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  5. THE NEW YORK GRACIE SQUARE HOSPITAL, INC.

THE NEW YORK GRACIE SQUARE HOSPITAL, INC.

Company Details

Name: THE NEW YORK GRACIE SQUARE HOSPITAL, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 16 Jun 1993 (32 years ago)
Entity Number: 1735025
ZIP code: 10021
County: New York
Place of Formation: New York
Address: ATTN: ADMINISTRATION, 420 EAST 76TH STREET, NEW YORK, NY, United States, 10021

Contact Details

Phone +1 212-434-5553

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRACIE SQUARE RETIREMENT PLAN 2020 133746997 2021-12-15 THE NEW YORK GRACIE SQUARE HOSPITAL, INC. 151
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-01-01
Business code 622000
Sponsor’s telephone number 2124345400
Plan sponsor’s mailing address 420 E 76TH ST, NEW YORK, NY, 100213396
Plan sponsor’s address 420 E 76TH ST, NEW YORK, NY, 100213396

Number of participants as of the end of the plan year
Active participants 77
Retired or separated participants receiving benefits 17
Other retired or separated participants entitled to future benefits 63
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 147
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 6

Signature of
Role Plan administrator
Date 2021-12-15
Name of individual signing NATASHA BOWMAN
Valid signature Filed with authorized/valid electronic signature
GRACIE SQUARE RETIREMENT PLAN 2019 133746997 2020-12-23 THE NEW YORK GRACIE SQUARE HOSPITAL, INC. 130
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-01-01
Business code 622000
Sponsor’s telephone number 2124345400
Plan sponsor’s mailing address 420 E 76TH ST, NEW YORK, NY, 100213396
Plan sponsor’s address 420 E 76TH ST, NEW YORK, NY, 100213396

Number of participants as of the end of the plan year
Active participants 93
Other retired or separated participants entitled to future benefits 58
Number of participants with account balances as of the end of the plan year 151
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2020-12-23
Name of individual signing NATASHA BOWMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-12-23
Name of individual signing NATASHA BOWMAN
Valid signature Filed with authorized/valid electronic signature
GRACIE SQUARE RETIREMENT PLAN 2019 133746997 2020-10-15 THE NEW YORK GRACIE SQUARE HOSPITAL, INC. 130
Three-digit plan number (PN) 001
Effective date of plan 1975-01-01
Business code 622000
Sponsor’s telephone number 2124345400
Plan sponsor’s mailing address 420 E 76TH ST, NEW YORK, NY, 100213396
Plan sponsor’s address 420 E 76TH ST, NEW YORK, NY, 100213396

Number of participants as of the end of the plan year
Active participants 93
Other retired or separated participants entitled to future benefits 58
Number of participants with account balances as of the end of the plan year 151
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing NATASHA BOWMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing NATASHA BOWMAN
Valid signature Filed with authorized/valid electronic signature
GRACIE SQUARE RETIREMENT PLAN 2018 133746997 2020-07-20 THE NEW YORK GRACIE SQUARE HOSPITAL, INC. 123
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-01-01
Business code 622000
Sponsor’s telephone number 2124345400
Plan sponsor’s mailing address 420 E 76TH ST, NEW YORK, NY, 100213396
Plan sponsor’s address 420 E 76TH ST, NEW YORK, NY, 100213396

Number of participants as of the end of the plan year
Active participants 78
Other retired or separated participants entitled to future benefits 52
Number of participants with account balances as of the end of the plan year 130
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing NATASHA BOWMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-20
Name of individual signing NATASHA BOWMAN
Valid signature Filed with authorized/valid electronic signature
GRACIE SQUARE RETIREMENT PLAN 2016 133746997 2018-01-03 NEW YORK GRACIE SQUARE HOSPITAL 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-01-01
Business code 622000
Sponsor’s telephone number 2129884400
Plan sponsor’s mailing address 420 EAST 76TH STREET, NEW YORK, NY, 10021
Plan sponsor’s address 420 EAST 76TH STREET, NEW YORK, NY, 10021

Number of participants as of the end of the plan year
Active participants 58
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 38
Number of participants with account balances as of the end of the plan year 96
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 8

Signature of
Role Plan administrator
Date 2018-01-03
Name of individual signing DAVID WIECKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-03
Name of individual signing DAVID WIECKS
Valid signature Filed with authorized/valid electronic signature
GRACIE SQUARE RETIREMENT PLAN 2015 133746997 2016-11-15 NEW YORK GRACIE SQUARE HOSPITAL 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-01-01
Business code 622000
Sponsor’s telephone number 2129884400
Plan sponsor’s mailing address 420 E 76TH ST, NEW YORK, NY, 10021
Plan sponsor’s address 420 E 76TH ST, NEW YORK, NY, 10021

Number of participants as of the end of the plan year
Active participants 52
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 38
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 90
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2016-11-15
Name of individual signing DAVID WIECKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-11-15
Name of individual signing DAVID WIECKS
Valid signature Filed with authorized/valid electronic signature
GRACIE SQUARE RETIREMENT PLAN 2014 133746997 2015-10-15 NEW YORK GRACIE SQUARE HOSPITAL 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-01-01
Business code 622000
Sponsor’s telephone number 2129884400
Plan sponsor’s mailing address 420 EAST 76TH STREET, NEW YORK, NY, 10021
Plan sponsor’s address 420 EAST 76TH STREET, NEW YORK, NY, 10021

