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  5. MEADOWBROOK CARE CENTER, INC.

MEADOWBROOK CARE CENTER, INC.

Company Details

Name: MEADOWBROOK CARE CENTER, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 15 Dec 1994 (30 years ago)
Entity Number: 1876364
ZIP code: 11520
County: Nassau
Place of Formation: New York
Address: 320 West Merrick Road, Freeport, NY, United States, 11520
Principal Address: 320 WEST MERRICK ROAD, FREEPORT, NY, United States, 11520

Contact Details

Phone +1 516-377-8200

Fax +1 516-377-8200

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEADOWBROOK CARE CENTER, INC. DEFINED BENEFIT PENSION PLAN 2017 113240986 2019-05-07 MEADOWBROOK CARE CENTER, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 623000
Sponsor’s telephone number 5163778200
Plan sponsor’s address 320 WEST MERRICK ROAD, FREEPORT, NY, 11520
MEADOWBROOK CARE CENTER, INC. DEFINED BENEFIT PENSION PLAN 2016 113240986 2018-05-15 MEADOWBROOK CARE CENTER, INC. 29
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 623000
Sponsor’s telephone number 5163778200
Plan sponsor’s address 320 WEST MERRICK ROAD, FREEPORT, NY, 11520
MEADOWBROOK CARE CENTER, INC. DEFINED BENEFIT PENSION PLAN 2016 113240986 2018-05-15 MEADOWBROOK CARE CENTER, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 623000
Sponsor’s telephone number 5163778200
Plan sponsor’s address 320 WEST MERRICK ROAD, FREEPORT, NY, 11520
MEADOWBROOK CARE CENTER, INC. DEFINED BENEFIT PENSION PLAN 2015 113240986 2017-04-20 MEADOWBROOK CARE CENTER, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 623000
Sponsor’s telephone number 5163778200
Plan sponsor’s address 320 WEST MERRICK ROAD, FREEPORT, NY, 11520
MEADOWBROOK CARE CENTER, INC. DEFINED BENEFIT PENSION PLAN 2014 113240986 2016-07-11 MEADOWBROOK CARE CENTER, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 623000
Sponsor’s telephone number 5163778200
Plan sponsor’s address 320 WEST MERRICK ROAD, FREEPORT, NY, 11520

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing SIMON PELMAN
Role Employer/plan sponsor
Date 2016-07-11
Name of individual signing SIMON PELMAN
MEADOWBROOK CARE CENTER, INC. EMPLOYEES' PROFIT SHARING PLAN 2014 113240986 2015-12-22 MEADOWBROOK CARE CENTER, INC. 69
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 623000
Sponsor’s telephone number 5163778200
Plan sponsor’s address 320 WEST MERRICK ROAD, FREEPORT, NY, 11520

Signature of
Role Plan administrator
Date 2015-12-22
Name of individual signing SIMON PELMAN
Role Employer/plan sponsor
Date 2015-12-22
Name of individual signing SIMON PELMAN
MEADOWBROOK CARE CENTER, INC. EMPLOYEES' PROFIT SHARING PLAN 2014 113240986 2015-08-11 MEADOWBROOK CARE CENTER, INC. 75
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 623000
Sponsor’s telephone number 5163778200
Plan sponsor’s address 320 WEST MERRICK ROAD, FREEPORT, NY, 11520

Signature of
Role Plan administrator
Date 2015-08-11
Name of individual signing SIMON PELMAN
Role Employer/plan sponsor
Date 2015-08-11
Name of individual signing SIMON PELMAN
MEADOWBROOK CARE CENTER, INC. EMPLOYEES' PROFIT SHARING PLAN 2013 113240986 2014-07-29 MEADOWBROOK CARE CENTER, INC. 70
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 623000
Sponsor’s telephone number 5163778200
Plan sponsor’s address 320 WEST MERRICK ROAD, FREEPORT, NY, 11520

Signature of
Role Plan administrator
Date 2014-07-29
Name of individual signing SIMON PELMAN
Role Employer/plan sponsor
Date 2014-07-29
Name of individual signing SIMON PELMAN
MEADOWBROOK CARE CENTER, INC. DEFINED BENEFIT PENSION PLAN 2013 113240986 2015-07-26 MEADOWBROOK CARE CENTER, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 623000
Sponsor’s telephone number 5163778200
Plan sponsor’s address 320 WEST MERRICK ROAD, FREEPORT, NY, 11520

Signature of
Role Plan administrator
Date 2015-07-26
Name of individual signing SIMON PELMAN
Role Employer/plan sponsor
Date 2015-07-26
Name of individual signing SIMON PELMAN
MEADOWBROOK CARE CENTER, INC. 401(K) PLAN 2012 113240986 2013-07-16 MEADOWBROOK CARE CENTER, INC. 102
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 5163778216
Plan sponsor’s mailing address 320 W. MERRICK ROAD, FREEPORT, NY, 11520
Plan sponsor’s address 320 W. MERRICK ROAD, FREEPORT, NY, 11520

Plan administrator’s name and address
Administrator’s EIN 113240986
Plan administrator’s name MEADOWBROOK CARE CENTER, INC.
Plan administrator’s address 320 W. MERRICK ROAD, FREEPORT, NY, 11520
Administrator’s telephone number 5163778216

