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CONNECTICUT COMMUNITY CARE, INC.

Company Details

Entity Name: CONNECTICUT COMMUNITY CARE, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 16 Jun 1980 (Companies founded in June 1980)
Business ALEI: 0106548
Annual report due: 16 Jun 2025
NAICS code: 624120 - Services for the Elderly and Persons with Disabilities
Business address: 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010, United States
Mailing address: 43 ENTERPRISE DRIVE, BRISTOL, CT, United States, 06010
ZIP code: 06010 (Companies in Hartford, 06010)
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: JULIA.EVANS.STARR@CTCOMMUNITYCARE.ORG

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
EL5KBK8SKJZ5 2024-10-11 43 ENTERPRISE DR, STE 2, BRISTOL, CT, 06010, 7457, USA 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010, 7472, USA

Business Information
Congressional District 01
State/Country of Incorporation CT, USA
Activation Date 2023-10-13
Initial Registration Date 2009-07-14
Entity Start Date 1980-07-01
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 621610

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DEBRA FARSLOW
Address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010, 7472, USA
Title ALTERNATE POC
Name KAREN GREEN
Address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010, 7472, USA
Government Business
Title PRIMARY POC
Name JULIA EVANS STARR
Address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010, 7472, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
5KRC8 Active Non-Manufacturer 2009-07-10 2024-10-10 2029-10-10 2025-10-08

Contact Information
POC JULIA EVANS STARR
Phone +1 860-314-2275
Fax +1 860-585-0858
Address 43 ENTERPRISE DR, BRISTOL, CT, 06010 7457, 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
GROUP MEDICAL INSURANCE 2022 061024632 2023-07-19 CONNECTICUT COMMUNITY CARE, INC. 367
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1980-07-01
Business code 621610
Sponsor’s telephone number 8605896226
Plan sponsor’s mailing address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010
Plan sponsor’s address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010

Number of participants as of the end of the plan year
Active participants 174

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-18
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT 2022 061024632 2023-07-19 CONNECTICUT COMMUNITY CARE, INC 265
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 621610
Sponsor’s telephone number 8605896226
Plan sponsor’s mailing address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010
Plan sponsor’s address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010

Number of participants as of the end of the plan year
Active participants 269

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-18
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
GROUP LONG TERM DISABILITY 2022 061024632 2023-07-19 CONNECTICUT COMMUNITY CARE, INC 265
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1980-07-01
Business code 621610
Sponsor’s telephone number 8605896226
Plan sponsor’s mailing address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010
Plan sponsor’s address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010

Number of participants as of the end of the plan year
Active participants 268

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-18
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
GROUP DENTAL PLAN 2022 061024632 2023-07-19 CONNECTICUT COMMUNITY CARE, INC. 420
File View Page
Three-digit plan number (PN) 506
Effective date of plan 1980-07-01
Business code 621610
Sponsor’s telephone number 8605896226
Plan sponsor’s mailing address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010
Plan sponsor’s address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010

Number of participants as of the end of the plan year
Active participants 187

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-18
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
GROUP SHORT TERM DISABILITY 2022 061024632 2023-07-19 CONNECTICUT COMMUNITY CARE, INC 262
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1980-07-01
Business code 621610
Sponsor’s telephone number 8605896226
Plan sponsor’s mailing address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010
Plan sponsor’s address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010

Number of participants as of the end of the plan year
Active participants 267

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-18
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT 2021 061024632 2022-07-25 CONNECTICUT COMMUNITY CARE, INC 282
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 621610
Sponsor’s telephone number 8605896226
Plan sponsor’s mailing address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010
Plan sponsor’s address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010

Number of participants as of the end of the plan year
Active participants 265

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-22
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
Role DFE
Date 2022-07-22
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
GROUP DENTAL PLAN 2021 061024632 2022-07-25 CONNECTICUT COMMUNITY CARE, INC. 420
File View Page
Three-digit plan number (PN) 506
Effective date of plan 1980-07-01
Business code 621610
Sponsor’s telephone number 8605896226
Plan sponsor’s mailing address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010
Plan sponsor’s address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010

Number of participants as of the end of the plan year
Active participants 414
Retired or separated participants receiving benefits 6

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-22
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
GROUP MEDICAL INSURANCE 2021 061024632 2022-07-25 CONNECTICUT COMMUNITY CARE, INC. 400
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1980-07-01
Business code 621610
Sponsor’s telephone number 8605896226
Plan sponsor’s mailing address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010
Plan sponsor’s address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010

