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  5. CAROLTON CHRONIC AND CONVALESCENT HOSPITAL INCORPORATED

CAROLTON CHRONIC AND CONVALESCENT HOSPITAL INCORPORATED

Company Details

Entity Name: CAROLTON CHRONIC AND CONVALESCENT HOSPITAL INCORPORATED
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report past due
Date Formed: 08 Jun 1955
Business ALEI: 0007956
Annual report due: 08 Jun 2024
NAICS code: 623110 - Nursing Care Facilities (Skilled Nursing Facilities)
Business address: 400 MILL PLAIN RD, FAIRFIELD, CT, 06824, United States
Mailing address: 400 MILL PLAIN RD, FAIRFIELD, CT, United States, 06824
ZIP code: 06824
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 0
E-Mail: vhancock@gregoryandadams.com

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
JGSDJMAM2FN9 2023-12-18 400 MILL PLAIN RD, FAIRFIELD, CT, 06824, 5048, USA 400 MILL PLAIN RD, FAIRFIELD, CT, 06824, 5048, USA

Business Information
Congressional District 04
State/Country of Incorporation CT, USA
Activation Date 2023-01-12
Initial Registration Date 2022-12-05
Entity Start Date 1955-06-08
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 623110, 623210, 623220, 623311, 623312, 623990

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DENNIS KRETZMER
Address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824, USA
Government Business
Title PRIMARY POC
Name DENNIS KRETZMER
Address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GROUP HEALTH INS EMPLOYEE CAROLTON CHRONIC CONV HOSPITAL INC 2017 060699795 2018-08-24 CAROLTON CHRONIC AND CONVALESCENT HOSPITAL 272
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-03-01
Business code 623000
Sponsor’s telephone number 2032553573
Plan sponsor’s DBA name CAROLTON HOSPITAL
Plan sponsor’s mailing address 400 MILL PLAIN RD, FAIRFIELD, CT, 068245048
Plan sponsor’s address 400 MILL PLAIN RD, FAIRFIELD, CT, 068245048

Number of participants as of the end of the plan year
Active participants 261

Signature of
Role Plan administrator
Date 2018-08-24
Name of individual signing DENNIS KRETZMER
Valid signature Filed with authorized/valid electronic signature
GROUP HEALTH INS. EMPLOYEE CAROLTON CHRONIC CONV. HOSPITAL INC 2016 060699795 2017-08-04 CAROLTON CHRONIC AND CONVALESCENT HOSPITAL 290
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-03-01
Business code 623000
Sponsor’s telephone number 2032553573
Plan sponsor’s DBA name CAROLTON HOSPITAL
Plan sponsor’s mailing address 400 MILL PLAIN RD, FAIRFIELD, CT, 068245048
Plan sponsor’s address 400 MILL PLAIN RD, FAIRFIELD, CT, 068245048

Number of participants as of the end of the plan year
Active participants 272

Signature of
Role Plan administrator
Date 2017-08-04
Name of individual signing DENNIS KRETZMER
Valid signature Filed with authorized/valid electronic signature
GROUP HEALTH INS. EMPLOYEE CAROLTON CHRONIC AND CONV. HOSPITAL 2015 060699795 2016-09-16 CAROLTON CHRONIC AND CONVALESCENT HOSPITAL 339
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-03-01
Business code 623000
Sponsor’s telephone number 2032553573
Plan sponsor’s DBA name CAROLTON HOSPITAL
Plan sponsor’s mailing address 400 MILL PLAIN RD, FAIRFIELD, CT, 06824
Plan sponsor’s address 400 MILL PLAIN RD, FAIRFIELD, CT, 06824

Plan administrator’s name and address
Administrator’s EIN 060699795
Plan administrator’s name CAROLTON CHRONIC AND CONVALESCENT HOSPITAL
Plan administrator’s address 400 MILL PLAIN RD, FAIRFIELD, CT, 06824
Administrator’s telephone number 2032553573

Number of participants as of the end of the plan year
Active participants 290

Signature of
Role Plan administrator
Date 2016-09-16
Name of individual signing DENNIS KRETZMER
Valid signature Filed with authorized/valid electronic signature
GROUP HEALTH INSURANCE EMPLOYEE CAROLTON CHRONIC & CONV. HOSPITAL 2013 060699795 2014-09-26 CAROLTON CHRONIC AND CONVALESCENT HOSPITAL 385
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-03-01
Business code 623000
Sponsor’s telephone number 2032553573
Plan sponsor’s mailing address 400 MILL PLAIN RD, FAIRFIELD, CT, 06824
Plan sponsor’s address 400 MILL PLAIN RD, FAIRFIELD, CT, 06824

Number of participants as of the end of the plan year
Active participants 345

Signature of
Role Plan administrator
Date 2014-09-26
Name of individual signing DENNIS KRETZMER
Valid signature Filed with authorized/valid electronic signature
GROUP HEALTH INSURANCE EMPLOYEES CAROLTON CHRONIC & CONV HOSPITAL 2012 060699795 2013-09-23 CAROLTON CHRONIC AND CONVALESCENT HOSPITAL 397
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-03-01
Business code 623000
Sponsor’s telephone number 2032553573
Plan sponsor’s mailing address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824
Plan sponsor’s address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824

