| Entity Name: | CHANGE MAPLE LEAF MANOR INCORPORATED |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 05 Nov 2018 |
| Business ALEI: | 1289739 |
| Annual report due: | 05 Nov 2025 |
| NAICS code: | 623312 - Assisted Living Facilities for the Elderly |
| Business address: | 614 NEW BRITAIN AVENUE, HARTFORD, CT, 06106, United States |
| Mailing address: | 1251 SOUTH MAIN STREET, MIDDLETOWN, CT, United States, 06457 |
| ZIP code: | 06106 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 100 |
| E-Mail: | dgibbs@changeinconline.org |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MDG9ZAYP8LM9 | 2024-12-20 | 1251 S MAIN ST, MIDDLETOWN, CT, 06457, 5050, USA | 1251 S MAIN ST, MIDDLETOWN, CT, 06457, 5050, USA | |||||||||||||||||||||||||||||||||||||||
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| Congressional District | 03 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2023-12-25 |
| Initial Registration Date | 2023-12-21 |
| Entity Start Date | 2018-11-05 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DERRICK C GIBBS |
| Role | CEO |
| Address | 1251, SOUTH MAIN STREET, MIDDLETOWN, CT, 06457, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DERRICK C GIBBS |
| Role | CEO |
| Address | 1251, SOUTH MAIN STREET, MIDDLETOWN, CT, 06457, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| DERRICK GIBBS | Agent | 614 NEW BRITAIN AVENUE, HARTFORD, CT, 06106, United States | 614 NEW BRITAIN AVENUE, HARTFORD, CT, 06106, United States | +1 860-346-0771 | dgibbs@changeinconline.org | 1251 SOUTH MAIN ST, MIDDLETOWN, CT, 06457, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| DERRICK GIBBS | Officer | 614 NEW BRITAIN AVENUE, HARTFORD, CT, 06106, United States | +1 860-346-0771 | dgibbs@changeinconline.org | 1251 SOUTH MAIN ST, MIDDLETOWN, CT, 06457, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| RCH.0001899 | Residential Care Facility | ACTIVE | CURRENT | 2019-01-09 | 2024-10-01 | 2027-09-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012347684 | 2024-10-09 | No data | Annual Report | Annual Report | No data |
| BF-0011247017 | 2023-10-06 | No data | Annual Report | Annual Report | No data |
| BF-0010215838 | 2022-10-06 | No data | Annual Report | Annual Report | 2022 |
| BF-0009854352 | 2021-11-19 | No data | Annual Report | Annual Report | No data |
| BF-0009705377 | 2021-11-19 | No data | Annual Report | Annual Report | 2020 |
| 0006998852 | 2020-10-12 | No data | Annual Report | Annual Report | 2019 |
| 0006272531 | 2018-11-06 | 2018-11-06 | First Report | Organization and First Report | No data |
| 0006272094 | 2018-11-05 | 2018-11-05 | Business Formation | Certificate of Incorporation | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
