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  5. ASYLUM HILL FAMILY MEDICINE CENTER, INC.

ASYLUM HILL FAMILY MEDICINE CENTER, INC.

Company Details

Entity Name: ASYLUM HILL FAMILY MEDICINE CENTER, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 25 Mar 1996
Business ALEI: 0533378
Annual report due: 25 Mar 2025
NAICS code: 621112 - Offices of Physicians, Mental Health Specialists
Business address: 114 WOODLAND STREET, HARTFORD, CT, 06105, United States
Mailing address: 114 WOODLAND STREET, LEGAL DEPARTMENT, HARTFORD, CT, United States, 06105
ZIP code: 06105
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: LEGALDEPARTMENT@TRINITYHEALTHOFNE.ORG

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASYLUM HILL FAMILY MEDICINE CENTER, INC. TAX-DEFERRED ANNUITY PLAN 2015 061450170 2017-07-17 ASYLUM HILL FAMILY MEDICINE CENTER, INC. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 611000
Sponsor’s telephone number 8607146523
Plan sponsor’s address 99 WOODLAND ST, HARTFORD, CT, 06105

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing WENDY WIGGLESWORTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-17
Name of individual signing WENDY WIGGLESWORTH
Valid signature Filed with authorized/valid electronic signature
ASYLUM HILL FAMILY MEDICINE CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2015 061450170 2017-07-17 ASYLUM HILL FAMILY MEDICINE CENTER, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 611000
Sponsor’s telephone number 8607146523
Plan sponsor’s address 99 WOODLAND ST, HARTFORD, CT, 06105

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing WENDY WIGGLESWORTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-17
Name of individual signing WENDY WIGGLESWORTH
Valid signature Filed with authorized/valid electronic signature
ASYLUM HILL FAMILY MEDICINE CENTER, INC. TAX-DEFERRED ANNUITY PLAN 2014 061450170 2016-07-08 ASYLUM HILL FAMILY MEDICINE CENTER, INC. 51
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 611000
Sponsor’s telephone number 8607146523
Plan sponsor’s address 99 WOODLAND ST, HARTFORD, CT, 06105

Signature of
Role Plan administrator
Date 2016-07-08
Name of individual signing ROBERT CUSHMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-08
Name of individual signing ROBERT CUSHMAN
Valid signature Filed with authorized/valid electronic signature
ASYLUM HILL FAMILY MEDICINE CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2014 061450170 2016-07-08 ASYLUM HILL FAMILY MEDICINE CENTER, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 611000
Sponsor’s telephone number 8607146523
Plan sponsor’s address 99 WOODLAND ST, HARTFORD, CT, 06105

Signature of
Role Plan administrator
Date 2016-07-08
Name of individual signing ROBERT CUSHMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-08
Name of individual signing ROBERT CUSHMAN
Valid signature Filed with authorized/valid electronic signature
ASYLUM HILL FAMILY MEDICINE CENTER, INC. TAX-DEFERRED ANNUITY PLAN 2013 061450170 2015-07-14 ASYLUM HILL FAMILY MEDICINE CENTER, INC. 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 611000
Sponsor’s telephone number 8607146523
Plan sponsor’s address 99 WOODLAND ST, HARTFORD, CT, 06105

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing ROBERT CUSHMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing ROBERT CUSHMAN
Valid signature Filed with authorized/valid electronic signature
ASYLUM HILL FAMILY MEDICINE CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2013 061450170 2015-07-14 ASYLUM HILL FAMILY MEDICINE CENTER, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 611000
Sponsor’s telephone number 8607146523
Plan sponsor’s address 99 WOODLAND ST, HARTFORD, CT, 06105

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing ROBERT CUSHMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing ROBERT CUSHMAN
Valid signature Filed with authorized/valid electronic signature
ASYLUM HILL FAMILY MEDICINE CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2012 061450170 2014-04-29 ASYLUM HILL FAMILY MEDICINE CENTER, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 611000
Sponsor’s telephone number 8607144129
Plan sponsor’s address 99 WOODLAND ST, HARTFORD, CT, 06105

Plan administrator’s name and address
Administrator’s EIN 141906528
Plan administrator’s name JAMES M HAFFORD
Administrator’s telephone number 8607146523

Signature of
Role Plan administrator
Date 2014-04-29
Name of individual signing JAMES HAFFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-29
Name of individual signing ROBERT CUSHMAN
Valid signature Filed with authorized/valid electronic signature
ASYLUM HILL FAMILY MEDICINE CENTER, INC. TAX-DEFERRED ANNUITY PLAN 2012 061450170 2014-04-29 ASYLUM HILL FAMILY MEDICINE CENTER, INC. 55
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 611000
Sponsor’s telephone number 8607144129
Plan sponsor’s address 99 WOODLAND ST, HARTFORD, CT, 06105

Plan administrator’s name and address
Administrator’s EIN 141906528
Plan administrator’s name JAMES M HAFFORD
Administrator’s telephone number 8607146523

