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  5. MYSTIC RIVER RESIDENTIAL CARE, INC.

MYSTIC RIVER RESIDENTIAL CARE, INC.

Company Details

Entity Name: MYSTIC RIVER RESIDENTIAL CARE, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Forfeited
Date Formed: 14 Jul 2003
Business ALEI: 0754199
Business address: 14 GODFREY STREET, MYSTIC, CT, 06355
ZIP code: 06355
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: elaine.mrrc@sbcglobal.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MYSTIC RIVER RESIDENTIAL CARE, INC. 401K PLAN 2018 371470680 2019-07-03 MYSTIC RIVER RESIDENTIAL CARE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 8772538020
Plan sponsor’s address 14 GODFREY STREET, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2019-07-03
Name of individual signing ELAINE COLE
Valid signature Filed with authorized/valid electronic signature
MYSTIC RIVER RESIDENTIAL CARE, INC. 401K PLAN 2017 371470680 2018-08-16 MYSTIC RIVER RESIDENTIAL CARE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 8772539020
Plan sponsor’s address 14 GODFREY STREET, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2018-08-16
Name of individual signing ELAINE COLE
Valid signature Filed with authorized/valid electronic signature
MYSTIC RIVER RESIDENTIAL CARE, INC. 401K PLAN 2016 371470680 2017-08-28 MYSTIC RIVER RESIDENTIAL CARE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 8772539020
Plan sponsor’s address 14 GODFREY STREET, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2017-08-28
Name of individual signing ELAINE COLE
Valid signature Filed with authorized/valid electronic signature
MYSTIC RIVER RESIDENTIAL CARE, INC. 401K PLAN 2015 371470680 2016-10-11 MYSTIC RIVER RESIDENTIAL CARE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 8772539020
Plan sponsor’s address 14 GODFREY STREET, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing ELAINE COLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing ELAINE COLE
Valid signature Filed with authorized/valid electronic signature
MYSTIC RIVER RESIDENTIAL CARE, INC. 401K PLAN 2014 371470680 2015-04-22 MYSTIC RIVER RESIDENTIAL CARE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 8772539020
Plan sponsor’s address 14 GODFREY STREET, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2015-04-22
Name of individual signing ELAINE COLE
Valid signature Filed with authorized/valid electronic signature
MYSTIC RIVER RESIDENTIAL CARE, INC. 401K PLAN 2013 371470680 2014-07-02 MYSTIC RIVER RESIDENTIAL CARE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 8772539020
Plan sponsor’s address 14 GODFREY STREET, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2014-07-02
Name of individual signing ELAINE COLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-02
Name of individual signing ELAINE COLE
Valid signature Filed with authorized/valid electronic signature
MYSTIC RIVER RESIDENTIAL CARE, INC. 401(K) P/S PLAN 2012 371470680 2013-08-05 MYSTIC RIVER RESIDENTIAL CARE, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 8605368854
Plan sponsor’s address 14 GODFREY ST, MYSTIC, CT, 06355

Plan administrator’s name and address
Administrator’s EIN 371470680
Plan administrator’s name MYSTIC RIVER RESIDENTIAL CARE, INC.
Plan administrator’s address 14 GODFREY ST, MYSTIC, CT, 06355
Administrator’s telephone number 8605368854

Signature of
Role Plan administrator
Date 2013-08-05
Name of individual signing ELAINE COLE
Valid signature Filed with authorized/valid electronic signature
MYSTIC RIVER RESIDENTIAL 401 K PROFIT SHARING PLAN TRUST 2011 371470680 2012-07-24 MYSTIC RIVER RESIDENTIAL CARE 11
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8605368854
Plan sponsor’s address 14 GODFREY ST, MYSTIC, CT, 063551702

Plan administrator’s name and address
Administrator’s EIN 371470680
Plan administrator’s name MYSTIC RIVER RESIDENTIAL CARE
Plan administrator’s address 14 GODFREY ST, MYSTIC, CT, 063551702
Administrator’s telephone number 8605368854

