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NASSAU COUNTY MEDICAL SOCIETY, INC.

Company Details

Name: NASSAU COUNTY MEDICAL SOCIETY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 13 Jan 1921 (104 years ago)
Entity Number: 16191
County: Nassau
Place of Formation: New York

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NASSAU COUNTY MEDICAL SOCIETY, INC. 401(K) SAVINGS PLAN 2018 111068640 2019-10-10 NASSAU COUNTY MEDICAL SOCIETY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-01-01
Business code 621399
Sponsor’s telephone number 5168322300
Plan sponsor’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing ANTHONY BATTISTA
Role Employer/plan sponsor
Date 2019-10-10
Name of individual signing ANTHONY BATTISTA
NASSAU COUNTY MEDICAL SOCIETY, INC. 401(K) SAVINGS PLAN 2017 111068640 2019-10-10 NASSAU COUNTY MEDICAL SOCIETY, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-01-01
Business code 621399
Sponsor’s telephone number 5168322300
Plan sponsor’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing ANTHONY BATTISTA
Role Employer/plan sponsor
Date 2019-10-10
Name of individual signing ANTHONY BATTISTA
NASSAU COUNTY MEDICAL SOCIETY, INC. 401(K) SAVINGS PLAN 2016 111068640 2019-10-10 NASSAU COUNTY MEDICAL SOCIETY, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-01-01
Business code 621399
Sponsor’s telephone number 5168322300
Plan sponsor’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing ANTHONY BATTISTA
Role Employer/plan sponsor
Date 2019-10-10
Name of individual signing ANTHONY BATTISTA
NASSAU COUNTY MEDICAL SOCIETY, INC. 401(K) SAVINGS PLAN 2015 111068640 2016-07-28 NASSAU COUNTY MEDICAL SOCIETY, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-01-01
Business code 621399
Sponsor’s telephone number 5168322300
Plan sponsor’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing MARK CAPPOLA
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing MARK CAPPOLA
NASSAU COUNTY MEDICAL SOCIETY, INC. 401(K) SAVINGS PLAN 2014 111068640 2015-04-14 NASSAU COUNTY MEDICAL SOCIETY, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-01-01
Business code 621399
Sponsor’s telephone number 5168322300
Plan sponsor’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832

Signature of
Role Plan administrator
Date 2015-04-14
Name of individual signing MARK CAPPOLA
Role Employer/plan sponsor
Date 2015-04-14
Name of individual signing MARK CAPPOLA
NASSAU COUNTY MEDICAL SOCIETY, INC. 401(K) SAVINGS PLAN 2013 111068640 2014-02-24 NASSAU COUNTY MEDICAL SOCIETY, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-01-01
Business code 621399
Sponsor’s telephone number 5168322300
Plan sponsor’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832

Signature of
Role Plan administrator
Date 2014-02-24
Name of individual signing MARK CAPPOLA
Role Employer/plan sponsor
Date 2014-02-24
Name of individual signing MARK CAPPOLA
NASSAU COUNTY MEDICAL SOCIETY, INC. 401(K) SAVINGS PLAN 2012 111068640 2013-04-02 NASSAU COUNTY MEDICAL SOCIETY, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-01-01
Business code 621399
Sponsor’s telephone number 5168322300
Plan sponsor’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832

Signature of
Role Plan administrator
Date 2013-04-02
Name of individual signing MARK CAPPOLA
Role Employer/plan sponsor
Date 2013-04-02
Name of individual signing MARK CAPPOLA
NASSAU COUNTY MEDICAL SOCIETY, INC. 401(K) SAVINGS PLAN 2011 111068640 2012-06-19 NASSAU COUNTY MEDICAL SOCIETY, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-01-01
Business code 621399
Sponsor’s telephone number 5168322300
Plan sponsor’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832

Plan administrator’s name and address
Administrator’s EIN 111068640
Plan administrator’s name NASSAU COUNTY MEDICAL SOCIETY, INC.
Plan administrator’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832
Administrator’s telephone number 5168322300

Signature of
Role Plan administrator
Date 2012-06-19
Name of individual signing MARK CAPPOLA
Role Employer/plan sponsor
Date 2012-06-19
Name of individual signing MARK CAPPOLA
NASSAU COUNTY MEDICAL SOCIETY, INC. 401(K) SAVINGS PLAN 2010 111068640 2011-06-23 NASSAU COUNTY MEDICAL SOCIETY, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-01-01
Business code 621399
Sponsor’s telephone number 5168322300
Plan sponsor’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832

