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  5. CORNELL SCOTT-HILL HEALTH CORPORATION

CORNELL SCOTT-HILL HEALTH CORPORATION

Company Details

Entity Name: CORNELL SCOTT-HILL HEALTH CORPORATION
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 04 Jan 1971
Business ALEI: 0055919
Annual report due: 04 Jan 2025
NAICS code: 621999 - All Other Miscellaneous Ambulatory Health Care Services
Business address: 400 COLUMBUS AVENUE, NEW HAVEN, CT, 06519, United States
Mailing address: 400-428 COLUMBUS AVE, NEW HAVEN, CT, United States, 06519
ZIP code: 06519
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: licensing@cornellscott.org

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
DZEAPJMEHE44 2024-10-09 400 COLUMBUS AVE, NEW HAVEN, CT, 06519, 1233, USA 400 COLUMBUS AVE, NEW HAVEN, CT, 06519, 1233, USA

Business Information
Doing Business As CORNELL SCOTT HILL HEALTH CORP
URL http://www.cornellscott.org
Congressional District 03
State/Country of Incorporation CT, USA
Activation Date 2023-10-11
Initial Registration Date 2003-12-12
Entity Start Date 1970-12-21
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name FRED LYNN
Address CORNELL SCOTT-HILL HEALTH CORPORATION, 400 COLUMBUS AVENUE, NEW HAVEN, CT, 06519, 1233, USA
Title ALTERNATE POC
Name FREDERICK LYNN
Role GRANT MANAGER
Address CORNELL SCOTT-HILL HEALTH CENTER, NEW HAVEN, CT, 06519, 1233, USA
Government Business
Title PRIMARY POC
Name FRED LYNN
Address CORNELL SCOTT-HILL HEALTH CENTER, 400 COLUMBUS AVENUE, NEW HAVEN, CT, 06519, 1233, USA
Title ALTERNATE POC
Name DOUGLAS MAGAZU
Role CHIEF FINANCIAL OFFICER
Address CORNELL SCOTT-HILL HEALTH CENTER, NEW HAVEN, CT, 06519, 1233, USA
Past Performance
Title PRIMARY POC
Name ROSE SWIFT
Address 400 COLUMBUS AVENUE, NEW HAVEN, CT, 06519, 1233, USA
Title ALTERNATE POC
Name DOUGLAS MAGAZU
Role CHIEF FINANCIAL OFFICER
Address 400 COLUMBUS AVENUE, NEW HAVEN, CT, 06519, 1233, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3MZR1 Active Non-Manufacturer 2003-12-12 2024-06-14 2029-06-14 2025-06-12

Contact Information
POC FRED LYNN
Phone +1 203-503-3371
Fax +1 203-503-3299
Address 400 COLUMBUS AVE, NEW HAVEN, CT, 06519 1233, 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
CORNELL SCOTT-HILL HEALTH CORPORATION 403(B) PLAN 2023 060870990 2024-10-11 CORNELL SCOTT-HILL HEALTH CORPORATION 532
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621498
Sponsor’s telephone number 2035033281
Plan sponsor’s address 400 COLUMBUS AVENUE, NEW HAVEN, CT, 065191233
CORNELL SCOTT-HILL HEALTH CORPORATION 457 PLAN 2011 060870990 2012-10-13 CORNELL SCOTT-HILL HEALTH CORPORATION 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621498
Sponsor’s telephone number 2035033281
Plan sponsor’s address 400 COLUMBUS AVENUE, NEW HAVEN, CT, 065191233

Plan administrator’s name and address
Administrator’s EIN 060870990
Plan administrator’s name CORNELL SCOTT-HILL HEALTH CORPORATION
Plan administrator’s address 400 COLUMBUS AVENUE, NEW HAVEN, CT, 065191233
Administrator’s telephone number 2035033281

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing JAMESINA HENDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing JAMESINA HENDERSON
Valid signature Filed with authorized/valid electronic signature
CORNELL SCOTT-HILL HEALTH CORPORATION 457 PLAN 2010 060870990 2011-10-28 CORNELL SCOTT-HILL HEALTH CORPORATION 3
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621498
Sponsor’s telephone number 2035033281
Plan sponsor’s address 400 COLUMBUS AVE, NEW HAVEN, CT, 065191233

Plan administrator’s name and address
Administrator’s EIN 060870990
Plan administrator’s name CORNELL SCOTT-HILL HEALTH CORPORATION
Plan administrator’s address 400 COLUMBUS AVE, NEW HAVEN, CT, 065191233
Administrator’s telephone number 2035033281

Signature of
Role Employer/plan sponsor
Date 2011-10-28
Name of individual signing JAMESINA HENDERSON
Valid signature Filed with authorized/valid electronic signature
CORNELL SCOTT-HILL HEALTH CORPORATION 457 PLAN 2010 060870990 2012-02-08 CORNELL SCOTT-HILL HEALTH CORPORATION 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621498
Sponsor’s telephone number 2035033281
Plan sponsor’s address 400 COLUMBUS AVE, NEW HAVEN, CT, 065191233

