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COMMUNITY SOCIAL INTEGRATION LLC

Company Details

Entity Name: COMMUNITY SOCIAL INTEGRATION LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 11 Aug 2003 (Companies founded in August 2003)
Business ALEI: 0756845
Annual report due: 31 Mar 2025
NAICS code: 623210 - Residential Intellectual and Developmental Disability Facilities
Business address: 350 State St, North Haven, CT, 06473-3108, United States
Mailing address: 350 State St, North Haven, CT, United States, 06473-3108
ZIP code: 06473 (Companies in New Haven, 06473)
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: cgibson@communitysocialintegration.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY SOCIAL INTEGRATION 401K PROFIT SHARING PLAN TRUST 2023 753126800 2024-06-15 COMMUNITY SOCIAL INTEGRATION 123
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 624310
Sponsor’s telephone number 2039805479
Plan sponsor’s address 350 STATE STREET, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2024-06-15
Name of individual signing CURTIS GIBSON
Valid signature Filed with authorized/valid electronic signature
COMMUNITY SOCIAL INTEGRATION 401K PROFIT SHARING PLAN TRUST 2021 753126800 2022-09-22 COMMUNITY SOCIAL INTEGRATION 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 624310
Sponsor’s telephone number 2032871543
Plan sponsor’s address 2666 STATE STREET, STE 6, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2022-09-22
Name of individual signing DAWN STERLING
Valid signature Filed with authorized/valid electronic signature
COMMUNITY SOCIAL INTEGRATION 401K PROFIT SHARING PLAN TRUST 2020 753126800 2021-12-09 COMMUNITY SOCIAL INTEGRATION 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 624310
Sponsor’s telephone number 2032871543
Plan sponsor’s address 2666 STATE STREET STE 6, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2021-12-09
Name of individual signing CURTIS GIBSON
Valid signature Filed with authorized/valid electronic signature
COMMUNITY SOCIAL INTEGRATION 401K PROFIT SHARING PLAN TRUST 2019 753126800 2020-07-24 COMMUNITY SOCIAL INTEGRATION 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 624310
Sponsor’s telephone number 2032871543
Plan sponsor’s address 2666 STATE STREET STE 6, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing DAWN STERLING
Valid signature Filed with authorized/valid electronic signature
COMMUNITY SOCIAL INTEGRATION 401K PROFIT SHARING PLAN TRUST 2018 753126800 2019-10-02 COMMUNITY SOCIAL INTEGRATION 118
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 624310
Sponsor’s telephone number 2032871543
Plan sponsor’s address 2666 STATE STREET STE 6, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing DAWN STERLING
Valid signature Filed with authorized/valid electronic signature
COMMUNITY SOCIAL INTEGRATION 401K PROFIT SHARING PLAN TRUST 2017 753126800 2018-07-27 COMMUNITY SOCIAL INTEGRATION 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 624310
Sponsor’s telephone number 2032871543
Plan sponsor’s address 2666 STATE STREET STE 6, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing DAWN STERLING
Valid signature Filed with authorized/valid electronic signature
COMMUNITY SOCIAL INTEGRATION 401K PROFIT SHARING PLAN TRUST 2016 753126800 2017-07-24 COMMUNITY SOCIAL INTEGRATION 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 624310
Sponsor’s telephone number 2032871543
Plan sponsor’s address 2666 STATE STREET STE 6, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing DAWN STERLING
Valid signature Filed with authorized/valid electronic signature
COMMUNITY SOCIAL INTEGRATION 401K PROFIT SHARING PLAN TRUST 2015 753126800 2016-09-19 COMMUNITY SOCIAL INTEGRATION 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 624310
Sponsor’s telephone number 2032871543
Plan sponsor’s address 2666 STATE STREET STE 6, HAMDEN, CT, 06517

Signature of
Role Plan administrator
Date 2016-09-19
Name of individual signing DAWN STERLING
Valid signature Filed with authorized/valid electronic signature
COMMUNITY SOCIAL INTEGRATION 401 K PROFIT SHARING PLAN TRUST 2012 753126800 2013-10-15 COMMUNITY SOCIAL INTEGRATION, 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 624310
Sponsor’s telephone number 2032871543
Plan sponsor’s address 2666 STATE ST STE 6, HAMDEN, CT, 065172232

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing COMMUNITY SOCIAL INTEGRATION,
Valid signature Filed with authorized/valid electronic signature
COMMUNITY SOCIAL INTEGRATION, LLC 401 K PROFIT SHARING PLAN TRUST 2011 753126800 2012-10-12 COMMUNITY SOCIAL INTEGRATION, 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 624310
Sponsor’s telephone number 2032871543
Plan sponsor’s address 2666 STATE ST STE 6, HAMDEN, CT, 065172232

Plan administrator’s name and address
Administrator’s EIN 753126800
Plan administrator’s name COMMUNITY SOCIAL INTEGRATION,
Plan administrator’s address 2666 STATE ST STE 6, HAMDEN, CT, 065172232
Administrator’s telephone number 2032871543

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing COMMUNITY SOCIAL INTEGRATION,
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Phone E-Mail Residence address
CURTIS L. GIBSON Officer 350 State St, North Haven, CT, 06473-3108, United States +1 203-980-5479 cgibson@communitysocialintegration.com 350 State St, North Haven, CT, 06473-3108, United States
DEEJAY PETERSON Officer 350 State St, North Haven, CT, 06473-3108, United States No data No data 350 State St, North Haven, CT, 06473-3108, United States
MARJORIE GIBSON Officer 350 State St, North Haven, CT, 06473-3108, United States No data No data 350 State St, North Haven, CT, 06473-3108, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
CURTIS L. GIBSON Agent 350 State St, North Haven, CT, 06473-3108, United States 350 State St, North Haven, CT, 06473-3108, United States +1 203-980-5479 cgibson@communitysocialintegration.com 350 State St, North Haven, CT, 06473-3108, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
DSAP.0002067 Developmental Services Agency Provider ACTIVE APPROVED 2006-09-05 2006-09-05 No data

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012083309 2024-07-19 No data Annual Report Annual Report No data
BF-0011274921 2023-10-11 No data Annual Report Annual Report No data
BF-0010367587 2022-12-01 No data Annual Report Annual Report 2022
0007325836 2021-05-06 No data Annual Report Annual Report 2021
0006779191 2020-02-25 No data Annual Report Annual Report 2020
0006472955 2019-03-18 No data Annual Report Annual Report 2019
0006472947 2019-03-18 No data Annual Report Annual Report 2018
0006101376 2018-03-01 No data Annual Report Annual Report 2017
0005804107 2017-03-29 No data Annual Report Annual Report 2016
0005460274 2016-01-07 No data Annual Report Annual Report 2015

Related by officers

CURTIS L. GIBSON

STEPS STAFFING SERVICES, LLC CSI HOME IMPROVEMENT, LLC POOL HOUSE ENTERTAINMENT, LLC CHILDREN SERVICES INITIATIVE, LLC CSI SOUTH, LLC NURSING SERVICE AGENCY, LLC

DEEJAY PETERSON

CSI SOUTH, LLC

MARJORIE GIBSON

SPARKLE-N-SHINE LLC CSI HOME IMPROVEMENT, LLC POOL HOUSE ENTERTAINMENT, LLC CHILDREN SERVICES INITIATIVE, LLC COMPANION SERVICE INITIATIVE, LLC CSI SOUTH, LLC

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350 State St, North Haven, CT, 06473-3108, United States

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Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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