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  5. COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC.

COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC.

Headquarter

Company Details

Entity Name: COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 25 Oct 1994
Business ALEI: 0303407
Annual report due: 25 Oct 2025
NAICS code: 923120 - Administration of Public Health Programs
Business address: 11 FAIRFIELD BLVD, WALLINGFORD, CT, 06492, United States
Mailing address: 11 FAIRFIELD BLVD, WALLINGFORD, CT, United States, 06492
ZIP code: 06492
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: SKELLY@CHNCT.ORG

Links between entities

Type Company Name Company Number State
Headquarter of COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC., NEW YORK 6664173 NEW YORK

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
K3VNSV8SRUX5 2025-04-12 11 FAIRFIELD BLVD, WALLINGFORD, CT, 06492, 1828, USA 11 FAIRFIELD BOULEVARD, WALLINGFORD, CT, 06492, 1828, USA

Business Information
URL www.chnct.org
Congressional District 03
State/Country of Incorporation CT, USA
Activation Date 2024-04-15
Initial Registration Date 2005-07-29
Entity Start Date 1995-08-15
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 524114
Product and Service Codes G007

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CORY LUDINGTON
Address 11 FAIRFIELD BOULEVARD, SUITE 1, WALLINGFORD, CT, 06492, 1828, USA
Title ALTERNATE POC
Name SYLVIA KELLY
Address 11 FAIRFIELD BOULEVARD, SUITE 1, WALLINGFORD, CT, 06492, 1828, USA
Government Business
Title PRIMARY POC
Name CORY LUDINGTON
Address 11 FAIRFIELD BOULEVARD, SUITE 1, WALLINGFORD, CT, 06492, 1828, USA
Title ALTERNATE POC
Name SYLVIA KELLY
Address 11 FAIRFIELD BOULEVARD, SUITE 1, WALLINGFORD, CT, 06492, 1828, USA
Past Performance
Title PRIMARY POC
Name CORY LUDINGTON
Address 11 FAIRFIELD BOULEVARD, SUITE 1, WALLINGFORD, CT, 06492, 1828, USA
Title ALTERNATE POC
Name SYLVIA KELLY
Address 11 FAIRFIELD BOULEVARD, SUITE 1, WALLINGFORD, CT, 06492, 1828, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
42PH1 Active Non-Manufacturer 2005-07-28 2024-04-15 2029-04-15 2025-04-12

Contact Information
POC CORY LUDINGTON
Phone +1 203-949-4124
Fax +1 203-265-2780
Address 11 FAIRFIELD BLVD, WALLINGFORD, CT, 06492 1828, 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 NETWORK OF CT FLEXIBLE BENEFITS PLAN 2017 061429341 2018-03-16 COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC 490
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2001-01-01
Business code 524140
Sponsor’s telephone number 2039494000
Plan sponsor’s DBA name COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC
Plan sponsor’s mailing address COMMUNITY HEALTH NETWORK OF CT, INC, 11 FAIRFIELD BLVD, WALLINGFORD, CT, 064921828
Plan sponsor’s address COMMUNITY HEALTH NETWORK OF CT, INC, 11 FAIRFIELD BLVD, WALLINGFORD, CT, 064921828

Number of participants as of the end of the plan year
Active participants 465
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2018-03-16
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-16
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH NETWORK OF CT INC. FLEXIBLE BENEFITS PLAN 2016 061429341 2017-06-05 COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC. 498
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2001-01-01
Business code 524140
Sponsor’s telephone number 2039494000
Plan sponsor’s mailing address 11 FAIRFIELD BLVD, WALLINGFORD, CT, 064921828
Plan sponsor’s address 11 FAIRFIELD BLVD, WALLINGFORD, CT, 064921828

Number of participants as of the end of the plan year
Active participants 490
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2017-06-05
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-05
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH NETWORK OF CT INC. FLEXIBLE BENEFITS PLAN 2015 061429341 2016-06-22 COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC. 426
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2001-01-01
Business code 524140
Sponsor’s telephone number 2039494000
Plan sponsor’s mailing address 11 FAIRFIELD BLVD, WALLINGFORD, CT, 064921828
Plan sponsor’s address 11 FAIRFIELD BLVD, WALLINGFORD, CT, 064921828

Number of participants as of the end of the plan year
Active participants 498

Signature of
Role Plan administrator
Date 2016-06-22
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-22
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH NETWORK OF CT, INC. FLEXIBLE BENEFITS PLAN 2014 061429341 2015-06-26 COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC. 419
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2001-01-01
Business code 524140
Sponsor’s telephone number 2039494000
Plan sponsor’s mailing address 11 FAIRFIELD BOULEVARD, WALLINGFORD, CT, 06492
Plan sponsor’s address 11 FAIRFIELD BOULEVARD, WALLINGFORD, CT, 06492

