| Entity Name: | MAPLEWOOD AT DARIEN, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 14 Jul 2011 |
| Business ALEI: | 1043288 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 623312 - Assisted Living Facilities for the Elderly |
| Business address: | 55 Greens Farms Rd, Westport, CT, 06880, United States |
| Mailing address: | 55 Greens Farms Rd, First Floor, Westport, CT, United States, 06880 |
| ZIP code: | 06880 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | amiller@maplewoodsl.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAPLEWOOD AT DARIEN, LLC 401(K) PLAN | 2015 | 452851033 | 2016-01-26 | MAPLEWOOD AT DARIEN, LLC | 15 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2016-01-26 |
| Name of individual signing | SCOTT THELEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2035574777 |
| Plan sponsor’s address | ONE GORHAM ISLAND, WESTPORT, CT, 06680 |
Signature of
| Role | Plan administrator |
| Date | 2019-03-07 |
| Name of individual signing | JILL MCGROARTY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-03-07 |
| Name of individual signing | JILL MCGROARTY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2035574777 |
| Plan sponsor’s address | ONE GORHAM ISLAND, WESTPORT, CT, 06680 |
Signature of
| Role | Plan administrator |
| Date | 2015-08-05 |
| Name of individual signing | SCOTT THELEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2035574777 |
| Plan sponsor’s address | ONE GORHAM ISLAND, WESTPORT, CT, 06680 |
Signature of
| Role | Plan administrator |
| Date | 2014-07-28 |
| Name of individual signing | KALEY KROL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| ARTHUR E. MILLER | Agent | ONE GORHAM ISLAND, SUITE 100, WESTPORT, CT, 06880, United States | ONE GORHAM ISLAND, SUITE 100, WESTPORT, CT, 06880, United States | +1 203-615-4010 | amiller@maplewoodsl.com | 4 STUART DRIVE, NEWTOWN, CT, 06470, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| ARTHUR E. MILLER | Officer | ONE GORHAM ISLAND, SUITE 100, WESTPORT, CT, 06880, United States | +1 203-615-4010 | amiller@maplewoodsl.com | 4 STUART DRIVE, NEWTOWN, CT, 06470, United States |
| Thomas Gaston | Officer | ONE GORHAM ISLAND SUITE 100, WESTPORT, CT, 06880, United States | No data | No data | 24 Fullin Rd, Norwalk, CT, 06851-3418, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| ALSA.0000171 | Assisted Living Service Agency | ACTIVE | CURRENT | 2014-10-06 | 2024-10-01 | 2026-09-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012748107 | 2024-08-28 | 2024-08-28 | Change of Business Address | Business Address Change | No data |
| BF-0012300761 | 2024-01-24 | No data | Annual Report | Annual Report | No data |
| BF-0011426040 | 2023-01-10 | No data | Annual Report | Annual Report | No data |
| BF-0010234166 | 2022-01-21 | No data | Annual Report | Annual Report | 2022 |
| 0007126221 | 2021-02-04 | No data | Annual Report | Annual Report | 2021 |
| 0006806900 | 2020-03-03 | No data | Annual Report | Annual Report | 2020 |
| 0006358194 | 2019-02-04 | No data | Annual Report | Annual Report | 2019 |
| 0006023827 | 2018-01-22 | No data | Annual Report | Annual Report | 2018 |
| 0005894209 | 2017-07-24 | No data | Annual Report | Annual Report | 2017 |
| 0005601679 | 2016-07-14 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
