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AMERICAN AMBULANCE SERVICE, INC.

Company Details

Entity Name: AMERICAN AMBULANCE SERVICE, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 14 Jun 1979 (Companies founded in June 1979)
Business ALEI: 0093586
Annual report due: 14 Jun 2025
NAICS code: 485999 - Todo el resto del transporte terrestre y de tr�nsito de pasajeros
Business address: ONE AMERICAN WAY, NORWICH, CT, 06360, United States
Mailing address: ONE AMERICAN WAY, NORWICH, CT, United States, 06360
ZIP code: 06360 (Companies in New London, 06360)
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 500
E-Mail: legal.support@hhchealth.org

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
6MFJ4 Active Non-Manufacturer 2012-01-07 2024-05-23 2029-05-23 2025-05-16

Contact Information
POC SHANAN J. HARKNESS
Phone +1 860-696-3644
Address 1 AMERICAN WAY, NORWICH, CT, 06360 5634, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner
Vendor Certified 2024-05-20
CAGE number 39AW3
Company Name HARTFORD HOSPITAL
CAGE Last Updated 2024-11-04
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN AMBULANCE SERVICE INC. EMPLOYEE BENEFITS PLAN 2020 061028857 2022-05-03 AMERICAN AMBULANCE SERVICE INC. 224
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2012-03-01
Business code 485990
Sponsor’s telephone number 8608861463
Plan sponsor’s mailing address 1 AMERICAN WAY, NORWICH, CT, 06360
Plan sponsor’s address 1 AMERICAN WAY, NORWICH, CT, 06360

Number of participants as of the end of the plan year
Active participants 238
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 3

Signature of
Role Plan administrator
Date 2022-05-03
Name of individual signing STACIE LAMBERT
Valid signature Filed with authorized/valid electronic signature
AMERICAN AMBULANCE SERVICE INC. EMPLOYEE BENEFITS PLAN 2019 061028857 2022-05-03 AMERICAN AMBULANCE SERVICE INC. 136
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2012-03-01
Business code 485990
Sponsor’s telephone number 8608861463
Plan sponsor’s mailing address 1 AMERICAN WAY, NORWICH, CT, 06360
Plan sponsor’s address 1 AMERICAN WAY, NORWICH, CT, 06360

Number of participants as of the end of the plan year
Active participants 140
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2022-05-03
Name of individual signing STACIE LAMBERT
Valid signature Filed with authorized/valid electronic signature
AMERICAN AMBULANCE SERVICE INC. EMPLOYEE BENEFITS PLAN 2019 061028857 2022-05-04 AMERICAN AMBULANCE SERVICE INC. 226
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2012-03-01
Business code 485990
Sponsor’s telephone number 8608861463
Plan sponsor’s mailing address 1 AMERICAN WAY, NORWICH, CT, 06360
Plan sponsor’s address 1 AMERICAN WAY, NORWICH, CT, 06360

Number of participants as of the end of the plan year
Active participants 225
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 6

Signature of
Role Plan administrator
Date 2022-05-04
Name of individual signing STACIE LAMBERT
Valid signature Filed with authorized/valid electronic signature
AMERICAN AMBULANCE SERVICE, INC., EMPLOYEE BENEFITS PLAN 2013 061028857 2014-11-07 AMERICAN AMBULANCE SERVICE, INC. 102
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2012-03-01
Business code 485990
Sponsor’s telephone number 8608861463
Plan sponsor’s mailing address ONE AMERICAN WAY, NORWICH, CT, 06360
Plan sponsor’s address ONE AMERICAN WAY, NORWICH, CT, 06360

Number of participants as of the end of the plan year
Active participants 139
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2014-11-07
Name of individual signing DAVID J. ALLARD
Valid signature Filed with authorized/valid electronic signature
AMERICAN AMBULANCE SERVICE, INC. 2012 061028857 2013-06-25 AMERICAN AMBULANCE SERVICE, INC. 118
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2012-03-01
Business code 485990
Sponsor’s telephone number 8608861463
Plan sponsor’s mailing address ONE AMERICAN WAY, NORWICH, CT, 06360
Plan sponsor’s address ONE AMERICAN WAY, NORWICH, CT, 06360

