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  5. CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC.

CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC.

Company Details

Entity Name: CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 17 May 1971
Business ALEI: 0053223
Annual report due: 17 May 2025
NAICS code: 611620 - Sports and Recreation Instruction
Business address: 11 EXECUTIVE DRIVE, FARMINGTON, CT, 06032, United States
Mailing address: 11 EXECUTIVE DRIVE, FARMINGTON, CT, United States, 06032
ZIP code: 06032
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: sue@cjsa.org

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAX DEFERRED ANNUITY PLAN OF CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC. 2021 061021989 2022-07-15 CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 711300
Sponsor’s telephone number 8606761161
Plan sponsor’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 060322839

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing TERRY GILLAN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC. 2020 061021989 2021-07-12 CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 711300
Sponsor’s telephone number 8606761161
Plan sponsor’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 060322839

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing TERRY GILLAN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC. 2019 061021989 2020-07-13 CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 711300
Sponsor’s telephone number 8606761161
Plan sponsor’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 060322839

Signature of
Role Plan administrator
Date 2020-07-13
Name of individual signing TERRY GILLAN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC. 2018 061021989 2019-07-30 CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 711300
Sponsor’s telephone number 8606761161
Plan sponsor’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 060322839

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing TERRY GILLAN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CONNECTICUT JUNIOR SOCCER ASSOCIATION 2012 061021989 2013-07-01 CONNECTICUT JUNIOR SOCCER ASSOCIATION 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 711300
Sponsor’s telephone number 8606761161
Plan sponsor’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 06032

Signature of
Role Plan administrator
Date 2013-07-01
Name of individual signing JUDY WHELAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-01
Name of individual signing JUDY WHELAN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CONNECTICUT JUNIOR SOCCER ASSOCIATION 2011 061021989 2012-06-20 CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 711300
Sponsor’s telephone number 8606761161
Plan sponsor’s address 11 EXECUTIVE DR, STE 203, FARMINGTON, CT, 06032

Plan administrator’s name and address
Administrator’s EIN 061021989
Plan administrator’s name CONNECTICUT JUNIOR SOCCER ASSOCIATION, INC.
Plan administrator’s address 11 EXECUTIVE DR, STE 203, FARMINGTON, CT, 06032
Administrator’s telephone number 8606761161

Signature of
Role Plan administrator
Date 2012-06-20
Name of individual signing JUDY WHELAN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CONNECTICUT JUNIOR SOCCER ASSOCIATION 2009 061021989 2010-08-27 CONNECTICUT JUNIOR SOCCER ASSOCIATION 8
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 711300
Sponsor’s telephone number 8606761161
Plan sponsor’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 06032

Plan administrator’s name and address
Administrator’s EIN 061021989
Plan administrator’s name CONNECTICUT JUNIOR SOCCER ASSOCIATION
Plan administrator’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 06032
Administrator’s telephone number 8606761161

Signature of
Role Plan administrator
Date 2010-08-27
Name of individual signing JUDY WHELAN
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-08-27
Name of individual signing JUDY WHELAN
Valid signature Filed with incorrect/unrecognized electronic signature
TAX DEFERRED ANNUITY PLAN OF CONNECTICUT JUNIOR SOCCER ASSOCIATION 2009 061021989 2010-08-31 CONNECTICUT JUNIOR SOCCER ASSOCIATION 8
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 711300
Sponsor’s telephone number 8606761161
Plan sponsor’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 06032

Plan administrator’s name and address
Administrator’s EIN 061021989
Plan administrator’s name CONNECTICUT JUNIOR SOCCER ASSOCIATION
Plan administrator’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 06032
Administrator’s telephone number 8606761161

Signature of
Role Plan administrator
Date 2010-08-27
Name of individual signing JUDY WHELAN
Valid signature Filed with incorrect/unrecognized electronic signature
TAX DEFERRED ANNUITY PLAN OF CONNECTICUT JUNIOR SOCCER ASSOCIATION 2009 061021989 2010-08-31 CONNECTICUT JUNIOR SOCCER ASSOCIATION 8
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 711300
Sponsor’s telephone number 8606761161
Plan sponsor’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 06032

