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CONNECTICUT BEHAVIORAL HEALTH, LLC

Company Details

Entity Name: CONNECTICUT BEHAVIORAL HEALTH, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 09 Aug 2004
Business ALEI: 0793394
Annual report due: 31 Mar 2025
NAICS code: 621330 - Offices of Mental Health Practitioners (except Physicians)
Business address: 673 SOUTH MAIN ST, CHESHIRE, CT, 06410, United States
Mailing address: 673 SOUTH MAIN ST, CHESHIRE, CT, United States, 06410
ZIP code: 06410
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: connbhealth@aol.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN 2022 342017365 2023-11-28 CONNECTICUT BEHAVIORAL HEALTH, LLC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2032711430
Plan sponsor’s address 673 SOUTH MAIN STREET, CHESHIRE, CT, 06410

Signature of

Role Plan administrator
Date 2023-11-28
Name of individual signing JONATHAN PEDRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-11-28
Name of individual signing JONATHAN PEDRO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN 2022 342017365 2023-10-02 CONNECTICUT BEHAVIORAL HEALTH, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2032711430
Plan sponsor’s address 673 SOUTH MAIN STREET, CHESHIRE, CT, 06410

Signature of

Role Plan administrator
Date 2023-10-02
Name of individual signing LEIGH ANN CULLEN
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN 2021 342017365 2022-10-11 CONNECTICUT BEHAVIORAL HEALTH, LLC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2032711430
Plan sponsor’s address 673 SOUTH MAIN STREET, CHESHIRE, CT, 06410

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing LEIGH ANN CULLEN
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN 2020 342017365 2021-10-15 CONNECTICUT BEHAVIORAL HEALTH, LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2032711430
Plan sponsor’s address 673 SOUTH MAIN STREET, CHESHIRE, CT, 06410

Signature of

Role Plan administrator
Date 2021-10-15
Name of individual signing JONATHAN PEDRO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN 2019 342017365 2020-10-13 CONNECTICUT BEHAVIORAL HEALTH, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2032711430
Plan sponsor’s address 673 SOUTH MAIN STREET, CHESHIRE, CT, 06410

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing JONATHAN PEDRO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN 2018 342017365 2019-10-14 CONNECTICUT BEHAVIORAL HEALTH, LLC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2032711430
Plan sponsor’s address 673 SOUTH MAIN STREET, CHESHIRE, CT, 06410

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing JONATHAN PEDRO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN 2017 342017365 2018-10-11 CONNECTICUT BEHAVIORAL HEALTH, LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2032711430
Plan sponsor’s address 673 SOUTH MAIN STREET, CHESHIRE, CT, 06410

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing JONATHAN PEDRO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN 2016 342017365 2017-05-10 CONNECTICUT BEHAVIORAL HEALTH, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2032711430
Plan sponsor’s address 673 SOUTH MAIN STREET, CHESHIRE, CT, 06410

Signature of

Role Plan administrator
Date 2017-05-10
Name of individual signing JONATHAN PEDRO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN 2015 342017365 2016-10-06 CONNECTICUT BEHAVIORAL HEALTH, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2032711430
Plan sponsor’s address 673 SOUTH MAIN STREET, CHESHIRE, CT, 06410

Signature of

Role Plan administrator
Date 2016-10-06
Name of individual signing JONATHAN PEDRO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
JONATHAN J. PEDRO Agent 673 SOUTH MAIN STREET, CHESHIRE, CT, 06410, United States 673 SOUTH MAIN STREET, CHESHIRE, CT, 06410, United States +1 203-271-1430 connbhealth@aol.com 272 BROADWAY, MILFORD, CT, 06460, United States

Officer

Name Role Business address Phone E-Mail Residence address
JONATHAN J. PEDRO Officer 673 SOUTH MAIN ST, CHESHIRE, CT, 06410, United States +1 203-271-1430 connbhealth@aol.com 272 BROADWAY, MILFORD, CT, 06460, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012320013 2024-01-17 No data Annual Report Annual Report No data
BF-0011160506 2023-07-31 No data Annual Report Annual Report No data
BF-0010708204 2023-07-31 No data Annual Report Annual Report No data
BF-0008879479 2023-07-31 No data Annual Report Annual Report 2020
BF-0009866020 2023-07-31 No data Annual Report Annual Report No data
BF-0011886331 2023-07-17 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0006455412 2019-03-12 No data Annual Report Annual Report 2018
0006455420 2019-03-12 No data Annual Report Annual Report 2019
0006262165 2018-10-22 2018-10-22 Change of Agent Address Agent Address Change No data
0006002439 2018-01-11 No data Annual Report Annual Report 2017

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website