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  5. COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.

COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.

Company Details

Name: COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 24 Apr 1990 (35 years ago)
Entity Number: 1441380
ZIP code: 10301
County: Richmond
Place of Formation: New York
Address: 56 BAY STREET 6TH FL, STATEN ISLAND, NY, United States, 10301

Contact Details

Phone +1 718-808-1300

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
H3VBLW7JN4R1 2024-10-22 56 BAY ST, 6TH FLOOR, STATEN ISLAND, NY, 10301, 2563, USA 56 BAY STREET 4TH FLOOR, STATEN ISLAND, NY, 10301, 2563, USA

Business Information
Doing Business As COMM HEALTH ACTION
URL www.chasiny.org
Congressional District 11
State/Country of Incorporation NY, USA
Activation Date 2023-10-25
Initial Registration Date 2007-01-18
Entity Start Date 1990-04-13
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621420, 621498, 621610, 624190, 624210

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MYRA MAYO
Role COO
Address 26 BAY STREET, STATEN ISLAND, NY, 10301, USA
Government Business
Title PRIMARY POC
Name DIANE ARNETH
Role EXECUTIVE DIRECTOR
Address 56 BAY STREET, 4TH FLOOR, STATEN ISLAND, NY, 10301, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4MW00 Active Non-Manufacturer 2007-01-18 2024-10-22 2028-10-25 2024-10-22

Contact Information
POC DIANE ARNETH
Phone +1 718-808-1401
Fax +1 718-808-1390
Address 56 BAY ST, STATEN ISLAND, NY, 10301 2563, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner
Vendor Certified 2023-10-25
CAGE number 49MK8
Company Name SUN RIVER HEALTH, INC.
CAGE Last Updated 2024-03-02
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC. SECTION 403(B) RETIREMENT PLAN 2023 133556132 2024-10-15 COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC. 168
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 624100
Sponsor’s telephone number 7188081300
Plan sponsor’s address 56 BAY STREET, 4TH FLOOR, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing KATHERINE GORNO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-15
Name of individual signing KATHERINE GORNO
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 56 BAY STREET 6TH FL, STATEN ISLAND, NY, United States, 10301

Licenses

Number Status Type Date End date
1437618-DCA Inactive Business 2012-07-16 2013-12-31

History

Start date End date Type Value
2003-07-03 2004-06-01 Address 25 HYATT ST., STATEN ISLAND, NY, 10301, USA (Type of address: Service of Process)
1990-04-24 2003-07-03 Address FORCE, INC., 25 HYATT STREET, STATEN ISLAND, NY, 10301, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
040601000314 2004-06-01 CERTIFICATE OF AMENDMENT 2004-06-01
030703000113 2003-07-03 CERTIFICATE OF AMENDMENT 2003-07-03
C133428-10 1990-04-24 CERTIFICATE OF INCORPORATION 1990-04-24

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD HHSN276200700272P 2012-08-04 2012-08-04 2012-08-04
Unique Award Key CONT_AWD_HHSN276200700272P_7529_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title SIS_THIS IS A PURCHASE ORDER FOR COMMUNITY HEALTH ACTION OF STATEN ISLAND.
NAICS Code 624190: OTHER INDIVIDUAL AND FAMILY SERVICES
Product and Service Codes AD26: R&D- DEFENSE OTHER: SERVICES (MANAGEMENT/SUPPORT)

Recipient Details
Recipient COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.
UEI H3VBLW7JN4R1
Legacy DUNS 867989113
Recipient Address UNITED STATES, 56 BAY ST 6TH FL, STATEN ISLAND, 103012563

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
U65PS002491 Department of Health and Human Services 93.939 - HIV PREVENTION ACTIVITIES_NON-GOVERNMENTAL ORGANIZATION BASED 2010-07-01 2015-06-30 HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS
Recipient COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.
Recipient Name Raw COMMUNITY HEALTH ACTION OF STATEN ISLAND
Recipient UEI H3VBLW7JN4R1
Recipient DUNS 867989113
Recipient Address 56 BAY STREET, STATEN ISLAND, RICHMOND, NEW YORK, 10301-2563, UNITED STATES
Obligated Amount 1628810.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
TI018650 Department of Health and Human Services 93.243 - SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES_PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE 2007-09-30 2012-09-29 TCE/HIV
Recipient COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.
Recipient Name Raw COMMUNITY HEALTH ACTION OF STATEN ISLAND
Recipient UEI H3VBLW7JN4R1
Recipient DUNS 867989113
Recipient Address 56 BAY STREET, STATEN ISLAND, RICHMOND, NEW YORK, 10301-2563, UNITED STATES
Obligated Amount 1775781.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
U65PS223890 Department of Health and Human Services 93.939 - HIV PREVENTION ACTIVITIES_NON-GOVERNMENTAL ORGANIZATION BASED 2004-07-01 2009-06-30 HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO
Recipient COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.
Recipient Name Raw COMMUNITY HEALTH ACTION OF STATEN ISLAND
Recipient UEI H3VBLW7JN4R1
Recipient DUNS 867989113
Recipient Address 56 BAY STREET, STATEN ISLAND, RICHMOND, NEW YORK, 10301
Obligated Amount 508108.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
13-3556132 Corporation Unconditional Exemption 56 BAY ST STE 4, STATEN ISLAND, NY, 10301-2563 1991-05
In Care of Name % COMM
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 15367285
Income Amount 13771177
Form 990 Revenue Amount 12938727
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
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 COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 202112
Filing Type E
Return Type 990T
File View File
Organization Name COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 202012
Filing Type E
Return Type 990T
File View File
Organization Name COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 201712
Filing Type P
Return Type 990T
File View File
Organization Name COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 201512
Filing Type P
Return Type 990T
File View File
Organization Name COMMUNITY HEALTH ACTION OF STATEN ISLAND INC
EIN 13-3556132
Tax Period 201512
Filing Type E
Return Type 990
File View File

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Related by address

No related companies by address

Date of last update: 15 Mar 2025

Sources: New York Secretary of State

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