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JOHN J. DRISCOLL UNITED LABOR AGENCY, INC.

Company Details

Entity Name: JOHN J. DRISCOLL UNITED LABOR AGENCY, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Forfeited
Date Formed: 13 Sep 1978
Business ALEI: 0079520
Business address: 56 TOWN LINE ROAD, ROCKY HILL, CT, 06067, United States
Mailing address: 56 TOWN LINE ROAD, ROCKY HILL, CT, United States, 06067
ZIP code: 06067
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: amyblackwood@ctula.org

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
37XJ4 Active Non-Manufacturer 2005-03-31 2024-10-20 2024-11-19 2020-11-18

Contact Information

POC AMY R. BLACKWOOD
Phone +1 860-258-6640
Fax +1 860-258-6644
Address 56 TOWN LINE RD, ROCKY HILL, CT, 06067 1241, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHN J. DRISCOLL UNITED LABOR AGENCY 403(B) PLAN 2020 060987695 2021-10-12 JOHN J. DRISCOLL UNITED LABOR AGENCY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813930
Sponsor’s telephone number 8602586640
Plan sponsor’s address 56 TOWNLINE ROAD, ROCKY HILL, CT, 06067

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing KATHERINE MAMED
Valid signature Filed with authorized/valid electronic signature
JOHN J. DRISCOLL UNITED LABOR AGENCY 403(B) PLAN 2019 060987695 2020-10-15 JOHN J. DRISCOLL UNITED LABOR AGENCY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813930
Sponsor’s telephone number 8602586640
Plan sponsor’s address 56 TOWNLINE ROAD, ROCKY HILL, CT, 06067

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing KATHERINE MAMED
Valid signature Filed with authorized/valid electronic signature
JOHN J. DRISCOLL UNITED LABOR AGENCY 403(B) PLAN 2018 060987695 2019-06-18 JOHN J. DRISCOLL UNITED LABOR AGENCY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813930
Sponsor’s telephone number 8602586640
Plan sponsor’s address 56 TOWNLINE ROAD, ROCKY HILL, CT, 06067

Signature of

Role Plan administrator
Date 2019-06-18
Name of individual signing AMY BLACKWOOD
Valid signature Filed with authorized/valid electronic signature
JOHN J. DRISCOLL UNITED LABOR AGENCY 403(B) PLAN 2017 060987695 2018-06-27 JOHN J. DRISCOLL UNITED LABOR AGENCY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813930
Sponsor’s telephone number 8602586640
Plan sponsor’s address 56 TOWNLINE ROAD, ROCKY HILL, CT, 06067

Signature of

Role Plan administrator
Date 2018-06-27
Name of individual signing AMY BLACKWOOD
Valid signature Filed with authorized/valid electronic signature
JOHN J. DRISCOLL UNITED LABOR AGENCY 403(B) PLAN 2016 060987695 2017-07-28 JOHN J. DRISCOLL UNITED LABOR AGENCY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813930
Sponsor’s telephone number 8602586640
Plan sponsor’s address 56 TOWNLINE ROAD, ROCKY HILL, CT, 06067

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing AMY BLACKWOOD
Valid signature Filed with authorized/valid electronic signature
JOHN J. DRISCOLL UNITED LABOR AGENCY 403(B) PLAN 2015 060987695 2016-04-18 JOHN J. DRISCOLL UNITED LABOR AGENCY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813930
Sponsor’s telephone number 8602586640
Plan sponsor’s address 56 TOWNLINE ROAD, ROCKY HILL, CT, 06067

Signature of

Role Plan administrator
Date 2016-04-18
Name of individual signing AMY BLACKWOOD
Valid signature Filed with authorized/valid electronic signature
JOHN J. DRISCOLL UNITED LABOR AGENCY 403(B) PLAN 2014 060987695 2015-10-06 JOHN J. DRISCOLL UNITED LABOR AGENCY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813930
Sponsor’s telephone number 8602586640
Plan sponsor’s address 56 TOWNLINE ROAD, ROCKY HILL, CT, 06067

