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  5. MID-FAIRFIELD CHILD GUIDANCE CENTER, INC. THE

MID-FAIRFIELD CHILD GUIDANCE CENTER, INC. THE

Company Details

Entity Name: MID-FAIRFIELD CHILD GUIDANCE CENTER, INC. THE
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 29 Jun 1956
Business ALEI: 0057327
Annual report due: 29 Jun 2025
NAICS code: 621498 - All Other Outpatient Care Centers
Business address: 100 EAST AVE, NORWALK, CT, 06851, United States
Mailing address: 100 EAST AVE., NORWALK, CT, United States, 06851
ZIP code: 06851
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: skelley@cliffordbeers.org
E-Mail: info@mfcgc.org

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
HY8SQV519EH3 2025-02-13 100 EAST AVE, NORWALK, CT, 06851, 5010, USA 100 EAST AVE, NORWALK, CT, 06851, 5010, USA

Business Information
Doing Business As MID-FAIRFIELD CHILD GUIDANCE CENTER INC
Congressional District 04
State/Country of Incorporation CT, USA
Activation Date 2024-02-16
Initial Registration Date 2019-07-26
Entity Start Date 1956-01-01
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 621420

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MARISSA MANGONE
Address 100 EAST AVENUE, NORWALK, CT, 06851, USA
Government Business
Title PRIMARY POC
Name MARISSA MANGONE
Address 100 EAST AVENUE, NORWALK, CT, 06851, USA
Title ALTERNATE POC
Name MARISSA MANGONE
Address 100 EAST AVENUE, NORWALK, CT, 06855, USA
Past Performance
Title ALTERNATE POC
Name YARI IJEH
Address 41 MARNE STREET, HAMDEN, CT, 06514, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MID-FAIRFIELD CHILD GUIDANCE CENTER, INC 403(B) PLAN 2020 060725052 2021-10-06 MID-FAIRFIELD CHILD GUIDANCE CENTER, INC. 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-01-01
Business code 621420
Sponsor’s telephone number 2037778648
Plan sponsor’s address 5 SCIENCE PARK, 2ND FL, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing MICHAEL RISO
Valid signature Filed with authorized/valid electronic signature
MID-FAIRFIELD CHILD GUIDANCE CENTER, INC 403(B) PLAN 2019 060725052 2020-06-18 MID-FAIRFIELD CHILD GUIDANCE CENTER, INC. 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-01-01
Business code 621420
Sponsor’s telephone number 2037778648
Plan sponsor’s address 5 SCIENCE PARK, 2ND FL, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing MICHAEL RISO
Valid signature Filed with authorized/valid electronic signature
MID-FAIRFIELD CHILD GUIDANCE CENTER, INC 403(B) PLAN 2018 060725052 2019-10-01 MID-FAIRFIELD CHILD GUIDANCE CENTER, INC. 69
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-01-01
Business code 621420
Sponsor’s telephone number 2037778648
Plan sponsor’s address 5 SCIENCE PARK, 2ND FL, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing MICHAEL RISO
Valid signature Filed with authorized/valid electronic signature
MID-FAIRFIELD CHILD GUIDANCE CENTER, INC 403(B) PLAN 2017 060725052 2018-10-09 MID-FAIRFIELD CHILD GUIDANCE CENTER, INC. 68
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-01-01
Business code 621420
Sponsor’s telephone number 2032991315
Plan sponsor’s address 100 EAST AVENUE, NORWALK, CT, 06851

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing MARK LILLIEDAHL
Valid signature Filed with authorized/valid electronic signature
MID-FAIRFIELD CHILD GUIDANCE CENTER, INC 403(B) PLAN 2016 060725052 2017-07-13 MID-FAIRFIELD CHILD GUIDANCE CENTER, INC 71
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-01-01
Business code 621420
Sponsor’s telephone number 2032991315
Plan sponsor’s address 100 EAST AVENUE, NORWALK, CT, 06851

