FAIR HAVEN COMMUNITY HEALTH CLINIC, INC.

Business Information

Doing Business As	FAIR HAVEN COMMUNITY HEALTH CLINIC INC
URL	http://www.fhchc.org
Congressional District	03
State/Country of Incorporation	CT, USA
Activation Date	2024-04-30
Initial Registration Date	2006-01-04
Entity Start Date	1971-09-01
Fiscal Year End Close Date	Jun 30

Service Classifications

NAICS Codes	621498
Product and Service Codes	Q201

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	AMY TRIMANI
Role	CFO
Address	374 GRAND AVENUE, NEW HAVEN, CT, 06513, 3733, USA
Title	ALTERNATE POC
Name	ABIGAIL PAINE
Role	VP OF QUALITY & DATA
Address	374 GRAND AVENUE, NEW HAVEN, CT, 06513, USA

Government Business
Title	PRIMARY POC
Name	SUZANNE LAGARDE
Role	CEO
Address	374 GRAND AVENUE, NEW HAVEN, CT, 06513, 3733, USA
Title	ALTERNATE POC
Name	ABIGAIL PAINE
Role	VP OF QUALITY & DATA
Address	374 GRAND AVENUE, NEW HAVEN, CT, 06513, 3733, USA

Past Performance	Information not Available

Contact Information

POC	SUZANNE LAGARDE
Phone	+1 203-777-7411
Fax	+1 203-777-8506
Address	374 GRAND AVE, NEW HAVEN, CT, 06513 3733, 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

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2017-01-01
Business code	621498
Sponsor’s telephone number	2037777411
Plan sponsor’s DBA name	FAIR HAVEN COMMUNITY HEALTH CLINIC, INC.
Plan sponsor’s mailing address	374 GRAND AVE, EAST HAVEN, CT, 065133733
Plan sponsor’s address	374 GRAND AVE, EAST HAVEN, CT, 065133733

Number of participants as of the end of the plan year

Active participants	105
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	0

Signature of

Role	Plan administrator
Date	2018-10-12
Name of individual signing	SUZANNE LAGARDE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	502
Effective date of plan	2017-01-01
Business code	621498
Sponsor’s telephone number	2207777411
Plan sponsor’s DBA name	FAIR HAVEN COMMUNITY HEALTH CLINIC, INC.,
Plan sponsor’s mailing address	374 GRAND AVE, EAST HAVEN, CT, 065133733
Plan sponsor’s address	374 GRAND AVE, EAST HAVEN, CT, 065133733

Number of participants as of the end of the plan year

Active participants	102
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	0

Signature of

Role	Plan administrator
Date	2018-10-12
Name of individual signing	SUZANNE LAGARDE
Valid signature	Filed with authorized/valid electronic signature