Entity Name: | WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. |
Jurisdiction: | Connecticut |
Legal type: | Non-Stock |
Citizenship: | Domestic |
Status: | Active |
Sub status: | Annual report due |
Date Formed: | 13 Mar 1985 |
Business ALEI: | 0166972 |
Annual report due: | 13 Mar 2025 |
NAICS code: | 621512 - Diagnostic Imaging Centers |
Business address: | 99 Locust Avenue, DANBURY, CT, 06810, United States |
Mailing address: | 99 Locust Avenue, DANBURY, CT, United States, 06810 |
ZIP code: | 06810 |
County: | Fairfield |
Place of Formation: | CONNECTICUT |
E-Mail: | CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
DANBURY HEALTH SYSTEMS, INC. PENSION PLAN | 2009 | 222594977 | 2010-08-16 | DANBURY HEALTH SYSTEMS, INC. | No data | |||||||||||||||
|
Administrator’s EIN | 222594977 |
Plan administrator’s name | DANBURY HEALTH SYSTEMS, INC. |
Plan administrator’s address | 24 HOSPITAL AVE, DANBURY, CT, 06810 |
Name | Role |
---|---|
C T CORPORATION SYSTEM | Agent |
Name | Role | Business address | Residence address |
---|---|---|---|
Brian Wyatt | Officer | 99 Locust Avenue, DANBURY, CT, 06810, United States | 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States |
Daniel DeBarba | Officer | 99 Locust Avenue, DANBURY, CT, 06810, United States | 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States |
Name | Role | Business address | Residence address |
---|---|---|---|
Brian Wyatt | Director | 99 Locust Avenue, DANBURY, CT, 06810, United States | 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States |
Michelle Robertson | Director | 99 Locust Avenue, DANBURY, CT, 06810, United States | 28 Rocaton Rd, Darien, CT, 06820-3428, United States |
Daniel DeBarba | Director | 99 Locust Avenue, DANBURY, CT, 06810, United States | 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States |
Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
---|---|---|---|---|---|---|
HCA.0001800 | HOMEMAKER COMPANION AGENCY | ACTIVE IN RENEWAL | CURRENT | 2020-11-25 | 2023-11-01 | 2024-10-31 |
C.0C034P3 | Certified EMS Organization | INACTIVE | LAPSED DUE TO NON-RENEWAL | 2016-07-20 | 2019-07-01 | 2020-02-18 |
Type | Old value | New value | Date of change |
---|---|---|---|
Name change | DANBURY HEALTH CARE AFFILIATES, INC. | WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. | 2011-09-23 |
Name change | DANBURY HEALTH SYSTEMS, INC. | DANBURY HEALTH CARE AFFILIATES, INC. | 1989-11-14 |
Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
---|---|---|---|---|---|
BF-0013273614 | 2024-12-02 | No data | Mass Agent Change � Address | Agent Address Change | No data |
BF-0012050225 | 2024-02-14 | No data | Annual Report | Annual Report | No data |
BF-0011076787 | 2023-03-03 | No data | Annual Report | Annual Report | No data |
BF-0010214691 | 2022-02-14 | No data | Annual Report | Annual Report | 2022 |
0007327285 | 2021-04-29 | 2021-04-29 | Change of Agent | Agent Change | No data |
0007305990 | 2021-04-21 | No data | Annual Report | Annual Report | 2021 |
0007305989 | 2021-04-21 | No data | Annual Report | Annual Report | 2020 |
0006475758 | 2019-03-19 | No data | Annual Report | Annual Report | 2019 |
0006472170 | 2019-03-18 | No data | Annual Report | Annual Report | 2018 |
0006472101 | 2019-03-18 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 20 Jan 2025
Sources: Connecticut's Official State Website