| Name: | Form Health Inc. |
| Legal type: | Foreign Corporation |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 22 Oct 2024 (6 months ago) |
| Organization Date: | 24 May 2019 (6 years ago) |
| Authority Date: | 22 Oct 2024 (6 months ago) |
| Organization Number: | 1403320 |
| Principal Office: | 109 State St Ste 5, Boston, MA 02109 |
| Place of Formation: | DELAWARE |
| Name | Role |
|---|---|
| Derek Rowley | Authorized Rep |
| Name | Role |
|---|---|
| Evan Richardson | Officer |
| Name | Role |
|---|---|
| CT Corporation System | Registered Agent |
| Name | File Date |
|---|---|
| Certificate of Authority FBE | 2024-10-22 |
Sources: Kentucky Secretary of State
