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  5. WESTERN CONNECTICUT BEHAVIORAL HEALTH, LLC

WESTERN CONNECTICUT BEHAVIORAL HEALTH, LLC

Company Details

Entity Name: WESTERN CONNECTICUT BEHAVIORAL HEALTH, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 31 Jan 2013
Business ALEI: 1095548
Annual report due: 31 Mar 2025
NAICS code: 621330 - Offices of Mental Health Practitioners (except Physicians)
Business address: 461 DANBURY ROAD, 2ND FLOOR, NEW MILFORD, CT, 06776, United States
Mailing address: 461 DANBURY ROAD, 2ND FLOOR, NEW MILFORD, CT, United States, 06776
ZIP code: 06776
County: Litchfield
Place of Formation: CONNECTICUT
E-Mail: drbirencaverly@wcbhct.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WESTERN CONNECTICUT BEHAVIORAL HEALTH 401(K) 2023 461969615 2024-09-17 WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 624100
Sponsor’s telephone number 9177489806
Plan sponsor’s address 461A DANBURY RD UNIT 6, NEW MILFORD, CT, 06776

Signature of
Role Plan administrator
Date 2024-09-17
Name of individual signing AILEEN BIREN
Valid signature Filed with authorized/valid electronic signature
WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC 401(K) P/S PLAN 2022 461969615 2023-06-21 WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 624100
Sponsor’s telephone number 9177489806
Plan sponsor’s address 461A DANBURY RD UNIT 6, NEW MILFORD, CT, 06776

Plan administrator’s name and address
Administrator’s EIN 461969615
Plan administrator’s name WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC
Plan administrator’s address 461A DANBURY RD UNIT 6, NEW MILFORD, CT, 06776
Administrator’s telephone number 9177489806

Signature of
Role Plan administrator
Date 2023-06-21
Name of individual signing AILEEN BIREN
Valid signature Filed with authorized/valid electronic signature
WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC 401(K) P/S PLAN 2021 461969615 2022-03-02 WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 624100
Sponsor’s telephone number 9177489806
Plan sponsor’s address 461A DANBURY RD UNIT 6, NEW MILFORD, CT, 06776

Plan administrator’s name and address
Administrator’s EIN 461969615
Plan administrator’s name WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC
Plan administrator’s address 461A DANBURY RD UNIT 6, NEW MILFORD, CT, 06776
Administrator’s telephone number 9177489806

Signature of
Role Plan administrator
Date 2022-03-02
Name of individual signing AILEEN BIREN
Valid signature Filed with authorized/valid electronic signature
WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC 401(K) P/S PLAN 2020 461969615 2021-05-23 WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 624100
Sponsor’s telephone number 9177489806
Plan sponsor’s address 828 FEDERAL RD, BROOKFIELD, CT, 06804

Plan administrator’s name and address
Administrator’s EIN 461969615
Plan administrator’s name WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC
Plan administrator’s address 828 FEDERAL RD, BROOKFIELD, CT, 06804
Administrator’s telephone number 9177489806

Signature of
Role Plan administrator
Date 2021-05-23
Name of individual signing AILEEN BIREN
Valid signature Filed with authorized/valid electronic signature
WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC 401(K) P/S PLAN 2019 461969615 2020-06-09 WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 624100
Sponsor’s telephone number 9177489806
Plan sponsor’s address 828 FEDERAL RD, BROOKFIELD, CT, 06804

Plan administrator’s name and address
Administrator’s EIN 461969615
Plan administrator’s name WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC
Plan administrator’s address 828 FEDERAL RD, BROOKFIELD, CT, 06804
Administrator’s telephone number 9177489806

Signature of
Role Plan administrator
Date 2020-06-09
Name of individual signing AILEEN BIREN
Valid signature Filed with authorized/valid electronic signature
WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC 401(K) P/S PLAN 2018 461969615 2019-03-22 WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 624100
Sponsor’s telephone number 9177489806
Plan sponsor’s address 828 FEDERAL RD, BROOKFIELD, CT, 06804

Plan administrator’s name and address
Administrator’s EIN 461969615
Plan administrator’s name WESTERN CONNECTICUT BEHAVIORAL HEALTH LLC
Plan administrator’s address 828 FEDERAL RD, BROOKFIELD, CT, 06804
Administrator’s telephone number 9177489806

Signature of
Role Plan administrator
Date 2019-03-22
Name of individual signing AILEEN BIREN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
JESSICA BIREN CAVERLY Agent 461 DANBURY ROAD, 2ND FLOOR, NEW MILFORD, CT, 06776, United States 461 DANBURY ROAD, 2ND FL, NEW MILFORD, CT, 06776, United States +1 917-748-9646 sabrina@bakewellmulhare.com 42 COLONIAL RIDGE DRIVE, GAYLORDSVILLE, CT, 06755, United States

Officer

Name Role Business address Phone E-Mail Residence address
JESSICA BIREN CAVERLY Officer 461 DANBURY ROAD, 2ND FLOOR, NEW MILFORD, CT, 06776, United States +1 917-748-9646 sabrina@bakewellmulhare.com 42 COLONIAL RIDGE DRIVE, GAYLORDSVILLE, CT, 06755, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012241654 2024-02-08 No data Annual Report Annual Report No data
BF-0011303652 2023-02-24 No data Annual Report Annual Report No data
BF-0010341011 2022-02-26 No data Annual Report Annual Report 2022
0007353198 2021-05-27 No data Annual Report Annual Report 2021
0006848242 2020-03-25 No data Annual Report Annual Report 2020
0006382748 2019-02-13 No data Annual Report Annual Report 2019
0006074081 2018-02-13 No data Annual Report Annual Report 2018
0005742600 2017-01-17 No data Annual Report Annual Report 2017
0005512833 2016-03-14 No data Annual Report Annual Report 2016
0005307241 2015-03-31 No data Annual Report Annual Report 2014

Related by officers

JESSICA BIREN CAVERLY

DOC CAV MANAGEMENT, LLC

Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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