Number of participants as of the end of the plan year
Active participants 361
Retired or separated participants receiving benefits 6

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-22
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
GROUP SHORT TERM DISABILITY 2021 061024632 2022-07-25 CONNECTICUT COMMUNITY CARE, INC 282
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1980-07-01
Business code 621610
Sponsor’s telephone number 8605896226
Plan sponsor’s mailing address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010
Plan sponsor’s address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010

Number of participants as of the end of the plan year
Active participants 265

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-22
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
GROUP LONG TERM DISABILITY 2021 061024632 2022-07-25 CONNECTICUT COMMUNITY CARE, INC 282
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1980-07-01
Business code 621610
Sponsor’s telephone number 8605896226
Plan sponsor’s mailing address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010
Plan sponsor’s address 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010

Number of participants as of the end of the plan year
Active participants 265

Signature of
Role Plan administrator
Date 2022-07-25
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-25
Name of individual signing JULIA STARR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
JULIA EVANS STARR Agent 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010, United States +1 860-819-4762 julia.evans.starr@ctommunitycare.org 27 Argyle Ave, West Hartford, CT, 06107-1702, United States

Director

Name Role Business address Phone E-Mail Residence address
Patrick Coll Director No data No data No data 19 Foxcroft Rd, West Hartford, CT, 06119-1150, United States
JUNE RENZULLI Director No data No data No data 206 3rd Ave, Milford, CT, 06460-5245, United States
MARTA HERNANDEZ Director No data No data No data 69 TYLER COURT, AVON, CT, 06001, United States
Paula Stabnick Director No data No data No data 20 Fairlee Rd, West Hartford, CT, 06107-2907, United States
NOREEN SHUGRUE Director No data No data No data 19 Coughlin Rd, Manchester, CT, 06040-6671, United States
GAIL MILLERICK Director No data No data No data 10 Cleveland St, Plainville, CT, 06062-1206, United States
CHERESE CHERY Director No data No data No data 131 Oxford St, Hartford, CT, 06105-2515, United States
SANDRA SHERLOCK WHITE Director 365 WILLARD AVENUE, SUITE 2E, NEWINGTON, CT, 06111, United States No data No data 365 WILLARD AVENUE, SUITE 2E, NEWINGTON, CT, 06111, United States
DANIEL RISSI, MD Director No data No data No data 367 Glenwood Avenue Ext, Waterford, CT, 06385-3808, United States
TERESA TORREY Director No data No data No data 664 New Rd, Avon, CT, 06001-3260, United States

Officer

Name Role Business address Phone E-Mail Residence address
THOMAS SHUGRUE Officer No data No data No data 111 GOLF STREET, NEWINGTON, CT, 06111, United States
SANDRA SHERLOCK WHITE Officer 365 WILLARD AVENUE, SUITE 2E, NEWINGTON, CT, 06111, United States No data No data 365 WILLARD AVENUE, SUITE 2E, NEWINGTON, CT, 06111, United States
JULIA EVANS STARR Officer 43 ENTERPRISE DRIVE, BRISTOL, CT, 06010, United States +1 860-819-4762 julia.evans.starr@ctommunitycare.org 27 Argyle Ave, West Hartford, CT, 06107-1702, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0001359 PUBLIC CHARITY ACTIVE CURRENT No data 2024-06-01 2025-05-31
HCA.0000162 HOMEMAKER COMPANION AGENCY ACTIVE IN RENEWAL CURRENT 2006-10-02 2023-11-01 2024-10-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012278807 2024-06-10 No data Annual Report Annual Report No data
BF-0011384931 2023-06-16 No data Annual Report Annual Report No data
BF-0010255831 2022-06-13 No data Annual Report Annual Report 2022
0007359900 2021-06-03 No data Annual Report Annual Report 2021
0006909619 2020-05-26 No data Annual Report Annual Report 2020
0006558126 2019-05-14 No data Annual Report Annual Report 2019
0006177848 2018-05-07 No data Annual Report Annual Report 2018
0005860819 2017-06-07 No data Annual Report Annual Report 2017
0005578133 2016-05-31 No data Annual Report Annual Report 2016
0005349347 2015-06-16 No data Annual Report Annual Report 2015

Related by officers

JULIA EVANS STARR

Sage Solutions Partners, LLC CENTER FOR MEDICARE ADVOCACY, INC.

THOMAS SHUGRUE

INDIAN HILL COUNTRY CLUB, 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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