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HEBREW HOME AND HOSPITAL, INCORPORATED

Company Details

Entity Name: HEBREW HOME AND HOSPITAL, INCORPORATED
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Date Formed: 26 Feb 1904 (Companies founded in February 1904)
Business ALEI: 0071806
Annual report due: 26 Feb 2025
NAICS code: 622210 - Psychiatric and Substance Abuse Hospitals
Business address: 1 ABRAHMS BLVD, WEST HARTFORD, CT, 06117, United States
Mailing address: 1 ABRAHMS BLVD, WEST HARTFORD, CT, United States, 06117
ZIP code: 06117 (Companies in Hartford, 06117)
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: dpeterson@hebrewseniorcare.org

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HHC DISABILITY PROGRAM 2009 060646672 2011-12-20 HEBREW HOME AND HOSPITAL 132
File View Page
Three-digit plan number (PN) 507
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 8605233895
Plan sponsor’s mailing address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508
Plan sponsor’s address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508

Plan administrator’s name and address
Administrator’s EIN 060646672
Plan administrator’s name HEBREW HOME AND HOSPITAL
Plan administrator’s address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508
Administrator’s telephone number 8605233895

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2011-12-20
Name of individual signing DAVID HOULE
Valid signature Filed with authorized/valid electronic signature
HHC DISABILITY PROGRAM 2009 060646672 2011-12-20 HEBREW HOME AND HOSPITAL 132
Three-digit plan number (PN) 507
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 8605233895
Plan sponsor’s mailing address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508
Plan sponsor’s address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508

Plan administrator’s name and address
Administrator’s EIN 060646672
Plan administrator’s name HEBREW HOME AND HOSPITAL
Plan administrator’s address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508
Administrator’s telephone number 8605233895

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Employer/plan sponsor
Date 2011-12-20
Name of individual signing DAVID HOULE
Valid signature Filed with authorized/valid electronic signature
HHC DISABILITY PROGRAM 2009 060646672 2011-12-19 HEBREW HOME AND HOSPITAL 132
Three-digit plan number (PN) 507
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 8605233895
Plan sponsor’s mailing address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508
Plan sponsor’s address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508

Plan administrator’s name and address
Administrator’s EIN 060646672
Plan administrator’s name HEBREW HOME AND HOSPITAL
Plan administrator’s address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508
Administrator’s telephone number 8605233895

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2011-12-19
Name of individual signing DAVID HOULE
Valid signature Filed with authorized/valid electronic signature
HHC DISABILITY PROGRAM 2009 060646672 2010-10-29 HEBREW HOME AND HOSPITAL 132
Three-digit plan number (PN) 507
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 8605233895
Plan sponsor’s mailing address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508
Plan sponsor’s address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508

Plan administrator’s name and address
Administrator’s EIN 060646672
Plan administrator’s name HEBREW HOME AND HOSPITAL
Plan administrator’s address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508
Administrator’s telephone number 8605233895

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2010-10-29
Name of individual signing DAVID HOULE
Valid signature Filed with authorized/valid electronic signature
HHC DISABILITY PROGRAM 2009 060646672 2010-10-29 HEBREW HOME AND HOSPITAL 132
Three-digit plan number (PN) 507
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 8605233895
Plan sponsor’s mailing address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508
Plan sponsor’s address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508

Plan administrator’s name and address
Administrator’s EIN 060646672
Plan administrator’s name HEBREW HOME AND HOSPITAL
Plan administrator’s address ONE ABRAHMS BLVD, WEST HARTFORD, CT, 061171508
Administrator’s telephone number 8605233895

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2010-10-29
Name of individual signing DAVID HOULE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
MCR&P SERVICE CORPORATION Agent

Officer

Name Role Business address Residence address
DENISE PETERSON Officer 1 ABRAHMS BLVD, WEST HARTFORD, CT, 06117, United States 1 ABRAHMS BLVD, WEST HARTFORD, CT, 06117, United States

Director

Name Role Business address Residence address
DENISE PETERSON Director 1 ABRAHMS BLVD, WEST HARTFORD, CT, 06117, United States 1 ABRAHMS BLVD, WEST HARTFORD, CT, 06117, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CDH.00016CD Chronic Disease Hospital INACTIVE INACTIVE 2008-10-01 2018-10-01 2020-09-30
CCNH.002057C Chronic & Convalescent Nursing Home CLOSED CLOSED 2008-10-01 2016-10-01 2018-09-30

History

Type Old value New value Date of change
Name change HEBREW HOME FOR AGED, INCORPORATED HEBREW HOME AND HOSPITAL, INCORPORATED 1978-02-09
Name change HEBREW LADIES' OLD PEOPLES' HOME ASSOCIATION, INCORPORATED THE HEBREW HOME FOR AGED, INCORPORATED 1940-04-09
Name change OLD JEWISH PEOPLES' HOME ASSOCIATION, INCORPORATED THE HEBREW LADIES' OLD PEOPLES' HOME ASSOCIATION, INCORPORATED THE 1911-01-24
Name change LADIES SICK BENEFIT SOCIETY OF HARTFORD THE OLD JEWISH PEOPLES' HOME ASSOCIATION, INCORPORATED THE 1910-08-23

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012049227 2024-02-02 No data Annual Report Annual Report No data
BF-0011085289 2023-02-14 No data Annual Report Annual Report No data
BF-0010632102 2022-06-08 2022-06-08 Amendment Certificate of Amendment No data
BF-0010194770 2022-02-28 No data Annual Report Annual Report 2022
0007258646 2021-03-25 No data Annual Report Annual Report 2021
0006995682 2020-10-05 2020-10-05 Change of Agent Agent Change No data
0006748012 2020-02-10 No data Annual Report Annual Report 2020
0006315634 2019-01-09 No data Annual Report Annual Report 2019
0006227986 2018-08-06 No data Annual Report Annual Report 2018
0005768497 2017-02-15 No data Annual Report Annual Report 2017

Related by officers

DENISE PETERSON

HEBREW COMMUNITY SERVICES, INC. HEBREW LIFE CHOICES, INC. HEBREW HEALTH CARE, INC. CONNECTICUT GERIATRIC SPECIALTY GROUP, INC. WILLIAM E. PETERSON, INC.

Related by address

1 ABRAHMS BLVD, WEST HARTFORD, CT, 06117, United States

HEBREW HEALTH CARE FOUNDATION, INC. CONNECTICUT GERIATRIC SPECIALTY GROUP, INC.

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website

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