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  5. NORWALK HOSPITAL ASSOCIATION, THE

NORWALK HOSPITAL ASSOCIATION, THE

Company Details

Entity Name: NORWALK HOSPITAL ASSOCIATION, THE
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 11 Jan 1893
Business ALEI: 0058186
Annual report due: 11 Jan 2025
NAICS code: 622110 - General Medical and Surgical Hospitals
Business address: 34 MAPLE STREET, NORWALK, CT, 06810, United States
Mailing address: 34 MAPLE STREET, NORWALK, CT, United States, 06810
ZIP code: 06810
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: CLS-CTARMSEvidence@wolterskluwer.com

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FU3LHPLAYXL3 2023-05-14 24 STEVENS ST, NORWALK, CT, 06850, 3852, USA 100 RESERVE ROAD, DANBURY, CT, 06810, USA

Business Information
Congressional District 04
State/Country of Incorporation CT, USA
Activation Date 2022-04-18
Initial Registration Date 2022-04-14
Entity Start Date 1893-01-11
Fiscal Year End Close Date Sep 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name AMANDA E. NEESE
Role DIRECTOR OF PUBLIC GRANTS
Address THE SUMMIT, 100 RESERVE ROAD, DANBURY, CT, 06810, USA
Government Business
Title PRIMARY POC
Name AMANDA E. NEESE
Role DIRECTOR OF PUBLIC GRANTS
Address THE SUMMIT, 100 RESERVE ROAD, DANBURY, CT, 06810, USA
Past Performance Information not Available

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300225305VT5KFR22 0058186 US-CT GENERAL ACTIVE No data

Addresses
Legal C/O KAREN MATTEI COMA, WESTERN CONNECTICUT, HEALTH NETWORK, INC., 24 HOSPITAL AVENUE, DANBURY, US-CT, US, 06810
Headquarters 34 Maple Street, Norwalk, US-CT, US, 06850

Registration details
Registration Date 2019-08-08
Last Update 2023-08-04
Status LAPSED
Next Renewal 2020-08-06
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 0058186

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SEVERANCE PLAN FOR NORWALK HOSPITAL 2013 066068853 2014-10-16 NORWALK HOSPITAL ASSOCIATION 0
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2007-01-01
Business code 622000
Sponsor’s telephone number 2038522000
Plan sponsor’s mailing address 34 MAPLE STREET, NORWALK, CT, 06856
Plan sponsor’s address 34 MAPLE STREET, NORWALK, CT, 06856

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
NORWALK HOSPITAL LIFE PLAN 2013 066068853 2014-10-16 NORWALK HOSPITAL ASSOCIATION 1803
File View Page
Three-digit plan number (PN) 508
Effective date of plan 2007-01-01
Business code 622000
Sponsor’s telephone number 2038522000
Plan sponsor’s mailing address 34 MAPLE STREET, NORWALK, CT, 06856
Plan sponsor’s address 34 MAPLE STREET, NORWALK, CT, 06856

Number of participants as of the end of the plan year
Active participants 1811

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
NORWALK HOSPITAL LTD AND STD PLAN 2013 066068853 2014-10-16 NORWALK HOSPITAL ASSOCIATION 1400
File View Page
Three-digit plan number (PN) 506
Effective date of plan 1993-09-01
Business code 622000
Sponsor’s telephone number 2038522000
Plan sponsor’s mailing address 34 MAPLE STREET, NORWALK, CT, 06856
Plan sponsor’s address 34 MAPLE STREET, NORWALK, CT, 06856

Number of participants as of the end of the plan year
Active participants 1384

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
NORWALK HOSPITAL MEDICAL AND DENTAL PLAN 2013 066068853 2014-10-16 NORWALK HOSPITAL ASSOCIATION 1652
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1986-01-01
Business code 622000
Sponsor’s telephone number 2038522000
Plan sponsor’s mailing address 34 MAPLE STREET, NORWALK, CT, 06856
Plan sponsor’s address 34 MAPLE STREET, NORWALK, CT, 06856

Number of participants as of the end of the plan year
Active participants 1646
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
NORWALK HOSPITAL LIFE PLAN 2012 066068853 2013-09-20 NORWALK HOSPITAL ASSOCIATION 1777
File View Page
Three-digit plan number (PN) 508
Effective date of plan 2007-01-01
Business code 622000
Plan sponsor’s mailing address 34 MAPLE STREET, NORWALK, CT, 06856
Plan sponsor’s address 34 MAPLE STREET, NORWALK, CT, 06856

