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  5. INTERCOMMUNITY, INC.

INTERCOMMUNITY, INC.

Company Details

Entity Name: INTERCOMMUNITY, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 03 Jan 1977
Business ALEI: 0055250
Annual report due: 03 Jan 2025
NAICS code: 621420 - Outpatient Mental Health and Substance Abuse Centers
Business address: 281 MAIN ST, EAST HARTFORD, CT, 06118, United States
Mailing address: 800 CONNECTICUT BLVD FL 4, EAST HARTFORD, CT, United States, 06108
ZIP code: 06118
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: jeffreyhughes@intercommunityct.org

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
KHJ4QKAJNC18 2025-05-01 800 CONNECTICUT BLVD FL 4, EAST HARTFORD, CT, 06108, 3239, USA 800 CONNECTICUT BLVD FL 4, EAST HARTFORD, CT, 06108, 3239, USA

Business Information
URL https://www.intercommunityct.org/
Congressional District 01
State/Country of Incorporation CT, USA
Activation Date 2024-05-03
Initial Registration Date 2008-06-26
Entity Start Date 1977-11-02
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 621112, 621420

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JEFFREY HUGHES
Role CFO
Address 800 CONNECTICUT BLVD FL 4, EAST HARTFORD, CT, 06108, 3237, USA
Title ALTERNATE POC
Name KIMBERLY BEAUREGARD
Address 281 MAIN STREET, EAST HARTFORD, CT, 06118, 1823, USA
Government Business
Title PRIMARY POC
Name KIMBERLY L. BEAUREGARD
Role CEO
Address 800 CONNECTICUT BLVD FL 4, EAST HARTFORD, CT, 06108, 3237, USA
Title ALTERNATE POC
Name JEFFREY HUGHES
Address 800 CONNECTICUT BLVD FL 4, EAST HARTFORD, CT, 06108, 1823, USA
Past Performance
Title ALTERNATE POC
Name KIMBERLY BEAUREGARD
Address 281 MAIN STREET, EAST HARTFORD, CT, 06118, 1823, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
54F65 Active Non-Manufacturer 2008-06-27 2024-05-03 2029-05-03 2025-05-01

Contact Information
POC KIMBERLY L.. BEAUREGARD
Phone +1 860-291-1340
Fax +1 860-569-5609
Address 800 CONNECTICUT BLVD FL 4, EAST HARTFORD, CT, 06108 3239, 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
INTERCOMMUNITY, INC. 401(K) PROFIT SHARING PLAN 2014 060954809 2015-09-22 INTERCOMMUNITY, INC. 118
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 621420
Sponsor’s telephone number 8602911350
Plan sponsor’s address 281 MAIN STREET, EAST HARTFORD, CT, 06118
INTERCOMMUNITY, INC. 401(K) PROFIT SHARING PLAN 2013 060954809 2014-11-11 INTERCOMMUNITY, INC. 107
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 621420
Sponsor’s telephone number 8602911350
Plan sponsor’s address 281 MAIN STREET, EAST HARTFORD, CT, 06118
INTERCOMMUNITY, INC. 401(K) PROFIT SHARING PLAN 2012 060954809 2013-10-17 INTERCOMMUNITY, INC. 98
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 621420
Sponsor’s telephone number 8602911350
Plan sponsor’s address 281 MAIN STREET, EAST HARTFORD, CT, 06118

Signature of
Role Plan administrator
Date 2013-10-17
Name of individual signing MARSHALL GAINES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-17
Name of individual signing MARSHALL GAINES
Valid signature Filed with authorized/valid electronic signature
INTERCOMMUNITY, INC. 401(K) PROFIT SHARING PLAN 2011 060954809 2012-09-25 INTERCOMMUNITY, INC. 95
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 621420
Sponsor’s telephone number 8602911350
Plan sponsor’s address 281 MAIN STREET, EAST HARTFORD, CT, 06118

Plan administrator’s name and address
Administrator’s EIN 060954809
Plan administrator’s name INTERCOMMUNITY, INC.
Plan administrator’s address 281 MAIN STREET, EAST HARTFORD, CT, 06118
Administrator’s telephone number 8602911350

Signature of
Role Plan administrator
Date 2012-09-25
Name of individual signing MARSHALL GAINES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-25
Name of individual signing MARSHALL GAINES
Valid signature Filed with authorized/valid electronic signature
INTERCOMMUNITY, INC. 401(K) PROFIT SHARING PLAN 2010 060954809 2011-10-11 INTERCOMMUNITY, INC. 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 621420
Sponsor’s telephone number 8602911350
Plan sponsor’s address 281 MAIN STREET, EAST HARTFORD, CT, 06118

Plan administrator’s name and address
Administrator’s EIN 060954809
Plan administrator’s name INTERCOMMUNITY, INC.
Plan administrator’s address 281 MAIN STREET, EAST HARTFORD, CT, 06118
Administrator’s telephone number 8602911350

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing MARSHALL GAINES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-11
Name of individual signing MARSHALL GAINES
Valid signature Filed with authorized/valid electronic signature
INTERCOMMUNITY, INC. 401(K) PROFIT SHARING PLAN 2009 060954809 2011-01-13 INTERCOMMUNITY, INC. 105
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 621420
Sponsor’s telephone number 8602911350
Plan sponsor’s address 281 MAIN STREET, EAST HARTFORD, CT, 06118

Plan administrator’s name and address
Administrator’s EIN 060954809
Plan administrator’s name INTERCOMMUNITY, INC.
Plan administrator’s address 281 MAIN STREET, EAST HARTFORD, CT, 06118
Administrator’s telephone number 8602911350

