| Entity Name: | LUTHERAN ASSISTED LIVING AT MIDDLETOWN, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 09 Sep 2003 |
| Business ALEI: | 0759436 |
| Annual report due: | 09 Sep 2025 |
| NAICS code: | 623312 - Assisted Living Facilities for the Elderly |
| Business address: | 628 Congdon St, Middletown, CT, 06457-7939, United States |
| Mailing address: | 11 SHATTUCK STREET, WORCESTER, MA, United States, 01605 |
| ZIP code: | 06457 |
| County: | Middlesex |
| Place of Formation: | CONNECTICUT |
| E-Mail: | acaclerk@ascentria.org |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Kristine Hanscom | Officer | 11 Shattuck St, Worcester, MA, 01605-3650, United States | 14 Audubon Rd, 356, Wakefield, MA, 01880-1258, United States |
| Nicholas Sousa | Officer | 11 Shattuck St, Worcester, MA, 01605-3650, United States | 63 Park Rd, Colchester, CT, 06415, United States |
| TARA E BROWNE | Officer | 11 SHATTUCK STREET, WORCESTER, MA, 01605, United States | 8 HIGH STREET, BROOKFIELD, MA, 01506, United States |
| Christine Tappan | Officer | 11 Shattuck St, Worcester, MA, 01605-3650, United States | 27 Harmony Rd, Northwood, NH, 03261-3900, United States |
| ANGELA BOVILL | Officer | 11 SHATTUCK STREET, WORCESTER, MA, 01605, United States | 11 Maplewood Cir, Falmouth, ME, 04105-1154, United States |
| Gary O'Neil | Officer | 11 Shattuck St, Worcester, MA, 01605-3650, United States | 370 Lexington Street, Lexington, MA, 02421, United States |
| NICHOLAS RUSSO | Officer | 11 SHATTUCK STREET, WORCESTER, MA, 01605, United States | 602 WISTERIA WAY, WAYLAND, MA, 01778, United States |
| Name | Role |
|---|---|
| ASCENTRIA CARE ALLIANCE, INC. | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| WILLIAM MAYO | Director | 11 SHATTUCK STREET, WORCESTER, MA, 01605, United States | 15 ROSELIN AVE, QUINCY, MA, 02169, United States |
| ANGELA BOVILL | Director | 11 SHATTUCK STREET, WORCESTER, MA, 01605, United States | 11 Maplewood Cir, Falmouth, ME, 04105-1154, United States |
| Ashish Cowlagi | Director | 11 Shattuck St, Worcester, MA, 01605-3650, United States | 25 Whippoorwill Dr, Shrewsbury, MA, 01545-3242, United States |
| ROSS GOODMAN | Director | 11 SHATTUCK STREET, WORCESTER, MA, 01605, United States | 224 Hancock Road, Williamstown, MA, 01267, United States |
| Alexander Bartholomew | Director | 11 Shattuck St, Worcester, MA, 01605-3650, United States | 91 Avery Heights Dr, Holden, MA, 01520-1080, United States |
| Keith Robertson | Director | 11 Shattuck St, Worcester, MA, 01605-3650, United States | 235 S Main St, West Hartford, CT, 06107-3659, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012080238 | 2024-08-20 | No data | Annual Report | Annual Report | No data |
| BF-0011274781 | 2023-09-08 | No data | Annual Report | Annual Report | No data |
| BF-0010289383 | 2022-08-16 | No data | Annual Report | Annual Report | 2022 |
| BF-0009813984 | 2021-09-14 | No data | Annual Report | Annual Report | No data |
| 0007006958 | 2020-10-22 | No data | Annual Report | Annual Report | 2020 |
| 0006667433 | 2019-10-25 | No data | Annual Report | Annual Report | 2019 |
| 0006237210 | 2018-08-24 | No data | Annual Report | Annual Report | 2018 |
| 0006117192 | 2018-02-20 | 2018-02-20 | Amendment | Restated | No data |
| 0005942426 | 2017-10-06 | No data | Annual Report | Annual Report | 2017 |
| 0005645156 | 2016-09-07 | No data | Annual Report | Annual Report | 2016 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
