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COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT, INC.

Company Details

Entity Name: COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Date Formed: 12 Sep 1989 (Companies founded in September 1989)
Business ALEI: 0238120
Annual report due: 12 Sep 2025
NAICS code: 813910 - Business Associations
Business address: 1484 HIGHLAND AVENUE SUITE 2, CHESHIRE, CT, 06410, United States
Mailing address: 1484 HIGHLAND AVENUE SUITE 2, CHESHIRE, CT, United States, 06410
ZIP code: 06410 (Companies in New Haven, 06410)
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: operations@chcact.org

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
C3U6KH4G5LJ5 2024-10-31 1484 HIGHLAND AVE, STE 2, STE 1, CHESHIRE, CT, 06410, 1268, USA 1484 HIGHLAND AVE, SUITE 2, CHESHIRE, CT, 06410, 1268, USA

Business Information
URL www.chcact.org
Division Name COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT, INC.
Congressional District 05
State/Country of Incorporation CT, USA
Activation Date 2023-11-02
Initial Registration Date 2003-12-15
Entity Start Date 1989-09-12
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 541618

Points of Contacts
Electronic Business
Title PRIMARY POC
Name SHAWN K FRICK
Role CEO
Address 1484 HIGHLAND AVENUE, SUITE 2, CHESHIRE, CT, 06410, 1268, USA
Title ALTERNATE POC
Name DEBORAH A AMODIO-GROSS
Role CFO
Address 1484 HIGHLAND AVENUE, SUITE 2, CHESHIRE, CT, 06410, 1268, USA
Government Business
Title PRIMARY POC
Name STACEY KAMIENSKI
Role SR PROGRAM MANAGER
Address 1484 HIGHLAND AVENUE, SUITE 2, CHESHIRE, CT, 06410, 1268, USA
Title ALTERNATE POC
Name DEBORAH A AMODIO-GROSS
Role CFO
Address 1484 HIGHLAND AVENUE, SUITE 2, CHESHIRE, CT, 06410, 1268, USA
Past Performance
Title ALTERNATE POC
Name MOLLIE L MELBOURNE
Role COO
Address 1484 HIGHLAND AVENUE, SUITE 2, CHESHIRE, CT, 06410, 1268, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3NBK7 Active Non-Manufacturer 2003-12-15 2024-07-30 2029-07-30 2025-07-26

Contact Information
POC STACEY KAMIENSKI
Phone +1 860-667-7820
Fax +1 860-667-7835
Address 1484 HIGHLAND AVE, STE 2, CHESHIRE, CT, 06410 1268, 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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY HEALTH CENTER ASSOCIATION 403(B) PLAN 2022 223036666 2024-01-15 COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT, INC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 624100
Sponsor’s telephone number 8606677820
Plan sponsor’s address 1484 HIGHLAND AVENUE, CHESHIRE, CT, 06410
COMMUNITY HEALTH CENTER ASSOCIATION 403(B) PLAN 2021 223036666 2023-01-17 COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT, INC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 624100
Sponsor’s telephone number 8606677820
Plan sponsor’s address 1484 HIGHLAND AVENUE, CHESHIRE, CT, 06410
COMMUNITY HEALTH CENTER ASSOCIATION 403(B) PLAN 2020 223036666 2021-12-08 COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT, INC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 624100
Sponsor’s telephone number 8606677820
Plan sponsor’s address 1484 HIGHLAND AVENUE, CHESHIRE, CT, 06410
COMMUNITY HEALTH CENTER ASSOCIATION 403(B) PLAN 2019 223036666 2021-01-19 COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT, INC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 624100
Sponsor’s telephone number 8606677820
Plan sponsor’s address 1484 HIGHLAND AVENUE, CHESHIRE, CT, 06410
COMMUNITY HEALTH CENTER ASSOCIATION 403(B) PLAN 2018 223036666 2020-01-10 COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT, INC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 624100
Sponsor’s telephone number 8606677820
Plan sponsor’s address 1484 HIGHLAND AVENUE, SUITE 2, CHESHIRE, CT, 06410
COMMUNITY HEALTH CENTER ASSOCIATION 403(B) PLAN 2017 223036666 2018-10-19 COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT, INC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 624100
Sponsor’s telephone number 8606677820
Plan sponsor’s address 1484 HIGHLAND AVENUE, CHESHIRE, CT, 06410
COMMUNITY HEALTH CENTER ASSOCIATION 403(B) PLAN 2016 223036666 2018-01-30 COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT, INC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 624100
Sponsor’s telephone number 8606677820
Plan sponsor’s address 1484 HIGHLAND AVENUE, CHESHIRE, CT, 06410

