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PRIMECARE, INC.

Company Details

Entity Name: PRIMECARE, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 02 Apr 1991
Business ALEI: 0259206
Annual report due: 02 Apr 2025
NAICS code: 623210 - Residential Intellectual and Developmental Disability Facilities
Business address: 61 Bidwell St, Waterbury, CT, 06710-1414, United States
Mailing address: 61 BIDWELL ST. P. O. BOX 3247, WATERBURY, CT, United States, 06705
ZIP code: 06710
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: OFFICE@PRIMECAREINC.ORG

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIMECARE, INC. SAVINGS AND RETIREMENT PLAN 2023 061317806 2024-06-22 PRIMECARE, INC 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 2037574921
Plan sponsor’s address 562 WATERTOWN AVENUE SUITE 3, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2024-06-22
Name of individual signing MICHAEL KOVALESKI
Valid signature Filed with authorized/valid electronic signature
PRIMECARE, INC. SAVINGS AND RETIREMENT PLAN 2022 061317806 2023-07-29 PRIMECARE, INC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 2037574921
Plan sponsor’s address 562 WATERTOWN AVENUE SUITE 3, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2023-07-29
Name of individual signing MICHAEL KOVALESKI
Valid signature Filed with authorized/valid electronic signature
PRIMECARE, INC. SAVINGS AND RETIREMENT PLAN 2021 061317806 2022-06-21 PRIMECARE, INC 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 2037574921
Plan sponsor’s address 562 WATERTOWN AVENUE SUITE 3, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2022-06-21
Name of individual signing JAMES M. KELLY
Valid signature Filed with authorized/valid electronic signature
PRIMECARE, INC. SAVINGS AND RETIREMENT PLAN 2020 061317806 2021-05-14 PRIMECARE, INC 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 2037574921
Plan sponsor’s address 562 WATERTOWN AVENUE SUITE 3, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2021-05-14
Name of individual signing JAMES M. KELLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-14
Name of individual signing JAMES M KELLY
Valid signature Filed with authorized/valid electronic signature
PRIMECARE, INC. SAVINGS AND RETIREMENT PLAN 2019 061317806 2020-06-23 PRIMECARE, INC 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 2037574921
Plan sponsor’s address 562 WATERTOWN AVENUE SUITE 3, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2020-06-23
Name of individual signing JAMES M. KELLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-23
Name of individual signing JAMES M. KELLY
Valid signature Filed with authorized/valid electronic signature
PRIMECARE, INC. SAVINGS AND RETIREMENT PLAN 2018 061317806 2019-06-11 PRIMECARE, INC 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 2037574921
Plan sponsor’s address 562 WATERTOWN AVENUE SUITE 3, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2019-06-11
Name of individual signing JAMES M. KELLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-11
Name of individual signing JAMES M KELLY
Valid signature Filed with authorized/valid electronic signature
PRIMECARE, INC. SAVINGS AND RETIREMENT PLAN 2017 061317806 2018-06-22 PRIMECARE, INC 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 2037574921
Plan sponsor’s address 562 WATERTOWN AVENUE SUITE 3, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2018-06-22
Name of individual signing JAMES KELLY
Valid signature Filed with authorized/valid electronic signature
PRIMECARE, INC. SAVINGS AND RETIREMENT PLAN 2016 061317806 2017-10-16 PRIMECARE, INC 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 2037574921
Plan sponsor’s address 562 WATERTOWN AVENUE SUITE 3, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2017-10-16
Name of individual signing JAMES M. KELLY
Valid signature Filed with authorized/valid electronic signature
PRIMECARE, INC. SAVINGS AND RETIREMENT PLAN 2015 061317806 2016-10-14 PRIMECARE, INC 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 2037574921
Plan sponsor’s address 562 WATERTOWN AVENUE SUITE 3, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2016-10-14
Name of individual signing JAMES M. KELLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing JAMES M KELLY
Valid signature Filed with authorized/valid electronic signature
PRIMECARE, INC. SAVINGS AND RETIREMENT PLAN 2014 061317806 2015-10-15 PRIMECARE, INC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 623000
Sponsor’s telephone number 2037574921
Plan sponsor’s address 562 WATERTOWN AVENUE SUITE 3, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing JAMES M. KELLY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
THOMAS V. RILEY Agent 86 BUCKINGHAM ST, WATERBURY, CT, 06710, United States +1 203-575-1131 OFFICE@PRIMECAREINC.ORG 193 EUCLID AVENUE, WATERBURY, CT, 06710, United States

Officer

Name Role Business address Residence address
RICHARD P. SMYLE Officer BOOKMATES, LLC, 102 WOLCOTT ROAD, WOLCOTT, CT, 06716, United States 925 ORONOKE ROAD, WATERBURY, CT, 06708, United States
KARLENE HYLTON Officer SIX CORPORATE DRIVE, 464 WOLCOTT ROAD, WOLCOTT, CT, 06716, United States 28 AUDOBON LANE, SHELTON, CT, 06484, United States
TAMMY CAMPANELLI Officer 416 COLT HIGHWAY, FARMINGTON, CT, 06032, United States 91 DAYL DRIVE, BERLIN, CT, 06037, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0051975 PUBLIC CHARITY ACTIVE CURRENT 2008-03-10 2024-06-01 2025-05-31
DSAP.0001141 Developmental Services Agency Provider ACTIVE APPROVED 2007-01-25 2007-01-25 No data

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012269571 2024-03-13 No data Annual Report Annual Report No data
BF-0011391846 2023-03-15 No data Annual Report Annual Report No data
BF-0010223841 2022-03-03 No data Annual Report Annual Report 2022
BF-0009899412 2021-09-15 No data Annual Report Annual Report No data
BF-0009196108 2021-09-15 No data Annual Report Annual Report 2020
0006458046 2019-03-13 No data Annual Report Annual Report 2019
0006126703 2018-03-16 No data Annual Report Annual Report 2018
0005871151 2017-06-19 2017-06-19 Amendment Amend No data
0005816148 2017-04-10 No data Annual Report Annual Report 2017
0005537732 2016-04-12 No data Annual Report Annual Report 2016

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website