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MERIDEN-WALLINGFORD CHRYSALIS, INC.

Company Details

Entity Name: MERIDEN-WALLINGFORD CHRYSALIS, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 14 Nov 1977 (Companies founded in November 1977)
Business ALEI: 0067587
Annual report due: 14 Nov 2024
NAICS code: 624190 - Other Individual and Family Services
Business address: 14 WEST MAIN ST., MERIDEN, CT, 06451, United States
Mailing address: 14 WEST MAIN ST., MERIDEN, CT, United States, 06451
ZIP code: 06451 (Companies in New Haven, 06451)
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: LINSEY@MWCHRYSALIS.ORG

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
NK2NNE4WTPX9 2024-09-20 14 W MAIN ST # 103, MERIDEN, CT, 06451, 4124, USA 14 W MAIN ST, MERIDEN, CT, 06451, 4109, USA

Business Information
Doing Business As MERIDEN-WALLINGFORD CHRYSALIS INC
Division Name MERIDEN-WALLINGFORD CHRYSALIS, INC.
Congressional District 05
State/Country of Incorporation CT, USA
Activation Date 2023-09-25
Initial Registration Date 2008-12-19
Entity Start Date 1980-07-28
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 624190, 624221, 624230
Product and Service Codes G099

Points of Contacts
Electronic Business
Title PRIMARY POC
Name STACI ROY
Role DIRECTOR OF OPERATIONS
Address 14 WEST MAIN STREET, MERIDEN, CT, 06451, USA
Title ALTERNATE POC
Name SHARLENE B KERELEJZA
Role EXECUTIVE DIRECTOR
Address 14 WEST MAIN STREET, MERIDEN, CT, 06451, USA
Government Business
Title PRIMARY POC
Name LINSEY M WALTERS
Role EXECUTIVE DIRECTOR
Address 14 WEST MAIN STREET, MERIDEN, CT, 06451, 3272, USA
Title ALTERNATE POC
Name LINSEY WALTERS
Role DIRECTOR OF PROGRAMS
Address 14 WEST MAIN STREET, MERIDEN, CT, 06451, 3272, USA
Past Performance
Title PRIMARY POC
Name SHARLENE B. KERELEJZA
Role EXECUTIVE DIRECTOR
Address 14 WEST MAIN STREET, MERIDEN, CT, 06451, USA
Title ALTERNATE POC
Name SHARLENE B. KERELEJZA
Role EXECUTIVE DIRECTOR
Address 14 WEST MAIN STREET, MERIDEN, CT, 06451, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
59Z95 Active Non-Manufacturer 2008-12-19 2024-09-20 2028-09-25 2024-09-20

Contact Information
POC LINSEY M. WALTERS
Phone +1 203-630-1638
Fax +1 203-237-1097
Address 14 W MAIN ST 103, MERIDEN, CT, 06451 4124, 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 MERIDEN-WALLINGFORD CHRYSALIS, INC. 2023 060972610 2024-08-02 MERIDEN-WALLINGFORD CHRYSALIS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 624200
Sponsor’s telephone number 2036301638
Plan sponsor’s address 14 W MAIN ST STE C, MERIDEN, CT, 064514109

Signature of
Role Plan administrator
Date 2024-08-02
Name of individual signing ALEX PESTANA
Valid signature Filed with authorized/valid electronic signature
MERIDEN-WALLINGFORD CHRYSALIS, INC. 2022 060972610 2023-07-07 MERIDEN-WALLINGFORD CHRYSALIS, 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Sponsor’s telephone number 2036301638
Plan sponsor’s address 14 W MAIN ST STE C, MERIDEN, CT, 064514109

Signature of
Role Plan administrator
Date 2023-07-07
Name of individual signing ALEX PESTANA
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MERIDEN-WALLINGFORD CHRYSALIS, INC. 2022 060972610 2023-08-17 MERIDEN-WALLINGFORD CHRYSALIS, 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 624200
Sponsor’s telephone number 2036301638
Plan sponsor’s address 14 W MAIN ST STE C, MERIDEN, CT, 064514109

Signature of
Role Plan administrator
Date 2023-08-17
Name of individual signing ALEX PESTANA
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MERIDEN-WALLINGFORD CHRYSALIS, INC. 2021 060972610 2022-03-02 MERIDEN-WALLINGFORD CHRYSALIS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 624200
Sponsor’s telephone number 2036301638
Plan sponsor’s address 14 W MAIN ST STE C, MERIDEN, CT, 064514109

Signature of
Role Plan administrator
Date 2022-03-02
Name of individual signing ALEX PESTANA
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MERIDEN-WALLINGFORD CHRYSALIS, INC. 2020 060972610 2021-02-23 MERIDEN-WALLINGFORD CHRYSALIS, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 624200
Sponsor’s telephone number 2036301638
Plan sponsor’s address 14 W MAIN ST STE C, MERIDEN, CT, 064514109

