| Name: | CHURCH STREET HEALTH MANAGEMENT, LLC |
| Legal type: | Foreign Limited Liability Company |
| Status: | Inactive |
| Standing: | Bad |
| Profit or Non-Profit: | Profit |
| File Date: | 28 Sep 2007 (18 years ago) |
| Authority Date: | 28 Sep 2007 (18 years ago) |
| Last Annual Report: | 14 Jul 2011 (14 years ago) |
| Organization Number: | 0674614 |
| Principal Office: | 618 CHURCH STREET, SUITE 520, NASHVILLE, TN 37219 |
| Place of Formation: | DELAWARE |
| Name | Role |
|---|---|
| SCOTT A. BUSCHMANN | Manager |
| STOCKTON CROFT | Manager |
| CHARLES GRIFFITH | Manager |
| BRET BERO | Manager |
| WILLIAM C. MILLER | Manager |
| DOUGLAS KELLEY | Manager |
| MICHAEL G. LINDLEY | Manager |
| AL J. SMITH | Manager |
| DR. STEVE ADAIR | Manager |
| SUSAN KASSER | Manager |
| Name | Role |
|---|---|
| KY SECRETARY OF STATE | Registered Agent |
| Name | Role |
|---|---|
| RODNEY CAWOOD | Organizer |
| Name | Action |
|---|---|
| FORBA HOLDINGS, LLC | Old Name |
| Name | File Date |
|---|---|
| Revocation of Certificate of Authority | 2012-09-11 |
| Annual Report | 2011-07-14 |
| Amendment | 2010-12-27 |
| Annual Report | 2010-06-22 |
| Annual Report | 2009-06-17 |
| Annual Report | 2008-07-29 |
| Application for Certificate of Authority | 2007-09-28 |
Sources: Kentucky Secretary of State
