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SUPPORTIVE ENVIRONMENTAL LIVING FACILITY, INC.

Date of last update: 28 Apr 2025. Data updated weekly.

Company Details

Entity Name: SUPPORTIVE ENVIRONMENTAL LIVING FACILITY, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 13 Apr 1988
Business ALEI: 0215022
Annual report due: 13 Apr 2026
Business address: 47 PIERPONT ST, WATERBURY, CT, 06708, United States
Mailing address: 47 PIERPONT ST, WATERBURY, CT, United States, 06708
ZIP code: 06708
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: ktaglia@selfct.org

Industry & Business Activity

NAICS

623220 Residential Mental Health and Substance Abuse Facilities

This industry comprises establishments primarily engaged in providing residential care and treatment for patients with mental health and substance abuse illnesses. These establishments provide room, board, supervision, and counseling services. Although medical services may be available at these establishments, they are incidental to the counseling, mental rehabilitation, and support services offered. These establishments generally provide a wide range of social services in addition to counseling. Learn more at the U.S. Census Bureau

Officer

Name Role Business address Residence address
GINA PETROKAITIS Officer - 3 MAYFIELD RD., WATERBURY, CT, 06708, United States
KIMBERLEY TAGLIA Officer 47 PIERPONT ST, WATERBURY, CT, 06708, United States 12 SPINDLE HILL RD 10F, WOLCOTT, CT, 06716, United States
LINDA NORMAN Officer 47 PIERPONT ST, WATERBURY, CT, 06708, United States 181 LOOMIS DR. #123, WEST HARTFORD, CT, 06107, United States

Agent

Name Role Business address Phone E-Mail Residence address
GINA M. PETROKAITIS Agent 678 CHASE PARKWAY, WATERBURY, CT, 06708, United States +1 203-592-3360 ktaglia@selfct.org 3 MAYFIELD RD, WATERBURY, CT, 06708, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
MHRL.0000051 Mental Health Residential Living CLOSED CLOSED 2016-03-30 2016-03-30 2017-12-31
CHR.0059419-EXEMPT PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS ACTIVE CURRENT 2016-02-01 2016-02-01 -

History

Type Old value New value Date of change
Name change SELF, INC. SUPPORTIVE ENVIRONMENTAL LIVING FACILITY, INC. 1989-06-26

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012914353 2025-03-20 - Annual Report Annual Report -
BF-0012189399 2024-03-19 - Annual Report Annual Report -
BF-0011387440 2023-03-16 - Annual Report Annual Report -
BF-0010293589 2022-04-12 - Annual Report Annual Report 2022
0007298833 2021-04-14 - Annual Report Annual Report 2021
0006879209 2020-04-08 - Annual Report Annual Report 2020
0006581265 2019-06-20 - Annual Report Annual Report 2019
0006581252 2019-06-20 - Annual Report Annual Report 2018
0006516176 2019-03-15 2019-03-15 Change of Agent Agent Change -
0005821644 2017-04-19 - Annual Report Annual Report 2017

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
06-1240040 Corporation Unconditional Exemption 47 PIERPONT ST, WATERBURY, CT, 06708-2155 1992-11
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2024-06
Asset 500,000 to 999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 578252
Income Amount 1866072
Form 990 Revenue Amount 1866072
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name SELF INC
EIN 06-1240040
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name SELF INC
EIN 06-1240040
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name SELF INC
EIN 06-1240040
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name SELF INC
EIN 06-1240040
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name SELF INC
EIN 06-1240040
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name SELF INC
EIN 06-1240040
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name SELF INC
EIN 06-1240040
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name SELF INC
EIN 06-1240040
Tax Period 201606
Filing Type E
Return Type 990
File View File
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Sources: Company Profile on Connecticut's Official State Website

* While we strive to keep this information correct and up-to-date, it is not the primary source, and the dataset source should always be referred to for definitive information