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  5. DERBY DAY CARE CENTER, INC.

DERBY DAY CARE CENTER, INC.

Company Details

Entity Name: DERBY DAY CARE CENTER, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 30 Nov 1971
Date of dissolution: 31 Dec 2020
Business ALEI: 0053752
Annual report due: 28 Nov 2020
NAICS code: 624410 - Child Care Services
Business address: TEAM INC 30 ELIZABETH ST C/O TEAM INC, DERBY, CT, 06418, United States
Mailing address: C/O TEAM INC 30 ELIZABETH ST STE 1 30 ELIZABETH ST, C/O TEAM INC, DERBY, CT, United States, 06418
ZIP code: 06418
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: rob4771@aol.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERBY DAY CARE CENTER INC 403(B) PLAN 2020 060879904 2021-01-26 DERBY DAY CARE CENTER INC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624410
Sponsor’s telephone number 2037365420
Plan sponsor’s address 219 DIVISION ST, ANSONIA, CT, 064011138

Plan administrator’s name and address
Administrator’s EIN 410451140
Plan administrator’s name RELIASTAR LIFE INSURANCE CO
Plan administrator’s address PO BOX 5050, MINOT, ND, 587025050
Administrator’s telephone number 8005846001

Signature of
Role Plan administrator
Date 2021-01-26
Name of individual signing GLADYS LAZUREK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-01-26
Name of individual signing GLADYS LAZUREK
Valid signature Filed with authorized/valid electronic signature
DERBY DAY CARE CENTER INC 403(B) PLAN 2020 060879904 2021-04-27 DERBY DAY CARE CENTER INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624410
Sponsor’s telephone number 2037365420
Plan sponsor’s address 30 ELIZABETH ST STE 1, DERBY, CT, 064181869

Plan administrator’s name and address
Administrator’s EIN 410451140
Plan administrator’s name RELIASTAR LIFE INSURANCE CO
Plan administrator’s address PO BOX 5050, MINOT, ND, 587025050
Administrator’s telephone number 8005846001

Signature of
Role Plan administrator
Date 2021-04-27
Name of individual signing ROBERT SARACINO
Valid signature Filed with authorized/valid electronic signature
DERBY DAY CARE CENTER INC 403(B) PLAN 2019 060879904 2021-01-26 DERBY DAY CARE CENTER INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624410
Sponsor’s telephone number 2037365420
Plan sponsor’s address 219 DIVISION ST, ANSONIA, CT, 064011138

Plan administrator’s name and address
Administrator’s EIN 410451140
Plan administrator’s name RELIASTAR LIFE INSURANCE CO
Plan administrator’s address PO BOX 5050, MINOT, ND, 587025050
Administrator’s telephone number 8005846001

Signature of
Role Plan administrator
Date 2021-01-26
Name of individual signing GLADYS LAZUREK
Valid signature Filed with authorized/valid electronic signature
DERBY DAY CARE CENTER, INC. 403(B) PLAN 2017 060879904 2018-05-09 DERBY DAY CARE CENTER, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624410
Sponsor’s telephone number 2037321010
Plan sponsor’s address 219 DIVISION ST, ANSONIA, CT, 064011138

Plan administrator’s name and address
Administrator’s EIN 410451140
Plan administrator’s name RELIASTAR LIFE INSURANCE COMPANY
Plan administrator’s address PO BOX 5050, MINOT, ND, 587025050

Signature of
Role Plan administrator
Date 2018-05-08
Name of individual signing GLADYS LAZUREK
Valid signature Filed with authorized/valid electronic signature
DERBY DAY CARE CENTER, INC. 403(B) PLAN 2016 060879904 2017-05-16 DERBY DAY CARE CENTER, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624410
Sponsor’s telephone number 2037321010
Plan sponsor’s address 219 DIVISION ST, ANSONIA, CT, 064011138

Plan administrator’s name and address
Administrator’s EIN 410451140
Plan administrator’s name RELIASTAR LIFE INSURANCE COMPANY
Plan administrator’s address PO BOX 5050, MINOT, ND, 587025050
Administrator’s telephone number 8777745050

Signature of
Role Plan administrator
Date 2017-05-16
Name of individual signing GLADYS LAZUREK
Valid signature Filed with authorized/valid electronic signature
DERBY DAY CARE CENTER, INC. 403(B) PLAN 2015 060879904 2016-07-26 DERBY DAY CARE CENTER, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624410
Sponsor’s telephone number 2037321010
Plan sponsor’s address 219 DIVISION ST, ANSONIA, CT, 064011138

Plan administrator’s name and address
Administrator’s EIN 410451140
Plan administrator’s name RELIASTAR LIFE INSURANCE COMPANY
Plan administrator’s address PO BOX 5050, MINOT, ND, 587025050
Administrator’s telephone number 8777745050

