Entity Name: | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Jurisdiction: | Connecticut |
Legal type: | Non-Stock |
Citizenship: | Domestic |
Status: | Active |
Sub status: | Annual report due |
Date Formed: | 04 May 1972 |
Business ALEI: | 0054289 |
Annual report due: | 04 May 2025 |
Business address: | 374 GRAND AVENUE 374 GRAND AVENUE, NEW HAVEN, CT, 06513, United States |
Mailing address: | 374 GRAND AVENUE 374 GRAND AVE, NEW HAVEN, CT, United States, 06513 |
ZIP code: | 06513 |
County: | New Haven |
Place of Formation: | CONNECTICUT |
E-Mail: | governmentrelations@fhchc.org |
NAICS
621112 Offices of Physicians, Mental Health SpecialistsThis U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathic Medicine) primarily engaged in the independent practice of psychiatry or psychoanalysis. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Q8L3JSL9MDX8 | 2025-04-26 | 374 GRAND AVE, NEW HAVEN, CT, 06513, 3733, USA | 374 GRAND AVENUE, NEW HAVEN, CT, 06513, 3733, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Doing Business As | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
URL | http://www.fhchc.org |
Congressional District | 03 |
State/Country of Incorporation | CT, USA |
Activation Date | 2024-04-30 |
Initial Registration Date | 2006-01-04 |
Entity Start Date | 1971-09-01 |
Fiscal Year End Close Date | Jun 30 |
Service Classifications
NAICS Codes | 621498 |
Product and Service Codes | Q201 |
Points of Contacts
Electronic Business | |
---|---|
Title | PRIMARY POC |
Name | AMY TRIMANI |
Role | CFO |
Address | 374 GRAND AVENUE, NEW HAVEN, CT, 06513, 3733, USA |
Title | ALTERNATE POC |
Name | ABIGAIL PAINE |
Role | VP OF QUALITY & DATA |
Address | 374 GRAND AVENUE, NEW HAVEN, CT, 06513, USA |
Government Business | |
---|---|
Title | PRIMARY POC |
Name | SUZANNE LAGARDE |
Role | CEO |
Address | 374 GRAND AVENUE, NEW HAVEN, CT, 06513, 3733, USA |
Title | ALTERNATE POC |
Name | ABIGAIL PAINE |
Role | VP OF QUALITY & DATA |
Address | 374 GRAND AVENUE, NEW HAVEN, CT, 06513, 3733, USA |
Past Performance | Information not Available |
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CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
493D2 | Active | Non-Manufacturer | 2006-01-05 | 2024-04-30 | 2029-04-30 | 2025-04-26 | |||||||||||||||
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POC | SUZANNE LAGARDE |
Phone | +1 203-777-7411 |
Fax | +1 203-777-8506 |
Address | 374 GRAND AVE, NEW HAVEN, CT, 06513 3733, UNITED STATES |
Ownership of Offeror Information
Highest Level Owner | Information not Available |
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Immediate Level Owner | Information not Available |
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List of Offerors (0) | Information not Available |
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Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
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FAIR HAVEN COMMUNITY HEALTH CLINIC, INC., MEDICAL PLAN | 2017 | 060883545 | 2018-10-12 | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. | 97 | |||||||||||||||||||||||||||||||||
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Active participants | 105 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 0 |
Signature of
Role | Plan administrator |
Date | 2018-10-12 |
Name of individual signing | SUZANNE LAGARDE |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 502 |
Effective date of plan | 2017-01-01 |
Business code | 621498 |
Sponsor’s telephone number | 2207777411 |
Plan sponsor’s DBA name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC., |
Plan sponsor’s mailing address | 374 GRAND AVE, EAST HAVEN, CT, 065133733 |
Plan sponsor’s address | 374 GRAND AVE, EAST HAVEN, CT, 065133733 |
Number of participants as of the end of the plan year
Active participants | 102 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 0 |
Signature of
Role | Plan administrator |
Date | 2018-10-12 |
Name of individual signing | SUZANNE LAGARDE |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Business address | Residence address |
---|---|---|---|
THOMAS CANDRICK | Officer | - | 130 NORTH STREET, WATERTOWN, CT, 06795, United States |
MAGDA A. NATAL | Officer | - | 225 EXCHANGE STREET #1, NEW HAVEN, CT, 06513, United States |
MARIBEL MARTINEZ | Officer | 1 W MAIN STREET, MERIDEN, CT, 06451, United States | 94 JUDWIN AVENUE, NEW HAVEN, CT, 06515, United States |
Name | Role | Business address | Phone | Residence address | |
---|---|---|---|---|---|
THOMAS R. CANDRICK | Agent | 195 CHURCH STREET, NEW HAVEN, CT, 06509, United States | +1 203-784-3103 | tcandrick@carmodylaw.com | 130 NORTH STREET, WATERTOWN, CT, 06795, United States |
Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
---|---|---|---|---|---|---|
CHR.0001486-EXEMPT | PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS | ACTIVE | CURRENT | 2010-11-02 | 2010-11-02 | - |
OPC.0000406 | Outpatient Clinic | ACTIVE | CURRENT | 2008-10-01 | 2023-10-01 | 2026-09-30 |
OPC.0000009 | Outpatient Clinic | ACTIVE | CURRENT | 2008-10-01 | 2023-10-01 | 2026-09-30 |
OPC.0000407 | Outpatient Clinic | INACTIVE | - | 2004-10-18 | 2004-10-18 | 2008-09-30 |
OPC.0000288 | Outpatient Clinic | INACTIVE | - | 2003-07-01 | 2003-07-01 | 2005-06-30 |
Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
---|---|---|---|---|---|
BF-0012220378 | 2024-05-06 | - | Annual Report | Annual Report | - |
BF-0011084618 | 2023-05-23 | - | Annual Report | Annual Report | - |
BF-0011791790 | 2023-05-04 | 2023-05-04 | Amendment | Certificate of Amendment | - |
BF-0010328356 | 2022-05-17 | - | Annual Report | Annual Report | 2022 |