Plan administrator’s name and address
Administrator’s EIN 060870990
Plan administrator’s name CORNELL SCOTT-HILL HEALTH CORPORATION
Plan administrator’s address 400 COLUMBUS AVE, NEW HAVEN, CT, 065191233
Administrator’s telephone number 2035033281

Signature of
Role Plan administrator
Date 2012-02-06
Name of individual signing JAMESINA HENDERSON
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
NATHAN JONES Officer No data 52 LAWRENCE STREET, #3, NEW HAVEN, CT, 06511, United States
ORLANDO CORDERO Officer 400 COLUMBUS AVENUE, NEW HAVEN, CT, 06519, United States 473 ELM STREET, 1ST FLOOR, NEW HAVEN, CT, 06511, United States
MABEL CARROLL Officer 130 WILMOT ROAD #214, NEW HAVEN, CT, 06515, United States 130 WILMOT ROAD #214, NEW HAVEN, CT, 06515, United States
JOSHUA BIRD Officer 400 COLUMBUS AVENUE, NEW HAVEN, CT, 06519, United States 81 BARTLETT DRIVE, MADISON, CT, 06443, United States

Director

Name Role Business address Residence address
NATHAN JONES Director No data 52 LAWRENCE STREET, #3, NEW HAVEN, CT, 06511, United States
ORLANDO CORDERO Director 400 COLUMBUS AVENUE, NEW HAVEN, CT, 06519, United States 473 ELM STREET, 1ST FLOOR, NEW HAVEN, CT, 06511, United States
MABEL CARROLL Director 130 WILMOT ROAD #214, NEW HAVEN, CT, 06515, United States 130 WILMOT ROAD #214, NEW HAVEN, CT, 06515, United States
JOSHUA BIRD Director 400 COLUMBUS AVENUE, NEW HAVEN, CT, 06519, United States 81 BARTLETT DRIVE, MADISON, CT, 06443, United States

Agent

Name Role Business address Phone E-Mail Residence address
MICHAEL R. TAYLOR Agent 400 COLUMBUS AVENUE, NEW HAVEN, CT, 06519, United States +1 860-906-7550 mtaylor@cornellscott.org 121 AUTUMN LANE, GLASTONBURY, CT, 06033, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0001602 PUBLIC CHARITY ACTIVE CURRENT No data 2024-06-01 2025-05-31
OPC.0001090 Outpatient Clinic ACTIVE CURRENT 2020-10-20 2023-10-01 2026-09-30
OPC.0001083 Outpatient Clinic CLOSED CLOSED 2020-08-12 2020-07-30 2023-06-30
OPC.0001081 Outpatient Clinic CLOSED CLOSED 2020-07-30 2020-07-30 2023-06-30
OPC.0001082 Outpatient Clinic ACTIVE CURRENT 2020-07-30 2023-07-01 2026-06-30
OPC.0000524 Outpatient Clinic CLOSED CLOSED 2010-05-03 2014-04-01 2018-03-31
OPC.0000511 Outpatient Clinic CLOSED CLOSED 2009-12-01 2009-12-01 2013-09-30
OPC.0000510 Outpatient Clinic CLOSED CLOSED 2009-12-01 2009-12-01 2013-09-30
CCNH.0002360 Chronic & Convalescent Nursing Home INACTIVE No data 2009-12-01 2009-12-01 2011-09-30
OPC.0000324 Outpatient Clinic INACTIVE No data 2009-07-01 2009-07-01 2013-06-30

History

Type Old value New value Date of change
Name change HILL HEALTH CORPORATION CORNELL SCOTT-HILL HEALTH CORPORATION 2009-04-16

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012216314 2024-01-04 No data Annual Report Annual Report No data
BF-0011084416 2023-01-03 No data Annual Report Annual Report No data
BF-0010171084 2022-01-28 No data Annual Report Annual Report 2022
0007061096 2021-01-11 No data Annual Report Annual Report 2021
0006714025 2020-01-07 No data Annual Report Annual Report 2020
0006323579 2019-01-16 No data Annual Report Annual Report 2019
0005995226 2018-01-03 No data Annual Report Annual Report 2018
0005731147 2017-01-05 No data Annual Report Annual Report 2017
0005457684 2016-01-04 No data Annual Report Annual Report 2016
0005427206 2015-11-03 2015-11-03 Change of Agent Agent Change No data

Related by officers

ORLANDO CORDERO

LAW OFFICES OF ORLANDO CORDERO, LLC I43 MEDIA LLC

JOSHUA BIRD

NEWDAY MANAGEMENT CORPORATION Cornell Scott Hill Health Center Foundation Inc.

MICHAEL R. TAYLOR

COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS, INC. EVERGREEN MARKETING, INC. HOLIDAY TRAVEL INTERNATIONAL, INC. ANHEUSER-BUSCH, INCORPORATED EAGLE SNACKS, INC. Cornell Scott Hill Health Center Foundation 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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