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  5. COMMUNITY MENTAL HEALTH AFFILIATES, INC.

COMMUNITY MENTAL HEALTH AFFILIATES, INC.

Company Details

Entity Name: COMMUNITY MENTAL HEALTH AFFILIATES, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 26 Nov 1975
Business ALEI: 0052535
Annual report due: 26 Nov 2024
NAICS code: 621420 - Outpatient Mental Health and Substance Abuse Centers
Business address: 233 MAIN STREET 7TH FLOOR, NEW BRITAIN, CT, 06051, United States
Mailing address: 233 MAIN STREET 7TH FLOOR, NEW BRITAIN, CT, United States, 06051
ZIP code: 06051
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: mgilhuly@cmhacc.org

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
KVNWDR2R5223 2024-10-16 233 MAIN ST, FL 7, NEW BRITAIN, CT, 06051, 4206, USA 233 MAIN ST FL 7, NEW BRITAIN, CT, 06051, 4206, USA

Business Information
Doing Business As COMMUNITY MENTAL HEALTH AFFILIATES INC
URL www.cmhacc.org
Division Name COMMUNITY MENTAL HEALTH AFFILIATES, INC
Congressional District 05
State/Country of Incorporation CT, USA
Activation Date 2023-10-18
Initial Registration Date 2008-05-22
Entity Start Date 1975-11-26
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 621420, 623220

Points of Contacts
Electronic Business
Title PRIMARY POC
Name AMY OGLE
Role DEVELOPMENT & COMMUNITY ENGAGEMENT MANAGER
Address 233 MAIN STREET, NEW BRITAIN, CT, 06051, USA
Title ALTERNATE POC
Name SUSAN SPITZ
Role NETWORK ADMINISTRATOR
Address 233 MAIN STREET, NEW BRITAIN, CT, 06051, 2906, USA
Government Business
Title PRIMARY POC
Name RAYMOND J GORMAN
Role PRESIDENT & CEO
Address 233 MAIN STREET, NEW BRITAIN, CT, 06051, USA
Title ALTERNATE POC
Name KAREN PINHEIRO
Role VICE PRESIDENT OF FINANCE & ADMINISTRATION
Address 233 MAIN STREET, NEW BRITAIN, CT, 06051, 2906, USA
Past Performance
Title PRIMARY POC
Name RAYMOND J. GORMAN
Role PRESIDENT & CEO
Address 233 MAIN STREET, NEW BRITAIN, CT, 06051, 2906, USA
Title ALTERNATE POC
Name KAREN PINHEIRO
Role VICE PRESIDENT OF FINANCE & ADMINISTRATION
Address 233 MAIN STREET, NEW BRITAIN, CT, 06051, 2906, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
53B50 Active Non-Manufacturer 2008-05-23 2024-10-07 2029-10-07 2025-10-03

Contact Information
POC SCOTT WOZENA
Phone +1 860-826-1358
Fax +1 860-229-6575
Address 233 MAIN ST, NEW BRITAIN, CT, 06051 4206, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403B PLAN OF COMMUNITY MENTAL HEALTH AFFILIATES INC 2021 060934544 2022-12-09 COMMUNITY MENTAL HEALTH AFFILIATES, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-10-01
Business code 621420
Sponsor’s telephone number 8608261358
Plan sponsor’s address 233 MAIN ST, NEW BRITAIN, CT, 060514204

Signature of
Role Plan administrator
Date 2022-12-09
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-12-09
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
403B PLAN OF COMMUNITY MENTAL HEALTH AFFILIATES, INC. 2020 060934544 2021-12-15 COMMUNITY MENTAL HEALTH AFFILIATES, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-10-01
Business code 621420
Sponsor’s telephone number 8608261358
Plan sponsor’s address 233 MAIN ST, NEW BRITAIN, CT, 060514204

