| Entity Name: | MADISON AMBULANCE ASSOCIATION, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report past due |
| Date Formed: | 21 Aug 1986 |
| Business ALEI: | 0188943 |
| Annual report due: | 21 Aug 2024 |
| NAICS code: | 621910 - Ambulance Services |
| Business address: | 9 OLD ROUTE 79, MADISON, CT, 06443, United States |
| Mailing address: | 9 OLD ROUTE 79, MADISON, CT, United States, 06443 |
| ZIP code: | 06443 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | President@madisonctems.org |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| G77DSMMJ34F3 | 2023-11-29 | 9 OLD 79, MADISON, CT, 06443, 2604, USA | 9 OLD ROUTE 79, MADISON, CT, 06443, 2605, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.madisonctems.org |
| Congressional District | 02 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2022-12-01 |
| Initial Registration Date | 2011-07-25 |
| Entity Start Date | 1970-01-20 |
| Fiscal Year End Close Date | Jun 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CHRISTOPHER J BERNIER |
| Role | MR |
| Address | 9 OLD ROUTE 79, MADISON, CT, 06443, 2605, USA |
| Title | ALTERNATE POC |
| Name | RUSS PIERSON |
| Role | MR. |
| Address | 9 OLD ROUTE 79, MADISON, CT, 06443, 2605, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CHRISTOPHER J BERNIER |
| Role | MR |
| Address | 9 OLD ROUTE 79, MADISON, CT, 06443, 2605, USA |
| Title | ALTERNATE POC |
| Name | RUSS PIERSON |
| Role | MR. |
| Address | 9 OLD ROUTE 79, MADISON, CT, 06443, 2605, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6GHB5 | Obsolete | Non-Manufacturer | 2011-07-27 | 2024-03-07 | No data | 2023-11-29 | |||||||||||||||
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| POC | CHRISTOPHER J. BERNIER |
| Phone | +1 203-245-9821 |
| Fax | +1 203-245-9731 |
| Address | 9 OLD 79, MADISON, CT, 06443 2604, 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 | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| TED HEISER | Agent | 2 UNION PLAZA, NEW LONDON, CT, 06320, United States | +1 860-510-2009 | President@madisonctems.org | 2 UNION PLAZA, NEW LONDON, CT, 06320, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Tim Carney | Director | No data | 120 Field Brook Road, Madison, CT, 06443, United States |
| JOHN BRADY | Director | No data | 668 SUMMER HILL RD., MADISON, CT, 06443, United States |
| Paul Warner | Director | No data | 71 Mendingwall Cir, Madison, CT, 06443-1610, United States |
| Fred Muzer | Director | No data | 706 Green Hill Rd, Madison, CT, 06443-2448, United States |
| PETER J. SCRANTON | Director | 9 OLD ROUTE 79, MADISON, CT, 06443, United States | 2 FLOWER AVE., MADISON, CT, 06443, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| CHRISTOPHER DOWLER | Officer | 1291 BOSTON POST RD., MADISON, CT, 06443, United States | 70 COTTAGE RD., MADISON, CT, 06443, United States |
| EDWIN WOLFF | Officer | 9 OLD ROUTE 79, 9 OLD ROUTE 79, MADISON, CT, 06443, United States | 197 RACE HILL RD., MADISON, CT, 06443, United States |
| RUSSELL S. BRINN | Officer | 724 BOSTON POST RD., MADISON, CT, 06443, United States | 125 ST. FRANCIS WOODS RD., MADISON, CT, 06443, United States |
| PETER J. SCRANTON | Officer | 9 OLD ROUTE 79, MADISON, CT, 06443, United States | 2 FLOWER AVE., MADISON, CT, 06443, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| C.0C076P1 | Certified EMS Organization | ACTIVE | CURRENT | 2017-03-24 | 2024-04-01 | 2025-03-31 |
| CHR.0055671 | PUBLIC CHARITY | ACTIVE | CURRENT | 2011-11-30 | 2024-06-01 | 2025-05-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011385056 | 2023-08-08 | No data | Annual Report | Annual Report | No data |
| BF-0010236503 | 2022-08-15 | No data | Annual Report | Annual Report | 2022 |
| BF-0009807182 | 2021-09-22 | No data | Annual Report | Annual Report | No data |
| 0006963069 | 2020-08-18 | No data | Annual Report | Annual Report | 2020 |
| 0006627683 | 2019-08-20 | 2019-08-20 | Change of Agent | Agent Change | No data |
| 0006626548 | 2019-08-20 | No data | Annual Report | Annual Report | 2019 |
| 0006228055 | 2018-08-07 | No data | Annual Report | Annual Report | 2018 |
| 0005905230 | 2017-08-07 | No data | Annual Report | Annual Report | 2017 |
| 0005620808 | 2016-08-04 | No data | Annual Report | Annual Report | 2016 |
| 0005383915 | 2015-08-21 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
