| Entity Name: | SAINT RAPHAEL HEALTHCARE SYSTEM, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 04 Jun 1984 |
| Date of dissolution: | 19 Dec 2014 |
| Business ALEI: | 0157264 |
| Annual report due: | 29 Jun 2015 |
| Business address: | 200 ORCHARD STREET SUITE 204, NEW HAVEN, CT, 06511 |
| ZIP code: | 06511 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | jlubinszafranski@srhs.org |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAINT RAPHAEL HEALTHCARE SYSTEM, INC MEDICAL PLAN | 2013 | 060653171 | 2014-07-09 | SAINT RAPHAEL HEALTHCARE SYSTEM INC. | 399 | |||||||||||||||||||||||||||||
|
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| Active participants | 0 |
| Retired or separated participants receiving benefits | 73 |
Signature of
| Role | Plan administrator |
| Date | 2014-07-09 |
| Name of individual signing | JANEANNE C LUBIN-SZAFRANSKI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| SISTER TERESA CONFROY | Officer | SISTERS OF CHARITY OF SAINT ELIZABETH, ADMINISTRATION BUILDING, CONVENT STATION, NJ, 07961, United States | GENERALATE COMMUNITY, P.O. BOX 476, CONVENT STATION, NJ, 07961, United States |
| JANEANNE LUBIN-SZAFRANSKI | Officer | 200 ORCHARD ST., STE. 204, NEW HAVEN, CT, 06511, United States | 95 WHISPERING BROOK DR, KENSINGTON, CT, 06037, United States |
| MOST REV. PETER ROSAZZA | Officer | ST. THOMAS SEMINARY, 467 BLOOMFIELD AVENUE, BLOOMFIELD, CT, 06002, United States | ST. THOMAS SEMINARY, 467 BLOOMFIELD AVENUE, BLOOMFIELD, CT, 06002, United States |
| SISTER MARY MORLEY | Officer | MARIS STELLA RETREAT & CONFERENCE CENTER, 7201 LONG BEACH BOULEVARD, BOX 3135, HARVEY CEDARS, NJ, 08008, United States | MARIS STELLA RETREAT & CONFERENCE CENTER, 7201 LONG BEACH BOULEVARD, BOX 3135, HARVEY CEDARS, NJ, 08008, United States |
| M. JOSEPH CANAVAN | Officer | C/O CANAVAN CORPORATION, 944 MAIN STREET, BRANFORD, CT, 06405, United States | 1 SELDEN AVENUE, BRANFORD, CT, 06405, United States |
| SISTER MARGARET WELCH | Officer | C/O SR. ELLEN DAUWER, SRS OF CHARITY OF SAINT ELIZABETH, ADMINISTRATION BUILDING, CONVENT STATION, NJ, 07961, United States | 7 SOUTH STREET, NEWARK, NJ, 07102, United States |
| SISTER MARY SHAUGHNESSY | Officer | 2801 SAGEMORE DRIVE, MARLTON, NJ, 08053, United States | 2801 SAGEMORE DRIVE, MARLTON, NJ, 08053, United States |
| EDWARD J. MULLEN | Officer | 5 RIVERSIDE DRIVE, WESTON, CT, 06883, United States | 5 RIVERFIELD DRIVE, WESTON, CT, 06883, United States |
| KEVIN TWOHIG | Officer | C/O PULMONARY ASSOCIATES, 60 TEMPLE STREET, SUITE 7-F, NEW HAVEN, CT, 06510, United States | 128 GENESEE LANE, MADISON, CT, 06443, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CHR.0001209-EXEMPT | PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS | ACTIVE | No data | No data | No data | No data |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | SAINT RAPHAEL CORPORATION | SAINT RAPHAEL HEALTHCARE SYSTEM, INC. | 1990-01-11 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0006003220 | 2018-01-11 | 2018-01-11 | Agent Resignation | Agent Resignation | No data |
| 0005239620 | 2014-12-19 | 2014-12-19 | Dissolution | Certificate of Dissolution | No data |
| 0005219282 | 2014-11-17 | 2014-11-17 | Change of Agent | Agent Change | No data |
| 0005189849 | 2014-09-24 | 2014-09-24 | Merger | Certificate of Merger | No data |
| 0005110824 | 2014-05-22 | No data | Annual Report | Annual Report | 2014 |
| 0005006045 | 2013-12-23 | 2013-12-23 | Amendment | Amend | No data |
| 0004866532 | 2013-05-28 | No data | Annual Report | Annual Report | 2013 |
| 0004841954 | 2013-03-28 | No data | Interim Notice | Interim Notice | No data |
| 0004770932 | 2012-12-27 | 2012-12-27 | Amendment | Restate | No data |
| 0004745447 | 2012-11-12 | No data | Change of Agent Address | Agent Address Change | No data |
Date of last update: 06 Jan 2025
Sources: Connecticut's Official State Website
