Entity Name: | MCLEAN AFFILIATES, INC. |
Jurisdiction: | Connecticut |
Legal type: | Non-Stock |
Citizenship: | Domestic |
Status: | Active |
Sub status: | Annual report due |
Date Formed: | 03 Jan 2008 |
Business ALEI: | 0923614 |
Annual report due: | 03 Jan 2026 |
Business address: | 75 GREAT POND ROAD, SIMSBURY, CT, 06070, United States |
Mailing address: | 75 GREAT POND ROAD, SIMSBURY, CT, United States, 06070 |
ZIP code: | 06070 |
County: | Hartford |
Place of Formation: | CONNECTICUT |
E-Mail: | jennifer.bryant@mcleancare.org |
NAICS
623110 Nursing Care Facilities (Skilled Nursing Facilities)This industry comprises establishments primarily engaged in providing inpatient nursing and rehabilitative services. The care is generally provided for an extended period of time to individuals requiring nursing care. These establishments have a permanent core staff of registered or licensed practical nurses who, along with other staff, provide nursing and continuous personal care services. Learn more at the U.S. Census Bureau
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||
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MCLEAN BENEFIT PLAN | 2021 | 261960246 | 2023-03-07 | MCLEAN AFFILIATES, INC. | 205 | |||||||||||||||||||||||||||||||||||||||||||
|
Active participants | 191 |
Retired or separated participants receiving benefits | 1 |
Other retired or separated participants entitled to future benefits | 2 |
Signature of
Role | Plan administrator |
Date | 2023-03-07 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 503 |
Effective date of plan | 2003-06-01 |
Business code | 623000 |
Sponsor’s telephone number | 8606583732 |
Plan sponsor’s mailing address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Plan sponsor’s address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Number of participants as of the end of the plan year
Active participants | 199 |
Retired or separated participants receiving benefits | 2 |
Other retired or separated participants entitled to future benefits | 3 |
Signature of
Role | Plan administrator |
Date | 2022-04-21 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 503 |
Effective date of plan | 2003-06-01 |
Business code | 623000 |
Sponsor’s telephone number | 8606583732 |
Plan sponsor’s mailing address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Plan sponsor’s address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Number of participants as of the end of the plan year
Active participants | 230 |
Retired or separated participants receiving benefits | 1 |
Other retired or separated participants entitled to future benefits | 1 |
Signature of
Role | Plan administrator |
Date | 2021-03-29 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 503 |
Effective date of plan | 2003-06-01 |
Business code | 623000 |
Sponsor’s telephone number | 8606583732 |
Plan sponsor’s mailing address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Plan sponsor’s address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Number of participants as of the end of the plan year
Active participants | 236 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 1 |
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Signature of
Role | Plan administrator |
Date | 2020-07-02 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 503 |
Effective date of plan | 2003-06-01 |
Business code | 623000 |
Sponsor’s telephone number | 8606583732 |
Plan sponsor’s mailing address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Plan sponsor’s address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Number of participants as of the end of the plan year
Active participants | 231 |
Retired or separated participants receiving benefits | 1 |
Other retired or separated participants entitled to future benefits | 1 |
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Signature of
Role | Plan administrator |
Date | 2019-04-22 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 503 |
Effective date of plan | 2003-06-01 |
Business code | 623000 |
Sponsor’s telephone number | 8606583732 |
Plan sponsor’s mailing address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Plan sponsor’s address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Number of participants as of the end of the plan year
Active participants | 218 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 1 |
Signature of
Role | Plan administrator |
Date | 2018-03-26 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2018-03-26 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 506 |
Effective date of plan | 1994-05-01 |
Business code | 623000 |
Sponsor’s telephone number | 8606583732 |
Plan sponsor’s mailing address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Plan sponsor’s address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Number of participants as of the end of the plan year
Active participants | 0 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 0 |
Signature of
Role | Plan administrator |
Date | 2018-03-23 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2018-03-23 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 510 |
Effective date of plan | 2009-10-01 |
Business code | 623000 |
Sponsor’s telephone number | 8606583700 |
Plan sponsor’s mailing address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Plan sponsor’s address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Number of participants as of the end of the plan year
Active participants | 0 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 0 |
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Signature of
Role | Plan administrator |
