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  5. LONG BEACH MEDICAL CENTER

LONG BEACH MEDICAL CENTER

Company Details

Name: LONG BEACH MEDICAL CENTER
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 17 Jan 1924 (101 years ago)
Entity Number: 18835
ZIP code: 11561
County: Nassau
Place of Formation: New York
Address: ATTN CHIEF EXECUTIVE OFFICER, 455 EAST BAY DRIVE, LONG BEACH, NY, United States, 11561

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LONG BEACH MEDICAL CENTER AND KOMANOFF CENTER FOR GERIATRIC AND REHABILITATIVE MEDICINE 403B RETIREMENT PLAN 2016 111635084 2017-02-23 LONG BEACH MEDICAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 622000
Sponsor’s telephone number 5168971000
Plan sponsor’s address 455 E BAY DR, LONG BEACH, NY, 115612301

Signature of
Role Plan administrator
Date 2017-02-23
Name of individual signing STANLEY WEBER
GROUP LIFE INSURANCE PLAN OF LONG BEACH MEDICAL CENTER 2009 111635084 2011-02-11 LONG BEACH MEDICAL CENTER 866
Three-digit plan number (PN) 502
Business code 813000
Sponsor’s telephone number 5168971000
Plan sponsor’s mailing address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Plan sponsor’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561

Plan administrator’s name and address
Administrator’s EIN 111635084
Plan administrator’s name LONG BEACH MEDICAL CENTER
Plan administrator’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Administrator’s telephone number 5168971000

Number of participants as of the end of the plan year
Active participants 888

Signature of
Role Plan administrator
Date 2011-02-11
Name of individual signing BARRY STERN
Valid signature Filed with authorized/valid electronic signature
GROUP LIFE INSURANCE PLAN OF LONG BEACH MEDICAL CENTER 2009 111635084 2011-02-14 LONG BEACH MEDICAL CENTER 866
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1991-05-01
Business code 813000
Sponsor’s telephone number 5168971000
Plan sponsor’s mailing address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Plan sponsor’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561

Plan administrator’s name and address
Administrator’s EIN 111635084
Plan administrator’s name LONG BEACH MEDICAL CENTER
Plan administrator’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Administrator’s telephone number 5168971000

Number of participants as of the end of the plan year
Active participants 888

Signature of
Role Plan administrator
Date 2011-02-11
Name of individual signing BARRY STERN
Valid signature Filed with authorized/valid electronic signature
LONG BEACH MEDICAL CENTER PENSION PLAN 2009 111635084 2010-10-15 LONG BEACH MEDICAL CENTER 1219
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 622000
Sponsor’s telephone number 5168971000
Plan sponsor’s mailing address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Plan sponsor’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561

Plan administrator’s name and address
Administrator’s EIN 111635084
Plan administrator’s name PENSION COMMITTEE
Plan administrator’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Administrator’s telephone number 5168971000

Number of participants as of the end of the plan year
Active participants 633
Retired or separated participants receiving benefits 274
Other retired or separated participants entitled to future benefits 322
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 13
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 12

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing BARRY STERN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing BARRY STERN
Valid signature Filed with authorized/valid electronic signature
GROUP MEDICAL PLAN OF LONG BEACH MEMORIAL HOSPITAL 2009 111635084 2010-10-14 LONG BEACH MEDICAL CENTER 562
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1936-09-14
Business code 622000
Sponsor’s telephone number 5168971000
Plan sponsor’s mailing address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Plan sponsor’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561

Plan administrator’s name and address
Administrator’s EIN 111635084
Plan administrator’s name LONG BEACH MEDICAL CENTER
Plan administrator’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Administrator’s telephone number 5168971000

Number of participants as of the end of the plan year
Active participants 673

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing BARRY STERN
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN CHIEF EXECUTIVE OFFICER, 455 EAST BAY DRIVE, LONG BEACH, NY, United States, 11561

History

Start date End date Type Value
1995-05-15 1997-05-14 Address ATTN: CHIEF EXECUTIVE OFFICER, 455 EAST BAY DRIVE, LONG BEACH, NY, 11561, USA (Type of address: Service of Process)
1986-09-23 1995-05-15 Name LONG BEACH MEMORIAL HOSPITAL
1986-09-23 1995-05-15 Address ATTN:CHIEF EXEC. OFFICER, 455 EAST BAY DRIVE, LONG BEACH, NY, 11561, USA (Type of address: Service of Process)
1985-05-20 1986-09-23 Address P.O.B. 300, LONG BEACH, NY, 11561, USA (Type of address: Service of Process)
1971-01-07 1985-05-20 Address 455 E. BAY DR., LONG BEACH, NY, 11561, USA (Type of address: Service of Process)
1945-07-30 1986-09-23 Name LONG BEACH MEMORIAL HOSPITAL, INC.
1924-01-17 1945-07-30 Name LONG BEACH HOSPITAL, INC.

