| Entity Name: | SOUTHWEST COMMUNITY HEALTH CENTER, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 25 May 1976 |
| Business ALEI: | 0062480 |
| Annual report due: | 25 May 2025 |
| NAICS code: | 621498 - All Other Outpatient Care Centers |
| Business address: | 46 ALBION STREET, BRIDGEPORT, CT, 06605, United States |
| Mailing address: | 46 ALBION STREET, BRIDGEPORT, CT, United States, 06605 |
| ZIP code: | 06605 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | mmelbourne@swchc.org |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ZQ12JADM8ZH6 | 2024-10-01 | 46 ALBION ST, BRIDGEPORT, CT, 06605, 2602, USA | 46 ALBION STREET, BRIDGEPORT, CT, 06605, 2804, USA | |||||||||||||||||||||||||||||||||||||||||||||||
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| URL | https://www.swchc.org |
| Congressional District | 04 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2023-10-03 |
| Initial Registration Date | 2003-12-30 |
| Entity Start Date | 1976-08-31 |
| Fiscal Year End Close Date | Jul 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TOM KRAUSE |
| Role | COO |
| Address | 46 ALBION STREET, BRIDGEPORT, CT, 06605, 2804, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LAUREN BACKMAN |
| Address | 410 CAPITOL AVENUE, P.O. BOX 340308, MS# 11MAT, HARTFORD, CT, 06134, 0001, USA |
| Title | ALTERNATE POC |
| Name | LAUREN BACKMAN |
| Address | 410 CAPITOL AVENUE, P.O. BOX 340308, MS# 11MAT, HARTFORD, CT, 06134, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3NSD8 | Active | Non-Manufacturer | 2003-12-31 | 2024-09-26 | 2029-09-26 | 2025-09-24 | |||||||||||||||
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| POC | MOLLIE MELBOURNE |
| Phone | +1 203-332-3501 |
| Fax | +1 203-382-1436 |
| Address | 46 ALBION ST, BRIDGEPORT, FAIRFIELD, CT, 06605 2602, 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 |
|---|
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 25490006B880GQBGWY19 | 0062480 | US-CT | GENERAL | ACTIVE | 1976-05-25 | |||||||||||||||||||
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| Legal | C/O MOLLIE L. MELBOURNE, 46 ALBION STREET, BRIDGEPORT, US-CT, US, 06605 |
| Headquarters | 46 ALBION STREET, BRIDGEPORT, US-CT, US, 06605 |
Registration details
| Registration Date | 2024-03-21 |
| Last Update | 2024-03-21 |
| Status | ISSUED |
| Next Renewal | 2025-03-21 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 0062480 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHWEST COMMUNITY HEALTH CENTER INC MEHIP | 2014 | 061023013 | 2016-01-30 | SOUTHWEST COMMUNITY HEALTH CENTER INC | 194 | |||||||||||||||||||||||||||||||||||||||
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| Active participants | 204 |
Signature of
| Role | Plan administrator |
| Date | 2016-01-30 |
| Name of individual signing | WILLIAM MORSE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2002-09-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 2033323505 |
| Plan sponsor’s mailing address | 968 FAIRFIELD AVE, BRIDGEPORT, CT, 06605 |
| Plan sponsor’s address | 968 FAIRFIELD AVE, BRIDGEPORT, CT, 06605 |
Number of participants as of the end of the plan year
| Active participants | 194 |
Signature of
| Role | Plan administrator |
| Date | 2015-02-25 |
| Name of individual signing | WILLIAM MORSE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2002-09-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 2033323505 |
| Plan sponsor’s mailing address | 968 FAIRFIELD AVE, BRIDGEPORT, CT, 06605 |
| Plan sponsor’s address | 968 FAIRFIELD AVE, BRIDGEPORT, CT, 06605 |
Number of participants as of the end of the plan year
| Active participants | 198 |
Signature of
| Role | Plan administrator |
| Date | 2014-02-24 |
| Name of individual signing | WILLIAM MORSE |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2002-09-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 2033323505 |
| Plan sponsor’s mailing address | 968 FAIRFIELD AVE, BRIDGEPORT, CT, 06605 |