BF-0010163882 | 2021-11-16 | 2021-11-16 | Change of Agent | Agent Change | - |
0007364884 | 2021-06-09 | - | Annual Report | Annual Report | 2021 |
0006911156 | 2020-05-27 | - | Annual Report | Annual Report | 2020 |
0006563644 | 2019-05-23 | - | Annual Report | Annual Report | 2019 |
0006173348 | 2018-05-01 | - | Annual Report | Annual Report | 2018 |
0005834927 | 2017-05-05 | - | Annual Report | Annual Report | 2017 |
Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
PO | AWARD | HHSN267200800805P | 2008-07-14 | 2009-07-31 | 2009-07-31 | |||||||||||||||||||
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Title | CONFERENCE CALLS, DATA COLLECTION ACTIVITIES, ATTEND IN-PERSON MEETING IN 11/08, AND ADDITIONAL MONTHLY MEETINGS. SEE SOW FROM ANN KELLAR |
Product and Service Codes | R499: OTHER PROFESSIONAL SERVICES |
Recipient Details
Recipient | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
UEI | Q8L3JSL9MDX8 |
Legacy DUNS | 101336527 |
Recipient Address | 374 GRAND AVE, NEW HAVEN, 065133733, UNITED STATES |
FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
P06HA23173 | Department of Health and Human Services | 93.918 - GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE | 2011-09-01 | 2012-08-31 | RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS | |||||||||||||||||||||
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C8ACS21346 | Department of Health and Human Services | 93.526 - AFFORDABLE CARE ACT (ACA) GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS | 2010-10-01 | 2012-09-30 | AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS | |||||||||||||||||||||
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T56HP20657 | Department of Health and Human Services | 93.515 - AFFORDABLE CARE ACT (ACA) NURSE-MANAGED HEALTH CLINICS | 2010-09-30 | 2013-09-29 | AFFORDABLE CARE ACT: NURSE MANAGED HEALTH CLINICS | |||||||||||||||||||||
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H97HA19498 | Department of Health and Human Services | 93.928 - SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE | 2010-09-01 | 2011-08-31 | SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE | |||||||||||||||||||||
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C81CS14156 | Department of Health and Human Services | 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS | 2009-06-29 | 2011-06-28 | ARRA - CAPITAL IMPROVEMENT PROGRAM | |||||||||||||||||||||
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H8BCS11959 | Department of Health and Human Services | 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS | 2009-03-27 | 2011-03-26 | ARRA - INCREASE SERVICES TO HEALTH CENTERS | |||||||||||||||||||||
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H80CS00741 | Department of Health and Human Services | 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) | 2002-04-01 | 2010-03-31 | HEALTH CENTER CLUSTER | |||||||||||||||||||||
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H76HA00648 | Department of Health and Human Services | 93.918 - GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE | 2000-09-30 | 2011-06-30 | RYAN WHITE TITLE III: EARLY INTERVENTIONS SERVICES | |||||||||||||||||||||
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EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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06-0883545 | Corporation | Unconditional Exemption | 374 GRAND AVE, NEW HAVEN, CT, 06513-3733 | 1972-08 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Description | Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. |
On Publication 78 Data List | Yes |
Deductibility | Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions) |
Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
EIN | 06-0883545 |
Tax Period | 202306 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
EIN | 06-0883545 |
Tax Period | 202306 |
Filing Type | E |
Return Type | 990T |
File | View File |
Organization Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
EIN | 06-0883545 |
Tax Period | 202206 |
Filing Type | E |
Return Type | 990T |
File | View File |
Organization Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
EIN | 06-0883545 |
Tax Period | 202206 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
EIN | 06-0883545 |
Tax Period | 202106 |
Filing Type | E |
Return Type | 990T |
File | View File |
Organization Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
EIN | 06-0883545 |
Tax Period | 202106 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
EIN | 06-0883545 |
Tax Period | 202006 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
EIN | 06-0883545 |
Tax Period | 202006 |
Filing Type | P |
Return Type | 990T |
File | View File |
Organization Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
EIN | 06-0883545 |
Tax Period | 201906 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
EIN | 06-0883545 |
Tax Period | 201806 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
EIN | 06-0883545 |
Tax Period | 201706 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
EIN | 06-0883545 |
Tax Period | 201606 |
Filing Type | E |
Return Type | 990 |
File | View File |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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7027397106 | 2020-04-14 | 0156 | PPP | 374 GRAND AVE, NEW HAVEN, CT, 06513-3733 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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This table presents a concise summary of a company's liens and debts, detailing essential information such as the lien type, debt amount, associated parties, and current status of each financial obligation.
