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  5. BETHANY HOUSE OF NASSAU COUNTY CORPORATION

BETHANY HOUSE OF NASSAU COUNTY CORPORATION

Company Details

Name: BETHANY HOUSE OF NASSAU COUNTY CORPORATION
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 21 Jan 1987 (38 years ago)
Entity Number: 1138457
ZIP code: 11510
County: Nassau
Place of Formation: New York
Address: 625 demott avenue, BALDWIN, NY, United States, 11510

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
Y234RJQV9654 2024-11-19 102 WHITEHOUSE AVENUE, ROOSEVELT, NY, 11575, 1337, USA 102 WHITEHOUSE AVE., ROOSEVELT, NY, 11575, 1337, USA

Business Information
URL www.bhny.org
Congressional District 04
State/Country of Incorporation NY, USA
Activation Date 2023-11-22
Initial Registration Date 2009-09-09
Entity Start Date 1987-01-21
Fiscal Year End Close Date Sep 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CATHERINE SWANSON
Role MS.
Address 625 DEMOTT AVENUE, BALDWIN, NY, 11510, USA
Title ALTERNATE POC
Name PAULETTE CIPOLLA
Role MS.
Address 102 WHITEHOUSE AVENUE, ROOSEVELT, NY, 11575, USA
Government Business
Title PRIMARY POC
Name CATHERINE SWANSON
Role MS.
Address 625 DEMOTT AVENUE, BALDWIN, NY, 11510, USA
Title ALTERNATE POC
Name DIANE KRASNOFF
Role MS.
Address 625 DEMOTT AVENUE, BALDWIN, NY, 11510, USA
Past Performance
Title PRIMARY POC
Name PAULETTE CIPOLLA
Role MS.
Address 102 WHITEHOUSE AVENUE, ROOSEVELT, NY, 11575, USA
Title ALTERNATE POC
Name DIANE KRASNOFF
Role MS.
Address 625 DEMOTT AVENUE, BALDWIN, NY, 11510, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BETHANY HOUSE 401(K) PLAN 2023 112848726 2024-07-01 BETHANY HOUSE 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-05-05
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2024-07-01
Name of individual signing PAULETTE CIPOLLA
BETHANY HOUSE 401(K) PLAN 2022 112848726 2023-07-11 BETHANY HOUSE 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing PAULETTE CIPOLLA
BETHANY HOUSE 401(K) PLAN 2021 112848726 2022-08-16 BETHANY HOUSE 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2022-08-16
Name of individual signing PAULETTE CIPOLLA
BETHANY HOUSE 401(K) PLAN 2021 112848726 2022-06-28 BETHANY HOUSE 26
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing PAULETTE CIPOLLA
BETHANY HOUSE 401(K) PLAN 2020 112848726 2021-08-24 BETHANY HOUSE 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2021-08-24
Name of individual signing PAULETTE CIPOLLA
BETHANY HOUSE 401(K) PLAN 2019 112848726 2020-07-01 BETHANY HOUSE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing PAULETTE CIPOLLA
BETHANY HOUSE 401(K) PLAN 2018 112848726 2019-07-02 BETHANY HOUSE 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing PAULETTE CIPOLLA
BETHANY HOUSE 401(K) PLAN 2017 112848726 2018-07-10 BETHANY HOUSE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing PAULETTE CIPOLLA
BETHANY HOUSE 401(K) PLAN 2016 112848726 2017-05-25 BETHANY HOUSE 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVENUE, ROOSEVELT, NY, 11575

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing PAULETTE CIPOLLA
BETHANY HOUSE 401(K) PLAN 2015 112848726 2016-04-12 BETHANY HOUSE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5163138008
Plan sponsor’s address 102 WHITEHOUSE AVENUE, ROOSEVELT, NY, 11575

Plan administrator’s name and address
Administrator’s EIN 112848726
Plan administrator’s name BETHANY HOUSE
Plan administrator’s address 102 WHITEHOUSE AVENUE, ROOSEVELT, NY, 11575
Administrator’s telephone number 5163138008

Signature of
Role Plan administrator
Date 2016-04-12
Name of individual signing BRIAN KOONMEN

Agent

Name Role Address
JOSEPH A. HANSHE ESQ Agent 116 GREENE AVE, SAYVILLE, NY, 11782

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 625 demott avenue, BALDWIN, NY, United States, 11510

History

Start date End date Type Value
2019-01-04 2024-10-10 Address 116 GREENE AVE, SAYVILLE, NY, 11782, USA (Type of address: Registered Agent)
2019-01-04 2024-10-10 Address 116 GREEN AVE, SAYVILLE, NY, 11782, USA (Type of address: Service of Process)
1987-01-21 2019-01-04 Address 255 MERRICK ROAD, ROCKVILLE CENTRE, NY, 11570, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241010002665 2024-10-07 CERTIFICATE OF AMENDMENT 2024-10-07
190104000261 2019-01-04 CERTIFICATE OF CHANGE 2019-01-04
B448686-12 1987-01-21 CERTIFICATE OF INCORPORATION 1987-01-21

Related by officers

the corporation

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Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: New York Secretary of State

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