Plan administrator’s name and address
Administrator’s EIN 060699795
Plan administrator’s name CAROLTON CHRONIC AND CONVALESCENT HOSPITAL
Plan administrator’s address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824
Administrator’s telephone number 2032553573

Number of participants as of the end of the plan year
Active participants 385

Signature of
Role Plan administrator
Date 2013-09-23
Name of individual signing DENNIS KRETZMER
Valid signature Filed with authorized/valid electronic signature
GROUP HEALTH INSURANCE EMPLOYEES CAROLTON CHRONIC & CONV. HOSPITAL 2011 060699795 2012-09-25 CAROLTON CHRONIC AND CONVALESCENT HOSPITAL 410
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-03-01
Business code 623000
Sponsor’s telephone number 2032553573
Plan sponsor’s mailing address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824
Plan sponsor’s address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824

Plan administrator’s name and address
Administrator’s EIN 060699795
Plan administrator’s name CAROLTON CHRONIC AND CONVALESCENT HOSPITAL
Plan administrator’s address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824
Administrator’s telephone number 2032553573

Number of participants as of the end of the plan year
Active participants 397

Signature of
Role Plan administrator
Date 2012-09-25
Name of individual signing DENNIS KRETZMER
Valid signature Filed with authorized/valid electronic signature
GROUP HEALTH INSURANCE PLAN FOR EMPLOYEES CAROLTON CHRONIC & CONV. HOSPITAL 2010 060699795 2011-10-31 CAROLTON CHRONIC AND CONVALESCENT HOSPITAL 385
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-03-01
Business code 623000
Sponsor’s telephone number 2032553573
Plan sponsor’s mailing address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824
Plan sponsor’s address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824

Plan administrator’s name and address
Administrator’s EIN 060699795
Plan administrator’s name DENNIS KRETZMER
Plan administrator’s address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824
Administrator’s telephone number 2032553573

Number of participants as of the end of the plan year
Active participants 410
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-31
Name of individual signing DENNIS KRETZMER
Valid signature Filed with authorized/valid electronic signature
GROUP HEALTH INSURANCE PLAN FOR EMPLOYEES CAROLTON CHRONIC & CONVALESCENT HOSPITAL 2009 060699795 2010-11-17 CAROLTON CHRONIC AND CONVALESCENT HOSPITAL 372
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-03-01
Business code 623000
Sponsor’s telephone number 2032553573
Plan sponsor’s mailing address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824
Plan sponsor’s address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824

Plan administrator’s name and address
Administrator’s EIN 060699795
Plan administrator’s name CAROLTON CHRONIC AND CONVALESCENT HOSPITAL
Plan administrator’s address 400 MILL PLAIN ROAD, FAIRFIELD, CT, 06824
Administrator’s telephone number 2032553573

Number of participants as of the end of the plan year
Active participants 380
Retired or separated participants receiving benefits 5
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-11-17
Name of individual signing DENNIS KRETZMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MICHAEL J. TORTORA Agent 1087 Broad St, Bridgeport, CT, 06604, United States 45 Weathervane Drive, Easton, CT, 06612, United States +1 203-521-1269 mtortora@thefloodlawfirm.com 45 WEATHERVANE DRIVE, EASTON, CT, 06612, United States

Officer

Name Role Business address Residence address
Kathryn Abrahamsen Officer 400 MILL PLAIN RD, FAIRFIELD, CT, 06824, United States 190 Old Mill Rd, Fairfield, CT, 06824, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0009751885 2023-10-03 No data Annual Report Annual Report No data
BF-0010690730 2023-10-03 No data Annual Report Annual Report No data
BF-0011080465 2023-10-03 No data Annual Report Annual Report No data
BF-0011914219 2023-08-03 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0007031994 2020-12-03 No data Annual Report Annual Report 2020
0007024624 2020-11-20 2020-11-20 Change of Agent Agent Change No data
0006558153 2019-05-14 No data Annual Report Annual Report 2019
0006480411 2019-03-20 No data Annual Report Annual Report 2017
0006480413 2019-03-20 No data Annual Report Annual Report 2018
0005670518 2016-10-11 No data Annual Report Annual Report 2015

Related by officers

MICHAEL J. TORTORA

C.M.F. REALTY, L.L.C. AIR QUALITY SERVICES, LLC 505 FAIRFIELD BEACH ROAD, LLC APEX VERTICALS, LLC LAW OFFICE OF MICHAEL J. TORTORA, LLC

Related by address

400 MILL PLAIN RD, FAIRFIELD, CT, 06824, United States

TTFT MANAGEMENT ASSOCIATES, INC.

400 MILL PLAIN RD, FAIRFIELD, CT, United States, 06824

TTFT MANAGEMENT ASSOCIATES, INC.

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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