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  5. INTERIM HEALTHCARE OF HARTFORD, INC.

INTERIM HEALTHCARE OF HARTFORD, INC.

Company Details

Entity Name: INTERIM HEALTHCARE OF HARTFORD, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Forfeited
Date Formed: 09 Jan 1986
Business ALEI: 0178666
NAICS code: 621610 - Home Health Care Services
Business address: 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032, United States
Mailing address: 231 FARMINGTON AVENUE, FARMINGTON, CT, United States, 06032
ZIP code: 06032
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 6000
E-Mail: ppisano@interimhartford.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTERIM HEALTHCARE OF HARTFORD, INC. 401(K) PLAN 2023 061152103 2024-10-08 INTERIM HEALTHCARE OF HARTFORD, 133
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-01
Business code 621610
Sponsor’s telephone number 8606770005
Plan sponsor’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing PAUL PISANO
Valid signature Filed with authorized/valid electronic signature
INTERIM HEALTHCARE OF HARTFORD EMPLOYEE WELFARE BENEFIT PLAN 2017 061152103 2018-10-22 INTERIM HEALTHCARE OF HARTFORD, INC. 107
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2006-05-01
Business code 621610
Sponsor’s telephone number 8606770005
Plan sponsor’s mailing address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Plan sponsor’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032

Number of participants as of the end of the plan year
Active participants 96

Signature of
Role Plan administrator
Date 2018-10-16
Name of individual signing PAUL PISANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-16
Name of individual signing PAUL PISANO
Valid signature Filed with authorized/valid electronic signature
INTERIM HEALTHCARE OF HARTFORD EMPLOYEE WELFARE BENEFIT PLAN 2016 061152103 2017-10-23 INTERIM HEALTHCARE OF HARTFORD, INC. 105
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2006-05-01
Business code 621610
Sponsor’s telephone number 8606770005
Plan sponsor’s mailing address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Plan sponsor’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032

Number of participants as of the end of the plan year
Active participants 107

Signature of
Role Plan administrator
Date 2017-10-18
Name of individual signing PAUL PISANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-18
Name of individual signing PAUL PISANO
Valid signature Filed with authorized/valid electronic signature
INTERIM HEALTHCARE OF HARTFORD EMPLOYEE WELFARE BENEFIT PLAN 2015 061152103 2016-09-28 INTERIM HEALTHCARE OF HARTFORD, INC. 101
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2006-05-01
Business code 621610
Sponsor’s telephone number 8606770005
Plan sponsor’s mailing address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Plan sponsor’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032

Number of participants as of the end of the plan year
Active participants 105

Signature of
Role Plan administrator
Date 2016-09-22
Name of individual signing PETER BOURDON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-22
Name of individual signing PETER BOURDON
Valid signature Filed with authorized/valid electronic signature
INTERIM HEALTHCARE OF HARTFORD EMPLOYEE WELFARE BENEFIT PLAN 2014 061152103 2015-10-08 INTERIM HEALTHCARE OF HARTFORD, INC. 124
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2006-05-01
Business code 621610
Sponsor’s telephone number 8606770005
Plan sponsor’s mailing address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Plan sponsor’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032

Number of participants as of the end of the plan year
Active participants 101

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing ANGELA CARUSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-06
Name of individual signing ANGELA CARUSO
Valid signature Filed with authorized/valid electronic signature
INTERIM HEALTHCARE OF HARTFORD EMPLOYEE WELFARE BENEFIT PLAN 2013 061152103 2014-10-20 INTERIM HEALTHCARE OF HARTFORD, INC. 149
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2006-05-01
Business code 621610
Sponsor’s telephone number 8606770005
Plan sponsor’s mailing address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Plan sponsor’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032

Number of participants as of the end of the plan year
Active participants 124

Signature of
Role Plan administrator
Date 2014-10-17
Name of individual signing ANGELA CARUSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-17
Name of individual signing ANGELA CARUSO
Valid signature Filed with authorized/valid electronic signature
INTERIM HEALTHCARE OF HARTFORD EMPLOYEE WELFARE BENEFIT PLAN 2012 061152103 2014-02-11 INTERIM HEALTHCARE OF HARTFORD, INC. 114
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2006-05-01
Business code 621610
Sponsor’s telephone number 8606770005
Plan sponsor’s mailing address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Plan sponsor’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032

Number of participants as of the end of the plan year
Active participants 149

Signature of
Role Plan administrator
Date 2014-02-11
Name of individual signing ANGELA CARUSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-02-11
Name of individual signing ANGELA CARUSO
Valid signature Filed with authorized/valid electronic signature
INTERIM HEALTHCARE OF HARTFORD EMPLOYEE WELFARE BENEFIT PLAN 2011 061152103 2012-11-08 INTERIM HEALTHCARE OF HARTFORD, INC. 190
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2006-05-01
Business code 621610
Sponsor’s telephone number 8606770005
Plan sponsor’s mailing address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Plan sponsor’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032

