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  5. MILFORD HOSPITAL, INCORPORATED, THE

MILFORD HOSPITAL, INCORPORATED, THE

Company Details

Entity Name: MILFORD HOSPITAL, INCORPORATED, THE
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Dissolved
Sub status: Annual report due
Date Formed: 06 Jul 1920
Date of dissolution: 24 May 2024
Business ALEI: 0057356
Annual report due: 06 Jul 2024
NAICS code: 622110 - General Medical and Surgical Hospitals
Business address: 300 SEASIDE AVENUE, MILFORD, CT, 06460, United States
Mailing address: 300 SEASIDE AVENUE, MILFORD, CT, United States, 06460
ZIP code: 06460
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: jamy.houck@milfordhospital.org

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE MILFORD HOSPITAL EMPLOYEES' INSURANCE PLAN 2015 060646741 2016-10-07 MILFORD HOSPITAL 490
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-01-01
Business code 622000
Sponsor’s telephone number 2038764098
Plan sponsor’s mailing address 300 SEASIDE AVE, MILFORD, CT, 064604603
Plan sponsor’s address 300 SEASIDE AVE, MILFORD, CT, 064604603

Number of participants as of the end of the plan year
Active participants 396

Signature of
Role Plan administrator
Date 2016-10-07
Name of individual signing JEFFREY KOMORNIK
Valid signature Filed with authorized/valid electronic signature
MILFORD HOSPITAL SENIOR EXECUTIVE RETIREMENT PLAN 2012 060646741 2016-02-02 MILFORD HOSPITAL 0
File View Page
Three-digit plan number (PN) 888
Effective date of plan 2011-07-01
Business code 622000
Sponsor’s telephone number 2038764095
Plan sponsor’s mailing address 300 SEASIDE AVENUE, MILFORD, CT, 06460
Plan sponsor’s address 300 SEASIDE AVENUE, MILFORD, CT, 06460

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2016-02-02
Name of individual signing DAVID ZEID
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-02
Name of individual signing DAVID ZEID
Valid signature Filed with authorized/valid electronic signature
THE MILFORD HOSPITAL EMPLOYEES' INSURANCE PLAN 2012 060646741 2013-10-15 MILFORD HOSPITAL 515
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-01-01
Business code 622000
Sponsor’s telephone number 2038764098
Plan sponsor’s mailing address 300 SEASIDE AVENUE, MILFORD, CT, 06460
Plan sponsor’s address 300 SEASIDE AVENUE, MILFORD, CT, 06460

Plan administrator’s name and address
Administrator’s EIN 060646741
Plan administrator’s name MILFORD HOSPITAL
Plan administrator’s address 300 SEASIDE AVENUE, MILFORD, CT, 06460
Administrator’s telephone number 2038764098

Number of participants as of the end of the plan year
Active participants 513

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing JEFFREY KOMORNIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing JEFFREY KOMORNIK
Valid signature Filed with authorized/valid electronic signature
THE MILFORD HOSPITAL EMPLOYEES INSURANCE PLAN 2010 060646741 2011-10-25 MILFORD HOSPITAL 543
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-01-01
Business code 622000
Sponsor’s telephone number 2038764098
Plan sponsor’s mailing address 300 SEASIDE AVENUE, MILFORD, CT, 06460
Plan sponsor’s address 300 SEASIDE AVENUE, MILFORD, CT, 06460

Plan administrator’s name and address
Administrator’s EIN 060646741
Plan administrator’s name MILFORD HOSPITAL
Plan administrator’s address 300 SEASIDE AVENUE, MILFORD, CT, 06460
Administrator’s telephone number 2038764098

Number of participants as of the end of the plan year
Active participants 543
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2011-10-25
Name of individual signing JEFFREY KOMORNIK
Valid signature Filed with authorized/valid electronic signature
THE MILFORD HOSPITAL EMPLOYEES INSURANCE PLAN 2009 060646741 2010-10-13 MILFORD HOSPITAL 565
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-01-01
Business code 622000
Sponsor’s telephone number 2038764098
Plan sponsor’s mailing address 300 SEASIDE AVENUE, MILFORD, CT, 06460
Plan sponsor’s address 300 SEASIDE AVENUE, MILFORD, CT, 06460

Plan administrator’s name and address
Administrator’s EIN 060646741
Plan administrator’s name MILFORD HOSPITAL
Plan administrator’s address 300 SEASIDE AVENUE, MILFORD, CT, 06460
Administrator’s telephone number 2038764098

Number of participants as of the end of the plan year
Active participants 565
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing JEFFREY KOMORNIK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
PULLMAN & COMLEY, LLC Agent

Director

Name Role Business address Residence address
SAMUEL BERGAMI Director 300 SEASIDE AVENUE, MILFORD, CT, 06460, United States 300 SEASIDE AVENUE, MILFORD, CT, 06460, United States
NANCY BENNETT Director 300 SEASIDE AVENUE, MILFORD, CT, 06460, United States 300 SEASIDE AVENUE, MILFORD, CT, 06460, United States
ARMAND CANTAFIO Director 300 SEASIDE AVENUE, MILFORD, CT, 06460, United States 300 SEASIDE AVENUE, MILFORD, CT, 06460, United States

Officer

Name Role Business address Residence address
MARK TONEY Officer 300 SEASIDE AVENUE, MILFORD, CT, 06460, United States 300 SEASIDE AVENUE, MILFORD, CT, 06460, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
VMA.0000270 VENDING MACHINE OPERATOR INACTIVE EXPIRED MORE THAN 3 YEARS - MUST REAPPLY No data 2018-07-01 2019-06-30

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012648465 2024-05-24 2024-05-24 Dissolution Certificate of Dissolution No data
BF-0011082645 2023-06-08 No data Annual Report Annual Report No data
BF-0011815041 2023-05-22 2023-05-22 Change of Agent Agent Change No data
BF-0010362487 2022-06-24 No data Annual Report Annual Report 2022
BF-0008794873 2021-08-18 No data Annual Report Annual Report 2020
BF-0009899225 2021-08-18 No data Annual Report Annual Report No data
0006849612 2020-03-26 No data Annual Report Annual Report 2019
0006721976 2020-01-13 2020-01-13 Change of Agent Agent Change No data
0006684229 2019-11-19 2019-11-19 Amendment Amend No data
0006268961 2018-10-30 2018-10-30 Change of Agent Agent Change No data

Related by officers

NANCY BENNETT

MILFORD HEALTH & MEDICAL, INC. MARY TAYLOR MEMORIAL UNITED METHODIST CHURCH FOUNDATION, INC. A SPLASH OF COLOR LLC 930 9TH STREET HOLDINGS LLC MILFORD HOSPITAL FOUNDATION, INC.

MARK TONEY

MILFORD HEALTH & MEDICAL, INC. TONEYKORF PARTNERS LLC DVI FINANCIAL SERVICES INC.

ARMAND CANTAFIO

MILFORD HEALTH & MEDICAL, INC. NORTHEAST A. & E., INC.

Related by address

300 SEASIDE AVENUE, MILFORD, CT, 06460, United States

MILFORD HEALTH & MEDICAL, INC. TORRY CORPORATION

300 SEASIDE AVENUE, MILFORD, CT, United States, 06460

MILFORD HEALTH & MEDICAL, INC. TORRY CORPORATION

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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