Number of participants as of the end of the plan year
Active participants 123

Signature of
Role Plan administrator
Date 2013-06-25
Name of individual signing JANET O. WELCH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Officer

Name Role Business address Residence address
Donna Handley Officer 100 Pearl St., 2nd Floor, Hartford, CT, 06103, United States 326 Washington Street, Norwich, CT, 06360, United States
Gerald Boisvert Officer 100 Pearl St., 2nd Floor, Hartford, CT, 06103, United States 100 Pearl St., 2nd Fl., Hartford, CT, 06103, United States

Director

Name Role Business address Residence address
Donna Handley Director 100 Pearl St., 2nd Floor, Hartford, CT, 06103, United States 326 Washington Street, Norwich, CT, 06360, United States
Gerald Boisvert Director 100 Pearl St., 2nd Floor, Hartford, CT, 06103, United States 100 Pearl St., 2nd Fl., Hartford, CT, 06103, United States
Charles Johndro, DO Director 100 Pearl St., 2nd Floor, Hartford, CT, 06103, United States 100 Pearl St., 2nd Floor, Hartford, CT, 06103, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
L.0L059P1 Licensed EMS Organization ACTIVE CURRENT 2016-12-28 2024-01-01 2024-12-31
CSP.0009831 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER INACTIVE No data 1999-03-01 2017-03-01 2019-02-28
CSP.0026105 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER INACTIVE No data 1999-03-01 2017-03-01 2019-02-28
1.017274 Physician/Surgeon INACTIVE LAPSED DUE TO NON-RENEWAL 1975-07-31 2017-08-01 2018-07-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012044357 2024-06-04 No data Annual Report Annual Report No data
BF-0011079411 2023-06-07 No data Annual Report Annual Report No data
BF-0010237807 2022-06-02 No data Annual Report Annual Report 2022
0007365188 2021-06-10 No data Annual Report Annual Report 2021
0006914156 2020-05-29 No data Annual Report Annual Report 2020
0006569674 2019-06-05 No data Annual Report Annual Report 2019
0006212248 2018-07-09 No data Annual Report Annual Report 2018
0005976939 2017-12-01 No data Annual Report Annual Report 2017
0005726872 2016-12-29 No data Annual Report Annual Report 2016
0005338164 2015-05-27 No data Annual Report Annual Report 2015

Related by officers

Donna Handley

CONNECTICUT HOSPITAL ASSOCIATION, INCORPORATED, THE THE CONNECTICUT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION, INCORPORATED AMERICAN PROFESSIONAL EDUCATIONAL SERVICES, INC. WINDHAM HOSPITAL FOUNDATION, INC.

Gerald Boisvert

HUNTER'S AMBULANCE SERVICE, INC. ST. VINCENT'S MEDICAL CENTER FOUNDATION, INC. CENCONN SERVICES, INC. AMERICAN PROFESSIONAL EDUCATIONAL SERVICES, INC. CONNECTICUT IMAGING PARTNERS, LLC

Charles Johndro, DO

AMERICAN PROFESSIONAL EDUCATIONAL SERVICES, INC.

Related by address

ONE AMERICAN WAY, NORWICH, CT, 06360, United States

EASTERN CONNECTICUT EMERGENCY MEDICAL SERVICES COUNCIL, INC. AMERICAN PROFESSIONAL EDUCATIONAL SERVICES, INC.

ONE AMERICAN WAY, NORWICH, CT, United States, 06360

EASTERN CONNECTICUT EMERGENCY MEDICAL SERVICES COUNCIL, INC. AMERICAN PROFESSIONAL EDUCATIONAL SERVICES, INC. WEST END MEDICAL EQUIPMENT, INC.

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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