| Entity Name: | MOSAIC OF CONNECTICUT INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 25 Jun 2003 |
| Business ALEI: | 0752923 |
| Annual report due: | 25 Jun 2025 |
| NAICS code: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Business address: | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States |
| Mailing address: | 4980 SOUTH 118TH STREET, OMAHA, NE, United States, 68137 |
| Place of Formation: | NEBRASKA |
| E-Mail: | kaitlyn.oneill@mosaicinfo.org |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Joe Savage | Director | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States |
| Monica Holle | Director | 4980 S 118th St, Omaha, NE, 68137-2200, United States | 4980 S 118th St, Omaha, NE, 68137-2200, United States |
| Michelle Thompson | Director | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States | 73 Valley View Dr, Hamden, CT, 06518-2747, United States |
| Elizabeth Willis | Director | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States |
| Adam Wells | Director | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States |
| Karen Peppmuller | Director | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States |
| Jodi Benjamin | Director | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States |
| Sarah Meek | Director | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States |
| Weade James | Director | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States |
| Robert Graulich | Director | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Monica Holle | Officer | 4980 S 118th St, Omaha, NE, 68137-2200, United States | 4980 S 118th St, Omaha, NE, 68137-2200, United States |
| The Rev. Keith Hohly | Officer | 4980 S 118th St, Omaha, NE, 68137-2200, United States | 4980 S 118th St, Omaha, NE, 68137-2200, United States |
| Peter Enko | Officer | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States | 4980 SOUTH 118TH STREET, OMAHA, NE, 68137, United States |
| SCOTT HOFFMAN | Officer | THE LIND CENTER, 4980 S. 118TH STREET, OMAHA, NE, 68137, United States | 90 WEST END DRIVE, OLD LYME, CT, 06371, United States |
| LINDA TIMMONS | Officer | THE LIND CENTER, 4980 S. 118TH STREET, OMAHA, NE, 68137, United States | 6573 SOUTH 184TH STREET, OMAHA, NE, 68135, United States |
| Patricia Nimtz | Officer | 4980 S 118th St, Omaha, NE, 68137-2200, United States | 4980 S 118th St, Omaha, NE, 68137-2200, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| DSAP.0000616 | Developmental Services Agency Provider | ACTIVE | APPROVED | 2006-02-02 | 2006-02-02 | No data |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012213894 | 2024-05-29 | No data | Annual Report | Annual Report | No data |
| BF-0011276003 | 2023-06-01 | No data | Annual Report | Annual Report | No data |
| BF-0010236722 | 2022-05-25 | No data | Annual Report | Annual Report | 2022 |
| BF-0010467733 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| 0007328171 | 2021-05-10 | No data | Annual Report | Annual Report | 2021 |
| 0006950703 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006943532 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006934343 | 2020-06-29 | No data | Annual Report | Annual Report | 2020 |
| 0006568606 | 2019-06-04 | No data | Annual Report | Annual Report | 2019 |
| 0006187031 | 2018-05-21 | No data | Annual Report | Annual Report | 2018 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
