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  5. COOK WILLOW HEALTH & REHABILITATION CENTER, INC.

COOK WILLOW HEALTH & REHABILITATION CENTER, INC.

Company Details

Entity Name: COOK WILLOW HEALTH & REHABILITATION CENTER, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 03 Oct 1974
Business ALEI: 0011131
Annual report due: 03 Oct 2025
NAICS code: 623110 - Nursing Care Facilities (Skilled Nursing Facilities)
Business address: 81 HILLSIDE AVE, PLYMOUTH, CT, 06782, United States
Mailing address: SUSAN A. MACDONALD 81 HILLSIDE AVE, PLYMOUTH, CT, United States, 06782
ZIP code: 06782
County: Litchfield
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: smacdonald@cookwillow.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COOK'S CONSOLIDATED ENTERPRISES 401(K) PROFIT SHARING PLAN 2023 060914538 2024-07-12 COOK WILLOW CONVALESCENT HOSPITAL, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 623000
Sponsor’s telephone number 8602838208
Plan sponsor’s address 81 HILLSIDE AVENUE, PLYMOUTH, CT, 067822339

Signature of
Role Plan administrator
Date 2024-07-12
Name of individual signing JENNESA LECLAIR
Valid signature Filed with authorized/valid electronic signature
COOK'S CONSOLIDATED ENTERPRISES 401(K) PROFIT SHARING PLAN 2022 060914538 2023-06-27 COOK WILLOW CONVALESCENT HOSPITAL, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 623000
Sponsor’s telephone number 8602838208
Plan sponsor’s address 81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782

Signature of
Role Plan administrator
Date 2023-06-27
Name of individual signing JENNESA LECLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-27
Name of individual signing JENNESA LECLAIR
Valid signature Filed with authorized/valid electronic signature
COOK'S CONSOLIDATED ENTERPRISES 401(K) PROFIT SHARING PLAN 2021 060914538 2022-06-03 COOK WILLOW CONVALESCENT HOSPITAL, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 623000
Sponsor’s telephone number 8602838208
Plan sponsor’s address 81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782

Signature of
Role Plan administrator
Date 2022-06-03
Name of individual signing JENNESA LECLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-03
Name of individual signing JENNESA LECLAIR
Valid signature Filed with authorized/valid electronic signature
COOK'S CONSOLIDATED ENTERPRISES 401(K) PROFIT SHARING PLAN 2020 060914538 2021-10-06 COOK WILLOW CONVALESCENT HOSPITAL, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 623000
Sponsor’s telephone number 8602838208
Plan sponsor’s address 81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing JENNESA LECLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-06
Name of individual signing JENNESA LECLAIR
Valid signature Filed with authorized/valid electronic signature
COOK'S CONSOLIDATED ENTERPRISES 401(K) PROFIT SHARING PLAN 2019 060914538 2020-10-08 COOK WILLOW CONVALESCENT HOSPITAL, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 623000
Sponsor’s telephone number 8602838208
Plan sponsor’s address 81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing JENNESA LECLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-08
Name of individual signing JENNESA LECLAIR
Valid signature Filed with authorized/valid electronic signature
COOK'S CONSOLIDATED ENTERPRISES 401(K) PROFIT SHARING PLAN 2018 060914538 2019-10-14 COOK WILLOW CONVALESCENT HOSPITAL, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 623000
Sponsor’s telephone number 8602838208
Plan sponsor’s address 81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing JENNESA LECLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing JENNESA LECLAIR
Valid signature Filed with authorized/valid electronic signature
COOK'S CONSOLIDATED ENTERPRISES 401(K) PROFIT SHARING PLAN 2017 060914538 2018-10-12 COOK WILLOW CONVALESCENT HOSPITAL, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 623000
Sponsor’s telephone number 8602838208
Plan sponsor’s address 81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing JENNESA LECLAIR
Valid signature Filed with authorized/valid electronic signature
COOK'S CONSOLIDATED ENTERPRISES 401(K) PROFIT SHARING PLAN 2016 060914538 2017-10-16 COOK WILLOW CONVALESCENT HOSPITAL, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 623000
Sponsor’s telephone number 8602838208
Plan sponsor’s address 81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing SUSAN MACDONALD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-13
Name of individual signing SUSAN MACDONALD
Valid signature Filed with authorized/valid electronic signature
COOK'S CONSOLIDATED ENTERPRISES 401(K) PROFIT SHARING PLAN 2015 060914538 2016-05-18 COOK WILLOW CONVALESCENT HOSPITAL, INC. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 623000
Sponsor’s telephone number 8602838208
Plan sponsor’s address 81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782

