| Entity Name: | PIERCE MEMORIAL BAPTIST HOME, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Merged |
| Date Formed: | 18 Jan 1951 |
| Business ALEI: | 0086266 |
| Annual report due: | 28 Jan 2021 |
| NAICS code: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Business address: | 44 CANTERBURY RD., BROOKLYN, CT, 06234, United States |
| Mailing address: | 44 CANTERBURY RD., BROOKLYN, CT, United States, 06234 |
| ZIP code: | 06234 |
| County: | Windham |
| Place of Formation: | CONNECTICUT |
| E-Mail: | pmorse@piercecare.org |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| X6XXLQN2RSY7 | 2025-04-08 | 44 CANTERBURY RD, BROOKLYN, CT, 06234, 1914, USA | 44 CANTERBURY ROAD, BROOKLYN, CT, 06234, USA | |||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||
| Congressional District | 02 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2024-04-10 |
| Initial Registration Date | 2024-04-08 |
| Entity Start Date | 1951-01-01 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SHAUN MASTROIANNI |
| Address | 44 CANTERBURY ROAD, BROOKLYN, CT, 06234, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SHAUN MASTROIANNI |
| Address | 44 CANTERBURY ROAD, BROOKLYN, CT, 06234, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ROBERT A. AVENA | Agent | 20 SOUTH ANGUILLA ROAD, PAWCATUCK, CT, 06379, United States | 20 SOUTH ANQUILLA ROAD, C/O SUISMAN SHAPIRO, PAWCATUCK, CT, 06379, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| PATRICIA MORSE | Officer | 44 CANTERBURY RD., BROOKLYN, CT, 06234, United States | 133 MAIN ST, FARMINGTON, CT, 06032, United States |
| DAVID STEVENS | Officer | 415 BASSETT BRIDGE ROAD, MANSFIELD CENTER, CT, 06234, United States | 305 COMMERCE DRIVE, MOORESTOWN, NJ, 08057, United States |
| DAVID JONES | Officer | No data | 21 SOUTH END AVE #621, NEW YORK, NY, 10280, United States |
| SANDY STEVENS | Officer | 415 BASSETTS BRIDGE RD, MANSFIELD CENTER, CT, 06234, United States | 415 BASSETTS BRIDGE RD, MANSFIELD CENTER, CT, 06234, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CCNH.0002458 | Chronic & Convalescent Nursing Home | ACTIVE | CURRENT | 2020-10-07 | 2024-10-01 | 2026-09-30 |
| VMA.0001646 | VENDING MACHINE OPERATOR | INACTIVE | EXPIRED MORE THAN 3 YEARS - MUST REAPPLY | 2014-06-02 | 2018-07-01 | 2019-06-30 |
| VMA.0001636 | VENDING MACHINE OPERATOR | INACTIVE | EXPIRED MORE THAN 3 YEARS - MUST REAPPLY | 2013-11-08 | 2013-11-08 | 2014-06-30 |
| CCNH.000600C | Chronic & Convalescent Nursing Home | CLOSED | CLOSED | 2010-01-01 | 2020-01-01 | 2021-12-31 |
| RCH.1269RCH | Residential Care Facility | CLOSED | CLOSED | 2009-01-01 | 2012-01-01 | 2014-12-31 |
| CHR.0012177 | PUBLIC CHARITY | INACTIVE | DUE TO NON-RENEWAL OF CREDENTIAL | 2004-07-12 | 2016-09-01 | 2017-08-31 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | PIERCE MEMORIAL BAPTIST HOME,INCORPORATED | PIERCE MEMORIAL BAPTIST HOME, INC. | 1990-12-27 |
| Name change | PIERCE BAPTIST HOME, INCORPORATED | PIERCE MEMORIAL BAPTIST HOME,INCORPORATED | 1955-03-14 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0006994435 | 2020-09-30 | 2020-10-01 | Merger | Certificate of Merger | No data |
| 0006984444 | 2020-09-22 | No data | Annual Report | Annual Report | 2020 |
| 0006733507 | 2020-01-28 | No data | Annual Report | Annual Report | 2019 |
| 0006576036 | 2019-06-12 | 2019-06-12 | Change of Agent | Agent Change | No data |
| 0006294431 | 2018-12-18 | No data | Annual Report | Annual Report | 2018 |
| 0006294421 | 2018-12-18 | No data | Annual Report | Annual Report | 2017 |
| 0005944781 | 2017-10-12 | No data | Change of Business Address | Business Address Change | No data |
| 0005742865 | 2017-01-17 | No data | Annual Report | Annual Report | 2016 |
| 0005408902 | 2015-10-07 | No data | Annual Report | Annual Report | 2015 |
| 0005408889 | 2015-10-07 | No data | Annual Report | Annual Report | 2014 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
