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CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC.

Company Details

Entity Name: CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Merged
Date Formed: 06 Jun 1988
Business ALEI: 0218866
Annual report due: 05 Jun 2020
Business address: 227 DUNHAM ST., NORWICH, CT, 06360, United States
Mailing address: 227 DUNHAM ST., NORWICH, CT, United States, 06360
ZIP code: 06360
County: New London
Place of Formation: CONNECTICUT
E-Mail: LEGAL.SUPPORT@HHCHEALTH.ORG

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 403(B) PLAN 2019 222667260 2020-11-23 CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621610
Sponsor’s telephone number 8606963500
Plan sponsor’s address C/O HARTFORD HEALTHCARE CORPORATION, 389 JOHN DOWNEY DRIVE, NEW BRITAIN, CT, 06051

Signature of

Role Plan administrator
Date 2020-11-23
Name of individual signing MARK LAPIERRE
Valid signature Filed with authorized/valid electronic signature
CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 403(B) PLAN 2018 222667260 2019-09-27 CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621610
Sponsor’s telephone number 8608485699
Plan sponsor’s address 227 DUNHAM ST, NORWICH, CT, 063606133

Signature of

Role Plan administrator
Date 2019-09-27
Name of individual signing JOE LABRIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-27
Name of individual signing JOE LABRIE
Valid signature Filed with authorized/valid electronic signature
CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 403(B) PLAN 2017 222667260 2019-01-08 CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621610
Sponsor’s telephone number 8608485699
Plan sponsor’s address 227 DUNHAM ST, NORWICH, CT, 063606133

Signature of

Role Plan administrator
Date 2019-01-08
Name of individual signing KATHY MULSTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-01-08
Name of individual signing KATHY MULSTON
Valid signature Filed with authorized/valid electronic signature
CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 403(B) PLAN 2016 222667260 2018-01-12 CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621610
Sponsor’s telephone number 8608485699
Plan sponsor’s address 227 DUNHAM ST, NORWICH, CT, 063606133

Signature of

Role Plan administrator
Date 2018-01-12
Name of individual signing CAROL MAHIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-12
Name of individual signing CAROL MAHIER
Valid signature Filed with authorized/valid electronic signature
CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 403(B) PLAN 2015 222667260 2017-01-11 CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621610
Sponsor’s telephone number 8608485699
Plan sponsor’s address 227 DUNHAM ST, NORWICH, CT, 063606133

Signature of

Role Plan administrator
Date 2017-01-11
Name of individual signing CAROL MAHIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-01-11
Name of individual signing CAROL MAHIER
Valid signature Filed with authorized/valid electronic signature
CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 403(B) PLAN 2014 222667260 2016-01-12 CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621610
Sponsor’s telephone number 8608485699
Plan sponsor’s address 227 DUNHAM ST, NORWICH, CT, 063606133

Signature of

Role Plan administrator
Date 2016-01-12
Name of individual signing CAROL MAHIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-01-12
Name of individual signing CAROL MAHIER
Valid signature Filed with authorized/valid electronic signature
CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 403(B) PLAN 2013 222667260 2015-03-24 CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621610
Sponsor’s telephone number 8608485699
Plan sponsor’s address 227 DUNHAM ST, NORWICH, CT, 063606133

Signature of

Role Plan administrator
Date 2015-03-24
Name of individual signing CAROL MAHIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-24
Name of individual signing CAROL MAHIER
Valid signature Filed with authorized/valid electronic signature
CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 403(B) PLAN 2012 222667260 2014-04-10 CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621610
Sponsor’s telephone number 8608485699
Plan sponsor’s address 227 DUNHAM ST, NORWICH, CT, 063606133

Signature of

Role Plan administrator
Date 2014-04-10
Name of individual signing CAROL MAHIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-10
Name of individual signing CAROL MAHIER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF HOSPICE OF SOUTHEASTERN CONNECTICUT, INC 2011 222667260 2013-01-15 HOSPICE OF SOUTHEASTERN CONNECTICUT, INC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621610
Sponsor’s telephone number 8608485699
Plan sponsor’s address 227, DUNHAM STREET, NORWICH, CT, 06360

Plan administrator’s name and address

Administrator’s EIN 222667260
Plan administrator’s name HOSPICE OF SOUTHEASTERN CONNECTICUT, INC
Plan administrator’s address 227, DUNHAM STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608485699

Signature of

Role Plan administrator
Date 2013-01-15
Name of individual signing ARUNA IYER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF HOSPICE OF SOUTHEASTERN CONNECTICUT, INC. 2010 222667260 2011-12-27 HOSPICE OF SOUTHEASTERN CONNECTICUT , INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621610
Sponsor’s telephone number 8608485699
Plan sponsor’s address 227 DUNHAM ST, NORWICH, CT, 06360

Plan administrator’s name and address

Administrator’s EIN 222667260
Plan administrator’s name HOSPICE OF SOUTHEASTERN CONNECTICUT , INC.
Plan administrator’s address 227 DUNHAM ST, NORWICH, CT, 06360
Administrator’s telephone number 8608485699

Signature of

Role Plan administrator
Date 2011-12-27
Name of individual signing JOE LABRIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-12-27
Name of individual signing JOE LABRIE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Officer

Name Role Business address Residence address
TRACY CHURCH Officer ONE STATE STREET, SUITE 19, HARTFORD, CT, 06103, United States 100 Pearl St., 2nd Floor, CLO, HARTFORD, CT, 06103, United States
ROCCO ORLANDO Officer ONE STATE STREET, SUITE 19, HARTFORD, CT, 06103, United States 100 Pearl St., 2nd Floor, Hartford, CT, 06103, United States
RITA PARISI Officer ONE STATE STREET, SUITE 19, HARTFORD, CT, 06103, United States ONE STATE STREET, SUITE 19, HARTFORD, CT, 06103, United States
CHARLES JOHNSON Officer ONE STATE STREET, SUITE 19, HARTFORD, CT, 06103, United States 18 WILLOW GREEN WAY, GLASTONBURY, CT, 06033, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
HHC.0C90538 Home Health Care CLOSED CLOSED No data 2019-07-01 2022-06-30
CHR.0002916 PUBLIC CHARITY INACTIVE No data No data 2019-06-01 2020-05-31

History

Type Old value New value Date of change
Name change HOSPICE OF SOUTHEASTERN CONNECTICUT, INC. CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT, INC. 2012-12-18

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0010465161 2022-01-14 2022-01-14 Mass Agent Change � Address Agent Address Change No data
0006952529 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006946948 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006939037 2020-06-30 2020-06-30 Merger Certificate of Merger No data
0006853244 2020-03-27 2020-03-27 Change of Agent Agent Change No data
0006576642 2019-06-13 No data Annual Report Annual Report 2019
0006518933 2019-04-02 2019-04-02 Amendment Restated No data
0006514045 2019-04-01 2019-04-01 Change of Agent Agent Change No data
0006178070 2018-05-07 No data Annual Report Annual Report 2018
0005872160 2017-06-21 No data Annual Report Annual Report 2017

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website