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  5. MONTOWESE HEALTH AND REHABILITATION CENTER, INC.

MONTOWESE HEALTH AND REHABILITATION CENTER, INC.

Company Details

Entity Name: MONTOWESE HEALTH AND REHABILITATION CENTER, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 08 Apr 1982
Date of dissolution: 21 Jun 2024
Business ALEI: 0129150
Annual report due: 08 Apr 2025
NAICS code: 623110 - Nursing Care Facilities (Skilled Nursing Facilities)
Business address: 208 QUINNIPIAC AVE, NORTH HAVEN, CT, 06473, United States
Mailing address: 208 QUINNIPIAC AVE, NORTH HAVEN, CT, United States, 06473
ZIP code: 06473
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: mpanico@nelsonambulance.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTOWESE HEALTH AND REHABILITATION CENTER, INC. EMPLOYEES' PROFIT SHARING PLAN 2017 061060258 2019-01-04 MONTOWESE HEALTH AND REHABILITATION CENTER, INC. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-10-01
Business code 623000
Sponsor’s telephone number 2036243303
Plan sponsor’s address 163 QUINNIPIAC AVENUE, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2019-01-04
Name of individual signing FAROOQ KHAN
Valid signature Filed with authorized/valid electronic signature
MONTOWESE HEALTH AND REHABILITATION CENTER, INC. EMPLOYEES' PROFIT SHARING PLAN II 2017 061060258 2019-01-04 MONTOWESE HEALTH AND REHABILITATION CENTER, INC. 103
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 623000
Sponsor’s telephone number 2036243303
Plan sponsor’s address 163 QUINNIPIAC AVENUE, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2019-01-04
Name of individual signing FAROOQ KHAN
Valid signature Filed with authorized/valid electronic signature
MONTOWESE HEALTH AND REHABILITATION CENTER, INC. EMPLOYEES' PROFIT SHARING PLAN II 2016 061060258 2017-12-14 MONTOWESE HEALTH AND REHABILITATION CENTER, INC. 113
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 623000
Sponsor’s telephone number 2036243303
Plan sponsor’s address 163 QUINNIPIAC AVENUE, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2017-12-14
Name of individual signing FAROOQ KHAN
Valid signature Filed with authorized/valid electronic signature
MONTOWESE HEALTH AND REHABILITATION CENTER, INC. EMPLOYEES' PROFIT SHARING PLAN 2016 061060258 2017-12-14 MONTOWESE HEALTH AND REHABILITATION CENTER, INC. 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-10-01
Business code 623000
Sponsor’s telephone number 2036243303
Plan sponsor’s address 163 QUINNIPIAC AVENUE, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2017-12-14
Name of individual signing FAROOQ KHAN
Valid signature Filed with authorized/valid electronic signature
MONTOWESE HEALTH AND REHABILITATION CENTER, INC. EMPLOYEES' PROFIT SHARING PLAN II 2015 061060258 2016-12-26 MONTOWESE HEALTH AND REHABILITATION CENTER, INC. 113
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 623000
Sponsor’s telephone number 2036243303
Plan sponsor’s address 163 QUINNIPIAC AVENUE, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2016-12-26
Name of individual signing FAROOQ KHAN
Valid signature Filed with authorized/valid electronic signature
MONTOWESE HEALTH AND REHABILITATION CENTER, INC. EMPLOYEES' PROFIT SHARING PLAN 2015 061060258 2016-12-26 MONTOWESE HEALTH AND REHABILITATION CENTER, INC. 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-10-01
Business code 623000
Sponsor’s telephone number 2036243303
Plan sponsor’s address 163 QUINNIPIAC AVENUE, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2016-12-26
Name of individual signing FAROOQ KHAN
Valid signature Filed with authorized/valid electronic signature
MONTOWESE HEALTH AND REHABILITATION CENTER, INC. EMPLOYEES PROFIT SHARING PLAN 2014 061060258 2016-04-08 MONTOWESE HEALTH AND REHABILITATION CENTER, INC. 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-10-01
Business code 623000
Sponsor’s telephone number 2036243303
Plan sponsor’s address 163 QUINNIPIAC AVE, NORTH HAVEN, CT, 064733623

Signature of
Role Plan administrator
Date 2016-04-08
Name of individual signing FAROOQ H. KHAN
Valid signature Filed with authorized/valid electronic signature
MONTOWESE HEALTH AND REHABILITATION CENTER, EMPLOYEES PROFIT SHARING PLAN II 2014 061060258 2016-04-08 MONTOWESE HEALTH AND REHABILITATION CENTER, INC. 108
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 623000
Sponsor’s telephone number 2036243303
Plan sponsor’s address 163 QUINNIPIAC AVE, NORTH HAVEN, CT, 064733623