Filings

Filing Number Date Filed Type Effective Date
970514000627 1997-05-14 CERTIFICATE OF AMENDMENT 1997-05-14
950515000281 1995-05-15 CERTIFICATE OF AMENDMENT 1995-05-15
C080098-10 1989-11-27 CERTIFICATE OF AMENDMENT 1989-11-27
B754999-6 1989-03-20 CERTIFICATE OF AMENDMENT 1989-03-20
B404514-13 1986-09-23 CERTIFICATE OF AMENDMENT 1986-09-23
B228163-9 1985-05-20 CERTIFICATE OF AMENDMENT 1985-05-20
Z659-2 1979-01-19 ASSUMED NAME CORP INITIAL FILING 1979-01-19
880306-3 1971-01-07 CERTIFICATE OF AMENDMENT 1971-01-07
9EX-171 1951-02-05 CERTIFICATE OF AMENDMENT 1951-02-05
455Q-58 1945-07-30 CERTIFICATE OF AMENDMENT 1945-07-30

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
SP015301 Department of Health and Human Services 93.243 - SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES_PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE 2008-09-30 2012-09-29 THE COALITION TO PREVENT UNDERAGE DRINKING
Recipient LONG BEACH MEDICAL CENTER
Recipient Name Raw LONG BEACH MEDICAL CENTER
Recipient UEI ZNGLHLLL1U47
Recipient DUNS 061961207
Recipient Address 455 EAST BAY DRIVE, LONG BEACH, NASSAU, NEW YORK, 11561
Obligated Amount 200000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
SP12346 Department of Health and Human Services 93.276 - DRUG-FREE COMMUNITIES SUPPORT PROGRAM GRANTS 2005-09-30 2013-09-29 THE LONG BEACH COALITION TO PREVENT UNDERAGE DRINKING
Recipient LONG BEACH MEDICAL CENTER
Recipient Name Raw LONG BEACH MEDICAL CENTER
Recipient UEI ZNGLHLLL1U47
Recipient DUNS 061961207
Recipient Address 455 EAST BAY DRIVE, LONG BEACH, NASSAU, NEW YORK, 11561
Obligated Amount 625000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
339528069 0214700 2013-12-18 375 E. BAY DR., LONG BEACH, NY, 11561
Inspection Type Prog Related
Scope Partial
Safety/Health Health
Close Conference 2014-04-08
Case Closed 2015-02-27

Related Activity
Type Inspection
Activity Nr 952661
Health Yes

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19100022 A01
Issuance Date 2014-04-25
Abatement Due Date 2014-05-21
Current Penalty 3375.0
Initial Penalty 4500.0
Contest Date 2014-05-08
Final Order 2015-02-27
Nr Instances 1
Nr Exposed 3
Gravity 5
FTA Current Penalty 0.0
Citation text line 1910.22(a)(1): All places of employment, passageways, storerooms, and service rooms was not kept clean and orderly and in a sanitary condition. a) At the work site, maintenance area the employer did not maintain clear passageways; on or about 12/18/13. Note: The employer is required to submit abatement certification for this item in accordance with 29 CFR 1903.19.
Citation ID 01002
Citaton Type Serious
Standard Cited 19100253 B02 II
Issuance Date 2014-04-25
Abatement Due Date 2014-05-21
Current Penalty 3375.0
Initial Penalty 4500.0
Contest Date 2014-05-08
Final Order 2015-02-27
Nr Instances 1
Nr Exposed 2
Gravity 5
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.253(b)(2)(ii): Inside of buildings, cylinders was stored in an unventilated enclosures such as lockers and cupboards: (a) At the work site; maintenance dept; compressed gas cylinder containing acetylene was stored in a cabinet; on or about 12/18/13. Note: The employer is required to submit abatement certification for this item in accordance with 29 CFR 1903.19.
302701768 0214700 2000-03-31 455 EAST BAY DR., LONG BEACH, NY, 11561
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 2000-06-16
Case Closed 2000-09-28

Related Activity
Type Complaint
Activity Nr 200151348
Health Yes
302701776 0214700 2000-03-31 455 EAST BAY DR., LONG BEACH, NY, 11561
Inspection Type Complaint
Scope Partial
Safety/Health Safety
Close Conference 2000-03-31
Case Closed 2000-06-26

Related Activity
Type Complaint
Activity Nr 200151348
Safety Yes

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
11-1635084 Corporation Unconditional Exemption 98 CUTTER MILL ROAD SUITE 255 SOUT, GREAT NECK, NY, 11021-3036 1948-12
In Care of Name -
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 100,000 to 499,999
Income 1 to 9,999
Filing Requirement 990 - Required to file Form 990-N - Income less than $50,000 per year
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 359940
Income Amount 1343
Form 990 Revenue Amount 1343
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 LONG BEACH MEDICAL CENTER
EIN 11-1635084
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name LONG BEACH MEDICAL CENTER
EIN 11-1635084
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name LONG BEACH MEDICAL CENTER
EIN 11-1635084
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name LONG BEACH MEDICAL CENTER
EIN 11-1635084
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name LONG BEACH MEDICAL CENTER CO LORI LAPIN JONES ESQ PLAN ADMIN
EIN 11-1635084
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name LONG BEACH MEDICAL CENTER
EIN 11-1635084
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name LONG BEACH MEDICAL CENTER
EIN 11-1635084
Tax Period 201512
Filing Type E
Return Type 990
File View File

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC. 732 CINNAMON BEACH INC.

Related by address

No related companies by address

Date of last update: 02 Mar 2025

Sources: New York Secretary of State

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