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing GLADYS LAZUREK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-26
Name of individual signing GLADYS LAZUREK
Valid signature Filed with authorized/valid electronic signature
DERBY DAY CARE CENTER, INC. 403(B) PLAN 2014 060879904 2015-05-18 DERBY DAY CARE CENTER, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624410
Sponsor’s telephone number 2037369084
Plan sponsor’s address 165 ELIZABETH STREET, DERBY, CT, 064181813

Plan administrator’s name and address
Administrator’s EIN 410451140
Plan administrator’s name RELIASTAR LIFE INSURANCE COMPANY
Plan administrator’s address P.O. BOX 5050, MINOT, ND, 587025050
Administrator’s telephone number 8777745050

Signature of
Role Plan administrator
Date 2015-05-18
Name of individual signing GLADYS LAZUREK
Valid signature Filed with authorized/valid electronic signature
DERBY DAY CARE CENTER, INC. 403(B) PLAN 2013 060879904 2014-05-15 DERBY DAY CARE CENTER, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624410
Sponsor’s telephone number 2037369084
Plan sponsor’s address 165 ELIZABETH STREET, DERBY, CT, 064181813

Plan administrator’s name and address
Administrator’s EIN 410451140
Plan administrator’s name RELIASTAR LIFE INSURANCE COMPANY
Plan administrator’s address P.O. BOX 5050, MINOT, ND, 587025050
Administrator’s telephone number 8777745050

Signature of
Role Plan administrator
Date 2014-05-15
Name of individual signing GLADYS LAZUREK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-15
Name of individual signing GLADYS LAZUREK
Valid signature Filed with authorized/valid electronic signature
DERBY DAY CARE CENTER, INC. 403(B) PLAN 2012 060879904 2013-05-21 DERBY DAY CARE CENTER, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624410
Sponsor’s telephone number 2037369084
Plan sponsor’s address 165 ELIZABETH STREET, DERBY, CT, 064181813

Plan administrator’s name and address
Administrator’s EIN 410451140
Plan administrator’s name RELIASTAR LIFE INSURANCE COMPANY
Plan administrator’s address P.O. BOX 5050, MINOT, ND, 587025050
Administrator’s telephone number 8777745050

Signature of
Role Plan administrator
Date 2013-05-21
Name of individual signing GLADYS LAZUREK
Valid signature Filed with authorized/valid electronic signature
DERBY DAY CARE CENTER, INC. 403(B) PLAN 2011 060879904 2012-08-23 DERBY DAY CARE CENTER, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624410
Sponsor’s telephone number 2037369084
Plan sponsor’s address 165 ELIZABETH STREET, DERBY, CT, 064181813

Plan administrator’s name and address
Administrator’s EIN 410451140
Plan administrator’s name RELIASTAR LIFE INSURANCE COMPANY
Plan administrator’s address P.O. BOX 5050, MINOT, ND, 587025050
Administrator’s telephone number 8778845050

Signature of
Role Plan administrator
Date 2012-08-23
Name of individual signing GLADYS LAZUREK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
KAREN SCARPA Agent 42 GROVE ST, ANSONIA, CT, 06401, United States rob4771@aol.com 13 LESTER ST, ANSONIA, CT, 06401, United States

Officer

Name Role Business address Residence address
LAURA WABNO Officer 30 ELIZABETH ST, C/O TEAM INC, DERBY, CT, 06418, United States 147 IDA AVE, DERBY, CT, 06418, United States
ROBERT SARACINO Officer No data 42 PUNKUP RD, OXFORD, CT, 06478, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0003547 PUBLIC CHARITY INACTIVE DUE TO NON-RENEWAL OF CREDENTIAL No data 2019-12-01 2020-11-30
DCCC.12003 Child Care Center INACTIVE WITHDRAWN CLOSED 1972-02-18 2018-10-01 2022-09-30

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007046193 2020-12-30 2020-12-31 Dissolution Certificate of Dissolution No data
0007010204 2020-10-29 No data Annual Report Annual Report 2019
0006271590 2018-11-05 No data Annual Report Annual Report 2018
0005953857 2017-10-25 No data Annual Report Annual Report 2017
0005693476 2016-11-10 No data Annual Report Annual Report 2016
0005516785 2016-03-18 No data Annual Report Annual Report 2015
0005226086 2014-11-25 No data Annual Report Annual Report 2014
0005209584 2014-10-20 2014-10-20 Amendment Restate No data
0004988737 2013-11-29 No data Annual Report Annual Report 2013
0004754353 2012-11-29 No data Annual Report Annual Report 2012

Related by officers

LAURA WABNO

VALLEY ASSOCIATION FOR RETARDED CHILDREN AND ADULTS, INCORPORATED LINCOLN SENIOR HOUSING, INC.

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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