Entity Name: | COLLABORATIVE LABORATORY SERVICES, LLC |
Jurisdiction: | Connecticut |
Legal type: | LLC |
Citizenship: | Domestic |
Status: | Active |
Date Formed: | 02 Jul 1998 (Companies founded in July 1998) |
Business ALEI: | 0596836 |
Annual report due: | 31 Mar 2025 |
NAICS code: | 621511 - Medical Laboratories |
Business address: | 1000 ASYLUM AVENUE, HARTFORD, CT, 06105, United States |
Mailing address: | 1000 ASYLUM AVENUE, HARTFORD, CT, United States, 06105 |
ZIP code: | 06105 (Companies in Hartford, 06105) |
County: | Hartford |
Place of Formation: | CONNECTICUT |
E-Mail: | LEGALDEPARTMENT@TRINITYHEALTHOFNE.ORG |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
COLLABORATIVE LABORATORY SERVICE DEFINED CONTRIBUTION PLAN | 2009 | 061520109 | 2010-08-09 | COLLABORATIVE LABORATORY SERVICES, LLC. | 163 | |||||||||||||||||||||||||||||||||||||||||||
|
Administrator’s EIN | 061520109 |
Plan administrator’s name | COLLABORATIVE LABORATORY SERVICES, LLC. |
Plan administrator’s address | 114 WOODLAND STREET, HARTFORD, CT, 06105 |
Administrator’s telephone number | 8607144812 |
Number of participants as of the end of the plan year
Active participants | 181 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 11 |
Number of participants with account balances as of the end of the plan year | 156 |
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
Role | Plan administrator |
Date | 2010-08-09 |
Name of individual signing | STEVEN ROSENBERG |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role |
---|---|
C T CORPORATION SYSTEM | Agent |
Name | Role | Business address | Residence address |
---|---|---|---|
Valerie L. Powell-Stafford, MHSA, FACHE | Officer | 114 Woodland St, Hartford, CT, 06105-1299, United States | 114 Woodland St, Hartford, CT, 06105-1299, United States |
JAMES HARRIS | Officer | 114 WOODLAND STREET, HARTFORD, CT, 06105, United States | 61 TIMBER TRAIL, TOLLAND, CT, 06084, United States |
Mike Ryan | Officer | 114 Woodland St, Hartford, CT, 06105, United States | 114 Woodland St, Hartford, CT, 06105, United States |
Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
---|---|---|---|---|---|---|
CLAB.0000949 | Clinical Laboratory | ACTIVE | CURRENT | 2018-07-23 | 2024-10-01 | 2026-09-30 |
Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
---|---|---|---|---|---|
BF-0012170126 | 2024-06-10 | No data | Annual Report | Annual Report | No data |
BF-0011146740 | 2023-01-17 | No data | Annual Report | Annual Report | No data |
BF-0010382263 | 2022-03-09 | No data | Annual Report | Annual Report | 2022 |
0007200502 | 2021-03-03 | No data | Annual Report | Annual Report | 2021 |
0007000052 | 2020-10-13 | No data | Annual Report | Annual Report | 2020 |
0006517872 | 2019-03-21 | 2019-03-21 | Statement of Correction | Statement of Correction | No data |
0006333182 | 2019-01-23 | No data | Annual Report | Annual Report | 2019 |
0006158717 | 2018-04-10 | 2018-04-10 | Statement of Correction | Statement of Correction | No data |
0006158714 | 2018-04-10 | 2018-04-10 | Statement of Correction | Statement of Correction | No data |
0006092540 | 2018-02-23 | No data | Annual Report | Annual Report | 2018 |
Date of last update: 04 Nov 2024
Sources: Connecticut's Official State Website