Entity Name: | New Wave Medical Group PC |
Jurisdiction: | Connecticut |
Legal type: | Stock |
Citizenship: | Domestic |
Status: | Forfeited |
Sub status: | Ready for Forfeiture |
Date Formed: | 28 Feb 2022 |
Business ALEI: | 2470638 |
Annual report due: | 04 Mar 2023 |
NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
Business address: | 25 Stevens St, East Haven, CT, 06512, United States |
Mailing address: | PO Box 1860, Ridgecrest, CA, United States, 93556 |
ZIP code: | 06512 |
County: | New Haven |
Place of Formation: | CONNECTICUT |
Total authorized shares: | 1000 |
E-Mail: | mstevens@providerlegal.com |
Name | Role | Business address | Mailing address | Phone | Residence address | |
---|---|---|---|---|---|---|
Osama Kandalaft | Agent | 25 Stevens St, East Haven, CT, 06512, United States | 25 Stevens St, East Haven, CT, 06512, United States | +1 413-270-2282 | osamakandalaft@gmail.com | 84 Forest Brook Rd, Guilford, CT, 06437-2244, United States |
Name | Role | Business address | Phone | Residence address | |
---|---|---|---|---|---|
Laura Graze | Director | 25 Stevens St, East Haven, CT, 06512, United States | No data | No data | 25 Stevens St, East Haven, CT, 06512, United States |
Andrew Ackerman | Director | 25 Stevens St, East Haven, CT, 06512, United States | No data | No data | 12600 W Colfax Avenue, C-500, Lakewood, CO, 80215, United States |
Osama Kandalaft | Director | 25 Stevens St, East Haven, CT, 06512, United States | +1 413-270-2282 | osamakandalaft@gmail.com | 84 Forest Brook Rd, Guilford, CT, 06437-2244, United States |
Name | Role | Business address | Residence address |
---|---|---|---|
Nabavieh Arya | Officer | 25 Stevens St, East Haven, CT, 06512, United States | 25 Stevens St, East Haven, CT, 06512, United States |
Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
---|---|---|---|---|---|
BF-0012930944 | 2024-11-07 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
BF-0012709653 | 2024-07-31 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
BF-0010513946 | 2022-03-18 | No data | Interim Notice | Interim Notice | No data |
BF-0010493021 | 2022-03-04 | 2022-03-04 | First Report | Organization and First Report | No data |
BF-0010488290 | 2022-02-28 | No data | Business Formation | Certificate of Incorporation | No data |
Date of last update: 20 Jan 2025
Sources: Connecticut's Official State Website