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NORTH HAVEN FUNERAL HOME, INC.

Company Details

Entity Name: NORTH HAVEN FUNERAL HOME, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 05 Jul 1983 (Companies founded in July 1983)
Business ALEI: 0144803
Annual report due: 05 Jul 2024
Business address: 36 WASHINGTON AVENUE, NORTH HAVEN, CT, 06473, UNITED STATES
Mailing address: 36 WASHINGTON AVE, NORTH HAVEN, CT, UNITED STATES, 06473
ZIP code: 06473 (Companies in New Haven, 06473)
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: BHAVENS36@COMCAST.NET

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH HAVEN FUNERAL HOME, INC. 401(K) PLAN 2023 061086655 2024-10-09 NORTH HAVEN FUNERAL HOME, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-23
Business code 541990
Sponsor’s telephone number 2032391179
Plan sponsor’s address 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2024-10-09
Name of individual signing PHYLLIS HAVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-09
Name of individual signing PHYLLIS HAVENS
Valid signature Filed with authorized/valid electronic signature
NORTH HAVEN FUNERAL HOME, INC. 401(K) PLAN 2022 061086655 2023-10-10 NORTH HAVEN FUNERAL HOME, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-23
Business code 541990
Sponsor’s telephone number 2032391179
Plan sponsor’s address 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing PHYLLLIS HAVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-10
Name of individual signing PHYLLLIS HAVENS
Valid signature Filed with authorized/valid electronic signature
NORTH HAVEN FUNERAL HOME, INC. 401(K) PLAN 2021 061086655 2022-10-05 NORTH HAVEN FUNERAL HOME, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-23
Business code 541990
Sponsor’s telephone number 2032391179
Plan sponsor’s address 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2022-10-05
Name of individual signing PHYLLIS HAVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-05
Name of individual signing PHYLLIS HAVENS
Valid signature Filed with authorized/valid electronic signature
NORTH HAVEN FUNERAL HOME, INC. 401(K) PLAN 2020 061086655 2021-10-05 NORTH HAVEN FUNERAL HOME, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-23
Business code 541990
Sponsor’s telephone number 2032391179
Plan sponsor’s address 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2021-10-05
Name of individual signing PHYLLIS HAVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-05
Name of individual signing PHYLLIS HAVENS
Valid signature Filed with authorized/valid electronic signature
NORTH HAVEN FUNERAL HOME, INC. 401(K) PLAN 2019 061086655 2020-10-15 NORTH HAVEN FUNERAL HOME, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-23
Business code 541990
Sponsor’s telephone number 2032391179
Plan sponsor’s address 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing PHYLLIS HAVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing PHYLLIS HAVENS
Valid signature Filed with authorized/valid electronic signature
NORTH HAVEN FUNERAL HOME, INC. 401(K) PLAN 2018 061086655 2019-10-15 NORTH HAVEN FUNERAL HOME, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-23
Business code 541990
Sponsor’s telephone number 2032391179
Plan sponsor’s address 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing PHYLLIS HAVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing PHYLLIS HAVENS
Valid signature Filed with authorized/valid electronic signature
NORTH HAVEN FUNERAL HOME, INC. 401(K) PLAN 2017 061086655 2018-08-03 NORTH HAVEN FUNERAL HOME, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-23
Business code 541990
Sponsor’s telephone number 2032391179
Plan sponsor’s address 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473
NORTH HAVEN FUNERAL HOME, INC. 401(K) PLAN 2016 061086655 2017-10-11 NORTH HAVEN FUNERAL HOME, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-23
Business code 541990
Sponsor’s telephone number 2032391179
Plan sponsor’s address 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473
NORTH HAVEN FUNERAL HOME, INC. 401(K) PLAN 2015 061086655 2016-10-12 NORTH HAVEN FUNERAL HOME, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-23
Business code 541990
Sponsor’s telephone number 2032391179
Plan sponsor’s address 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473
NORTH HAVEN FUNERAL HOME, INC. 401(K) PLAN 2014 061086655 2015-07-09 NORTH HAVEN FUNERAL HOME, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-28
Business code 541990
Sponsor’s telephone number 2032391179
Plan sponsor’s mailing address 36 WASHINGTON AVENUE, NORTH HAVEN, CT, 06473
Plan sponsor’s address 36 WASHINGTON AVENUE, NORTH HAVEN, CT, 06473

Number of participants as of the end of the plan year

Active participants 7
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 8

Agent

Name Role
PARRETT, PORTO, PARESE & COLWELL, PROFESSIONAL CORPORATION Agent

Officer

Name Role Business address Residence address
LUCIANO C. HAVENS Officer 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473, United States 14 CLINTONVILLE ROAD, NORTH HAVEN, CT, 06473, United States
BRIAN W. HAVENS Officer 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473, United States 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473, United States
Jennifer Mineri Officer 36 WASHINGTON AVENUE, NORTH HAVEN, CT, 06473, United States 4 Blue Hills Rd, North Haven, CT, 06473-1001, United States
PHYLLIS HAVENS Officer 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473, United States 36 WASHINGTON AVE, NORTH HAVEN, CT, 06473, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
FH.000316 Funeral Home ACTIVE CURRENT 1985-06-30 2024-07-01 2025-06-30

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012603865 2024-04-10 2024-04-10 Interim Notice Interim Notice No data
BF-0011970838 2023-09-12 2023-09-12 Reinstatement Certificate of Reinstatement No data
BF-0011950648 2023-08-30 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0011823041 2023-05-26 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0006224761 2018-07-31 No data Annual Report Annual Report 2018
0006224750 2018-07-31 No data Change of Agent Address Agent Address Change No data
0006224124 2018-07-30 No data Annual Report Annual Report 2014
0006224128 2018-07-30 No data Annual Report Annual Report 2016
0006224129 2018-07-30 No data Annual Report Annual Report 2017
0006224125 2018-07-30 No data Annual Report Annual Report 2015

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website