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  5. MIDDLESEX HEALTH SYSTEM, INC.

MIDDLESEX HEALTH SYSTEM, INC.

Company Details

Entity Name: MIDDLESEX HEALTH SYSTEM, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 19 Sep 1985
Business ALEI: 0174363
Annual report due: 19 Sep 2025
NAICS code: 621999 - All Other Miscellaneous Ambulatory Health Care Services
Business address: 28 CRESCENT STREET, MIDDLETOWN, CT, 06457, United States
Mailing address: 28 CRESCENT STREET, MIDDLETOWN, CT, United States, 06457
ZIP code: 06457
County: Middlesex
Place of Formation: CONNECTICUT
E-Mail: shannon.sthilaire@midhosp.org

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDDLESEX HEALTH SYSTEM PENSION PLAN 2019 222676137 2021-03-31 MIDDLESEX HEALTH SYSTEM, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-08-01
Business code 622000
Sponsor’s telephone number 8603586385
Plan sponsor’s address 28 CRESCENT STREET, MIDDLETOWN, CT, 064573654

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing SUSAN MARTIN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX HEALTH SYSTEM PENSION PLAN 2018 222676137 2020-07-14 MIDDLESEX HEALTH SYSTEM, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-08-01
Business code 622000
Sponsor’s telephone number 8603586385
Plan sponsor’s address 28 CRESCENT STREET, MIDDLETOWN, CT, 064573654

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing SUSAN MARTIN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX VISITING NURSES AND HOME SERVICES INC. RETIREMENT PLAN 2017 222676137 2018-10-30 MIDDLESEX HEALTH SYSTEM, INC. 91
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-01-01
Business code 622000
Sponsor’s telephone number 8603586385
Plan sponsor’s address 28 CRESCENT STREET, MIDDLETOWN, CT, 064573654

Signature of
Role Plan administrator
Date 2018-10-30
Name of individual signing SUSAN MARTIN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX VISITING NURSES AND HOME HEALTH SERVICES INC. RETIREMENT PLAN 2017 222676137 2018-10-08 MIDDLESEX HEALTH SYSTEM, INC. 95
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-01-01
Business code 622000
Sponsor’s telephone number 8603586385
Plan sponsor’s address 28 CRESCENT STREET, MIDDLETOWN, CT, 064573654

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing SUSAN MARTIN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2016 222676137 2017-10-23 MIDDLESEX HEALTH SYSTEM, INC. 56
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 622000
Sponsor’s telephone number 8603586385
Plan sponsor’s address 28 CRESCENT STREET, MIDDLETOWN, CT, 064573654

Signature of
Role Plan administrator
Date 2017-10-23
Name of individual signing GREGORY NOKES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-19
Name of individual signing SUSAN MARTIN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2016 222676137 2017-09-14 MIDDLESEX HEALTH SYSTEM,INC. 59
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 622000
Sponsor’s telephone number 8603586385
Plan sponsor’s address 28 CRESCENT STREET, MIDDLETOWN, CT, 064573654

Signature of
Role Plan administrator
Date 2017-09-14
Name of individual signing GREGORY NOKES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-14
Name of individual signing SUSAN MARTIN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX VISITING NURSES AND HOME HEALTH SERVICES INC. RETIREMENT PLAN 2016 222676137 2017-09-14 MIDDLESEX HEALTH SYSTEM, INC. 98
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-01-01
Business code 622000
Sponsor’s telephone number 8603586385
Plan sponsor’s address 28 CRESCENT STREET, MIDDLETOWN, CT, 064573654

Signature of
Role Plan administrator
Date 2017-09-14
Name of individual signing GREGORY NOKES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-14
Name of individual signing SUSAN MARTIN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX VISITING NURSES AND HOME HEALTH SERVICES INC. RETIREMENT PLAN 2015 222676137 2016-10-12 MIDDLESEX HEALTH SYSTEM, INC. 94
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-01-01
Business code 622000
Sponsor’s telephone number 8603586385
Plan sponsor’s address 28 CRESCENT STREET, MIDDLETOWN, CT, 064573654