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing ROY BERGER
Valid signature Filed with authorized/valid electronic signature
MID-FAIRFIELD CHILD GUIDANCE CENTER, INC 403(B) PLAN 2015 060725052 2016-07-21 MID-FAIRFIELD CHILD GUIDANCE CENTER, INC 68
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-01-01
Business code 621420
Sponsor’s telephone number 2032991315
Plan sponsor’s address 100 EAST AVENUE, NORWALK, CT, 06851

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing JOHN GLECKLER
Valid signature Filed with authorized/valid electronic signature
MID-FAIRFIELD CHILD GUIDANCE CENTER, INC 403(B) PLAN 2014 060725052 2015-10-07 MID-FAIRFIELD CHILD GUIDANCE CENTER, INC 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-01-01
Business code 621420
Sponsor’s telephone number 2032991315
Plan sponsor’s address 100 EAST AVENUE, NORWALK, CT, 06851

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing STUART GREENBAUM
Valid signature Filed with authorized/valid electronic signature
MID-FAIRFIELD CHILD GUIDANCE CENTER, INC 403(B) PLAN 2013 060725052 2014-10-10 MID-FAIRFIELD CHILD GUIDANCE CENTER,INC 54
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-01-01
Business code 621420
Sponsor’s telephone number 2032991315
Plan sponsor’s address 100 EAST AVENUE, NORWALK, CT, 06851

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing STUART GREENBAUM
Valid signature Filed with authorized/valid electronic signature
MID FAIRFIELD CHILD GUIDANCE CENTER, INC 403(B) PLAN 2012 060725052 2013-07-31 MID FAIRFIELD CHILD GUIDANCE CENTER,INC 55
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-01-01
Business code 621420
Sponsor’s telephone number 2032991315
Plan sponsor’s address 100 EAST AVENUE, NORWALK, CT, 06851

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing STUART GREENBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-31
Name of individual signing STUART GREENBAUM
Valid signature Filed with authorized/valid electronic signature
MID FAIRFIELD CHILD GUIDANCE CENTER, INC 403(B) PLAN 2011 060725052 2012-10-05 MID FAIRFIELD CHILD GUIDANCE CENTER,INC 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-01-01
Business code 621420
Sponsor’s telephone number 2032991315
Plan sponsor’s address 100 EAST AVENUE, NORWALK, CT, 06851

Plan administrator’s name and address
Administrator’s EIN 060725052
Plan administrator’s name MID FAIRFIELD CHILD GUIDANCE CENTER,INC
Plan administrator’s address 100 EAST AVENUE, NORWALK, CT, 06851
Administrator’s telephone number 2032991315

Signature of
Role Plan administrator
Date 2012-10-05
Name of individual signing STUART GREENBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-05
Name of individual signing STUART GREENBAUM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
Clifford Beers Community Health Partners, Inc. Agent

Director

Name Role Business address Residence address
Gail Melanson Director 100 East Ave, Norwalk, CT, 06851-5010, United States 5 Brentley Dr, Shelton, CT, 06484-2501, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
LTN.0001197 TEMPORARY NONCOMMERCIAL LIQUOR PERMIT INACTIVE No data No data 2024-07-29 2024-07-29
CHR.0001825 PUBLIC CHARITY ACTIVE CURRENT 2019-06-01 2024-06-01 2025-05-31
POCA.0000697 Psychiatric Outpatient Clinic ACTIVE CURRENT 2018-11-15 2022-10-01 2025-09-30

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012215304 2024-11-20 No data Annual Report Annual Report No data
BF-0011870616 2023-06-30 2023-06-30 Amendment Certificate of Amendment No data
BF-0011082407 2023-06-23 No data Annual Report Annual Report No data
BF-0010323805 2022-07-15 No data Annual Report Annual Report 2022
BF-0009753734 2021-09-22 No data Annual Report Annual Report No data
0007021820 2020-11-18 No data Annual Report Annual Report 2020
0006578945 2019-06-18 No data Annual Report Annual Report 2019
0006223508 2018-07-27 No data Annual Report Annual Report 2018
0006220983 2018-06-29 2018-07-01 Amendment Restated No data
0006073470 2018-02-13 No data Annual Report Annual Report 2017

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website

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