Number of participants as of the end of the plan year
Active participants 91
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 16
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 45
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing SIMON PELMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-16
Name of individual signing SIMON PELMAN
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
SIMON PELMAN DOS Process Agent 320 West Merrick Road, Freeport, NY, United States, 11520

Chief Executive Officer

Name Role Address
SIMON PELMON Chief Executive Officer 320 WEST MERRICK ROAD, FREEPORT, NY, United States, 11520

History

Start date End date Type Value
2024-12-12 2025-01-16 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-06-26 2024-12-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-06-18 2024-06-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-06-18 2024-06-18 Address 320 WEST MERRICK ROAD, FREEPORT, NY, 11520, USA (Type of address: Chief Executive Officer)
2024-03-04 2024-06-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-11-13 2024-03-04 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-10-31 2023-11-13 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-04 2023-10-31 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-02 2023-05-04 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-03-24 2023-05-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240618003652 2024-06-18 BIENNIAL STATEMENT 2024-06-18
201211060181 2020-12-11 BIENNIAL STATEMENT 2020-12-01
200323060375 2020-03-23 BIENNIAL STATEMENT 2018-12-01
161202006698 2016-12-02 BIENNIAL STATEMENT 2016-12-01
150102006271 2015-01-02 BIENNIAL STATEMENT 2014-12-01
121220006259 2012-12-20 BIENNIAL STATEMENT 2012-12-01
110110002021 2011-01-10 BIENNIAL STATEMENT 2010-12-01
090121003105 2009-01-21 BIENNIAL STATEMENT 2008-12-01
061213002605 2006-12-13 BIENNIAL STATEMENT 2006-12-01
050125002373 2005-01-25 BIENNIAL STATEMENT 2004-12-01

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
345937627 0214700 2022-05-04 320 W. MERRICK ROAD, FREEPORT, NY, 11520
Inspection Type Referral
Scope Partial
Safety/Health Health
Close Conference 2022-05-04
Emphasis N: COVID-19
Case Closed 2022-09-09

Related Activity
Type Referral
Activity Nr 1891220
Health Yes
344850433 0214700 2020-07-21 320 W. MERRICK ROAD, FREEPORT, NY, 11520
Inspection Type Fat/Cat
Scope Partial
Safety/Health Health
Close Conference 2020-10-28
Case Closed 2020-10-28

Related Activity
Type Accident
Activity Nr 1624661

Violation Items
Citation ID 01001A
Citaton Type Serious
Standard Cited 19100134 E01
Issuance Date 2020-10-28
Abatement Due Date 2020-11-24
Current Penalty 7287.0
Initial Penalty 12145.0
Final Order 2020-11-23
Nr Instances 1
Nr Exposed 96
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(e)(1): The employer did not provide a medical evaluation to determine the employees' ability to use a respirator, before the employee was required to use the respirator in the workplace: a) On or about 4/28/2020 and after, 320 W. Merrick Road, Freeport, NY: Employees including Registered Nurses, Licensed Practical Nurse's, Certified Nursing Assistant's, and Housekeepers were provided with, and required to wear, tight-fitting filtering facepiece N95 respirators, including, but not limited to, 3M brand, but were not provided with medical evaluations prior to use. Employees were required to use respirators when working around and providing care to patients suspected or confirmed to be infected with COVID-19. Abatement documentation is required for this item.
Citation ID 02001
Citaton Type Other
Standard Cited 19100134 F02
Issuance Date 2020-10-28
Abatement Due Date 2020-11-24
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2020-11-23
Nr Instances 1
Nr Exposed 96
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(f)(2): Employee(s) using tight-fitting facepiece respirators were not fit-tested prior to initial use of the respirator: a) On or about 4/28/2020 and after, 320 W. Merrick Road, Freeport, NY: Employees, including Registered Nureses, Licensed Practical Nurses, Certified Nursing Assistants, and Housekeepers were provided with and required to wear tight-fitting filtering facepiece N95 respirators, including, but not limited to 3M brand, but were not provided with fit tests prior to initial use. Employees were required to use respirators when working around and providing care to patients suspected or confirmed to be infected with COVID-19. Abatement documentation is required for this item.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3728287200 2020-04-27 0235 PPP 320 Merric Rd, Freeport, NY, 11520
Loan Status Date 2021-07-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 3253290
Loan Approval Amount (current) 3253290
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123625
Servicing Lender Name Popular Bank
Servicing Lender Address 11 W 51st St, NEW YORK CITY, NY, 10019-6994
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Freeport, NASSAU, NY, 11520-0001
Project Congressional District NY-04
Number of Employees 299
NAICS code 623110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 123625
Originating Lender Name Popular Bank
Originating Lender Address NEW YORK CITY, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 3289347.3
Forgiveness Paid Date 2021-06-11

Related by officers

SIMON PELMAN

MSW COUNSULTANTS, LTD. GREENPARK CARE CENTER, INC. UNION PLAZA NURSING HOME, INC. COMMLIFE SOLUTIONS, INC.

Related by address

320 WEST MERRICK ROAD, FREEPORT, NY, United States, 11520

LYDIA COFFEE SHOP, INC. BROOKLYN-QUEENS RADIOLOGY ASSOCIATES, P.C.

Date of last update: 14 Mar 2025

Sources: New York Secretary of State

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