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing GREGORY NOKES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing SUSAN MARTIN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2015 222676137 2016-10-12 MIDDLESEX HEALTH SYSTEM,INC. 58
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 622000
Sponsor’s telephone number 8603586385
Plan sponsor’s address 28 CRESCENT STREET, MIDDLETOWN, CT, 064573654

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing GREGORY NOKES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing SUSAN MARTIN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2014 222676137 2015-10-13 MIDDLESEX HEALTH SYSTEM,INC. 62
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 622000
Sponsor’s telephone number 8603586385
Plan sponsor’s address 28 CRESCENT STREET, MIDDLETOWN, CT, 064573654

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing GREGORY NOKES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-12
Name of individual signing SUSAN MARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
VINCENT G. CAPECE JR. Agent 28 CRESCENT ST., MIDDLETOWN, CT, 06457, United States +1 860-358-6150 vincent.capece@midhosp.org 154 SMITH POND ROAD, WATERTOWN, CT, 06795, United States

Officer

Name Role Business address Phone E-Mail Residence address
VINCENT G. CAPECE JR. Officer MIDDLESEX HOSPITAL, 28 CRESCENT STREET, MIDDLETOWN, CT, 06457, United States +1 860-358-6150 vincent.capece@midhosp.org 154 SMITH POND ROAD, WATERTOWN, CT, 06795, United States
SUSAN M. MARTIN Officer MIDDLESEX HOSPITAL, 28 CRESCENT STREET, MIDDLETOWN, CT, 06457, United States No data No data 322 SILVER SPRING DRIVE, HIGGANUM, CT, 06441, United States

History

Type Old value New value Date of change
Name change MIDDLESEX HEALTH CARE CORPORATION MIDDLESEX HEALTH SYSTEM, INC. 1997-02-04
Name change MIDDLESEX MEMORIAL CORPORATION MIDDLESEX HEALTH CARE CORPORATION 1991-02-13

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012239350 2024-09-18 No data Annual Report Annual Report No data
BF-0011077725 2023-08-31 No data Annual Report Annual Report No data
BF-0010379084 2022-09-01 No data Annual Report Annual Report 2022
BF-0009813856 2021-08-31 No data Annual Report Annual Report No data
0006967233 2020-08-26 No data Annual Report Annual Report 2020
0006636307 2019-09-04 No data Annual Report Annual Report 2019
0006241257 2018-09-04 No data Annual Report Annual Report 2018
0006226606 2018-08-02 2018-10-01 Amendment Restated No data
0005919060 2017-09-01 No data Annual Report Annual Report 2017
0005641025 2016-09-01 No data Annual Report Annual Report 2016

Related by officers

VINCENT G. CAPECE JR.

CONNECTICUT HOSPITAL ASSOCIATION, INCORPORATED, THE THE CONNECTICUT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION, INCORPORATED MIDDLESEX HEALTH SERVICES, INC. MIDDLESEX HEALTH RESOURCES, INC. INTEGRATED RESOURCES FOR THE MIDDLESEX AREA L.L.C. MHS PRIMARY CARE, INC. MIDDLESEX HOSPITAL FOUNDATION, INC.

SUSAN M. MARTIN

MIDDLESEX HEALTH SERVICES, INC. MIDDLESEX HEALTH RESOURCES, INC.

Related by address

28 CRESCENT STREET, MIDDLETOWN, CT, 06457, United States

CONNECTICUT PATHOLOGY GROUP, P.C. MIDDLESEX HEALTH SERVICES, INC. MIDDLESEX HEALTH RESOURCES, INC. MHS PRIMARY CARE, INC. LIFE HEALTH SERVICES, LLC MIDDLESEX LABORATORY PHYSICIANS, LLC

28 CRESCENT STREET, MIDDLETOWN, CT, United States, 06457

MIDDLESEX HEALTH RESOURCES, INC. LIFE HEALTH SERVICES, LLC MIDDLESEX LABORATORY PHYSICIANS, LLC

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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