Signature of
Role Plan administrator
Date 2021-12-15
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-12-15
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
403B PLAN OF COMMUNITY MENTAL HEALTH AFFILIATES, INC. 2019 060934544 2021-01-08 COMMUNITY MENTAL HEALTH AFFILIATES, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-10-01
Business code 621420
Sponsor’s telephone number 8608261358
Plan sponsor’s address 233 MAIN ST, NEW BRITAIN, CT, 060514204

Signature of
Role Plan administrator
Date 2021-01-08
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-01-08
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
403B PLAN OF COMMUNITY MENTAL HEALTH AFFILIATES, INC. 2018 060934544 2020-01-28 COMMUNITY MENTAL HEALTH AFFILIATES, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-10-01
Business code 621420
Plan sponsor’s address 233 MAIN ST, NEW BRITAIN, CT, 060514204

Signature of
Role Plan administrator
Date 2020-01-28
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-28
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
403B PLAN OF COMMUNITY MENTAL HEALTH AFFILIATES INC 2017 060934544 2019-01-31 COMMUNITY MENTAL HEALTH AFFILIATES, INC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-10-01
Business code 621420
Sponsor’s telephone number 8608261358
Plan sponsor’s address 233 MAIN ST FL 7, NEW BRITAIN, CT, 060514206

Signature of
Role Plan administrator
Date 2019-01-31
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-01-31
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
403B PLAN OF COMMUNITY MENTAL HEALTH AFFILIATES, INC. 2016 060934544 2017-12-13 COMMUNITY MENTAL HEALTH AFFILIATES, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-10-01
Business code 621420
Sponsor’s telephone number 8608261358
Plan sponsor’s address 270 JOHN DOWNEY DR, NEW BRITAIN, CT, 060512906

Signature of
Role Plan administrator
Date 2017-12-13
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-12-13
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
403B PLAN OF COMMUNITY MENTAL HEALTH AFFILIATES, INC. 2015 060934544 2016-12-28 COMMUNITY MENTAL HEALTH AFFILIATES, INC. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-10-01
Business code 621420
Sponsor’s telephone number 8608261358
Plan sponsor’s address 270 JOHN DOWNEY DR, NEW BRITAIN, CT, 060512906

Signature of
Role Plan administrator
Date 2016-12-28
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
403B PLAN OF COMMUNITY MENTAL HEALTH AFFILIATES INC 2014 060934544 2015-12-15 COMMUNITY MENTAL HEALTH AFFILIATES, INC. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-10-01
Business code 621420
Plan sponsor’s address 270 JOHN DOWNEY DRIVE, NEW BRITAIN, CT, 06051

Signature of
Role Plan administrator
Date 2015-12-15
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-12-15
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
403B PLAN OF COMMUNITY MENTAL HEALTH AFFILIATES, INC. 2013 060934544 2015-02-04 COMMUNITY MENTAL HEALTH AFFILIATES, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-10-01
Business code 621420
Sponsor’s telephone number 8608261358
Plan sponsor’s address 270 JOHN DOWNEY DRIVE, NEW BRITAIN, CT, 06051

Signature of
Role Plan administrator
Date 2015-02-04
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-02-04
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
403B PLAN OF COMMUNITY MENTAL HEALTH AFFILIATES, INC. 2012 060934544 2013-12-16 COMMUNITY MENTAL HEALTH AFFILIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-10-01
Business code 621420
Sponsor’s telephone number 8608261358
Plan sponsor’s address 270 JOHN DOWNEY DRIVE, NEW BRITAIN, CT, 06051

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-16
Name of individual signing MARY GILHULY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
EMANUELE A. MANGIAFICO Agent 185 WEST MAIN STREET, NEW BRITAIN, CT, 06052, United States +1 860-490-4090 manny@mangiaficolaw.com 185 WEST MAIN STREET, NEW BRITAIN, CT, 06052, United States