Signature of
Role Plan administrator
Date 2011-01-13
Name of individual signing MARSHALL GAINES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-01-13
Name of individual signing MARSHALL GAINES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
KIMBERLY L. BEAUREGARD Agent 800 Connecticut Blvd, East Hartford, CT, 06108-7303, United States +1 508-612-7215 jeffreyhughes@intercommunityct.org 10 Upland Way, Glastonbury, CT, 06033, United States

Director

Name Role Business address Residence address
Mildred Gomez Director 281 MAIN ST, EAST HARTFORD, CT, 06118, United States 49 Bassett St, New Britain, CT, 06051-3021, United States
JENNIFER RAULUKAITIS Director KAMAN DISTRIBUTION GROUP, KAMAN 1 VISION WAY, BLOOMFIELD, CT, 06002, United States 9 LINDSEY RD, LEBANON, CT, 06249, United States
R. Amalia Castillo Director No data 65 Songbird Ln, Farmington, CT, 06032-3420, United States
C. STEVEN WOLF Director 114 WOODLAND ST, HARTFORD, CT, 06112, United States 22 CARRIGE DR, FARMINGTON, CT, 06032, United States
JAMES KELLY Director 212 MCKEE STREET, MANCHESTER, CT, 06040, United States 212 MCKEE STREET, MANCHESTER, CT, 06040, United States
MEGHAN BLANCHETTE Director SPORTS CLIPS, 10 HAZARD AVENUE, STE 2A, ENFIELD, CT, 06082, United States 1082 BOULEVARD, 3RD FLOOR, EAST HARTFORD, CT, 06119, United States
ANDRE SANTIAGO Director LEADERSHIP GREATER HARTFORD, 30 LAUREL STREET, HARTFORD, CT, 06106, United States 594 FARMINGTON AVE, APT. A-5, HARTFORD, CT, 06106, United States
Anthony Grant Director 99 Hawley Ln, Suite 1400, Stratford, CT, 06614-1201, United States 38 Stanwood St, Hartford, CT, 06106-4137, United States
Nisha Mungroo Director 8 Reaearch Parkway, Wallingford, CT, 06492, United States 91 Sisson Ave, 1st Floor, Hartford, CT, 06106-1131, United States
Tyronne McConnico Director 71 Mountain Rd, Newington, CT, 06111, United States 65 W Beacon St, A4, West Hartford, CT, 06119, United States

Officer

Name Role Business address Phone E-Mail Residence address
TYLER BOOTH Officer 800 CONNECTICUT BLVD, 4th fl, EAST HARTFORD, CT, 06108, United States No data No data 938 MANCHESTER ROAD, GLASTONBURY, CT, 06033, United States
KIMBERLY L. BEAUREGARD Officer 800 CONNECTICUT BLVD, 4th Fl, EAST HARTFORD, CT, 06108, United States +1 508-612-7215 jeffreyhughes@intercommunityct.org 10 Upland Way, Glastonbury, CT, 06033, United States
BILL YOUNG Officer 800 CONNECTICUT BLVD, 4th fl, EAST HARTFORD, CT, 06108, United States No data No data 1 GOLD STREET, UNIT 2D, HARTFORD, CT, 06103, United States
JEFF HUGHES Officer 800 CONNECTICUT BLVD, 4th, EAST HARTFORD, CT, 06108, United States No data No data 8 School St, Apt 7, Fiskdale, MA, 01518, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0001633 PUBLIC CHARITY ACTIVE CURRENT No data 2024-06-01 2025-05-31
OPC.0000782 Outpatient Clinic ACTIVE CURRENT 2016-06-14 2023-04-01 2026-03-31
OPC.0000702 Outpatient Clinic ACTIVE IN RENEWAL CURRENT 2013-10-07 2021-10-01 2024-09-30
POCA.0000494 Psychiatric Outpatient Clinic ACTIVE CURRENT 2011-04-08 2024-04-01 2027-03-31
SA.0000416 Substance Abuse ACTIVE CURRENT 2011-04-08 2023-04-01 2025-03-31
SA.0000358 Substance Abuse ACTIVE CURRENT 2009-07-01 2023-04-01 2025-03-31
POCA.00C0178 Psychiatric Outpatient Clinic ACTIVE CURRENT 2009-04-01 2024-04-01 2027-03-31
POCA.00C0109 Psychiatric Outpatient Clinic INACTIVE No data 2005-04-01 2005-04-01 2009-03-31
POCA.0000339 Psychiatric Outpatient Clinic INACTIVE No data 2004-04-01 2004-04-01 2006-03-31
POCA.0000324 Psychiatric Outpatient Clinic INACTIVE No data 2003-07-01 2003-07-01 2005-06-30

History

Type Old value New value Date of change
Name change INTER-COMMUNITY MENTAL HEALTH GROUP, INC. INTERCOMMUNITY, INC. 2009-02-06
Name change GLASTONBURY MENTAL HEALTH GROUP, INC. INTER-COMMUNITY MENTAL HEALTH GROUP, INC. 1981-12-23

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012216631 2023-12-05 No data Annual Report Annual Report No data
BF-0011084886 2022-12-05 No data Annual Report Annual Report No data
BF-0010173974 2022-01-03 No data Annual Report Annual Report 2022
BF-0009804527 2021-09-23 No data Annual Report Annual Report No data
0006950129 2020-07-21 No data Change of Business Address Business Address Change No data
0006710374 2020-01-03 No data Annual Report Annual Report 2020
0006302238 2019-01-02 No data Annual Report Annual Report 2019
0006154662 2018-04-06 No data Annual Report Annual Report 2018
0005871725 2017-06-20 2017-07-01 Merger Certificate of Merger No data
0005853432 2017-05-31 No data Interim Notice Interim Notice No data

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Anthony Grant

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JEFF HUGHES

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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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