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  5. COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.

COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.

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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

DOS Process Agent

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

Unique Entity ID

CAGE Code:
4MW00
UEI Expiration Date:
2020-05-26

Business Information

Doing Business As:
SIATF
Activation Date:
2019-03-28
Initial Registration Date:
2007-01-18

Commercial and government entity program

CAGE number:
4MW00
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-22
CAGE Expiration:
2028-10-25
SAM Expiration:
2024-10-22

Contact Information

POC:
DIANE ARNETH
Corporate URL:
www.chasiny.org

Immediate Level Owner

Vendor Certified:
2023-10-25
CAGE number:
49MK8
Company Name:
SUN RIVER HEALTH, INC.

National Provider Identifier

NPI Number:
1871793356
Link:
View on NPI website

Authorized Person:

Name:
JENNIFER LYTTON
Role:
SNR. VP/CHIEF FISCAL OFFICER
Phone:
7188081422

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Phone:
+1 718-808-1300
Fax:
7188081393

Form 5500 Series

Employer Identification Number (EIN):
133556132
Plan Year:
2023
Number Of Participants:
168
Sponsors Telephone Number:
7188081300
File:
View File

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

Procurement Instrument Identifier:
HHSN276200700272P
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
-10000.00
Base And Exercised Options Value:
-10000.00
Base And All Options Value:
-10000.00
Awarding Agency Name:
Department of Health and Human Services
Performance Start Date:
2012-08-04
Description:
SIS_THIS IS A PURCHASE ORDER FOR COMMUNITY HEALTH ACTION OF STATEN ISLAND.
Naics Code:
624190: OTHER INDIVIDUAL AND FAMILY SERVICES
Product Or Service Code:
AD26: R&D- DEFENSE OTHER: SERVICES (MANAGEMENT/SUPPORT)

USAspending Awards / Financial Assistance

Date:
2016-06-16
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS
Obligated Amount:
1740396.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2015-06-19
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS
Obligated Amount:
350000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2013-08-23
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
STRONG STEPS PROJECT
Obligated Amount:
1560000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2013-07-25
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RETURN TO RECOVERY STATEN ISLAND PROJECT
Obligated Amount:
1290000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2010-06-28
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS
Obligated Amount:
1628810.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
13-3556132
In Care Of Name:
% COMM
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)
Ruling Date:
1991-05
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State

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