Subsequent Filing No | Status | Type | Filing Date | Lapse Date | Filing Type | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0005251545 | Active | OFS | 2024-11-20 | 2029-11-25 | AMENDMENT | |||||||||||||
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Name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Role | Debtor |
Name | CARDINAL HEALTH 110, LLC, SUCCESSOR IN INTEREST TO KINRAY, LLC, AS AGENT |
Role | Secured Party |
Parties
Name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Role | Debtor |
Name | WEBSTER BANK, A NATIONAL ASSOCIATION |
Role | Secured Party |
Parties
Name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Role | Debtor |
Name | Cambridge Savings Bank |
Role | Secured Party |
Parties
Name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Role | Debtor |
Name | NEW HAVEN BANK |
Role | Secured Party |
Parties
Name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Role | Debtor |
Name | NEW HAVEN BANK |
Role | Secured Party |
Parties
Name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Role | Debtor |
Name | CARDINAL HEALTH 110, LLC, SUCCESSOR IN INTEREST TO KINRAY, LLC, AS AGENT |
Role | Secured Party |
Parties
Name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Role | Debtor |
Name | NEW HAVEN BANK |
Role | Secured Party |
Parties
Name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Role | Debtor |
Name | NEW HAVEN BANK |
Role | Secured Party |
Parties
Name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Role | Debtor |
Name | WEBSTER BANK, A NATIONAL ASSOCIATION |
Role | Secured Party |
Parties
Name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Role | Debtor |
Name | NEW HAVEN BANK |
Role | Secured Party |
This table provides a snapshot of property information, including key details such as the property address, owner, assessed value, recent sales history (if available), and notable features.
Town | Location | MBLU | Size | PID | url | |||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
New Haven | 111 GRAND AV | 161/0760/02500// | 0.16 | 7690 | Source Link | |||||||||||||||||||||||||||||||||||||||
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Name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Sale Date | 2024-02-07 |
Sale Price | $376,000 |
Name | CARRANZO PROPERTIES, LLC |
Sale Date | 2005-06-14 |
Sale Price | $250,000 |
Name | NUZZO FREDERICK F & ROSEMARIE |
Sale Date | 1965-03-04 |
This table contains information about court case opinions. It includes details like the case name, court, date, and summary of the court's decision.
Package ID | Category | Cause | Nature Of Suit | |||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
USCOURTS-ctd-3_14-cv-00874 | Judicial Publications | 28:1446 Petition for Removal- Personal Injury | Medical Malpractice | |||||||||||||||||||||||||||||||||||||||||||||||||
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Name | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. |
Role | Apportionment Defendant |
Name | USA |
Role | Apportionment Defendant |
Name | Hospital of Saint Raphael |
Role | Plaintiff |
Name | Carmen Rivera |
Role | Plaintiff |
Opinions
Opinion ID | USCOURTS-ctd-3_14-cv-00874-0 |
Date | 2014-12-04 |
Notes | RULING granting 12 Motion to Dismiss; granting 15 Motion to Dismiss for Lack of Jurisdiction. Therefore, Hospital of Saint Raphael's Apportionment Complaint (doc. no. [1-1]) against Fair Haven Community Health Clinic, Inc. and the United States is dismissed. Signed by Judge Janet C. Hall on 12/3/2014. (Lewis, D) |
View | View File |
Sources: Company Profile on Connecticut's Official State Website
* While we strive to keep this information correct and up-to-date, it is not the primary source, and the dataset source should always be referred to for definitive information