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  5. FAMILY INTERVENTION CENTER, INC.

FAMILY INTERVENTION CENTER, INC.

Company Details

Entity Name: FAMILY INTERVENTION CENTER, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report past due
Date Formed: 26 Jun 1974
Business ALEI: 0052548
Annual report due: 26 Jun 2024
NAICS code: 621420 - Outpatient Mental Health and Substance Abuse Centers
Business address: 51 LAKESIDE BLVD EAST UPPER LEVEL, WATERBURY, CT, 06708, United States
Mailing address: 51 LAKESIDE BLVD EAST UPPER LEVEL, WATERBURY, CT, United States, 06708
ZIP code: 06708
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: cquigg@famintervention.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF FAMILY INTERVENTION CENTER 2022 060920277 2024-01-31 FAMILY INTERVENTION CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 621420
Sponsor’s telephone number 2037532153
Plan sponsor’s address 51 LAKESIDE BLVD E, WATERBURY, CT, 067082958

Signature of
Role Plan administrator
Date 2024-01-31
Name of individual signing CRYSTAL QUIGG
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY INTERVENTION CENTER 2021 060920277 2024-01-31 FAMILY INTERVENTION CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 621420
Sponsor’s telephone number 2037532153
Plan sponsor’s address 51 LAKESIDE BLVD EAST UPPER LEVEL, WATERBURY, CT, 067041408

Signature of
Role Plan administrator
Date 2024-01-31
Name of individual signing CRYSTAL QUIGG
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY INTERVENTION CENTER 2020 060920277 2022-03-22 FAMILY INTERVENTION CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 621420
Sponsor’s telephone number 2037532153
Plan sponsor’s address 22 CHASE RIVER RD, WATERBURY, CT, 067041408

Signature of
Role Plan administrator
Date 2022-03-22
Name of individual signing JOSEPH FUTSHIK
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY INTERVENTION CENTER 2019 060920277 2020-12-09 FAMILY INTERVENTION CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 621420
Sponsor’s telephone number 2037532153
Plan sponsor’s address 22 CHASE RIVER RD, WATERBURY, CT, 067041408

Signature of
Role Plan administrator
Date 2020-12-09
Name of individual signing ELEANOR CARR
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY INTERVENTION CENTER 2018 060920277 2019-10-25 FAMILY INTERVENTION CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 621420
Sponsor’s telephone number 2037532153
Plan sponsor’s address 22 CHASE RIVER RD, WATERBURY, CT, 067041408

Signature of
Role Plan administrator
Date 2019-10-25
Name of individual signing ELEANOR CARR
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY INTERVENTION CENTER 2017 060920277 2018-10-19 FAMILY INTERVENTION CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 624100
Sponsor’s telephone number 2037532153
Plan sponsor’s address 22 CHASE RIVER RD, WATERBURY, CT, 06704

Signature of
Role Plan administrator
Date 2018-10-19
Name of individual signing ELEANOR CARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-19
Name of individual signing ELEANOR CARR
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY INTERVENTION CENTER 2016 060920277 2017-11-01 FAMILY INTERVENTION CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 624100
Sponsor’s telephone number 2037532153
Plan sponsor’s address 22 CHASE RIVER RD, WATERBURY, CT, 06704

Signature of
Role Plan administrator
Date 2017-11-01
Name of individual signing ELEANOR CARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-01
Name of individual signing ELEANOR CARR
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY INTERVENTION CENTER 2015 060920277 2016-10-03 FAMILY INTERVENTION CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 624100
Sponsor’s telephone number 2037532153
Plan sponsor’s address 22 CHASE RIVER RD, WATERBURY, CT, 06704

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing ELEANOR CARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-03
Name of individual signing ELEANOR CARR
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY INTERVENTION CENTER 2014 060920277 2016-01-29 FAMILY INTERVENTION CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 624100
Sponsor’s telephone number 2037532153
Plan sponsor’s address 22 CHASE RIVER RD, WATERBURY, CT, 06704

Signature of
Role Plan administrator
Date 2016-01-29
Name of individual signing JOSEPH FUTSCHIK
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY INTERVENTION CENTER 2014 060920277 2016-01-27 FAMILY INTERVENTION CENTER 8
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 624100
Sponsor’s telephone number 2037532153
Plan sponsor’s address 22 CHASE RIVER RD, WATERBURY, CT, 06704

Signature of
Role Plan administrator
Date 2016-01-27
Name of individual signing JOSEPH FUTSCHIK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
JOSEPH E. FUTSCHIK Agent 51 LAKESIDE BLVD EAST UPPER LEVEL, WATERBURY, CT, 06708, United States +1 860-488-1509 cquigg@famintervention.com 20 GEORGE ST, ANSONIA, CT, 06401, United States

Officer

Name Role Business address Residence address
JOSEPH CALBRO Officer 126 PINERIDGE ROAD, WATERBURY, CT, 06706, United States 126 PINERIDGE ROAD, WATERBURY, CT, 06706, United States
SORRINA SALVATORE Officer 251 CHURCH STREET, NAUGATUCK, CT, 06770, United States 604 MOUNT FAIR DRIVE, WATERTOWN, CT, 06795, United States
Allen Thibodeau Officer No data 9 Holly Dr, Jewett City, CT, 06351-8305, United States
Karen Hosking Officer No data 106 Porter St, Watertown, CT, 06795-2239, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0002793 PUBLIC CHARITY ACTIVE CURRENT 2021-06-01 2024-06-01 2025-05-31
SA.0000390 Substance Abuse CLOSED CLOSED 2009-12-08 2019-10-01 2021-09-30
POCA.0000471 Psychiatric Outpatient Clinic CLOSED CLOSED 2009-12-08 2017-10-01 2021-09-30

History

Type Old value New value Date of change
Name change CENTRAL NAUGATUCK VALLEY CONSORTIUM FOR ALCOHOLISM SERVICES, INC. FAMILY INTERVENTION CENTER, INC. 1990-05-22

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011084591 2023-10-06 No data Annual Report Annual Report No data
BF-0012009608 2023-10-05 No data Annual Report Annual Report No data
BF-0009843933 2023-10-05 No data Annual Report Annual Report No data
BF-0010691697 2023-10-05 No data Annual Report Annual Report No data
BF-0011921266 2023-08-08 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0006936778 2020-06-26 2020-06-26 Change of Business Address Business Address Change No data
0006587175 2019-06-27 No data Annual Report Annual Report 2019
0006259187 2018-10-15 No data Annual Report Annual Report 2018
0006259172 2018-10-15 No data Annual Report Annual Report 2017
0005864540 2017-06-12 No data Annual Report Annual Report 2016

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Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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