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  5. NAUGATUCK AMBULANCE, INC.

NAUGATUCK AMBULANCE, INC.

Company Details

Entity Name: NAUGATUCK AMBULANCE, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 22 Aug 1994
Business ALEI: 0301273
Annual report due: 22 Aug 2025
NAICS code: 621910 - Ambulance Services
Business address: 246 RUBBER AVE, NAUGATUCK, CT, 06770, United States
Mailing address: 246 RUBBER AVE, NAUGATUCK, CT, United States, 06770
ZIP code: 06770
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: gcarlson@naugatuckems.org

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
E3S6Q24QHAY6 2024-05-11 246 RUBBER AVE, NAUGATUCK, CT, 06770, 3960, USA 246 RUBBER AVE, NAUGATUCK, CT, 06770, 3960, USA

Business Information
Doing Business As NAUGATUCK AMBULANCE SERVICE
Division Name NAUGATUCK AMBULANCE INC
Congressional District 03
State/Country of Incorporation CT, USA
Activation Date 2023-05-15
Initial Registration Date 2023-01-02
Entity Start Date 1998-02-20
Fiscal Year End Close Date May 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name KYLE KELLEY
Role CHIEF
Address 246 RUBBER AVE, NAUGATUCK, CT, 06770, USA
Government Business
Title PRIMARY POC
Name KYLE KELLEY
Role CHIEF
Address 246 RUBBER AVE, NAUGATUCK, CT, 06770, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NAUGATUCK AMBULANCE, INC. 401K PROFIT SHARING PLAN 2021 061407577 2022-03-14 NAUGATUCK AMBULANCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621900
Sponsor’s telephone number 2037295362
Plan sponsor’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939

Signature of
Role Plan administrator
Date 2022-03-14
Name of individual signing LAWRENCE SANTORO
Valid signature Filed with authorized/valid electronic signature
NAUGATUCK AMBULANCE, INC. 401K PROFIT SHARING PLAN 2020 061407577 2022-02-22 NAUGATUCK AMBULANCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621900
Sponsor’s telephone number 2037295362
Plan sponsor’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939

Signature of
Role Plan administrator
Date 2022-02-22
Name of individual signing LAWRENCE SANTORO
Valid signature Filed with authorized/valid electronic signature
NAUGATUCK AMBULANCE, INC. 401K PROFIT SHARING PLAN 2019 061407577 2021-03-25 NAUGATUCK AMBULANCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621900
Sponsor’s telephone number 2037295362
Plan sponsor’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939

Plan administrator’s name and address
Administrator’s EIN 061407577
Plan administrator’s name NAUGATUCK AMBULANCE, INC.
Plan administrator’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939
Administrator’s telephone number 2037295362

Signature of
Role Plan administrator
Date 2021-03-25
Name of individual signing LAWRENCE SANTORO
Valid signature Filed with authorized/valid electronic signature
NAUGATUCK AMBULANCE, INC. 401K PROFIT SHARING PLAN 2018 061407577 2019-12-04 NAUGATUCK AMBULANCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621900
Sponsor’s telephone number 2037295362
Plan sponsor’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939

Plan administrator’s name and address
Administrator’s EIN 061407577
Plan administrator’s name NAUGATUCK AMBULANCE, INC.
Plan administrator’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939
Administrator’s telephone number 2037295362

Signature of
Role Plan administrator
Date 2019-12-04
Name of individual signing LAWRENCE SANTORO
Valid signature Filed with authorized/valid electronic signature
NAUGATUCK AMBULANCE, INC. 401K PROFIT SHARING PLAN 2017 061407577 2018-08-15 NAUGATUCK AMBULANCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621900
Sponsor’s telephone number 2037295362
Plan sponsor’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939

Plan administrator’s name and address
Administrator’s EIN 061407577
Plan administrator’s name NAUGATUCK AMBULANCE, INC.
Plan administrator’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939
Administrator’s telephone number 2037295362

Signature of
Role Plan administrator
Date 2018-08-15
Name of individual signing LAWRENCE SANTORO
Valid signature Filed with authorized/valid electronic signature
NAUGATUCK AMBULANCE, INC. 401K PROFIT SHARING PLAN 2016 061407577 2017-10-24 NAUGATUCK AMBULANCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621900
Sponsor’s telephone number 2037295362
Plan sponsor’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939

Plan administrator’s name and address
Administrator’s EIN 061407577
Plan administrator’s name NAUGATUCK AMBULANCE, INC.
Plan administrator’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939
Administrator’s telephone number 2037295362