Signature of
Role Plan administrator
Date 2014-04-29
Name of individual signing JAMES HAFFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-29
Name of individual signing ROBERT CUSHMAN
Valid signature Filed with authorized/valid electronic signature
ASYLUM HILL FAMILY MEDICINE CENTER, INC. TAX DEFERRED ANNUITY PLAN 2011 061450170 2013-07-15 ASYLUM HILL FAMILY MEDICINE CENTER, INC. 57
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 611000
Sponsor’s telephone number 8607144129
Plan sponsor’s address 99 WOODLAND ST, HARTFORD, CT, 06105

Plan administrator’s name and address
Administrator’s EIN 141906528
Plan administrator’s name JAMES M HAFFORD
Plan administrator’s address 99 WOODLAND ST, HARTFORD, CT, 06105
Administrator’s telephone number 8607146523

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing JAMES HAFFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-15
Name of individual signing ROBERT CUSHMAN
Valid signature Filed with authorized/valid electronic signature
ASYLUM HILL FAMILY MEDICINE CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2011 061450170 2013-07-15 ASYLUM HILL FAMILY MEDICINE CENTER, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 611000
Sponsor’s telephone number 8607144129
Plan sponsor’s address 99 WOODLAND ST, HARTFORD, CT, 06105

Plan administrator’s name and address
Administrator’s EIN 141906528
Plan administrator’s name JAMES M HAFFORD
Plan administrator’s address 99 WOODLAND ST, HARTFORD, CT, 06105
Administrator’s telephone number 8607146523

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing JAMES HAFFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-15
Name of individual signing ROBERT CUSHMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

Officer

Name Role Business address Residence address
JAMES HARRIS Officer 114 WOODLAND STREET, HARTFORD, CT, 06105, United States 61 TIMBER TRAIL, TOLLAND, CT, 06084, United States
Deborah Bitsoli Officer 271 Carew Street, Springfield, MA, 01104, United States 271 Carew St, Springfield, MA, 01104-2377, United States
Thomas Agresta Officer 99 Woodland St, Hartford, CT, 06105-1207, United States 99 Woodland St, Hartford, CT, 06105-1207, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0013274127 2024-12-02 No data Mass Agent Change � Address Agent Address Change No data
BF-0012293243 2024-06-10 No data Annual Report Annual Report No data
BF-0011258345 2023-03-24 No data Annual Report Annual Report No data
BF-0010192559 2022-02-24 No data Annual Report Annual Report 2022
0007184929 2021-02-23 No data Annual Report Annual Report 2021
0006765037 2020-02-20 No data Annual Report Annual Report 2020
0006463037 2019-03-14 No data Annual Report Annual Report 2019
0006136083 2018-03-23 No data Annual Report Annual Report 2018
0005803741 2017-03-29 No data Annual Report Annual Report 2017
0005570596 2016-05-20 No data Annual Report Annual Report 2016

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
06-1450170 Association Unconditional Exemption 114 WOODLAND STREET MS-510358, HARTFORD, CT, 06105-1208 1946-03
In Care of Name -
Group Exemption Number 0928
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 Subordinate - This code is used if the organization is a subordinate in a group ruling.
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Religious 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 Church 170(b)(1)(A)(i)
Tax Period 2023-09
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 Sep
Asset Amount 833672
Income Amount 4069317
Form 990 Revenue Amount 3937562
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name ASYLUM HILL FAMILY MEDICINE CENTER INC
EIN 06-1450170
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name ASYLUM HILL FAMILY MEDICINE CENTER INC
EIN 06-1450170
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name ASYLUM HILL FAMILY MEDICINE CENTER INC
EIN 06-1450170
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name ASYLUM HILL FAMILY MEDICINE CENTER INC
EIN 06-1450170
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name ASYLUM HILL FAMILY MEDICINE CENTER INC
EIN 06-1450170
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name ASYLUM HILL FAMILY MEDICINE CENTER INC
EIN 06-1450170
Tax Period 201609
Filing Type E
Return Type 990
File View File
Organization Name ASYLUM HILL FAMILY MEDICINE CENTER INC
EIN 06-1450170
Tax Period 201509
Filing Type E
Return Type 990
File View File

Related by officers

JAMES HARRIS

CAPITAL AREA HEALTH CONSORTIUM, INC. SPX COOLING TECHNOLOGIES, INC. SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. SFH/FF, LLC COLLABORATIVE LABORATORY SERVICES, LLC SPX CORPORATION ESCELENA'S CONSTRUCTION LLC ICONN FENCING CLUB LLC SPARX UNITED LLLC ELITE CLEANING SERVICES, LLC

Deborah Bitsoli

SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. SAINT FRANCIS CARE MEDICAL GROUP, P.C. FRANKLIN MEDICAL GROUP, P.C. SAINT FRANCIS EMERGENCY MEDICAL GROUP, INC.

Related by address

114 WOODLAND STREET, HARTFORD, CT, 06105, United States

WOODLAND ANESTHESIOLOGY ASSOCIATES, P.C. WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER, INC. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. SAINT FRANCIS CARE MEDICAL GROUP, P.C. TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC. SAINT FRANCIS EMERGENCY MEDICAL GROUP, INC. CONNECTICUT INTERVENTIONAL PAIN CONSULTANTS, P.C. TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES, INC.

Date of last update: 10 Mar 2025

Sources: Connecticut's Official State Website

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