Officer

Name Role Business address Residence address
TODD DEGROFF Officer BEACON PHARMACY, 543 WEST MAIN STREET, NEW BRITAIN, CT, 06053, United States BEACON PHARMACY, 543 WEST MAIN STREET, NEW BRITAIN, CT, 06053, United States
Marissa LaBelle Officer 225 Asylum Street, Suite 2300, Hartford, CT, 06103, United States 225 Asylum Street, Suite 2300, Hartford, CT, 06103, United States
JENIFER YARSAWICH Officer NEW BRITAIN POLICE DEPARTMENT, 10 CHESTNUT STREET, NEW BRITAIN, CT, 06051, United States NEW BRITAIN POLICE DEPARTMENT, 10 CHESTNUT STREET, NEW BRITAIN, CT, 06051, United States
HUNTER MATHENA Officer 1000 ORCHARD ROAD, BERLIN, CT, 06037, United States 1000 ORCHARD ROAD, BERLIN, CT, 06037, United States

Director

Name Role Business address Residence address
TODD DEGROFF Director BEACON PHARMACY, 543 WEST MAIN STREET, NEW BRITAIN, CT, 06053, United States BEACON PHARMACY, 543 WEST MAIN STREET, NEW BRITAIN, CT, 06053, United States
JENIFER YARSAWICH Director NEW BRITAIN POLICE DEPARTMENT, 10 CHESTNUT STREET, NEW BRITAIN, CT, 06051, United States NEW BRITAIN POLICE DEPARTMENT, 10 CHESTNUT STREET, NEW BRITAIN, CT, 06051, United States
HUNTER MATHENA Director 1000 ORCHARD ROAD, BERLIN, CT, 06037, United States 1000 ORCHARD ROAD, BERLIN, CT, 06037, United States
Marissa LaBelle Director 225 Asylum Street, Suite 2300, Hartford, CT, 06103, United States 225 Asylum Street, Suite 2300, Hartford, CT, 06103, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
RAFF.03768-CL 1 RAFFLE PERMIT CLASS 1 CLOSED VERIFICATION STATEMENT COMPLETE No data 2016-08-09 2016-11-09
SA.0000683 Substance Abuse ACTIVE CURRENT 2024-02-09 2024-02-09 2025-12-31
POCA.0000819 Psychiatric Outpatient Clinic ACTIVE CURRENT 2024-02-09 2024-02-09 2026-12-31
POCA.0000807 Psychiatric Outpatient Clinic ACTIVE CURRENT 2023-05-24 2023-05-24 2026-03-31
SA.0000674 Substance Abuse ACTIVE CURRENT 2023-05-24 2023-05-24 2025-03-31
CHR.0001241 PUBLIC CHARITY ACTIVE CURRENT 2021-06-01 2024-09-12 2025-05-31
POCA.0000702 Psychiatric Outpatient Clinic ACTIVE CURRENT 2018-12-14 2022-10-01 2025-09-30
SA.0000581 Substance Abuse ACTIVE IN RENEWAL CURRENT 2018-12-14 2022-10-01 2024-09-30
SA.0000470 Substance Abuse CLOSED CLOSED 2013-12-24 2017-10-01 2019-09-30
POCA.0000568 Psychiatric Outpatient Clinic CLOSED CLOSED 2013-12-24 2017-10-01 2021-09-30

History

Type Old value New value Date of change
Name change CENTRAL CONNECTICUT COMMUNITY MENTAL HEALTH AFFILIATES, INC. COMMUNITY MENTAL HEALTH AFFILIATES, INC. 1985-12-16

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011084585 2023-10-27 No data Annual Report Annual Report No data
BF-0010208811 2022-10-28 No data Annual Report Annual Report 2022
BF-0009822688 2021-10-27 No data Annual Report Annual Report No data
0007010619 2020-10-30 No data Annual Report Annual Report 2020
0006667046 2019-10-25 No data Annual Report Annual Report 2019
0006369272 2019-02-07 No data Change of Business Address Business Address Change No data
0006264568 2018-10-25 No data Annual Report Annual Report 2018
0005958891 2017-11-01 2017-11-01 Change of Agent Agent Change No data
0005950942 2017-10-23 No data Annual Report Annual Report 2017
0005950917 2017-10-23 No data Change of Agent Address Agent Address Change No data

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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