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  5. COMMUNITY CARE COMPANIONS INC.

COMMUNITY CARE COMPANIONS INC.

Headquarter

Company Details

Name: COMMUNITY CARE COMPANIONS INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 31 Mar 1986 (39 years ago)
Entity Number: 1069793
ZIP code: 11787
County: Suffolk
Place of Formation: New York
Address: 300 W MAIN STREET, SMITHTOWN, NY, United States, 11787

Contact Details

Email MARCOSM@COMMUNITYCAREHHS.COM

Phone +1 347-619-0034

Phone +1 585-454-4930

Phone +1 914-946-2810

Phone +1 631-549-9500

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Links between entities

Type Company Name Company Number State
Headquarter of COMMUNITY CARE COMPANIONS INC., CONNECTICUT 0975709 CONNECTICUT

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
7A0U1 Active Non-Manufacturer 2014-12-18 2024-03-03 2027-03-10 2023-04-07

Contact Information
POC MARK GATIEN
Phone +1 631-549-9500
Fax +1 631-549-9508
Address 300 W MAIN ST, SMITHTOWN, NY, 11787 2611, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY CARE DENTAL PLAN 2022 112802993 2023-12-15 COMMUNITY CARE COMPANIONS, INC 121
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2019-08-01
Business code 621610
Sponsor’s telephone number 6316526964
Plan sponsor’s DBA name COMMUNITY CARE HOME HEALTH SERVICES
Plan sponsor’s mailing address 300 W MAIN ST, SMITHTOWN, NY, 117872611
Plan sponsor’s address 300 W MAIN ST, SMITHTOWN, NY, 117872611

Number of participants as of the end of the plan year
Active participants 137

Signature of
Role Plan administrator
Date 2023-12-15
Name of individual signing BRENDON MCDONALD
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE LIFE AND AD&D PLAN 2022 112802993 2023-12-15 COMMUNITY CARE COMPANIONS, INC 143
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2019-08-01
Business code 621610
Sponsor’s telephone number 6316526964
Plan sponsor’s DBA name COMMUNITY CARE HOME HEALTH SERVICES
Plan sponsor’s mailing address 300 W MAIN ST, SMITHTOWN, NY, 117872611
Plan sponsor’s address 300 W MAIN ST, SMITHTOWN, NY, 117872611

Number of participants as of the end of the plan year
Active participants 136

Signature of
Role Plan administrator
Date 2023-12-15
Name of individual signing BRENDON MCDONALD
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE COMPANIONS INC MEDOVA LIFESTYLE HEALTH PLAN 2022 112802993 2024-08-28 COMMUNITY CARE COMPANIONS INC 0
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-03-01
Business code 621610
Sponsor’s telephone number 6315499500
Plan sponsor’s address 300 W MAIN ST, SMITHTOWN, NY, 117872611

Plan administrator’s name and address
Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of
Role Plan administrator
Date 2024-08-28
Name of individual signing ROBERT MOORE
COMMUNITY CARE LIFE AND AD&D PLAN 2021 112802993 2022-09-13 COMMUNITY CARE COMPANIONS, INC 0
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2019-08-01
Business code 621610
Sponsor’s telephone number 6316526964
Plan sponsor’s DBA name COMMUNITY CARE HOME HEALTH SERVICES
Plan sponsor’s mailing address 300 W MAIN ST, SMITHTOWN, NY, 117872611
Plan sponsor’s address 300 W MAIN ST, SMITHTOWN, NY, 117872611

Number of participants as of the end of the plan year
Active participants 143

Signature of
Role Plan administrator
Date 2022-09-13
Name of individual signing BRENDON MCDONALD
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE DENTAL PLAN 2021 112802993 2022-09-13 COMMUNITY CARE COMPANIONS, INC 0
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2019-08-01
Business code 621610
Sponsor’s telephone number 6316526964
Plan sponsor’s DBA name COMMUNITY CARE HOME HEALTH SERVICES
Plan sponsor’s mailing address 300 W MAIN ST, SMITHTOWN, NY, 117872611
Plan sponsor’s address 300 W MAIN ST, SMITHTOWN, NY, 117872611

