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SOUTH PARK INN, INC.

Company Details

Entity Name: SOUTH PARK INN, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 18 Apr 1983
Business ALEI: 0141847
Annual report due: 18 Apr 2025
NAICS code: 624221 - Temporary Shelters
Business address: 75 MAIN STREET, HARTFORD, CT, 06106, United States
Mailing address: 75 MAIN STREET, HARTFORD, CT, United States, 06106
ZIP code: 06106
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: spioperations@southparkinn.org

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
RTB1L7B51C37 2024-07-06 75 MAIN ST, HARTFORD, CT, 06106, 1806, USA 75 MAIN STREET, HARTFORD, CT, 06106, 1806, USA

Business Information

Doing Business As SOUTH PARK INN INC
URL www.southparkinn.org
Congressional District 01
State/Country of Incorporation CT, USA
Activation Date 2023-07-20
Initial Registration Date 2008-05-27
Entity Start Date 1983-08-01
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 624221

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JODIE JACARUSO
Role ACCOUNTING MANAGER
Address 75 MAIN STREET, HARTFORD, CT, 06106, 1806, USA
Title ALTERNATE POC
Name JANE BANKS
Role EXECUTIVE DIRECTOR
Address 75 MAIN STREET, HARTFORD, CT, 06106, 1806, USA
Government Business
Title PRIMARY POC
Name JANE BANKS
Role EXECUTIVE DIRECTOR
Address 75 MAIN STREET, 75 MAIN STREET, HARTFORD, CT, 06106, 1806, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
53E30 Active Non-Manufacturer 2008-05-27 2024-05-23 2029-05-23 2025-05-22

Contact Information

POC THERESA NICHOLSON
Phone +1 860-724-0071
Fax +1 860-295-8600
Address 75 MAIN ST, HARTFORD, CT, 06106 1806, 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
403(B) THRIFT PLAN OF SOUTH PARK INN, INC. 2023 061083735 2024-11-06 SOUTH PARK INN, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624100
Sponsor’s telephone number 8607240071
Plan sponsor’s address 75 MAIN ST, HARTFORD, CT, 061061806

Signature of

Role Plan administrator
Date 2024-11-06
Name of individual signing THERESA NICHOLSON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH PARK INN, INC. 2022 061083735 2024-11-06 SOUTH PARK INN, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624100
Sponsor’s telephone number 8607240071
Plan sponsor’s address 75 MAIN ST, HARTFORD, CT, 061061806

Signature of

Role Plan administrator
Date 2024-11-06
Name of individual signing THERESA NICHOLSON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH PARK INN, INC. 2021 061083735 2022-10-20 SOUTH PARK INN, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624100
Sponsor’s telephone number 8607240071
Plan sponsor’s address 75 MAIN ST, HARTFORD, CT, 061061806

Signature of

Role Plan administrator
Date 2022-10-20
Name of individual signing JANE BANKS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH PARK INN, INC. 2020 061083735 2021-07-14 SOUTH PARK INN, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624100
Sponsor’s telephone number 8607240071
Plan sponsor’s address 75 MAIN ST, HARTFORD, CT, 061061806

Signature of

Role Plan administrator
Date 2021-07-14
Name of individual signing JANE BANKS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH PARK INN, INC. 2019 061083735 2020-07-27 SOUTH PARK INN, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624100
Sponsor’s telephone number 8607240071
Plan sponsor’s address 75 MAIN ST, HARTFORD, CT, 061061806

Signature of

Role Plan administrator
Date 2020-07-27
Name of individual signing JANE BANKS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH PARK INN, INC. 2018 061083735 2019-07-31 SOUTH PARK INN, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 624100
Sponsor’s telephone number 8607240071
Plan sponsor’s address 75 MAIN ST, HARTFORD, CT, 061061806

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing JEFFREY KATZ
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH PARK INN, INC. 2017 061083735 2018-07-20 SOUTH PARK INN, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 813000
Sponsor’s telephone number 8607240071
Plan sponsor’s address 75 MAIN ST, HARTFORD, CT, 061061806

Signature of

Role Plan administrator
Date 2018-07-18
Name of individual signing JEFF KATZ
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH PARK INN,INC. 2016 061083735 2017-06-26 SOUTH PARK INN,INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 813000
Sponsor’s telephone number 8607240071
Plan sponsor’s address 75 MAIN ST, HARTFORD, CT, 06106

