| Name: | FORM HEALTH ASSOCIATES (MA), PSC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Foreign Professional Services Corp. |
| Status: | Active |
| Standing: | Good |
| File Date: | 28 May 2021 (4 years ago) |
| Authority Date: | 28 May 2021 (4 years ago) |
| Last Annual Report: | 04 Jun 2024 (7 months ago) |
| Organization Number: | 1152546 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| Principal Office: | 109 State Street, 5th Floor, Suite 404, BOSTON, MA 02109 |
| Place of Formation: | MASSACHUSETTS |
| Name | Role |
|---|---|
| CT CORPORATION SYSTEM | Registered Agent |
| Name | Role |
|---|---|
| Nam Kim, M.D. | President |
| Name | Role |
|---|---|
| Nam Kim, M.D. | Secretary |
| Name | Role |
|---|---|
| Nam Kim, M.D. | Treasurer |
| Name | Role |
|---|---|
| Nam Kim, M.D. | Director |
| Name | Role |
|---|---|
| Dr. Nam Kim | Shareholder |
| Name | File Date |
|---|---|
| Annual Report | 2024-06-04 |
| Principal Office Address Change | 2024-06-04 |
| Annual Report | 2023-04-01 |
| Principal Office Address Change | 2023-04-01 |
| Replacement Cert of Auth | 2022-10-31 |
| Annual Report | 2022-10-31 |
| Revocation of Certificate of Authority | 2022-10-04 |
| Application for Certificate of Authority(Corp) | 2021-05-28 |
Date of last update: 18 Jan 2025
Sources: Kentucky Secretary of State