Number of participants as of the end of the plan year
Active participants 1803

Signature of
Role Plan administrator
Date 2013-09-18
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-18
Name of individual signing ANTHONY ACETO
Valid signature Filed with authorized/valid electronic signature
SEVERANCE PLAN FOR NORWALK HOSPITAL 2012 066068853 2013-09-20 NORWALK HOSPITAL ASSOCIATION 0
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2007-01-01
Business code 622000
Sponsor’s telephone number 2038522000
Plan sponsor’s mailing address 34 MAPLE STREET, NORWALK, CT, 06856
Plan sponsor’s address 34 MAPLE STREET, NORWALK, CT, 06856

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2013-09-18
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-18
Name of individual signing ANTHONY ACETO
Valid signature Filed with authorized/valid electronic signature
NORWALK HOSPITAL LTD AND STD PLAN 2012 066068853 2013-09-20 NORWALK HOSPITAL ASSOCIATION 1517
File View Page
Three-digit plan number (PN) 506
Effective date of plan 1993-09-01
Business code 622000
Plan sponsor’s mailing address 34 MAPLE STREET, NORWALK, CT, 06856
Plan sponsor’s address 34 MAPLE STREET, NORWALK, CT, 06856

Number of participants as of the end of the plan year
Active participants 1400

Signature of
Role Plan administrator
Date 2013-09-18
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-18
Name of individual signing ANTHONY ACETO
Valid signature Filed with authorized/valid electronic signature
NORWALK HOSPTIAL MEDICAL AND DENTAL PLAN 2012 066068853 2013-09-20 NORWALK HOSPITAL ASSOCIATION 1618
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1986-01-01
Business code 622000
Plan sponsor’s mailing address 34 MAPLE STREET, NORWALK, CT, 06856
Plan sponsor’s address 34 MAPLE STREET, NORWALK, CT, 06856

Number of participants as of the end of the plan year
Active participants 1652

Signature of
Role Plan administrator
Date 2013-09-19
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-18
Name of individual signing ANTHONY ACETO
Valid signature Filed with authorized/valid electronic signature
NORWALK HOSPITAL LIFE PLAN 2011 066068853 2012-10-12 NORWALK HOSPITAL ASSOCIATION 1791
File View Page
Three-digit plan number (PN) 508
Effective date of plan 2007-01-01
Business code 622000
Sponsor’s telephone number 2308522000
Plan sponsor’s mailing address 34 MAPLE STREET, NORWALK, CT, 06856
Plan sponsor’s address 34 MAPLE STREET, NORWALK, CT, 06856

Plan administrator’s name and address
Administrator’s EIN 066068853
Plan administrator’s name NORWALK HOSPITAL ASSOCIATION
Plan administrator’s address 34 MAPLE STREET, NORWALK, CT, 06856
Administrator’s telephone number 2308522000

Number of participants as of the end of the plan year
Active participants 1777

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing ANTHONY ACETO
Valid signature Filed with authorized/valid electronic signature
SEVERANCE PLAN FOR NORWALK HOSPITAL 2011 066068853 2012-10-12 NORWALK HOSPITAL ASSOCIATION 0
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2007-01-01
Business code 622000
Sponsor’s telephone number 2038522000
Plan sponsor’s mailing address 34 MAPLE STREET, NORWALK, CT, 06856
Plan sponsor’s address 34 MAPLE STREET, NORWALK, CT, 06856

Plan administrator’s name and address
Administrator’s EIN 066068853
Plan administrator’s name NORWALK HOSPITAL ASSOCIATION
Plan administrator’s address 34 MAPLE STREET, NORWALK, CT, 06856
Administrator’s telephone number 2038522000

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing ANTHONY ACETO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

Director

Name Role Business address Residence address
Sean Armstrong Director 34 MAPLE STREET, NORWALK, CT, 06810, United States 34 MAPLE STREET, NORWALK, CT, 06810, United States
Thomas Dubin Director 34 MAPLE STREET, NORWALK, CT, 06810, United States 34 MAPLE STREET, NORWALK, CT, 06810, United States
Mary Grace Gudis Director 34 MAPLE STREET, NORWALK, CT, 06810, United States 34 MAPLE STREET, NORWALK, CT, 06810, United States
Len DiNardo Director 34 MAPLE STREET, NORWALK, CT, 06810, United States 34 MAPLE STREET, NORWALK, CT, 06810, United States
Peter Campbell Director 34 MAPLE STREET, NORWALK, CT, 06810, United States 34 MAPLE STREET, NORWALK, CT, 06810, United States
James Dimonekas Director 34 MAPLE STREET, NORWALK, CT, 06810, United States 34 MAPLE STREET, NORWALK, CT, 06810, United States
SUSAN BEYMAN Director 34 MAPLE STREET, NORWALK, CT, 06810, United States 34 MAPLE STREET, NORWALK, CT, 06810, United States
Susan Weinberger Director 34 MAPLE STREET, NORWALK, CT, 06810, United States 34 MAPLE STREET, NORWALK, CT, 06810, United States
Danielle Robinson, PhD Director 34 MAPLE STREET, NORWALK, CT, 06810, United States 34 MAPLE STREET, NORWALK, CT, 06810, United States
Amy Ahasic MD Director 34 MAPLE STREET, NORWALK, CT, 06810, United States 34 MAPLE STREET, NORWALK, CT, 06810, United States