Plan administrator’s name and address
Administrator’s EIN 061152103
Plan administrator’s name INTERIM HEALTHCARE OF HARTFORD, INC.
Plan administrator’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Administrator’s telephone number 8606770005

Number of participants as of the end of the plan year
Active participants 114

Signature of
Role Plan administrator
Date 2012-11-08
Name of individual signing ANGELA CARUSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-11-08
Name of individual signing ANGELA CARUSO
Valid signature Filed with authorized/valid electronic signature
INTERIM HEALTHCARE OF HARTFORD EMPLOYEE WELFARE BENEFIT PLAN 2010 061152103 2011-10-28 INTERIM HEALTHCARE OF HARTFORD, INC. 201
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2006-05-01
Business code 621610
Sponsor’s telephone number 8606770005
Plan sponsor’s mailing address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Plan sponsor’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032

Plan administrator’s name and address
Administrator’s EIN 061152103
Plan administrator’s name INTERIM HEALTHCARE OF HARTFORD, INC.
Plan administrator’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Administrator’s telephone number 8606770005

Number of participants as of the end of the plan year
Active participants 190

Signature of
Role Plan administrator
Date 2011-10-27
Name of individual signing ANGELA CARUSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-27
Name of individual signing ANGELA CARUSO
Valid signature Filed with authorized/valid electronic signature
INTERIM HEALTHCARE OF HARTFORD EMPLOYEE WELFARE BENEFIT PLAN 2009 061152103 2010-11-01 INTERIM HEALTHCARE OF HARTFORD, INC. 198
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2006-05-01
Business code 621610
Sponsor’s telephone number 8606770005
Plan sponsor’s mailing address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Plan sponsor’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032

Plan administrator’s name and address
Administrator’s EIN 061152103
Plan administrator’s name INTERIM HEALTHCARE OF HARTFORD, INC.
Plan administrator’s address 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Administrator’s telephone number 8606770005

Number of participants as of the end of the plan year
Active participants 201

Signature of
Role Plan administrator
Date 2010-11-01
Name of individual signing JOHN KEANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-11-01
Name of individual signing JOHN KEANE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
REID AND RIEGE, P.C. Agent

Officer

Name Role Business address Residence address
MATTHEW KEANE Officer 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032, United States 68 SEMINARY ROAD, SIMSBURY, CT, 06070, United States
PAUL PISANO Officer 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032, United States 163 PACER LANE, PLANTSVILLE, CT, 06479, United States
DAVID MCELROY Officer 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032, United States 22 JOSHUA DRIVE, WEST SIMSBURY, CT, 06092, United States
JAMES KEANE Officer 231 FARMINGTON AVENUE, FARMINGTON, CT, 06032, United States 776 HOPMEADOW STREET, SIMSBURY, CT, 06070, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
HHC.C853511 Home Health Care ACTIVE CURRENT 2023-04-01 2023-04-01 2026-03-31
HCA.0000781 HOMEMAKER COMPANION AGENCY INACTIVE INCOMPLETE APPLICATION 2013-07-18 2022-11-01 2023-10-31
ALSA.0000075 Assisted Living Service Agency INACTIVE No data 2004-01-01 2004-01-01 2005-12-31

History

Type Old value New value Date of change
Name change PERSONNEL POOL OF HARTFORD, INC. INTERIM HEALTHCARE OF HARTFORD, INC. 1992-06-25

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012294487 2023-11-13 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0011926301 2023-08-10 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0006814954 2020-03-05 No data Annual Report Annual Report 2020
0006814948 2020-03-05 No data Annual Report Annual Report 2019
0006003745 2018-01-12 No data Annual Report Annual Report 2018
0006003655 2018-01-12 No data Annual Report Annual Report 2017
0006003640 2018-01-12 No data Annual Report Annual Report 2016
0005291768 2015-02-24 2015-02-24 Change of Agent Agent Change No data
0005270000 2015-01-30 No data Annual Report Annual Report 2015
0005030259 2014-01-29 No data Annual Report Annual Report 2014

Related by officers

MATTHEW KEANE

OMADA TECHNOLOGIES, LLC

DAVID MCELROY

63 HAYWARD AVE. LLC RISKBRIDGE ADVISORS, LLC CRA OF COLCHESTER, LLC CONNECTICUT AMERICAN BUS SERVICE LLC

JAMES KEANE

TUSCANO PROVISIONS, LLC

Related by address

231 FARMINGTON AVENUE, FARMINGTON, CT, 06032, United States

ADVANCED ENDODONTICS, LLC D.D.S. ASSOCIATES, LLC PROSPECT ENTERPRISES, LLC BANNON & COMPANY, LLC MARC S. LEVINE REAL ESTATE INTERESTS, LLC GAM LLC THE SAINTS, LLC

231 FARMINGTON AVENUE, FARMINGTON, CT, United States, 06032

CHIRNSIDE ROAD LLC ADVANCED ENDODONTICS, LLC D.D.S. ASSOCIATES, LLC PROSPECT ENTERPRISES, LLC BANNON & COMPANY, LLC MARC S. LEVINE REAL ESTATE INTERESTS, LLC GAM LLC

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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