Signature of

Role Plan administrator
Date 2015-10-06
Name of individual signing AMY BLACKWOOD
Valid signature Filed with authorized/valid electronic signature
JOHN J. DRISCOLL UNITED LABOR AGENCY 403(B) PLAN 2013 060987695 2015-10-06 JOHN J. DRISCOLL UNITED LABOR AGENCY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813930
Sponsor’s telephone number 8602586640
Plan sponsor’s address 56 TOWNLINE ROAD, ROCKY HILL, CT, 06067

Signature of

Role Plan administrator
Date 2015-10-06
Name of individual signing AMY BLACKWOOD
Valid signature Filed with authorized/valid electronic signature
JOHN J. DRISCOLL UNITED LABOR AGENCY 403(B) PLAN 2013 060987695 2014-10-09 JOHN J. DRISCOLL UNITED LABOR AGENCY 11
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813930
Sponsor’s telephone number 8602586640
Plan sponsor’s address 56 TOWNLINE ROAD, ROCKY HILL, CT, 06067

Plan administrator’s name and address

Administrator’s EIN 060987695
Plan administrator’s name JOHN J. DRISCOLL UNITED LABOR AGENCY
Plan administrator’s address 56 TOWNLINE ROAD, ROCKY HILL, CT, 06067
Administrator’s telephone number 8602586640

Signature of

Role Plan administrator
Date 2014-10-09
Name of individual signing AMY BLACKWOOD
Valid signature Filed with authorized/valid electronic signature
JOHN J. DRISCOLL UNITED LABOR AGENCY 403(B) PLAN 2012 060987695 2015-10-06 JOHN J. DRISCOLL UNITED LABOR AGENCY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813930
Sponsor’s telephone number 8602586640
Plan sponsor’s address 56 TOWNLINE ROAD, ROCKY HILL, CT, 06067

Signature of

Role Plan administrator
Date 2015-10-06
Name of individual signing AMY BLACKWOOD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role E-Mail Residence address
LYNN M. DALLAS Agent amyblackwood@ctula.org 630 OAKWOOD AVE, WEST HARTFORD, CT, 06110, United States

Officer

Name Role Business address Residence address
SAL LUCIANO Officer 56 TOWN LINE ROAD, ROCKY HILL, CT, 06067, United States 56 TOWN LINE ROAD, ROCKY HILL, CT, 06067, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0001404 PUBLIC CHARITY INACTIVE DUE TO NON-RENEWAL OF CREDENTIAL No data 2019-06-01 2020-05-31
RAFF.02113-CL 2 RAFFLE PERMIT CLASS 2 CLOSED VERIFICATION STATEMENT COMPLETE 2014-08-16 2014-08-16 2014-08-16
RAFF.01412-CL 4 RAFFLE PERMIT CLASS 4 CLOSED VERIFICATION STATEMENT COMPLETE 2013-08-30 2013-08-30 2013-08-30

History

Type Old value New value Date of change
Name change CONNECTICUT UNITED LABOR COMMUNITY SERVICES CENTER, INC. JOHN J. DRISCOLL UNITED LABOR AGENCY, INC. 1995-07-28

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011950791 2023-08-30 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0011822621 2023-05-26 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0006615215 2019-08-06 No data Annual Report Annual Report 2018
0006239256 2018-08-29 No data Annual Report Annual Report 2017
0006239249 2018-08-29 No data Annual Report Annual Report 2015
0006239254 2018-08-29 No data Annual Report Annual Report 2016
0005189271 2014-09-24 No data Annual Report Annual Report 2014
0005051061 2014-02-28 No data Annual Report Annual Report 2013
0004698858 2012-08-07 No data Annual Report Annual Report 2012
0004641856 2011-10-24 No data Annual Report Annual Report 2011

Date of last update: 13 Jan 2025

Sources: Connecticut's Official State Website