Signature of
Role Plan administrator
Date 2016-05-09
Name of individual signing SUSAN MACDONALD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-09
Name of individual signing SUSAN MACDONALD
Valid signature Filed with authorized/valid electronic signature
COOK'S CONSOLIDATED ENTERPRISES 401(K) PROFIT SHARING PLAN 2014 060914538 2015-07-21 COOK WILLOW CONVALESCENT HOSPITAL, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 623000
Sponsor’s telephone number 8602838208
Plan sponsor’s address 81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing SUSAN MACDONALD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-16
Name of individual signing SUSAN MACDONALD
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
JENNESA D LECLAIR Officer 81 HILLSIDE AVE, PLYMOUTH, CT, 06782, United States 210 WEST HILL RD, THOMASTON, CT, 06787, United States
SUSAN A. MACDONALD Officer 81 HILLSIDE AVE, PLYMOUTH, CT, 06782, United States 105 CARTER ROAD, PLYMOUTH, CT, 06782, United States
WALTER T. MACDONALD Officer 81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782, United States 105 CARTER ROAD, PLYMOUTH, CT, 06782, United States

Director

Name Role Business address Residence address
SUSAN A. MACDONALD Director 81 HILLSIDE AVE, PLYMOUTH, CT, 06782, United States 105 CARTER ROAD, PLYMOUTH, CT, 06782, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
SUSAN A MACDONALD Agent 81 HILLSIDE AVE, PLYMOUTH, CT, 06782, United States 105 CARTER ROAD, P.O. BOX 0275, PLYMOUTH, CT, 06782, United States +1 860-283-5209 smacdonald@cookwillow.com 105 CARTER ROAD, PLYMOUTH, CT, 06782, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CCNH.000932C Chronic & Convalescent Nursing Home ACTIVE CURRENT 2009-04-01 2023-04-01 2025-03-31
NATP.000021-POS Nurse Aide Training Program-Private Occ School ACTIVE CURRENT 1995-10-10 1995-10-10 2024-08-08

History

Type Old value New value Date of change
Name change COOK-WILLOW CONVALESCENT HOSPITAL, INC. COOK WILLOW HEALTH & REHABILITATION CENTER, INC. 2017-04-26

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012314283 2024-10-27 No data Annual Report Annual Report No data
BF-0011080360 2023-09-19 No data Annual Report Annual Report No data
BF-0010690700 2023-03-23 No data Annual Report Annual Report No data
BF-0009819809 2022-01-26 No data Annual Report Annual Report No data
0007028672 2020-11-30 No data Annual Report Annual Report 2020
0007028666 2020-11-30 No data Annual Report Annual Report 2019
0006267396 2018-10-29 No data Annual Report Annual Report 2017
0006267404 2018-10-29 No data Annual Report Annual Report 2018
0006267388 2018-10-29 No data Annual Report Annual Report 2016
0005833258 2017-04-26 2017-04-26 Amendment Amend Name No data

Related by officers

SUSAN A. MACDONALD

COOK'S COMMONS REALTY CORPORATION ARMSTRONG HAULING, INC. OLD MACDONALD'S FARM, L.L.C. FRIENDS OF THE THOMASTON OPERA HOUSE, INC. MILES HOLDING, LLC COOK'S HOME HEALTH TRANSPORTATION, LTD. THERAPY PLUS, INC. MICHAEL LANGE MUSIC LLC

WALTER T. MACDONALD

COOK'S COMMONS REALTY CORPORATION PLYMOUTH HOLLOW, INC. CAM REALTY, LLC OLD MACDONALD'S FARM, L.L.C. ALL CASH, INC. COOK'S HOME HEALTH TRANSPORTATION, LTD. MICHAEL LANGE MUSIC LLC

SUSAN A MACDONALD

COOK'S HOME HEALTH CENTER, INCORPORATED CAM REALTY, LLC COOK'S HOME HEALTH TRANSPORTATION, LTD.

Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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