Number of participants as of the end of the plan year
Active participants 426
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2015-06-26
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH NETWORK OF CT, INC. FLEXIBLE BENEFITS PLAN 2013 061429341 2014-06-18 COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC. 344
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2001-01-01
Business code 524140
Sponsor’s telephone number 2039494000
Plan sponsor’s mailing address 11 FAIRFIELD BOULEVARD, WALLINGFORD, CT, 06492
Plan sponsor’s address 11 FAIRFIELD BOULEVARD, WALLINGFORD, CT, 06492

Number of participants as of the end of the plan year
Active participants 394

Signature of
Role Plan administrator
Date 2014-06-18
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-18
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH NETWORK OF CT, INC. FLEXIBLE BENEFITS PLAN 2012 061429341 2013-06-27 COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC. 298
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2001-01-01
Business code 524140
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 11 FAIRFIELD BOULEVARD, WALLINGFORD, CT, 06492
Plan sponsor’s address 11 FAIRFIELD BOULEVARD, WALLINGFORD, CT, 06492

Number of participants as of the end of the plan year
Active participants 344
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2013-06-27
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-27
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH NETWORK OF CT INC. FLEXIBLE BENEFITS PLAN 2011 061429341 2012-06-25 COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC. 226
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2001-01-01
Business code 524140
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 11 FAIRFIELD BOULEVARD, WALLINGFORD, CT, 06492
Plan sponsor’s address 11 FAIRFIELD BOULEVARD, WALLINGFORD, CT, 06492

Plan administrator’s name and address
Administrator’s EIN 061429341
Plan administrator’s name COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC.
Plan administrator’s address 11 FAIRFIELD BOULEVARD, WALLINGFORD, CT, 06492

Number of participants as of the end of the plan year
Active participants 236
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH NETWORK OF CT, INC. FLEXIBLE BENEFITS PLAN 2009 061429341 2010-08-03 COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC. 198
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2001-01-01
Business code 524140
Sponsor’s telephone number 2039494004
Plan sponsor’s mailing address 11 FAIRFIELD BLVD., WALLINGFORD, CT, 06492
Plan sponsor’s address 11 FAIRFIELD BLVD., WALLINGFORD, CT, 06492

Plan administrator’s name and address
Administrator’s EIN 061429341
Plan administrator’s name COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC.
Plan administrator’s address 11 FAIRFIELD BLVD., WALLINGFORD, CT, 06492
Administrator’s telephone number 2039494004

Number of participants as of the end of the plan year
Active participants 210
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-08-03
Name of individual signing JOSEPH KARL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
WINSHIP SERVICE CORPORATION Agent

Director

Name Role Residence address
RONALD COURSEY Director 36 Queens Cir, Raynham, MA, 02767-1271, United States
JOHN H. SENECHAL, M.D. Director 19 Joe Sabbath Dr, Tolland, CT, 06084-2427, United States
TARSHA CALLOWAY Director 53 CHATHAM STREET, SECOND FLOOR, NEW HAVEN, CT, 06513, United States

Officer

Name Role Business address Residence address
SYLVIA B. KELLY Officer 11 FAIRFIELD BLVD, WALLINGFORD, CT, 06492, United States 85 HIGHTOWER ROAD, SOUTHINGTON, CT, 06489, United States
CARL A. MIKOLOWSKY, DDS Officer No data 43 Granite Ct, Colchester, CT, 06415-2160, United States
Suzanne Lagarde, MD Officer 374 Grand Ave, New Haven, CT, 06513-3733, United States 75 Old Farm Rd, Hamden, CT, 06517-1615, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012399148 2024-10-08 No data Annual Report Annual Report No data
BF-0011394578 2023-10-02 No data Annual Report Annual Report No data
BF-0010393379 2022-09-27 No data Annual Report Annual Report 2022
BF-0009816979 2021-09-27 No data Annual Report Annual Report No data
0006976162 2020-09-09 No data Annual Report Annual Report 2020
0006644081 2019-09-13 No data Annual Report Annual Report 2019
0006254037 2018-10-02 No data Annual Report Annual Report 2018
0005923755 2017-09-12 No data Annual Report Annual Report 2017
0005662184 2016-10-03 No data Annual Report Annual Report 2016
0005403195 2015-09-29 No data Annual Report Annual Report 2015

Related by officers

RONALD COURSEY

COMMUNITY HEALTH NETWORK OF CONNECTICUT FOUNDATION, INC.

SYLVIA B. KELLY

COMMUNITY HEALTH NETWORK OF CONNECTICUT FOUNDATION, INC. COMMUNITY HEALTH NETWORK OF CONNECTICUT HOLDINGS, INC.

TARSHA CALLOWAY

TESSITURA NETWORK, INC.

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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