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GRANBY AMBULANCE ASSOCIATION, INC.

Company Details

Entity Name: GRANBY AMBULANCE ASSOCIATION, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Date Formed: 22 Aug 1963 (Companies founded in August 1963)
Business ALEI: 0055303
Annual report due: 22 Aug 2024
NAICS code: 621910 - Ambulance Services
Business address: 1 PEGVILLE ROAD, GRANBY, CT, 06035, United States
Mailing address: 1 PEGVILLE ROAD, GRANBY, CT, United States, 06035
ZIP code: 06035 (Companies in Hartford, 06035)
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: carol@dibattisto.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRANBY AMBULANCE ASSOCIATION, 403(B) RETIREMENT PLAN 2023 066071846 2024-10-01 GRANBY AMBULANCE ASSOCIATION, INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621900
Sponsor’s telephone number 8606536535
Plan sponsor’s address 1 PEGVILLE ROAD, GRANBY, CT, 06035

Signature of

Role Plan administrator
Date 2024-10-01
Name of individual signing CAROL BRENNEN
Valid signature Filed with authorized/valid electronic signature
GRANBY AMBULANCE ASSOCIATION, INC 2022 066071846 2023-08-21 GRANBY AMBULANCE ASSOCIATION, INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621900
Sponsor’s telephone number 8606536535
Plan sponsor’s address 1 PEGVILLE ROAD, GRANBY, CT, 06035

Signature of

Role Plan administrator
Date 2023-08-21
Name of individual signing CAROL BRENNEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing CAROL BRENNEN
Valid signature Filed with authorized/valid electronic signature
GRANBY AMBULANCE ASSOCIATION, INC 2021 066071846 2022-07-10 GRANBY AMBULANCE ASSOCIATION, INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621900
Sponsor’s telephone number 8606536535
Plan sponsor’s address 1 PEGVILLE ROAD, GRANBY, CT, 06035

Signature of

Role Plan administrator
Date 2022-07-10
Name of individual signing CAROL BRENNEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-10
Name of individual signing CAROL BRENNEN
Valid signature Filed with authorized/valid electronic signature
GRANBY AMBULANCE ASSOCIATION, INC 2020 066071846 2021-07-28 GRANBY AMBULANCE ASSOCIATION, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621900
Sponsor’s telephone number 8606536535
Plan sponsor’s address 1 PEGVILLE ROAD, GRANBY, CT, 06035

Signature of

Role Plan administrator
Date 2021-07-28
Name of individual signing CAROL BRENNEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-28
Name of individual signing CAROL BRENNEN
Valid signature Filed with authorized/valid electronic signature
GRANBY AMBULANCE ASSOCIATION, INC 2019 066071846 2020-10-15 GRANBY AMBULANCE ASSOCIATION, INC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621900
Sponsor’s telephone number 8606536535
Plan sponsor’s address 1 PEGVILLE ROAD, GRANBY, CT, 06035

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing CAROL BRENNEN
Valid signature Filed with authorized/valid electronic signature
GRANBY AMBULANCE ASSOCIATION, INC 2018 066071846 2019-07-31 GRANBY AMBULANCE ASSOCIATION, INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621900
Sponsor’s telephone number 8606536535
Plan sponsor’s address PO BOX 617, GRANBY, CT, 06035

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing CAROL BRENNEN
Valid signature Filed with authorized/valid electronic signature
GRANBY AMBULANCE ASSOCIATION, INC 2017 066071846 2018-10-11 GRANBY AMBULANCE ASSOCIATION, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621900
Sponsor’s telephone number 8606536535
Plan sponsor’s address PO BOX 617, GRANBY, CT, 06035

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing CAROL BRENNEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Padric Noonan Agent 6 Way Road, Middlefield, CT, 06455, United States 6 WAY ROAD, MIDDLETOWN, CT, 06455, United States +1 203-927-2618 padricnoonan@robertnoonan.com 6 Way Road, Middlefield, CT, 06455, United States

Officer

Name Role Business address Residence address
LORRI DIBATTISTO Officer 1 PEGVILLE RD, GRANBY, CT, 06035, United States 20 HILLYER WAY, GRANBY, CT, 06035, United States
JUDY JONES Officer 1 PEGVILLE ROAD, GRANBY, CT, 06035, United States 7 HILLYER WAY, GRANBY, CT, 06035, United States
KATHERINE COUPE Officer 1 PEGVILLE ROAD, GRANBY, CT, 06035, United States 13 STRATTON ROAD, GRANBY, CT, 06035, United States
CAROL BRENNEN Officer 1 PEGVILLE ROAD, GRANBY, CT, 06035, United States 20 HILLYER WAY, GRANBY, CT, 06035, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0003759 PUBLIC CHARITY ACTIVE CURRENT No data 2024-06-13 2025-05-31
LTN.0000358 TEMPORARY NONCOMMERCIAL LIQUOR PERMIT INACTIVE No data No data 2023-10-21 2023-10-21

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012480494 2023-12-05 2023-12-05 Reinstatement Certificate of Reinstatement No data
BF-0012037391 2023-10-30 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0009912990 2023-09-13 No data Annual Report Annual Report No data
BF-0009592734 2023-09-13 No data Annual Report Annual Report 2020
BF-0011898176 2023-07-25 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
BF-0009592735 2023-05-04 No data Annual Report Annual Report 2019
0006264785 2018-10-25 No data Annual Report Annual Report 2018
0006143916 2018-03-29 No data Annual Report Annual Report 2016
0006143928 2018-03-29 No data Annual Report Annual Report 2017
0005628877 2016-08-11 No data Annual Report Annual Report 2013

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website