| Entity Name: | WINDSOR VOLUNTEER AMBULANCE INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report past due |
| Date Formed: | 21 Apr 1982 (Companies founded in April 1982) |
| Business ALEI: | 0129546 |
| Annual report due: | 21 Apr 2023 |
| NAICS code: | 621910 - Ambulance Services |
| Business address: | 340 Bloomfield Avenue, WINDSOR, CT, 06095, United States |
| Mailing address: | 340 Bloomfield Avenue, WINDSOR, CT, United States, 06095 |
| ZIP code: | 06095 (Companies in Hartford, 06095) |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | ashelton@sheltonandshelton.com |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5ZNG5 | Active | Non-Manufacturer | 2010-05-04 | 2024-03-09 | No data | No data | |||||||||||||
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| POC | DENNIS GUAY |
| Phone | +1 860-688-8244 |
| Address | 20 WILLIAM ST, WINDSOR, CT, 06095 2754, 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 |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WINDSOR VOLUNTEER AMBULANCE INC 401(K) PLAN | 2023 | 061062811 | 2024-05-27 | WINDSOR VOLUNTEER AMBULANCE INC | 48 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-27 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 8606888244 |
| Plan sponsor’s address | 340 BLOOMFIELD AVEUE, WINDSOR, CT, 06095 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-14 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 8606888244 |
| Plan sponsor’s address | 340 BLOOMFIELD AVEUE, WINDSOR, CT, 06095 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-14 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| WINDSOR VOLUNTEER AMBULANCE INC. | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DANIEL MOYLAN | Officer | 340 Bloomfield Avenue, WINDSOR, CT, 06095, United States | 1116 MATIANUCK AVENUE, WINDSOR, CT, 06095, United States |
| TERRENCE GREAVES | Officer | 340 Bloomfield Avenue, WINDSOR, CT, 06095, United States | 421 OLD MAIN STREET, ROCKY HILL, CT, 06067, United States |
| RICHARD ANTONELLI | Officer | 340 Bloomfield Avenue, WINDSOR, CT, 06095, United States | 47 OGDEN LORD ROAD, MARLBOROUGH, CT, 06447, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DANIEL MOYLAN | Director | 340 Bloomfield Avenue, WINDSOR, CT, 06095, United States | 1116 MATIANUCK AVENUE, WINDSOR, CT, 06095, United States |
| TERRENCE GREAVES | Director | 340 Bloomfield Avenue, WINDSOR, CT, 06095, United States | 421 OLD MAIN STREET, ROCKY HILL, CT, 06067, United States |
| RICHARD ANTONELLI | Director | 340 Bloomfield Avenue, WINDSOR, CT, 06095, United States | 47 OGDEN LORD ROAD, MARLBOROUGH, CT, 06447, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CHR.0059505-EXEMPT | PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS | ACTIVE | CURRENT | 2016-03-02 | 2016-03-02 | No data |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0010285216 | 2022-05-12 | No data | Annual Report | Annual Report | 2022 |
| 0007328000 | 2021-05-10 | No data | Annual Report | Annual Report | 2021 |
| 0006893960 | 2020-04-28 | No data | Annual Report | Annual Report | 2020 |
| 0006538131 | 2019-04-20 | No data | Annual Report | Annual Report | 2019 |
| 0006208619 | 2018-06-29 | No data | Annual Report | Annual Report | 2017 |
| 0006208623 | 2018-06-29 | No data | Annual Report | Annual Report | 2018 |
| 0005603617 | 2016-07-07 | 2016-07-07 | Change of Agent | Agent Change | No data |
| 0005595799 | 2016-07-05 | No data | Interim Notice | Interim Notice | No data |
| 0005595831 | 2016-07-05 | No data | Annual Report | Annual Report | 2015 |
| 0005595816 | 2016-07-05 | No data | Annual Report | Annual Report | 2014 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