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing MYSTIC RIVER RESIDENTIAL CARE
Valid signature Filed with incorrect/unrecognized electronic signature
MYSTIC RIVER RESIDENTIAL 401 K PROFIT SHARING PLAN TRUST 2011 371470680 2012-09-12 MYSTIC RIVER RESIDENTIAL CARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8605368854
Plan sponsor’s address 14 GODFREY ST, MYSTIC, CT, 063551702

Plan administrator’s name and address
Administrator’s EIN 371470680
Plan administrator’s name MYSTIC RIVER RESIDENTIAL CARE
Plan administrator’s address 14 GODFREY ST, MYSTIC, CT, 063551702
Administrator’s telephone number 8605368854

Signature of
Role Plan administrator
Date 2012-09-12
Name of individual signing MYSTIC RIVER RESIDENTIAL CARE
Valid signature Filed with authorized/valid electronic signature
MYSTIC RIVER RESIDENTIAL CARE 401 K PROFIT SHARING PLAN TRUST 2010 371470680 2011-08-19 MYSTIC RIVER RESIDENTIAL CARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8605368854
Plan sponsor’s address 14 GODFREY STREET, MYSTIC, CT, 06355

Plan administrator’s name and address
Administrator’s EIN 371470680
Plan administrator’s name MYSTIC RIVER RESIDENTIAL CARE
Plan administrator’s address 14 GODFREY STREET, MYSTIC, CT, 06355
Administrator’s telephone number 8605368854

Signature of
Role Plan administrator
Date 2011-08-19
Name of individual signing MYSTIC RIVER RESIDENTIAL CARE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
JOHN F. WOLTER ESQ. Agent UPDIKE, KELLY SPELLACY, P.C., ONE STATE STREET, SUITE 2400, HARTFORD, CT, 06103, United States elaine.mrrc@sbcglobal.net 16 Chittenden Lane, EAST HADDAM, CT, 06423, United States

Officer

Name Role Business address Residence address
ELAINE M. COLE Officer 14 GODFREY STREET, MYSTIC, CT, 06355, United States 17 BURROWS STREET, MYSTIC, CT, 06355, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
RCH.0001865 Residential Care Facility CLOSED CLOSED 2008-07-01 2017-07-01 2020-06-30

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011706754 2023-02-21 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0011165451 2022-11-21 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0005133549 2014-06-25 No data Annual Report Annual Report 2014
0004886243 2013-06-28 No data Annual Report Annual Report 2013
0004818116 2013-03-08 No data Annual Report Annual Report 2012
0004593068 2011-07-08 No data Annual Report Annual Report 2011
0004238826 2010-07-12 No data Annual Report Annual Report 2010
0003997547 2009-07-23 No data Annual Report Annual Report 2009
0003749936 2008-07-31 No data Annual Report Annual Report 2008
0003503907 2007-07-18 No data Annual Report Annual Report 2007

Related by officers

JOHN F. WOLTER ESQ.

PROFESSIONAL LIABILITY AGENTS NETWORK, INC. COTTRELL BREWING COMPANY, LLC BRAVERMAN NEWCORR, LLC READ TO GROW, INC. BRAVERMAN BRISTOL, LLC 183 OXFORD STREET ASSOCIATES, LLC 208 OXFORD STREET ASSOCIATES, LLC OXFORD BUILDERS, LLC MYSTIC RIVER RESIDENTIAL REALTY, INC. ARABIAN ASSOCIATES, INC.

ELAINE M. COLE

MYSTIC RIVER RESIDENTIAL REALTY, INC. MYSTIC RIVER REALTY, LLC

Related by address

14 GODFREY STREET, MYSTIC, CT, 06355

MYSTIC RIVER RESIDENTIAL REALTY, INC. MYSTIC RIVER REALTY, LLC

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website

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