| Entity Name: | NORWALK HOSPITAL FOUNDATION, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 13 Mar 1985 |
| Business ALEI: | 0166978 |
| Annual report due: | 13 Mar 2025 |
| NAICS code: | 622110 - General Medical and Surgical Hospitals |
| Business address: | 34 Maple Street, Norwalk, CT, 06856, United States |
| Mailing address: | 34 Maple Street, Norwalk, CT, United States, 06856 |
| ZIP code: | 06856 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | cls-ctarmsevidence@wolterskluwer.com |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5J4B8 | Active | Non-Manufacturer | 2009-06-13 | 2024-03-07 | No data | No data | |||||||||||||||
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| POC | JOYCE BRETHERTON |
| Phone | +1 203-852-2422 |
| Fax | +1 203-852-2311 |
| Address | 30 STEVENS ST, NORWALK, CT, 06850 3815, 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 |
|---|
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MD S. Javed Shahid | Director | 34 Maple Street, Norwalk, CT, 06856, United States | 34 Maple Street, Norwalk, CT, 06856, United States |
| Jennifer Toll | Director | 34 Maple Street, Norwalk, CT, 06856, United States | 34 Maple Street, Norwalk, CT, 06856, United States |
| MD Amy Aha | Director | 34 Maple Street, Norwalk, CT, 06856, United States | 34 Maple Street, Norwalk, CT, 06856, United States |
| Kristin McKinney | Director | 34 Maple Street, Norwalk, CT, 06856, United States | 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States |
| Carol Kachmarck | Director | 34 Maple Street, Norwalk, CT, 06856, United States | 34 Maple Street, Norwalk, CT, 06856, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Daniel DeBarba | Officer | 34 Maple Street, Norwalk, CT, 06856, United States | 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States |
| Brian Wyatt | Officer | 34 Maple Street, Norwalk, CT, 06856, United States | 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CHR.0006667-EXEMPT | PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS | ACTIVE | No data | No data | No data | No data |
| RAFF.01171-CL 1 | RAFFLE PERMIT CLASS 1 | CLOSED | VERIFICATION STATEMENT COMPLETE | 2013-05-16 | 2013-05-16 | 2013-06-03 |
| RAFF.00204-CL 1 | RAFFLE PERMIT CLASS 1 | CLOSED | VERIFICATION STATEMENT COMPLETE | 2012-05-10 | 2012-05-10 | 2012-06-11 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | NORWALK HOSPITAL DEVELOPMENT FUND, INC. | NORWALK HOSPITAL FOUNDATION, INC. | 1990-03-08 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012050227 | 2024-02-28 | No data | Annual Report | Annual Report | No data |
| BF-0011076789 | 2023-03-03 | No data | Annual Report | Annual Report | No data |
| BF-0010362529 | 2022-02-14 | No data | Annual Report | Annual Report | 2022 |
| BF-0009794686 | 2021-08-13 | No data | Annual Report | Annual Report | No data |
| 0007326641 | 2021-04-29 | 2021-04-29 | Change of Agent | Agent Change | No data |
| 0006915555 | 2020-06-01 | No data | Annual Report | Annual Report | 2020 |
| 0006475784 | 2019-03-19 | No data | Annual Report | Annual Report | 2019 |
| 0006286011 | 2018-12-03 | No data | Annual Report | Annual Report | 2018 |
| 0006130030 | 2018-03-15 | 2018-03-15 | Change of Agent | Agent Change | No data |
| 0005961692 | 2017-11-07 | No data | Annual Report | Annual Report | 2017 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
