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  5. CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC.

CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC.

Company Details

Entity Name: CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 17 Sep 1954
Business ALEI: 0061920
Annual report due: 17 Sep 2025
NAICS code: 621330 - Offices of Mental Health Practitioners (except Physicians)
Business address: 103 WEST BROAD STREET, STAMFORD, CT, 06902, United States
Mailing address: 103 WEST BROAD STREET, STAMFORD, CT, United States, 06902
ZIP code: 06902
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: legal@mwhs1.com

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
7LJY7 Active Non-Manufacturer 2016-04-12 2024-03-08 2025-10-16 2021-10-14

Contact Information
POC SANDI KORNBLUM
Phone +1 203-517-3323
Address 103 W BROAD ST, STAMFORD, CT, 06902 3713, 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
TAX DEFERRED ANNUITY PLAN OF CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC 2019 060712058 2020-07-27 CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC 93
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-01-01
Business code 624100
Sponsor’s telephone number 2035173342
Plan sponsor’s address 103 W BROAD ST, STAMFORD, CT, 069023713

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing JENNIFER KNEBEL
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC 2019 060712058 2020-12-03 CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 624100
Sponsor’s telephone number 2035173342
Plan sponsor’s address 103 W BROAD ST, STAMFORD, CT, 069023713

Signature of
Role Plan administrator
Date 2020-12-03
Name of individual signing JENNIFER KNEBEL
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC. 2018 060712058 2019-07-17 CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC. 90
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 624100
Sponsor’s telephone number 2035173342
Plan sponsor’s address 103 W BROAD ST, STAMFORD, CT, 069023713

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing JENNIFER KNEBEL
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC. 2017 060712058 2018-03-27 CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC. 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 624100
Plan sponsor’s address 103 W BROAD ST, STAMFORD, CT, 069023713

Signature of
Role Plan administrator
Date 2018-03-27
Name of individual signing JENNIFER KNEBEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-27
Name of individual signing JENNIFER KNEBEL
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFITS PLAN OF CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC. 2011 060712058 2012-05-17 CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1958-05-01
Business code 624100
Sponsor’s telephone number 2035173364
Plan sponsor’s address 103 WEST BROAD STREET, STAMFORD, CT, 06902

Plan administrator’s name and address
Administrator’s EIN 060712058
Plan administrator’s name CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC.
Plan administrator’s address 103 WEST BROAD STREET, STAMFORD, CT, 06902
Administrator’s telephone number 2035173364

Signature of
Role Plan administrator
Date 2012-05-17
Name of individual signing NED PEARCE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFITS PLAN OF CHILD GUIDANCE CENTER OF SO CT INC 2010 060712058 2011-07-13 CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT INC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1958-05-01
Business code 624100
Sponsor’s telephone number 2033246127
Plan sponsor’s address 103 WEST BROAD STREET, STAMFORD, CT, 06902

Plan administrator’s name and address
Administrator’s EIN 060712058
Plan administrator’s name CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT INC
Plan administrator’s address 103 WEST BROAD STREET, STAMFORD, CT, 06902
Administrator’s telephone number 2033246127

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing SHARON DERENE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC 2009 060712058 2010-07-19 CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC. 54
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 624100
Sponsor’s telephone number 2033246127
Plan sponsor’s address 103 W BROAD ST, STAMFORD, CT, 06902

Plan administrator’s name and address
Administrator’s EIN 060712058
Plan administrator’s name CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC.
Plan administrator’s address 103 W BROAD ST, STAMFORD, CT, 06902
Administrator’s telephone number 2033246127

Signature of
Role Plan administrator
Date 2010-06-30
Name of individual signing SHARON DERENE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-30
Name of individual signing SHARON DERENE
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role
COMMUNITY HEALTH CENTER, INCORPORATED Agent

Officer

Name Role Business address Residence address
MARGARET FLINTER Officer 635 MAIN STREET, MIDDLETOWN, CT, 06457, United States 52 MAPLE AVENUE WEST, HIGGANUM, CT, 06441, United States
JESSICA WELT-BETENSKY Officer 103 WEST BROAD STREET, STAMFORD, CT, 06902, United States 50 HOLMES LANE, BEDFORD, NY, 10506-1323, United States
MARK MASSELLI Officer 635 MAIN STREET, MIDDLETOWN, CT, 06457, United States 110 WASHINGTON STREET, MIDDLETOWN, CT, 06457, United States
JASON PNIEWSKI Officer 635 MAIN STREET, MIDDLETOWN, CT, 06457-2718, United States 635 MAIN STREET, MIDDLETOWN, CT, 06457-2718, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0001273 PUBLIC CHARITY ACTIVE CURRENT 2023-05-22 2024-06-01 2025-05-31

History

Type Old value New value Date of change
Name change CHILD GUIDANCE CLINIC OF GREATER STAMFORD, INC. CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC. 1983-11-17
Name change PSYCHIATRIC CLINIC FOR CHILDREN, INCORPORATED THE CHILD GUIDANCE CLINIC OF GREATER STAMFORD, INC. 1969-03-21

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012046564 2024-09-16 No data Annual Report Annual Report No data
BF-0011085482 2023-09-08 No data Annual Report Annual Report No data
BF-0010356098 2022-09-09 No data Annual Report Annual Report 2022
BF-0009812297 2021-09-20 No data Annual Report Annual Report No data
0007241752 2021-03-18 No data Annual Report Annual Report 2020
0006711302 2020-01-03 2020-01-05 Amendment Restated No data
0006620572 2019-08-12 No data Annual Report Annual Report 2019
0006231120 2018-08-10 No data Annual Report Annual Report 2018
0005927756 2017-09-18 No data Annual Report Annual Report 2017
0005644906 2016-09-07 No data Annual Report Annual Report 2016

Related by officers

MARGARET FLINTER

COMMUNITY HEALTH CENTER, INCORPORATED CHC REALTY, INC. CHC1 MEDIA, INC. CHC REALTY II, INC. MOSES-WEITZMAN HEALTH SYSTEM, INC. HEALTHRIGHT, INC. MEDICAL PROFESSIONAL SERVICES FOUNDATION, INC.

MARK MASSELLI

GOODSPEED OPERA HOUSE FOUNDATION, INC. THE COMMUNITY HEALTH CENTER, INCORPORATED MGRS, INC. DENTAL CENTER OF STAMFORD, INC. CHC REALTY, INC. CHC1 MEDIA, INC. THE NATIONAL NURSE PRACTITIONER RESIDENCY AND FELLOWSHIP TRAINING CONSORTIUM, INC. COMMUNITY ECONSULT NETWORK, INC. CHC REALTY II, INC. MOSES-WEITZMAN HEALTH SYSTEM, INC.

JASON PNIEWSKI

COMMUNITY HEALTH CENTER, INCORPORATED CHC REALTY, INC. CHC1 MEDIA, INC. THE NATIONAL NURSE PRACTITIONER RESIDENCY AND FELLOWSHIP TRAINING CONSORTIUM, INC. COMMUNITY ECONSULT NETWORK, INC. CHC REALTY II, 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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