Signature of

Role Plan administrator
Date 2017-06-26
Name of individual signing JOHN FERRUCCI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-26
Name of individual signing JOHN FERRUCCI
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH PARK INN,INC. 2015 061083735 2016-05-11 SOUTH PARK INN,INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 813000
Sponsor’s telephone number 8607240071
Plan sponsor’s address 75 MAIN ST, HARTFORD, CT, 06106

Signature of

Role Plan administrator
Date 2016-05-11
Name of individual signing MARY LUSSO
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTH PARK INN,INC. 2014 061083735 2015-07-16 SOUTH PARK INN,INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 813000
Sponsor’s telephone number 8607240071
Plan sponsor’s address 75 MAIN ST, HARTFORD, CT, 06106

Signature of

Role Plan administrator
Date 2015-07-16
Name of individual signing MARY LUSSO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
Theresa Nicholson Agent 75 Main St., Hartford, CT, 06106, United States +1 860-916-2084 tnicholson@southparkinn.org 66 Chatfield Dr, West Hartford, CT, 06110-2800, United States

Officer

Name Role Business address Residence address
Andrew DePeau Officer 280 Trumbull St, Hartford, CT, 06103-3509, United States 55 Horizon Cir, South Windsor, CT, 06074-3818, United States
Kevin Noblet Officer No data 9 W River Rd, Barkhamsted, CT, 06063-7002, United States
Divya Subramania Officer No data 151 Farmington Ave, Avon, CT, 06001, United States
Dena Rosenbloom Officer No data 8 Woodpond Rd, West Hartford, CT, 06107-3526, United States

Director

Name Role Business address Phone E-Mail Residence address
Theresa Nicholson Director 75 Main St., Hartford, CT, 06106, United States +1 860-916-2084 tnicholson@southparkinn.org 66 Chatfield Dr, West Hartford, CT, 06110-2800, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CHR.0001580 PUBLIC CHARITY ACTIVE IN RENEWAL ACTIVE 2018-12-01 2023-12-01 2024-11-30

History

Type Old value New value Date of change
Name change HARTFORD COALITION FOR EMERGENCY SHELTERS, INC. SOUTH PARK INN, INC. 1992-06-03

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012279985 2024-07-16 No data Annual Report Annual Report No data
BF-0011382061 2024-07-01 No data Annual Report Annual Report No data
BF-0010630198 2024-07-01 No data Annual Report Annual Report No data
BF-0012661144 2024-06-10 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
BF-0009803195 2022-05-26 No data Annual Report Annual Report No data
0007290188 2021-04-08 No data Annual Report Annual Report 2020
0006591261 2019-07-08 No data Annual Report Annual Report 2019
0006124382 2018-03-15 No data Annual Report Annual Report 2018
0005824689 2017-04-24 No data Annual Report Annual Report 2017
0005551654 2016-04-28 No data Annual Report Annual Report 2016

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD 36C24123P0738 2023-07-01 2025-06-30 2028-06-30
Unique Award Key CONT_AWD_36C24123P0738_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 115165.69
Current Award Amount 115165.69
Potential Award Amount 367015.13

Description

Title 36C24123P0738 EMERGENCY HOMELESS BEDS CT HCS
NAICS Code 624221: TEMPORARY SHELTERS
Product and Service Codes G004: SOCIAL- SOCIAL REHABILITATION

Recipient Details

Recipient SOUTH PARK INN, INC.
UEI RTB1L7B51C37
Recipient Address UNITED STATES, 75 MAIN ST, HARTFORD, CONNECTICUT, 061061806
PURCHASE ORDER AWARD 36C24118P0493 2018-01-01 2023-12-20 2023-12-20
Unique Award Key CONT_AWD_36C24118P0493_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 212698.90
Current Award Amount 212698.90
Potential Award Amount 212698.90

Description

Title RESIDENTIAL SERVICES FOR HOMELESS VETERANS
NAICS Code 624221: TEMPORARY SHELTERS
Product and Service Codes G004: SOCIAL- SOCIAL REHABILITATION

Recipient Details

Recipient SOUTH PARK INN, INC.
UEI RTB1L7B51C37
Recipient Address UNITED STATES, 75 MAIN ST, HARTFORD, HARTFORD, CONNECTICUT, 061061806

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website