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COMMUNITY CHILD GUIDANCE CLINIC, INC.

Company Details

Entity Name: COMMUNITY CHILD GUIDANCE CLINIC, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 08 Sep 2016 (Companies founded in September 2016)
Date of dissolution: 06 Dec 2016
Business ALEI: 1217437
Annual report due: 08 Sep 2017
Business address: 317 NORTH MAIN ST., MANCHESTER, CT, 06042
ZIP code: 06042 (Companies in Hartford, 06042)
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: jamiebellenoit@ccginc.org

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY CHILD GUIDANCE CLINIC 403(B) PLAN 2023 060735879 2024-09-19 COMMUNITY CHILD GUIDANCE CLINIC 108
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-07-01
Business code 621330
Sponsor’s telephone number 8606432101
Plan sponsor’s address 317 N MAIN ST., MACHESTER, CT, 06040
COMMUNITY CHILD GUIDANCE CLINIC 403(B) PLAN 2022 060735879 2023-09-12 COMMUNITY CHILD GUIDANCE CLINIC 109
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-07-01
Business code 621330
Sponsor’s telephone number 8606432101
Plan sponsor’s address 317 N MAIN ST., MACHESTER, CT, 06040
COMMUNITY CHILD GUIDANCE CLINIC 403(B) PLAN 2021 060735879 2022-10-06 COMMUNITY CHILD GUIDANCE CLINIC 119
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-07-01
Business code 621330
Sponsor’s telephone number 8606432101
Plan sponsor’s address 317 N MAIN ST., MACHESTER, CT, 06040
COMMUNITY CHILD GUIDANCE CLINIC 403(B) PLAN 2020 060735879 2021-09-29 COMMUNITY CHILD GUIDANCE CLINIC 107
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-07-01
Business code 621330
Sponsor’s telephone number 8606432101
Plan sponsor’s address 317 N MAIN ST., MACHESTER, CT, 06040
COMMUNITY CHILD GUIDANCE CLINIC 403(B) PLAN 2019 060735879 2020-08-25 COMMUNITY CHILD GUIDANCE CLINIC 80
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-07-01
Business code 621330
Sponsor’s telephone number 8606432101
Plan sponsor’s address 317 N MAIN ST., MACHESTER, CT, 06040
COMMUNITY CHILD GUIDANCE CLINIC 403(B) PLAN 2018 060735879 2019-10-08 COMMUNITY CHILD GUIDANCE CLINIC 62
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-07-01
Business code 621330
Sponsor’s telephone number 8606432101
Plan sponsor’s address 317 N MAIN ST., MACHESTER, CT, 06040
EMPLOYEE BENEFIT PLAN OF COMMUNITY CHILD GUIDANCE CLINIC 2018 060735879 2019-10-08 COMMUNITY CHILD GUIDANCE CLINIC 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621330
Sponsor’s telephone number 8606432101
Plan sponsor’s address 317 N MAIN ST., MANCHESTER, CT, 060402007
TAX DEFERRED ANNUITY PLAN OF COMMUNITY CHILD GUIDANCE CLINIC 2017 060735879 2018-07-10 COMMUNITY CHILD GUIDANCE CLINIC 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-07-01
Business code 621330
Sponsor’s telephone number 8606432101
Plan sponsor’s address 317 N MAIN ST, MANCHESTER, CT, 060402007

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing ALAINA PLATZ
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF COMMUNITY CHILD GUIDANCE CLINIC 2017 060735879 2018-07-10 COMMUNITY CHILD GUIDANCE CLINIC 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621330
Sponsor’s telephone number 8606432101
Plan sponsor’s address 317 N MAIN ST, MANCHESTER, CT, 060402007

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing ALAINA PLATZ
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF COMMUNITY CHILD GUIDANCE CLINIC 2016 060735879 2017-06-16 COMMUNITY CHILD GUIDANCE CLINIC 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-07-01
Business code 621330
Sponsor’s telephone number 8606432101
Plan sponsor’s address 317 N MAIN ST, MANCHESTER, CT, 06040

Signature of
Role Plan administrator
Date 2017-06-16
Name of individual signing MARY GRACYALNY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-16
Name of individual signing MARY GRACYALNY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
JAMIE BELLENOIT PH.D., EXE Agent COMMUNITY CHILD GUIDANCE CLINIC, INC., 317 NORTH MAIN ST., MANCHESTER, CT, 06042, United States 91 STONER DRIVE, WEST HARTFORD, CT, 06107, United States

Officer

Name Role Business address Residence address
LEROY HAY Officer CT ASSOC.OF PUBLIC SCH. SUPERINTENDENTS, 26 CAYA AVE, WEST HARTFORD, CT, 06110, United States 33 RISLEY RD, VERNON, CT, 06066, United States
ELLEN MARMER MD Officer 520 HARTFORD TNPKE, SUITE B, VERNON, CT, 06066, United States 276 MERLINE RD., VERNON, CT, 06066, United States
MICHAEL TURK Officer No data 10 VALERIE DR., VERNON, CT, 06066, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0001334 PUBLIC CHARITY ACTIVE CURRENT 2021-06-01 2024-06-01 2025-05-31
SA.0000238 Substance Abuse CLOSED CLOSED 2009-01-01 2015-01-01 2016-12-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005720004 2016-12-06 2016-12-06 Dissolution Certificate of Dissolution No data
0005707770 2016-11-22 2016-11-22 First Report Organization and First Report No data
0005656267 2016-09-08 2016-09-08 Business Formation Certificate of Incorporation No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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