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WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC.

Company Details

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

form 5500

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
File View Page
Three-digit plan number (PN) 001
Plan sponsor’s mailing address 24 HOSPITAL AVE, DANBURY, CT, 06810
Plan sponsor’s address 24 HOSPITAL AVE, DANBURY, CT, 06810

Plan administrator’s name and address

Administrator’s EIN 222594977
Plan administrator’s name DANBURY HEALTH SYSTEMS, INC.
Plan administrator’s address 24 HOSPITAL AVE, DANBURY, CT, 06810

Agent

Name Role
C T CORPORATION SYSTEM Agent

Officer

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

Director

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

License

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

History

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

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