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report past due
Date Formed: 17 Nov 2017
Business ALEI: 1255942
Annual report due: 31 Mar 2024
NAICS code: 621112 - Offices of Physicians, Mental Health Specialists
Business address: 1 Bradley Rd, Woodbridge, CT, 06525-2285, United States
Mailing address: 1 Bradley Rd, 505, Woodbridge, CT, United States, 06525-2285
ZIP code: 06525
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: pervisb73@gmail.com

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
XQT7SBFAHND3 2024-05-24 558 CHASE AVE, STE 9, WATERBURY, CT, 06704, 1947, USA PO BOX 8802, FL 3, NEW HAVEN, CT, 06532, USA

Business Information

Congressional District 05
State/Country of Incorporation CT, USA
Activation Date 2023-05-30
Initial Registration Date 2022-03-19
Entity Start Date 2017-04-01
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621399

Points of Contacts

Electronic Business
Title PRIMARY POC
Name BRIAN PERVIS
Address 1 BRADLEY ROAD, SUITE 505, WOODBRIDGE, CT, 06525, USA
Government Business
Title PRIMARY POC
Name BRIAN PERVIS
Address 1 BRADLEY ROAD, SUITE 505, WOODBRIDGE, CT, 06525, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERVIS ENTERPRISE LLC 401(K) PLAN 2023 823483709 2024-05-07 PERVIS ENTERPRISE LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-04-07
Business code 623000
Sponsor’s telephone number 2036931164
Plan sponsor’s address 1 BRADLEY ROAD, SUITE 505, WOODBRIDGE, CT, 06525

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-07
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
PERVIS ENTERPRISE LLC 401(K) PLAN 2022 823483709 2023-05-28 PERVIS ENTERPRISE LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-04-07
Business code 623000
Sponsor’s telephone number 2036931164
Plan sponsor’s address 1 BRADLEY ROAD, SUITE 505, WOODBRIDGE, CT, 06525

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-28
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
DELENA GAMBLE Agent 50 BREWERY STREET, STE 8802, NEW HAVEN, CT, 06532, United States 304 S. JONES BLVD, #1060, LAS VEGAS, CT, 89107, United States +1 203-440-5529 PERVISB73@GMAIL.COM CONNECTICUT, 50 BREWERY STREET, STE 8802, NEW HAVEN, CT, 06532, United States

Officer

Name Role Business address Residence address
BRIAN PERVIS Officer 304 S. JONES BLVD, #1060, LAS VEGAS, NV, 89107, United States 50 BREWERY STREET, STE 8802, NEW HAVEN, CT, 06532, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011343206 2023-03-31 No data Annual Report Annual Report No data
BF-0010198507 2022-04-21 No data Annual Report Annual Report 2022
0007280102 2021-04-01 No data Annual Report Annual Report 2021
0006837961 2020-03-14 No data Annual Report Annual Report 2020
0006647015 2019-09-19 No data Annual Report Annual Report 2019
0006190404 2018-05-28 2018-05-28 Change of Business Address Business Address Change No data
0006113205 2018-03-08 No data Annual Report Annual Report 2018
0006035656 2018-01-25 2018-01-25 Change of Business Address Business Address Change No data
0005980780 2017-12-06 2017-12-06 Change of Business Address Business Address Change No data
0005968744 2017-11-17 2017-11-17 Business Formation Certificate of Organization No data

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website