Signature of
Role Plan administrator
Date 2021-02-23
Name of individual signing ALEX PESTANA
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MERIDEN-WALLINGFORD CHRYSALIS, INC. 2019 060972610 2020-07-21 MERIDEN-WALLINGFORD CHRYSALIS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 624200
Sponsor’s telephone number 2036301638
Plan sponsor’s address 14 W MAIN ST STE C, MERIDEN, CT, 064514109

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing ALEX PESTANA
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MERIDEN-WALLINGFORD CHRYSALIS, INC. 2018 060972610 2019-07-02 MERIDEN-WALLINGFORD CHRYSALIS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 624200
Sponsor’s telephone number 2036301638
Plan sponsor’s address 14 W MAIN ST STE C, MERIDEN, CT, 064514109

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing ALEX PESTANA
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MERIDEN WALLINGFORD CHRYSALIS INC 2017 060972610 2018-05-03 MERIDEN WALLINGFORD CHRYSALIS INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 624200
Sponsor’s telephone number 2036301638
Plan sponsor’s address 14 W MAIN ST STE C, MERIDEN, CT, 064514109

Signature of
Role Plan administrator
Date 2018-05-03
Name of individual signing MERIDEN-WALLINGFORD CHRYSALIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-03
Name of individual signing MERIDEN-WALLINGFORD CHRYSALIS
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MERIDEN-WALLINGFORD CHRYSALIS, INC. 2016 060972610 2017-07-13 MERIDEN-WALLINGFORD CHRYSALIS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 624200
Sponsor’s telephone number 2036301638
Plan sponsor’s address 14 W MAIN ST STE C, MERIDEN, CT, 06451

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing SHARLENE KERELEJZA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-13
Name of individual signing SHARLENE KERELEJZA
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MERIDEN-WALLINGFORD CHRYSALIS, INC. 2015 060972610 2016-05-20 MERIDEN-WALLINGFORD CHRYSALIS, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 624200
Sponsor’s telephone number 2036301638
Plan sponsor’s address 14 W MAIN ST STE C, MERIDEN, CT, 06451

Signature of
Role Plan administrator
Date 2016-05-20
Name of individual signing SHARLENE KERELEJZA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-20
Name of individual signing SHARLENE KERELEJZA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
Linsey Walters Agent 14 WEST MAIN ST., MERIDEN, CT, 06451, United States +1 203-213-7609 linsey@mwchrysalis.org 14 WEST MAIN ST., MERIDEN, CT, 06451, United States

Officer

Name Role Business address Residence address
Sheila Dubinsky Officer No data 80 Alpine Trl, Plantsville, CT, 06479-1379, United States
Ryan Griswold Officer 543 W Main St, New Britain, CT, 06053-3915, United States 428 Lincoln St, New Britain, CT, 06052-1638, United States
DOREEN BOTTONE Officer 435 Lewis Ave, Meriden, CT, 06451-2101, United States 56 Edgewood Cir, Southington, CT, 06489-2167, United States

Director

Name Role Business address Phone E-Mail Residence address
Linsey Walters Director 14 WEST MAIN ST., MERIDEN, CT, 06451, United States +1 203-213-7609 linsey@mwchrysalis.org 14 WEST MAIN ST., MERIDEN, CT, 06451, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0004192 PUBLIC CHARITY ACTIVE CURRENT No data 2024-06-01 2025-05-31
LTN.0000806 TEMPORARY NONCOMMERCIAL LIQUOR PERMIT INACTIVE No data No data 2024-04-26 2024-04-26

History

Type Old value New value Date of change
Name change MERIDEN-WALLINGFORD BATTERED WOMEN'S TASK FORCE, INC. MERIDEN-WALLINGFORD CHRYSALIS, INC. 1983-03-14

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011085977 2023-12-15 No data Annual Report Annual Report No data
BF-0008336628 2023-08-08 No data Annual Report Annual Report 2020
BF-0009857185 2023-08-08 No data Annual Report Annual Report No data
BF-0010692189 2023-08-08 No data Annual Report Annual Report No data
BF-0011897826 2023-07-25 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
BF-0008314021 2022-06-09 No data Annual Report Annual Report 2019
0006673141 2019-11-04 2019-11-04 Amendment Amend No data
0006615796 2019-08-06 No data Annual Report Annual Report 2017
0006615806 2019-08-06 No data Annual Report Annual Report 2018
0005812467 2017-04-05 No data Annual Report Annual Report 2016

Related by officers

Ryan Griswold

ROTHSCHILD & CO US INC.

Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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