Signature of
Role Plan administrator
Date 2017-10-24
Name of individual signing LAWRENCE SANTORO
Valid signature Filed with authorized/valid electronic signature
NAUGATUCK AMBULANCE, INC. 401K PROFIT SHARING PLAN 2015 061407577 2016-08-18 NAUGATUCK AMBULANCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621900
Sponsor’s telephone number 2037295362
Plan sponsor’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939

Plan administrator’s name and address
Administrator’s EIN 061407577
Plan administrator’s name NAUGATUCK AMBULANCE, INC.
Plan administrator’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939
Administrator’s telephone number 2037295362

Signature of
Role Plan administrator
Date 2016-08-18
Name of individual signing LAWRENCE SANTORO
Valid signature Filed with authorized/valid electronic signature
NAUGATUCK AMBULANCE, INC. 401K PROFIT SHARING PLAN 2014 061407577 2015-11-17 NAUGATUCK AMBULANCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621900
Sponsor’s telephone number 2037295362
Plan sponsor’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939

Plan administrator’s name and address
Administrator’s EIN 061407577
Plan administrator’s name NAUGATUCK AMBULANCE, INC.
Plan administrator’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939
Administrator’s telephone number 2037295362

Signature of
Role Plan administrator
Date 2015-11-17
Name of individual signing LAWRENCE SANTORO
Valid signature Filed with authorized/valid electronic signature
NAUGATUCK AMBULANCE, INC. 401K PROFIT SHARING PLAN 2013 061407577 2015-03-11 NAUGATUCK AMBULANCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621900
Sponsor’s telephone number 2037295362
Plan sponsor’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939

Plan administrator’s name and address
Administrator’s EIN 061407577
Plan administrator’s name NAUGATUCK AMBULANCE, INC.
Plan administrator’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939
Administrator’s telephone number 2037295362

Signature of
Role Plan administrator
Date 2015-03-11
Name of individual signing LAWRENCE SANTORO
Valid signature Filed with authorized/valid electronic signature
NAUGATUCK AMBULANCE, INC. 401K PROFIT SHARING PLAN 2012 061407577 2013-09-26 NAUGATUCK AMBULANCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621900
Sponsor’s telephone number 2037295362
Plan sponsor’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939

Plan administrator’s name and address
Administrator’s EIN 061407577
Plan administrator’s name NAUGATUCK AMBULANCE, INC.
Plan administrator’s address 246 RUBBER AVENUE, NAUGATUCK, CT, 067703939
Administrator’s telephone number 2037295362

Signature of
Role Plan administrator
Date 2013-09-26
Name of individual signing LAWRENCE SANTORO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
Gretchen Carlson Agent 246 RUBBER AVE, NAUGATUCK, CT, 06770, United States +1 203-725-6268 gcarlson@naugatuckems.org 246 RUBBER AVE, NAUGATUCK, CT, 06770, United States

Officer

Name Role Business address Phone E-Mail Residence address
Gretchen Carlson Officer 246 RUBBER AVE, NAUGATUCK, CT, 06770, United States +1 203-725-6268 gcarlson@naugatuckems.org 246 RUBBER AVE, NAUGATUCK, CT, 06770, United States
Kyle Kelley Officer 246 RUBBER AVE, NAUGATUCK, CT, 06770, United States No data No data 31 Birchwood Rd, Seymour, CT, 06483-3832, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0065480 PUBLIC CHARITY ACTIVE CURRENT 2021-12-08 2024-06-01 2025-05-31

History

Type Old value New value Date of change
Name change NAUGATUCK VOLUNTEER AMBULANCE CORPS., INC. THE NAUGATUCK AMBULANCE, INC. 1999-03-23

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012400362 2024-07-23 No data Annual Report Annual Report No data
BF-0011389899 2023-07-25 No data Annual Report Annual Report No data
BF-0011529364 2022-12-14 2022-12-14 Interim Notice Interim Notice No data
BF-0010272130 2022-07-25 No data Annual Report Annual Report 2022
BF-0009807234 2021-09-21 No data Annual Report Annual Report No data
0006945034 2020-07-13 No data Annual Report Annual Report 2020
0006636469 2019-09-04 No data Annual Report Annual Report 2019
0006593872 2019-07-10 No data Annual Report Annual Report 2018
0006214638 2018-07-12 No data Annual Report Annual Report 2017
0005624284 2016-08-08 No data Annual Report Annual Report 2016

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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