Date | 2018-03-26 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2018-03-26 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 508 |
Effective date of plan | 1994-05-01 |
Business code | 623000 |
Sponsor’s telephone number | 8606583732 |
Plan sponsor’s mailing address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Plan sponsor’s address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Number of participants as of the end of the plan year
Active participants | 0 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 0 |
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Signature of
Role | Plan administrator |
Date | 2018-03-21 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 510 |
Effective date of plan | 2009-10-01 |
Business code | 623000 |
Sponsor’s telephone number | 8603583700 |
Plan sponsor’s mailing address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Plan sponsor’s address | 75 GREAT POND RD, SIMSBURY, CT, 060701980 |
Number of participants as of the end of the plan year
Active participants | 84 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 0 |
Signature of
Role | Plan administrator |
Date | 2017-02-09 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2017-02-09 |
Name of individual signing | BONNIE KU |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Business address | Phone | Residence address | |
---|---|---|---|---|---|
Lisa Clark | Agent | 75 Great Pond Rd, Simsbury, CT, 06070-1980, United States | +1 860-306-2810 | jennifer.bryant@mcleancare.org | 14 Fieldstone Lane, Avon, CT, 06001, United States |
Name | Role | Business address | Phone | Residence address | |
---|---|---|---|---|---|
Lisa Clark | Officer | 75 GREAT POND ROAD, SIMSBURY, CT, 06070, United States | +1 860-306-2810 | jennifer.bryant@mcleancare.org | 14 Fieldstone Lane, Avon, CT, 06001, United States |
Carlene Rhea | Officer | 75 GREAT POND ROAD, SIMSBURY, CT, 06070, United States | - | - | 114 Winterbourne Ln, Canton, CT, 06019-2012, United States |
Paula DePinto | Officer | 75 Great Pond Rd, Simsbury, CT, 06070-1980, United States | - | - | 127 Burritt St, Unit 1, Plantsville, CT, 06479-1489, United States |
Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
---|---|---|---|---|---|---|
HCL.0001361 | HEALTH CLUB | ACTIVE | CURRENT | 2022-12-20 | 2024-10-01 | 2025-09-30 |
CHR.0056655 | PUBLIC CHARITY | ACTIVE | CURRENT | 2012-09-21 | 2024-09-01 | 2025-08-31 |
Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
---|---|---|---|---|---|
BF-0012987980 | 2024-12-19 | - | Annual Report | Annual Report | - |
BF-0011610041 | 2024-01-17 | - | Annual Report | Annual Report | - |
BF-0011610026 | 2023-01-03 | - | Annual Report | Annual Report | - |
BF-0011051559 | 2022-11-01 | 2022-11-01 | Interim Notice | Interim Notice | - |
BF-0010173886 | 2022-01-06 | - | Annual Report | Annual Report | 2022 |
BF-0009805378 | 2021-06-22 | - | Annual Report | Annual Report | - |
0006724622 | 2020-01-16 | - | Annual Report | Annual Report | 2020 |
0006534838 | 2019-04-16 | 2019-09-30 | Merger | Certificate of Merger | - |
0006313398 | 2019-01-09 | - | Annual Report | Annual Report | 2019 |
0006033691 | 2018-01-25 | - | Annual Report | Annual Report | 2018 |
Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
346003270 | 0112000 | 2022-06-07 | 75 GREAT POND ROAD, SIMSBURY, CT, 06070 | |||||||||||||||||||||||||||||||||||||||||||||||
|
Type | Complaint |
Activity Nr | 1584277 |
Health | Yes |
Violation Items
Citation ID | 01001 |
Citaton Type | Other |
Standard Cited | 19040004 A |
Issuance Date | 2022-11-30 |
Abatement Due Date | 2023-01-19 |
Current Penalty | 1232.7 |
Initial Penalty | 1761.0 |
Final Order | 2023-01-03 |
Nr Instances | 2 |
Nr Exposed | 60 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1904.4(a): The employer did not record each work-related fatality, injury or illness case that resulted in the general recording criteria on the OSHA Form 300 or equivalent. McClean Affiliates, located at 400 North Main Street, Bristol, CT 06010: The employer did not record employee work-related COVID-19 infections on the OSHA 300 log or its equivalent on the following occasions: a) A healthcare worker tested positive for COVID-19 on June 2, 2022, when multiple residents were confirmed COVID-19 positive. Worker had a minimum of five lost workdays. b) A healthcare worker tested positive for COVID-19 on June 5, 2022, when multiple residents were confirmed COVID-19 positive. Worker had a minimum of four lost workdays. Abatement Certification and Documentation is required |
EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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26-1960246 | Corporation | Unconditional Exemption | 75 GREAT POND RD, SIMSBURY, CT, 06070-1980 | 2008-05 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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 | MCLEAN AFFILIATES INC |
EIN | 26-1960246 |
Tax Period | 202209 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | MCLEAN AFFILIATES INC |
EIN | 26-1960246 |
Tax Period | 202109 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | MCLEAN AFFILIATES INC |
EIN | 26-1960246 |
Tax Period | 202009 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | MCLEAN AFFILIATES INC |
EIN | 26-1960246 |
Tax Period | 201909 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | MCLEAN AFFILIATES INC |
EIN | 26-1960246 |
Tax Period | 201809 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | MCLEAN AFFILIATES INC |
EIN | 26-1960246 |
Tax Period | 201709 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | MCLEAN AFFILIATES INC |
EIN | 26-1960246 |
Tax Period | 201609 |
Filing Type | E |
Return Type | 990 |
File | View File |
Sources: 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