Signature of
Role Plan administrator
Date 2016-04-08
Name of individual signing FAROOQ H. KHAN
Valid signature Filed with authorized/valid electronic signature
MONTOWESE HEALTH AND REHABILITATION CENTER, EMPLOYEES PROFIT SHARING PLAN II 2013 061060258 2015-05-29 MONTOWESE HEALTH AND REHABILITATION CENTER, INC. 116
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 623000
Sponsor’s telephone number 2036243303
Plan sponsor’s address 163 QUINNIPIAC AVE, NORTH HAVEN, CT, 064733623

Signature of
Role Plan administrator
Date 2015-05-29
Name of individual signing FAROOQ H. KHAN
Valid signature Filed with authorized/valid electronic signature
MONTOWESE HEALTH AND REHABILITATION CENTER, EMPLOYEES PROFIT SHARING PLAN II 2013 061060258 2015-06-09 MONTOWESE HEALTH AND REHABILITATION CENTER, INC. 116
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 623000
Sponsor’s telephone number 2036243303
Plan sponsor’s address 163 QUINNIPIAC AVE, NORTH HAVEN, CT, 064733623

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing FAROOQ H. KHAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MARK PANICO Agent 208 QUINNIPIAC AVENUE, NORTH HAVEN, CT, 06473, United States 208 QUINNIPIAC AVENUE, NORTH HAVEN, CT, 06473, United States +1 203-996-2208 mpanico@nelsonambulance.com 110 RENEE S WAY, GUILFORD, CT, 06437, United States

Director

Name Role Business address Residence address
FAROOQ H. KHAN Director MONTOWESE HEALTH & REHAB. CENTER, 208 QUINNIPIAC AVE, NORTH HAVEN, CT, 06473, United States 2989 RIDGE RD., NORTH HAVEN, CT, 06473, United States
EILEEN M. KHAN Director MONTOWESE HEALTH & REHAB. CENTER, 208 QUINNIPIAC AVE, NORTH HAVEN, CT, 06473, United States 2989 RIDGE RD., NORTH HAVEN, CT, 06473, United States

Officer

Name Role Business address Residence address
EILEEN M. KHAN Officer MONTOWESE HEALTH & REHAB. CENTER, 208 QUINNIPIAC AVE, NORTH HAVEN, CT, 06473, United States 2989 RIDGE RD., NORTH HAVEN, CT, 06473, United States
FAROOG H. KHAN Officer MONTOWESE HEALTH & REHAB. CENTER, 208 QUINNIPIAC AVE, NORTH HAVEN, CT, 06473, United States 2989 RIDGE RD., NORTH HAVEN, CT, 06473, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CCNH.001015C Chronic & Convalescent Nursing Home INACTIVE INACTIVE 2008-10-01 2016-10-01 2018-09-30

History

Type Old value New value Date of change
Name change MONTOWESE HEALTH CARE CENTER, INC. MONTOWESE HEALTH AND REHABLITATION CENTER, INC. 1994-09-22

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012671357 2024-06-21 2024-06-21 Dissolution Certificate of Dissolution No data
BF-0012278933 2024-03-28 No data Annual Report Annual Report No data
BF-0011383612 2023-03-16 No data Annual Report Annual Report No data
BF-0010195705 2022-05-20 No data Annual Report Annual Report 2022
0007217366 2021-03-10 No data Annual Report Annual Report 2020
0007217420 2021-03-10 No data Annual Report Annual Report 2021
0006790676 2020-02-27 No data Annual Report Annual Report 2019
0006287522 2018-12-05 No data Annual Report Annual Report 2018
0005997954 2018-01-08 No data Annual Report Annual Report 2017
0005716058 2016-12-09 No data Annual Report Annual Report 2016

Related by officers

MARK PANICO

CONNECTICUT HANDIVAN, INC. EFK OF CONNECTICUT, INC. LAUREN OAKS, LLC 208 QUINNIPIAC AVENUE, LLC MBP REALTY ASSOCIATES, LLC SKMP ENTERPRISES, INC. LARKIN STAMFORD, LLC TRINITY ACADEMY HARTFORD, INC. 108 OLD POST, LLC MONTOWESE HEALTHCARE MANAGEMENT COMPANY, INC.

FAROOQ H. KHAN

KHAN MONTOWESE LIMITED PARTNERSHIP KHAN FAMILY LIMITED PARTNERSHIP KHAN REALTY ASSOCIATES, INC. KHAN-PANICO-TANNOIA REALTY ASSOCIATES, LLC. KHAN-TANNOIA REALTY ASSOCIATES, LLC FALEENA REALTY, LLC KHAN-MANSFIELD REALTY ASSOCIATES, INC.

EILEEN M. KHAN

KHAN REALTY ASSOCIATES, INC. KHAN-PANICO-TANNOIA REALTY ASSOCIATES, LLC. KHAN-TANNOIA REALTY ASSOCIATES, LLC KHAN-MANSFIELD REALTY ASSOCIATES, INC.

Related by address

208 QUINNIPIAC AVE, NORTH HAVEN, CT, United States, 06473

SKMP ENTERPRISES, INC.

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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