Officer

Name Role Business address Residence address
Shawn Frink Officer 1484 HIGHLAND AVENUE SUITE 2, CHESHIRE, CT, 06410, United States 1484 HIGHLAND AVENUE SUITE 2, CHESHIRE, CT, 06410, United States
Melissa Meyers Officer 40 Mansfield Ave, Willimantic, CT, 06226-2018, United States 40 Mansfield Ave, Willimantic, CT, 06226-2018, United States

Director

Name Role Business address Residence address
Jeffrey Steele Director 94 Connecticut Blvd, East Hartford, CT, 06108-3013, United States 94 Connecticut Blvd, East Hartford, CT, 06108-3013, United States
JENNIFER GRANGER Director UNITED COMMUNITY & FAMILY SERVICES, 34 EAST TOWN STREET, NORWICH, CT, 06360, United States 304 LAKESIDE DRIVE, LEBANON, CT, 06249, United States
KIMBERLY BEAUREGARD Director INTERCOMMUNITY INC., 18TH FLOOR, 111 FOUNDERS PLAZA, EAST HARTFORD, CT, 06118, United States INTERCOMMUNITY INC., 18TH FLOOR, 111 FOUNDERS PLAZA, EAST HARTFORD, CT, 06118, United States
GREGORY STANTON Director No data 15 SENECA ROAD, NEW HAVEN, CT, 06515, United States
MOLLIE MELBOURNE Director 46 ALBION ST, BRIDGEPORT, CT, 06605, United States 78 Gould Ave, Fairfield, CT, 06824-5830, United States
Kenneth Waller Director 120 Connecticut Ave, Norwalk, CT, 06854-1525, United States 120 Connecticut Ave, Norwalk, CT, 06854-1525, United States
Karen Daley Director 982 East main St, Bridgeport, CT, 06608, United States 33 Belmont St, Wethersfield, CT, 06109-2302, United States
DONALD THOMPSON Director No data 132 ATWATER STREET, NEW HAVEN, CT, 06513, United States
JOANNE BORDUAS Director 469 MIGEON AVENUE 20 VENICE AVENUE, WATERBURY, CT, 06170, United States
DENNIS TORRES Director 40 ARCH STREET, GREENWICH, CT, 06830, United States 105 PEARSALL PLACE, BRIDGEPORT, CT, 06605, United States

Agent

Name Role Business address Phone E-Mail Residence address
Shawn Frick Agent 1484 HIGHLAND AVENUE SUITE 2, CHESHIRE, CT, 06410, United States +1 240-620-8696 sfrick@chcact.org 1484 HIGHLAND AVENUE SUITE 2, CHESHIRE, CT, 06410, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0006768 PUBLIC CHARITY ACTIVE CURRENT No data 2024-06-01 2025-05-31

History

Type Old value New value Date of change
Name change CONNECTICUT PRIMARY CARE ASSOCIATION, INC. COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT, INC. 2007-09-17

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012269642 2024-08-19 No data Annual Report Annual Report No data
BF-0011385416 2023-09-11 No data Annual Report Annual Report No data
BF-0011848527 2023-06-14 2023-06-14 Interim Notice Interim Notice No data
BF-0010248940 2022-09-07 No data Annual Report Annual Report 2022
BF-0008991438 2021-11-11 No data Annual Report Annual Report 2020
BF-0009893922 2021-11-11 No data Annual Report Annual Report No data
0007042567 2020-12-22 No data Annual Report Annual Report 2019
0007041639 2020-12-21 No data Annual Report Annual Report 2018
0005938290 2017-09-29 No data Annual Report Annual Report 2017
0005648701 2016-09-09 No data Annual Report Annual Report 2015

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Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website

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