Plan administrator’s name and address
Administrator’s EIN 061021989
Plan administrator’s name CONNECTICUT JUNIOR SOCCER ASSOCIATION
Plan administrator’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 06032
Administrator’s telephone number 8606761161

Signature of
Role Plan administrator
Date 2010-08-27
Name of individual signing JUDY WHELAN
Valid signature Filed with incorrect/unrecognized electronic signature
TAX DEFERRED ANNUITY PLAN OF CONNECTICUT JUNIOR SOCCER ASSOCIATION 2009 061021989 2010-08-31 CONNECTICUT JUNIOR SOCCER ASSOCIATION 8
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 711300
Sponsor’s telephone number 8606761161
Plan sponsor’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 06032

Plan administrator’s name and address
Administrator’s EIN 061021989
Plan administrator’s name CONNECTICUT JUNIOR SOCCER ASSOCIATION
Plan administrator’s address 11 EXECUTIVE DR STE 203, FARMINGTON, CT, 06032
Administrator’s telephone number 8606761161

Signature of
Role Plan administrator
Date 2010-08-27
Name of individual signing JUDY WHELAN
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-08-27
Name of individual signing JUDY WHELAN
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role
GFELLER LAURIE LLP Agent

Director

Name Role Business address Residence address
DAVID BROUILLETTE Director ONE ALLIED WAY, MANCHESTER, CT, 06040, United States 719 SPINDLE HILL ROAD, WOLCOTT, CT, 06716, United States
JOHN MONTGOMERY Director No data 9 CHAPEL LANE, RIVERSIDE, CT, 06878, United States
DAVID RODRIGUEZ Director 528 SOUTH CHERRY STREET, WALLINGFORD, CT, 06492, United States 29 OVERLOOK DRIVE, WALLINGFORD, CT, 06492, United States
Paul Maloney Director No data 267 Lyman Rd, Wolcott, CT, 06716-2343, United States
RICHARD BERNSTEIN Director 56 JONATHAN LANE, MANSFIELD, CT, 06268, United States 56 JONATHAN LANE, MANSFIELD, CT, 06268, United States
MARYKAY BROPHY Director No data 4 PARK PLACE, SOUTH GLASTONBURY, CT, 06073, United States
MARGARET GIRARD Director 11 EXECUTIVE DRIVE, FARMINGTON, CT, 06032, United States 237 OXFORD STREET, HARTFORD, CT, 06105, United States
JOSEPH ZIZIK Director 100 WINNENDEN ROAD, NORWICH, CT, 06370, United States 66 BEECHWOOD ROAD, OAKDALE, CT, 06370, United States
RONALD L PACKARD JR Director No data 6 CHATHAM LANE, BURLINGTON CT, CT, 06010, United States
JOSEPH FILIPPETTI Director 100 SOCKANOSSET CROSS ROAD, CRANSTON, RI, 02920, United States 11 HILLCREST DRIVE, WATERFORD, CT, 06385, United States

Officer

Name Role Business address Residence address
TOM HAYDEN Officer 11 EXECUTIVE DRIVE, FARMINGTON, CT, 06032, United States 24 MUSKET TRAIL, SIMSBURY, CT, 06070, United States
ANDREA DUFFY Officer No data 417 THOREAU STREET, CONNECTICUT, BRANFORD, CT, 06405, United States
ROBERT GOLDMAN Officer 11 EXECUTIVE DRIVE, FARMINGTON, CT, 06032, United States 153 KRAWSKI DRIVE, SOUTH WINDSOR, CT, 06074, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0008712-EXEMPT PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS ACTIVE No data No data No data No data

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012215559 2024-05-08 No data Annual Report Annual Report No data
BF-0011081859 2023-05-10 No data Annual Report Annual Report No data
BF-0010255704 2022-04-29 No data Annual Report Annual Report 2022
0007338691 2021-05-14 No data Annual Report Annual Report 2021
0006911009 2020-05-27 No data Annual Report Annual Report 2020
0006667615 2019-10-28 No data Change of Agent Address Agent Address Change No data
0006594273 2019-07-10 No data Annual Report Annual Report 2019
0006171730 2018-04-30 No data Annual Report Annual Report 2018
0005826524 2017-04-26 No data Annual Report Annual Report 2017
0005569420 2016-05-19 No data Annual Report Annual Report 2016

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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