Plan administrator’s name and address
Administrator’s EIN 111068640
Plan administrator’s name NASSAU COUNTY MEDICAL SOCIETY, INC.
Plan administrator’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832
Administrator’s telephone number 5168322300

Signature of
Role Plan administrator
Date 2011-06-23
Name of individual signing MARK CAPPOLA
Role Employer/plan sponsor
Date 2011-06-23
Name of individual signing MARK CAPPOLA
NASSAU COUNTY MEDICAL SOCIETY, INC. 401(K) SAVINGS PLAN 2009 111068640 2010-07-27 NASSAU COUNTY MEDICAL SOCIETY, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-01-01
Business code 621399
Sponsor’s telephone number 5168322300
Plan sponsor’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832

Plan administrator’s name and address
Administrator’s EIN 111068640
Plan administrator’s name NASSAU COUNTY MEDICAL SOCIETY, INC.
Plan administrator’s address 1200 STEWART AVE, GARDEN CITY, NY, 115304832
Administrator’s telephone number 5168322300

Signature of
Role Plan administrator
Date 2010-07-27
Name of individual signing MARK CAPPOLA
Role Employer/plan sponsor
Date 2010-07-27
Name of individual signing MARK CAPPOLA

Filings

Filing Number Date Filed Type Effective Date
Z024470-2 1980-11-14 ASSUMED NAME CORP INITIAL FILING 1980-11-14
6EX-81 1950-12-19 CERTIFICATE OF AMENDMENT 1950-12-19
398Q-22 1939-03-25 CERTIFICATE OF AMENDMENT 1939-03-25
188Q-96 1921-01-13 CERTIFICATE OF INCORPORATION 1921-01-13

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
11-1068640 Corporation Unconditional Exemption 666 OLD COUNTRY RD STE 705, GARDEN CITY, NY, 11530-2018 1936-06
In Care of Name -
Group Exemption Number 0000
Subsection Board of Trade, Business League, Chamber of Commerce, Real Estate Board
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 Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Deductibility Contributions are not deductible.
Foundation All organizations except 501(c)(3)
Tax Period 2023-12
Asset 1,000,000 to 4,999,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 1403070
Income Amount 607364
Form 990 Revenue Amount 250446
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name NASSAU COUNTY MEDICAL SOCIETY INC
EIN 11-1068640
Tax Period 202112
Filing Type E
Return Type 990O
File View File
Organization Name NASSAU COUNTY MEDICAL SOCIETY INC
EIN 11-1068640
Tax Period 201912
Filing Type E
Return Type 990O
File View File
Organization Name NASSAU COUNTY MEDICAL SOCIETY INC
EIN 11-1068640
Tax Period 201812
Filing Type E
Return Type 990O
File View File
Organization Name NASSAU COUNTY MEDICAL SOCIETY INC
EIN 11-1068640
Tax Period 201812
Filing Type E
Return Type 990O
File View File
Organization Name NASSAU COUNTY MEDICAL SOCIETY INC
EIN 11-1068640
Tax Period 201712
Filing Type E
Return Type 990O
File View File
Organization Name NASSAU COUNTY MEDICAL SOCIETY INC
EIN 11-1068640
Tax Period 201612
Filing Type E
Return Type 990O
File View File
Organization Name NASSAU COUNTY MEDICAL SOCIETY INC
EIN 11-1068640
Tax Period 201512
Filing Type E
Return Type 990O
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2267538408 2021-02-03 0235 PPP 666 Old Country Rd Ste 705, Garden City, NY, 11530-2018
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 31200
Loan Approval Amount (current) 31200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 530323
Servicing Lender Name A10Capital, LLC
Servicing Lender Address 800 West Main Street, Suite 400, Boise, ID, 83702
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Garden City, NASSAU, NY, 11530-2018
Project Congressional District NY-04
Number of Employees 2
NAICS code 813910
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type 501(c)6 � Non Profit Membership
Originating Lender ID 530323
Originating Lender Name A10Capital, LLC
Originating Lender Address Boise, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 31385.49
Forgiveness Paid Date 2021-09-13

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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