| Entity Name: | Silver Birch MD LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 19 Nov 2024 |
| Business ALEI: | 3104943 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 71 A WEST STAFFORD RD. STE4, STAFFORD SPRINGS, CT, 06076, United States |
| Mailing address: | 71 A WEST STAFFORD RD. STE4, STAFFORD SPRINGS, CT, United States, 06076 |
| ZIP code: | 06076 |
| County: | Tolland |
| Place of Formation: | CONNECTICUT |
| E-Mail: | silverbirchmd@gmail.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| KELLY SOUKUP | Agent | 71 A WEST STAFFORD RD. STE4, STAFFORD SPRINGS, CT, 06076, United States | 71 A WEST STAFFORD RD. STE4, STAFFORD SPRINGS, CT, 06076, United States | +1 860-558-9262 | mkrolcpa@mail.com | 75 WESTFORD AVE, STAFFORD SPRINGS, CT, 06076, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Ian Tucker | Officer | 89 Partridge Run, Somers, CT, 06071-2233, United States | 89 Partridge Run, Somers, CT, 06071-2233, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0013173681 | 2024-11-19 | 2024-11-19 | Change of Agent | Agent Change | No data |
| BF-0013173346 | 2024-11-19 | No data | Business Formation | Certificate of Organization | No data |
| BF-0013173656 | 2024-11-19 | 2024-11-19 | Change of Business Address | Business Address Change | No data |
Date of last update: 06 Jan 2025
Sources: Connecticut's Official State Website