Number of participants as of the end of the plan year
Active participants 121

Signature of
Role Plan administrator
Date 2022-09-13
Name of individual signing BRENDON MCDONALD
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE COMPANIONS INC MEDOVA LIFESTYLE HEALTH PLAN 2021 112802993 2022-12-14 COMMUNITY CARE COMPANIONS INC 1
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-03-01
Business code 621610
Sponsor’s telephone number 6315499500
Plan sponsor’s address 300 W MAIN ST, SMITHTOWN, NY, 117872611

Plan administrator’s name and address
Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of
Role Plan administrator
Date 2022-12-14
Name of individual signing ROBERT MOORE

DOS Process Agent

Name Role Address
MARK GATIEN DOS Process Agent 300 W MAIN STREET, SMITHTOWN, NY, United States, 11787

Agent

Name Role Address
DIANE C. CARROLL, ESQ. Agent 445 BROADHOLLOW ROAD, SUITE 228, MELVILLE, NY, 11747

Chief Executive Officer

Name Role Address
MARK GATIEN Chief Executive Officer 300 W MAIN STREET, SMITHTOWN, NY, United States, 11787

History

Start date End date Type Value
2022-08-26 2024-01-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-05-24 2022-08-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2010-05-06 2014-04-21 Address 60 KNICKERBOCKER AVENUE, BOHEMIA, NY, 11716, USA (Type of address: Chief Executive Officer)
2010-05-06 2014-04-21 Address 60 KNICKERBOCKER AVENUE, BOHEMIA, NY, 11716, USA (Type of address: Service of Process)
2009-06-30 2014-04-21 Address 60 KNICKERBOCKER AVENUE, BOHEMIA, NY, 11716, USA (Type of address: Principal Executive Office)
2009-06-30 2010-05-06 Address 60 KNICKERBOCKER AVENUE, BOHEMIA, NY, 11716, USA (Type of address: Chief Executive Officer)
2009-06-30 2010-05-06 Address 60 KNICKERBOCKER AVENUE, BOHEMIA, NY, 11716, USA (Type of address: Service of Process)
2008-02-15 2009-06-30 Address 60 KNICKERBOCKER AVENUE, BOHEMIA, NY, 11716, USA (Type of address: Service of Process)
2008-02-15 2020-03-09 Address 60 KNICKERBOCKER AVENUE, BOHEMIA, NY, 11716, USA (Type of address: Registered Agent)
1986-03-31 2008-02-15 Address 46 ROUTE 25A, SUITE THREE, SETAUKET, NY, 11733, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200311060561 2020-03-11 BIENNIAL STATEMENT 2020-03-01
200309000069 2020-03-09 CERTIFICATE OF CHANGE 2020-03-09
180802006404 2018-08-02 BIENNIAL STATEMENT 2018-03-01
160811006424 2016-08-11 BIENNIAL STATEMENT 2016-03-01
140421006381 2014-04-21 BIENNIAL STATEMENT 2014-03-01
120412002386 2012-04-12 BIENNIAL STATEMENT 2012-03-01
100506002521 2010-05-06 BIENNIAL STATEMENT 2010-03-01
090630002196 2009-06-30 BIENNIAL STATEMENT 2008-03-01
080215000552 2008-02-15 CERTIFICATE OF CHANGE 2008-02-15
B340338-6 1986-03-31 CERTIFICATE OF INCORPORATION 1986-03-31

Related by officers

MARK GATIEN

COMMUNITY CARE HOME CARE, INC. OPERATING CLEAN LLC

DIANE C. CARROLL, ESQ.

COMMUNITY CARE HEALTH MANAGEMENT LLC COMMUNITY CARE HOME HEALTH, LLC TENEM, LLC CENTRAL INSURANCE AGENCY INC.

Related by address

300 W MAIN STREET, SMITHTOWN, NY, United States, 11787

BLU CHIP MARKETING LLC OPERATING CLEAN LLC ARROW SECURITY INC. COMMUNITY CARE HOME CARE, INC. STRATEGIC HEALTHCARE INC. BLU CHIP SEO LLC

Date of last update: 06 Jan 2025

Sources: New York Secretary of State

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