| Plan sponsor’s address | 968 FAIRFIELD AVE, BRIDGEPORT, CT, 06605 |
Number of participants as of the end of the plan year
| Active participants | 198 |
Signature of
| Role | Plan administrator |
| Date | 2014-02-24 |
| Name of individual signing | WILLIAM MORSE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2002-09-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 2033323505 |
| Plan sponsor’s mailing address | 968 FAIRFIELD AVE, BRIDGEPORT, CT, 06605 |
| Plan sponsor’s address | 968 FAIRFIELD AVE, BRIDGEPORT, CT, 06605 |
Plan administrator’s name and address
| Administrator’s EIN | 061023013 |
| Plan administrator’s name | SOUTHWEST COMMUNITY HEALTH CENTER INC |
| Plan administrator’s address | 968 FAIRFIELD AVE, BRIDGEPORT, CT, 06605 |
| Administrator’s telephone number | 2033323505 |
Number of participants as of the end of the plan year
| Active participants | 228 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
Signature of
| Role | Plan administrator |
| Date | 2013-02-16 |
| Name of individual signing | WILLIAM MORSE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| MOLLIE L. MELBOURNE | Agent | 46 ALBION STREET, BRIDGEPORT, CT, 06605, United States | +1 203-450-0900 | mmelbourne@swchc.org | 78 GOULD AVE, FAIRFIELD, CT, 06824, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MARSHALL TOUPONSE ESQ | Director | 49 HEMINWAY PARK ROAD, WATERTOWN, CT, 06795, United States | 49 HEMINWAY PARK ROAD, WATERTOWN, CT, 06795, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MOLLIE MELBOURNE | Officer | 46 ALBION STREET, SOUTHWEST COMMUNITY HEALTH CENTER, BRIDGEPORT, CT, 06605, United States | 78 Gould Ave, Fairfield, CT, 06824-5830, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| OPC.0000236 | Outpatient Clinic | INACTIVE | No data | No data | No data | 2000-09-30 |
| OPC.0001292 | Outpatient Clinic | ACTIVE | CURRENT | 2024-04-17 | 2024-04-16 | 2027-03-31 |
| OPC.0001242 | Outpatient Clinic | ACTIVE | CURRENT | 2023-08-17 | 2023-08-17 | 2026-06-30 |
| OPC.0001208 | Outpatient Clinic | ACTIVE | CURRENT | 2022-10-28 | 2022-10-28 | 2025-09-30 |
| CHR.0007152 | PUBLIC CHARITY | ACTIVE | CURRENT | 2022-07-01 | 2024-07-01 | 2025-06-30 |
| OPC.0001175 | Outpatient Clinic | ACTIVE | CURRENT | 2022-03-21 | 2022-03-21 | 2024-12-31 |
| OPC.0000918 | Outpatient Clinic | ACTIVE | CURRENT | 2018-01-29 | 2024-01-01 | 2026-12-31 |
| POCA.0000563 | Psychiatric Outpatient Clinic | ACTIVE IN RENEWAL | CURRENT | 2013-10-29 | 2021-10-01 | 2024-09-30 |
| SA.0000466 | Substance Abuse | ACTIVE | CURRENT | 2013-10-29 | 2023-10-01 | 2025-09-30 |
| OPC.0000688 | Outpatient Clinic | ACTIVE | CURRENT | 2013-05-09 | 2024-04-01 | 2027-03-31 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. | SOUTHWEST COMMUNITY HEALTH CENTER, INC. | 2011-04-11 |
| Name change | SOUTH-WEST NEIGHBORHOOD HEALTH COUNCIL INC. | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. | 1981-04-23 |
| Name change | WEST END NEIGHBORHOOD HEALTH AWARENESS COUNCIL, INC. | SOUTH-WEST NEIGHBORHOOD HEALTH COUNCIL INC. | 1977-06-13 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012049690 | 2024-04-30 | No data | Annual Report | Annual Report | No data |
| BF-0011078550 | 2023-07-24 | No data | Annual Report | Annual Report | No data |
| BF-0009756756 | 2023-07-13 | No data | Annual Report | Annual Report | No data |
| BF-0010689394 | 2023-07-13 | No data | Annual Report | Annual Report | No data |
| 0007234259 | 2021-03-16 | No data | Annual Report | Annual Report | 2020 |
| 0007221870 | 2021-03-11 | No data | Annual Report | Annual Report | 2019 |
| 0006587426 | 2019-06-24 | 2019-06-24 | Change of Agent | Agent Change | No data |
| 0006452449 | 2019-03-12 | No data | Change of Agent Address | Agent Address Change | No data |
| 0006194660 | 2018-06-05 | No data | Annual Report | Annual Report | 2018 |
| 0006194408 | 2018-06-05 | No data | Change of Agent Address | Agent Address Change | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