Number of participants as of the end of the plan year
Active participants 48
Retired or separated participants receiving benefits 5
Other retired or separated participants entitled to future benefits 35
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 88
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing DAVID WIECKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing DAVID WIECKS
Valid signature Filed with authorized/valid electronic signature
GRACIE SQUARE RETIREMENT PLAN 2013 133746997 2014-10-09 NEW YORK GRACIE SQUARE HOSPITAL 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-01-01
Business code 622000
Sponsor’s telephone number 2129884400
Plan sponsor’s mailing address 420 EAST 76TH STREET, NEW YORK, NY, 10021
Plan sponsor’s address 420 EAST 76TH STREET, NEW YORK, NY, 10021

Number of participants as of the end of the plan year
Active participants 49
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 48
Number of participants with account balances as of the end of the plan year 97
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 11

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing DAVID WIECKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-09
Name of individual signing DAVID WIECKS
Valid signature Filed with authorized/valid electronic signature
GRACIE SQUARE RETIREMENT PLAN 2011 133746997 2012-10-15 NEW YORK GRACIE SQUARE HOSPITAL 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-01-01
Business code 622000
Sponsor’s telephone number 2129884400
Plan sponsor’s mailing address 420 EAST 76TH STREET, NEW YORK, NY, 10021
Plan sponsor’s address 420 EAST 76TH STREET, NEW YORK, NY, 10021

Plan administrator’s name and address
Administrator’s EIN 133746997
Plan administrator’s name NEW YORK GRACIE SQUARE HOSPITAL
Plan administrator’s address 420 EAST 76TH STREET, NEW YORK, NY, 10021
Administrator’s telephone number 2129884400

Number of participants as of the end of the plan year
Active participants 55
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 34
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 89
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DAVID WIECKS
Valid signature Filed with authorized/valid electronic signature
GRACIE SQUARE RETIREMENT PLAN 2010 133746997 2011-09-29 NEW YORK GRACIE SQUARE HOSPITAL 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-01-01
Business code 622000
Sponsor’s telephone number 2124345457
Plan sponsor’s mailing address 420 EAST 76TH STREET, NEW YORK, NY, 10021
Plan sponsor’s address 420 EAST 76TH STREET, NEW YORK, NY, 10021

Plan administrator’s name and address
Administrator’s EIN 133746997
Plan administrator’s name NEW YORK GRACIE SQUARE HOSPITAL
Plan administrator’s address 420 EAST 76TH STREET, NEW YORK, NY, 10021
Administrator’s telephone number 2124345457

Number of participants as of the end of the plan year
Active participants 53
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 40
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 93
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 8

Signature of
Role Plan administrator
Date 2011-09-29
Name of individual signing DAVID WIECKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-29
Name of individual signing DAVID WIECKS
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: ADMINISTRATION, 420 EAST 76TH STREET, NEW YORK, NY, United States, 10021

History

Start date End date Type Value
1993-12-31 1995-01-24 Address ATTN: ADMINISTRATION, 420 EAST 76TH STREET, NEW YORK, NY, 10021, USA (Type of address: Service of Process)
1993-06-16 1993-12-31 Address 420 EAST 76TH STREET, ATTN:ADMINISTRATION, NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
000222000751 2000-02-22 CERTIFICATE OF AMENDMENT 2000-02-22
950124000647 1995-01-24 CERTIFICATE OF AMENDMENT 1995-01-24
931231000344 1993-12-31 CERTIFICATE OF AMENDMENT 1993-12-31
930616000155 1993-06-16 CERTIFICATE OF INCORPORATION 1993-06-16

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
13-3746997 Corporation Unconditional Exemption 420 E 76TH ST, NEW YORK, NY, 10021-3396 1997-06
In Care of Name % SANDY KWONG
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 73744339
Income Amount 79965398
Form 990 Revenue Amount 79950148
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 NEW YORK GRACIE SQUARE HOSPITAL INC
EIN 13-3746997
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name NEW YORK GRACIE SQUARE HOSPITAL INC
EIN 13-3746997
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name NEW YORK GRACIE SQUARE HOSPITAL INC
EIN 13-3746997
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name NEW YORK GRACIE SQUARE HOSPITAL INC
EIN 13-3746997
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name NEW YORK GRACIE SQUARE HOSPITAL INC
EIN 13-3746997
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name NEW YORK GRACIE SQUARE HOSPITAL INC
EIN 13-3746997
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name NEW YORK GRACIE SQUARE HOSPITAL INC
EIN 13-3746997
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name NEW YORK GRACIE SQUARE HOSPITAL INC
EIN 13-3746997
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name NEW YORK GRACIE SQUARE HOSPITAL INC
EIN 13-3746997
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name NEW YORK GRACIE SQUARE HOSPITAL INC
EIN 13-3746997
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name NEW YORK GRACIE SQUARE HOSPITAL INC
EIN 13-3746997
Tax Period 201512
Filing Type E
Return Type 990
File View File

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State

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