| Entity Name: | COVENANT LIVING OF CROMWELL, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Date Formed: | 19 Mar 1962 (Companies founded in March 1962) |
| Business ALEI: | 0062017 |
| Annual report due: | 19 Mar 2025 |
| NAICS code: | 813990 - Other Similar Organizations (except Business, Professional, Labor, and Political Organizations) |
| Business address: | 5700 Old Orchard Rd, Skokie, IL, 60077, United States |
| Mailing address: | 5700 Old Orchard Rd, Skokie, IL, United States, 60077 |
| Place of Formation: | CONNECTICUT |
| E-Mail: | Compliancemail@cscinfo.com |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RNUUXGVBK469 | 2025-04-26 | 52 MISSIONARY RD, CROMWELL, CT, 06416, 2178, USA | 5700 OLD ORCHARD RD, ATTN: CONTROLLER, SKOKIE, IL, 60077, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | PILGRIM MANOR |
| Congressional District | 01 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2024-04-30 |
| Initial Registration Date | 2020-05-04 |
| Entity Start Date | 1962-03-19 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ELIZABETH MCLAREN |
| Role | SVP OF REVENUE CYCLE |
| Address | 5700 OLD ORCHARD RD, SKOKIE, IL, 60077, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ELIZABETH MCLAREN |
| Role | SVP OF REVENUE CYCLE |
| Address | 5700 OLD ORCHARD RD, SKOKIE, IL, 60077, USA |
| Past Performance | |
|---|---|
| Title | ALTERNATE POC |
| Name | SARAH E WRIGHT |
| Role | DIRECTOR OF PROJECT MANAGEMENT |
| Address | 5700 OLD ORCHARD RD, SKOKIE, IL, 60077, USA |
| Name | Role |
|---|---|
| PRENTICE-HALL CORPORATION SYSTEM, INC. THE | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ROBERT MARTIN | Director | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States | 75 Baros St, Fairfield, CT, 06824-4139, United States |
| LOANN PETERSON | Director | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States |
| JANET CREANEY | Director | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States |
| Lorence Flewellen | Director | 5700 Old Orchard Rd, ste 100, Skokie, IL, 60077, United States | 5700 Old Orchard Rd, ste 100, Skokie, IL, 60077, United States |
| Mark Eastburg | Director | 5700 Old Orchard Rd, ste 100, Skokie, IL, 60077, United States | 5700 Old Orchard Rd, ste 100, Skokie, IL, 60077, United States |
| DAVID KIM | Director | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States |
| MARY PALMER | Director | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States |
| JOHN FREDRICKSON | Director | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States |
| Janet Goelz Hoffman | Director | 5700 Old Orchard Rd, ste 100, Skokie, IL, 60077, United States | 5700 Old Orchard Rd, ste 100, Skokie, IL, 60077, United States |
| KATHY BUETTNER | Director | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| TERRI S. CUNLIFFE | Officer | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States |
| Matthew Manlove | Officer | 5700 Old Orchard Rd, ste 100, Skokie, IL, 60077, United States | 5700 Old Orchard Rd, ste 100, Skokie, IL, 60077, United States |
| Lorence Flewellen | Officer | 5700 Old Orchard Rd, ste 100, Skokie, IL, 60077, United States | 5700 Old Orchard Rd, ste 100, Skokie, IL, 60077, United States |
| SARAH BENTLEY | Officer | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States |
| David G. Erickson | Officer | 5700 Old Orchard Rd, ste 100, Skokie, IL, 60077, United States | 5700 Old Orchard Rd, ste 100, Skokie, IL, 60077, United States |
| Jean Justie | Officer | 5700 Old Orchard Rd Ste 100, Skokie, IL, 60077-1036, United States | 5700 Old Orchard Rd Ste 100, Skokie, IL, 60077-1036, United States |
| JOHN FREDRICKSON | Officer | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States | 5700 OLD ORCHARD ROAD, SUITE 100, SKOKIE, IL, 60077, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| BAK.0017393 | BAKERY | LAPSED | No data | 2021-04-26 | 2023-07-01 | 2024-06-30 |
| ALSA.0000063 | Assisted Living Service Agency | ACTIVE | CURRENT | 2009-01-01 | 2023-01-01 | 2024-12-31 |
| RCH.1728RCH | Residential Care Facility | INACTIVE | No data | 2000-10-01 | 2000-10-01 | 2002-09-30 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | COVENANT HOME, INC. | COVENANT LIVING OF CROMWELL, INC. | 2019-03-19 |
| Name change | COVENANT HOME OF THE EAST COAST CONFERENCE, INC. | COVENANT HOME, INC. | 1976-04-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012044153 | 2024-03-11 | No data | Annual Report | Annual Report | No data |
| BF-0011848163 | 2023-06-14 | 2023-06-14 | Change of Business Address | Business Address Change | No data |
| BF-0011076716 | 2023-03-17 | No data | Annual Report | Annual Report | No data |
| BF-0010376233 | 2022-03-28 | No data | Annual Report | Annual Report | 2022 |
| BF-0010457762 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| 0007250557 | 2021-03-23 | No data | Annual Report | Annual Report | 2021 |
| 0006944414 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006952017 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006849523 | 2020-03-26 | No data | Annual Report | Annual Report | 2020 |
| 0006522612 | 2019-04-01 | 2019-04-01 | Amendment | Restated | No data |
Date of last update: 04 Nov 2024
Sources: Connecticut's Official State Website