Officer

Name Role Business address Residence address
Peter Cordeau Officer 34 MAPLE STREET, NORWALK, CT, 06810, United States 34 MAPLE STREET, NORWALK, CT, 06810, United States
Brian Wyatt Officer 34 MAPLE STREET, NORWALK, CT, 06810, United States 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States
Daniel DeBarba Officer 34 MAPLE STREET, NORWALK, CT, 06810, United States 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012045951 2023-12-12 No data Annual Report Annual Report No data
BF-0011082662 2023-01-10 No data Annual Report Annual Report No data
BF-0010177845 2022-01-11 No data Annual Report Annual Report 2022
0007346804 2021-05-19 No data Annual Report Annual Report 2021
0007326652 2021-04-29 2021-04-29 Change of Agent Agent Change No data
0006735621 2020-01-29 No data Annual Report Annual Report 2020
0006514684 2019-04-01 2019-04-01 Amendment Restated No data
0006472018 2019-03-18 No data Annual Report Annual Report 2019
0006309631 2019-01-07 No data Annual Report Annual Report 2018
0006144732 2018-03-26 2018-03-26 Change of Agent Agent Change No data

Trademark

Mark US Serial Number Application Filing Date US Registration Number Registration Date
AMBULAB 73636538 1986-12-22 1452659 1987-08-11
Trademark image
Register Principal
Mark Type Service Mark
Status Registration cancelled because registrant did not file an acceptable declaration under Section 8. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Status Date 2008-05-16
Publication Date 1987-05-19
Date Cancelled 2008-05-16

Mark Information
Mark Literal Elements AMBULAB
Standard Character Claim No
Mark Drawing Type 3 - AN ILLUSTRATION DRAWING WHICH INCLUDES WORD(S)/ LETTER(S) /NUMBER(S)
Design Search Code(s) 16.03.05 - Binoculars; Glasses, field; Microscopes; Opera glasses; Telescopes

Goods and Services
For MEDICAL LABORATORY SERVICES
International Class(es) 042 - Primary Class
U.S Class(es) 100
Class Status SECTION 8 - CANCELLED
First Use Apr. 1986
Use in Commerce Apr. 1986

Basis Information (Case Level)
Filed Use Yes
Currently Use Yes
Filed ITU No
Currently ITU No
Filed 44D No
Currently 44D No
Filed 44E No
Currently 44E No
Filed 66A No
Currently 66A No
Filed No Basis No
Currently No Basis No

Current Owner(s) Information
Owner Name NORWALK HOSPITAL ASSOCIATION
Owner Address 148 EAST AVENUE NORWALK, CONNECTICUT UNITED STATES 06851
Legal Entity Type CORPORATION
State or Country Where Organized CONNECTICUT

Attorney/Correspondence Information
Attorney Name LOUIS H. REENS
Correspondent Name/Address LOUIS H REENS, ST ONGE STEWARD JOHNSTON & REENS, 986 BEDFORD ST, STAMFORD, CONNECTICUT UNITED STATES 06905

Prosecution History
Date Description
2008-05-16 CANCELLED SEC. 8 (10-YR)/EXPIRED SECTION 9
2007-03-22 CASE FILE IN TICRS
1993-12-30 REGISTERED - SEC. 8 (6-YR) ACCEPTED & SEC. 15 ACK.
1993-08-10 REGISTERED - SEC. 8 (6-YR) & SEC. 15 FILED
1987-08-11 REGISTERED-PRINCIPAL REGISTER
1987-05-19 PUBLISHED FOR OPPOSITION
1987-04-17 NOTICE OF PUBLICATION
1987-03-16 APPROVED FOR PUB - PRINCIPAL REGISTER
1987-03-11 EXAMINER'S AMENDMENT MAILED
1987-03-11 ASSIGNED TO EXAMINER

TM Staff and Location Information
Current Location SCANNING ON DEMAND
Date in Location 2007-03-22

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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