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  5. LEGACY VNA HEALTH AT HOME, INC.

LEGACY VNA HEALTH AT HOME, INC.

Company Details

Entity Name: LEGACY VNA HEALTH AT HOME, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 26 Apr 1939
Date of dissolution: 07 Dec 2017
Business ALEI: 0062526
Annual report due: 29 Apr 2017
Business address: C/O CARMODY TORRANCE SANDAK & HENNESSEY LLP 50 LEAVENWORTH ST, WATERBURY, CT, 06702
ZIP code: 06702
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: AGARRISON@VNAHEALTHATHOME.ORG

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403B THRIFT PLAN OF VNA HEALTH AT HOME, INC. 2016 060660419 2017-05-24 VNA HEALTH AT HOME, INC. 69
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 8602747531
Plan sponsor’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654

Signature of
Role Plan administrator
Date 2017-05-23
Name of individual signing JUDITH HARDWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-23
Name of individual signing JUDITH HARDWICK
Valid signature Filed with authorized/valid electronic signature
403B THRIFT PLAN OF VNA HEALTH AT HOME, INC. 2015 060660419 2016-11-16 VNA HEALTH AT HOME, INC. 54
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 8602747531
Plan sponsor’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654

Signature of
Role Plan administrator
Date 2016-11-16
Name of individual signing JUDITH HARDWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-11-16
Name of individual signing JUDITH HARDWICK
Valid signature Filed with authorized/valid electronic signature
403B THRIFT PLAN OF VNA HEALTH AT HOME, INC. 2014 060660419 2016-01-27 VNA HEALTH AT HOME, INC. 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 8602747531
Plan sponsor’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654

Signature of
Role Plan administrator
Date 2016-01-27
Name of individual signing JUDITH HARDWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-01-27
Name of individual signing JUDITH HARDWICK
Valid signature Filed with authorized/valid electronic signature
403B THRIFT PLAN OF VNA HEALTH AT HOME, INC. 2013 060660419 2014-10-17 VNA HEALTH AT HOME, INC. 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 8602747531
Plan sponsor’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654

Signature of
Role Plan administrator
Date 2014-10-17
Name of individual signing JUDITH HARDWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-17
Name of individual signing JUDITH HARDWICK
Valid signature Filed with authorized/valid electronic signature
403B THRIFT PLAN OF VNA HEALTH AT HOME, INC. 2012 060660419 2014-01-17 VNA HEALTH AT HOME, INC. 62
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 8602747531
Plan sponsor’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654

Signature of
Role Plan administrator
Date 2014-01-17
Name of individual signing JUDITH A HARDWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-17
Name of individual signing JUDITH A HARDWICK
Valid signature Filed with authorized/valid electronic signature
403B THRIFT PLAN OF VNA HEALTH AT HOME, INC. 2011 060660419 2013-03-11 VNA HEALTH AT HOME, INC. 75
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 8602747531
Plan sponsor’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654

Plan administrator’s name and address
Administrator’s EIN 060660419
Plan administrator’s name VNA HEALTH AT HOME, INC.
Plan administrator’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654
Administrator’s telephone number 8602747531

Signature of
Role Plan administrator
Date 2013-03-07
Name of individual signing JUDITH A HARDWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-07
Name of individual signing JUDITH A HARDWICK
Valid signature Filed with authorized/valid electronic signature
403B THRIFT PLAN OF VNA HEALTH AT HOME, INC. 2010 060660419 2012-04-13 VNA HEALTH AT HOME, INC. 86
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 8602747531
Plan sponsor’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654

Plan administrator’s name and address
Administrator’s EIN 060660419
Plan administrator’s name VNA HEALTH AT HOME, INC.
Plan administrator’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654
Administrator’s telephone number 8602747531

Signature of
Role Plan administrator
Date 2012-04-12
Name of individual signing JUDITH HARDWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-12
Name of individual signing JUDITH HARDWICK
Valid signature Filed with authorized/valid electronic signature
403B THRIFT PLAN OF VNA HEALTH AT HOME, INC. 2009 060660419 2011-04-11 VNA HEALTH AT HOME, INC. 82
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 8602747531
Plan sponsor’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654

Plan administrator’s name and address
Administrator’s EIN 060660419
Plan administrator’s name VNA HEALTH AT HOME, INC.
Plan administrator’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654
Administrator’s telephone number 8602747531

Signature of
Role Plan administrator
Date 2011-04-08
Name of individual signing JUDITH HARDWICK
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-04-08
Name of individual signing JUDITH HARDWICK
Valid signature Filed with incorrect/unrecognized electronic signature
403B THRIFT PLAN OF VNA HEALTH AT HOME, INC. 2009 060660419 2011-04-11 VNA HEALTH AT HOME, INC. 82
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 8602747531
Plan sponsor’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654

Plan administrator’s name and address
Administrator’s EIN 060660419
Plan administrator’s name VNA HEALTH AT HOME, INC.
Plan administrator’s address 27 SIEMON COMPANY DR., STE 101, WATERTOWN, CT, 067952654
Administrator’s telephone number 8602747531

Signature of
Role Plan administrator
Date 2011-04-11
Name of individual signing JUDITH HARDWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-11
Name of individual signing JUDITH HARDWICK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CARMODY TORRANCE SANDAK & HENNESSEY LLP Agent

Officer

Name Role Business address Residence address
JACK KELLY Officer No data 127 WAY ROAD, SALEM, CT, 06240, United States
CARL B. SHERTER M.D. Officer 170 GRANDVIEW AVENUE, WATERBURY, CT, 06708, United States 178 PEACH ORCHARD ROAD, SOUTHBURY, CT, 06488, United States
DAVID J. PIZZUTO M.D. Officer 64 ROBBINS STREET, WATERBURY, CT, 06708, United States 1145 WOLF HILL ROAD, CHESHIRE, CT, 06410, United States
NEIL PETERSON M.D. Officer 140 GRANDVIEW AVENUE, WATERBURY, CT, 06708, United States 433 HIGHLAND DRIVE, WATERBURY, CT, 06708, United States
CARL D. CONTADINI Officer OLD BARN FARM, 300 BARTHOLOMEW HILL ROAD, GOSHEN, CT, 06756, United States OLD BARN FARM, 300 BARTHOLOMEW HILL ROAD, GOSHEN, CT, 06756, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
HHC.C805710 Home Health Care INACTIVE INACTIVE No data 2015-07-01 2018-06-30
CHR.0003212 PUBLIC CHARITY INACTIVE DUE TO NON-RENEWAL OF CREDENTIAL No data 2017-06-01 2018-05-31

History

Type Old value New value Date of change
Name change VNA HEALTH AT HOME, INC. LEGANCY VNA HEALTH AT HOME, INC. 2016-09-30
Name change GREATER WATERTOWN VISITING NURSE AND HOME CARE, INCORPORATED VNA HEALTH AT HOME, INCORPORATED 1994-07-12
Name change TOWN OF WATERTOWN PUBLIC HEALTH NURSING ASSOCIATION, INCORPORATED THE GREATER WATERTOWN VISITING NURSE AND HOME CARE, INCORPORATED 1990-07-12
Name change WATERTOWN PUBLIC HEALTH NURSING ASSOCIATION, INCORPORATED THE TOWN OF WATERTOWN PUBLIC HEALTH NURSING ASSOCIATION, INCORPORATED THE 1963-09-10

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005981837 2017-12-07 2017-12-07 Dissolution Certificate of Dissolution No data
0005689238 2016-11-07 2016-11-07 Change of Agent Agent Change No data
0005685732 2016-11-02 No data Interim Notice Interim Notice No data
0005685727 2016-11-02 No data Change of Business Address Business Address Change No data
0005661813 2016-09-30 2016-10-01 Amendment Amend Name No data
0005552001 2016-04-28 No data Annual Report Annual Report 2016
0005439338 2015-12-02 No data Annual Report Annual Report 2014
0005439342 2015-12-02 No data Annual Report Annual Report 2015
0004817337 2013-03-07 No data Annual Report Annual Report 2013
0004583730 2012-04-20 No data Annual Report Annual Report 2012

Related by officers

JACK KELLY

FURNITURE BANK OF SOUTHEASTERN CONNECTICUT, INC. LEGACY GWMRI, INC.

CARL B. SHERTER M.D.

LEGACY NETWORK, INC. LEGACY GWMRI, INC.

DAVID J. PIZZUTO M.D.

LEGACY NETWORK, INC. LEGACY GWMRI, INC.

NEIL PETERSON M.D.

LEGACY GWMRI, INC.

CARL D. CONTADINI

LEGACY NETWORK, INC. UTITEC, INC. LEGACY GWMRI, 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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