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  5. DAMIAN FAMILY CARE CENTERS, INC.

DAMIAN FAMILY CARE CENTERS, INC.

Company Details

Name: DAMIAN FAMILY CARE CENTERS, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 29 Feb 1996 (29 years ago)
Entity Number: 2005000
ZIP code: 11435
County: Queens
Place of Formation: New York
Address: 137-50 JAMAICA AVENUE, JAMAICA, NY, United States, 11435

Contact Details

Phone +1 718-298-5100

Phone +1 718-292-0100

Phone +1 347-505-7000

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MDYKCCCM91Z4 2024-11-28 8956 162ND ST, JAMAICA, NY, 11432, 5072, USA 8956 162ND ST # 3, JAMAICA, NY, 11432, 5072, USA

Business Information
Doing Business As PROJECT SAMARITAN HEALTH SERVICES
Congressional District 05
State/Country of Incorporation NY, USA
Activation Date 2023-12-01
Initial Registration Date 2006-01-24
Entity Start Date 1999-06-01
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name PETER GRISAFI
Role MR.
Address 89-56 162ND STREET, 3RD FLOOR, JAMAICA, NY, 11432, USA
Title ALTERNATE POC
Name SADIA CHOUDHURY
Role CHIEF QUALITY & COMPLIANCE OFFICER
Address 89-56 162ND STREET, 3RD FLOOR, JAMAICA, NY, 11432, 2642, USA
Government Business
Title PRIMARY POC
Name PETER GRISAFI
Role MR.
Address 89-56 162ND STREET, 3RD FLOOR, JAMAICA, NY, 11432, USA
Title ALTERNATE POC
Name SADIA CHOUDHURY
Role CHIEF QUALITY & COMPLIANCE OFFICER
Address 89-56 162ND STREET, 3RD FLOOR, JAMAICA, NY, 11432, 2642, USA
Past Performance
Title PRIMARY POC
Name PETER GRISAFI
Role MR.
Address 89-56 162ND STREET, 3RD FLOOR, JAMAICA, NY, 11432, 2642, USA
Title ALTERNATE POC
Name SADIA CHOUDHURY
Role CHIEF QUALITY & COMPLIANCE OFFICER
Address 89-56 162ND STREET, 3RD FLOOR, JAMAICA, NY, 11432, 2642, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
49SC9 Obsolete Non-Manufacturer 2006-01-24 2024-03-03 No data 2024-11-28

Contact Information
POC PETER GRISAFI
Phone +1 718-657-1100
Fax +1 718-657-1870
Address 8956 162ND ST, JAMAICA, NY, 11432 5072, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2020 223433831 2022-02-14 DAMIAN FAMILY CARE CENTERS, INC. 218
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 623000
Sponsor’s telephone number 7186571100
Plan sponsor’s DBA name PROJECT SAMARITAN HEALTH SERVICES
Plan sponsor’s mailing address 8956 162ND ST FL 3, JAMAICA, NY, 114325072
Plan sponsor’s address 8956 162ND ST FL 3, JAMAICA, NY, 114325072

Plan administrator’s name and address
Administrator’s EIN 223433831
Plan administrator’s name DAMIAN FAMILY CARE CENTERS, INC DBA PROJECT SAMARITAN HEALTH SERVICES
Plan administrator’s address 8956 162ND ST FL 3, JAMAICA, NY, 114325072
Administrator’s telephone number 7186571100

Number of participants as of the end of the plan year
Active participants 214
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 59
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants with account balances as of the end of the plan year 225
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 42

Signature of
Role Plan administrator
Date 2022-02-14
Name of individual signing GORDON SIESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-14
Name of individual signing GORDON SIESS
Valid signature Filed with authorized/valid electronic signature
403(B)THRIFT PLAN FOR PROJECT SAMARITAN HEALTH SERVICES, INC. 2014 223433831 2015-10-05 DAMIAN FAMILY CARE CENTERS,INC. 111
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 7186571100
Plan sponsor’s address 138-02 QUEENS BLVD 2ND FLOOR, BRIARWOOD, NY, 114352642

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing PETER GRISAFI
403(B)THRIFT PLAN FOR PROJECT SAMARITAN HEALTH SERVICES, INC. 2013 223433831 2014-10-09 DAMIAN FAMILY CARE CENTERS,INC. 76
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 7186571100
Plan sponsor’s address 138-02 QUEENS BLVD 2ND FLOOR, BRIARWOOD, NY, 114352642

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing PETER GRISAFI
403(B)THRIFT PLAN FOR PROJECT SAMARITAN HEALTH SERVICES, INC. 2012 223433831 2013-10-15 DAMIAN FAMILY CARE CENTERS,INC. 87
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 7186571100
Plan sponsor’s address 138-02 QUEENS BLVD 2ND FLOOR, BRIARWOOD, NY, 114352642

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing PATRICIA WYLIE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 137-50 JAMAICA AVENUE, JAMAICA, NY, United States, 11435

History

Start date End date Type Value
2000-03-23 2007-11-27 Name PROJECT SAMARITAN HEALTH SERVICES, INC.
2000-03-23 2007-11-27 Address 605 THIRD AVENUE 34TH FL, NEW YORK, NY, 10158, USA (Type of address: Service of Process)
1999-03-24 2000-03-23 Address ATTN OFFICE OF THE PRESIDENT, 138-02 QUEENS BOULEVARD, BRIARWOOD, NY, 11435, USA (Type of address: Service of Process)
1996-02-29 2000-03-23 Name SAMARITAN HEALTH SERVICES, INC.
1996-02-29 1999-03-24 Address 138-02 QUEENS BLVD., BRIARWOOD, NY, 11435, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
071127000824 2007-11-27 CERTIFICATE OF AMENDMENT 2007-11-27
000323000557 2000-03-23 CERTIFICATE OF AMENDMENT 2000-03-23
990324000457 1999-03-24 CERTIFICATE OF AMENDMENT 1999-03-24
960229000312 1996-02-29 CERTIFICATE OF INCORPORATION 1996-02-29

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C81CS14327 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient DAMIAN FAMILY CARE CENTERS INC
Recipient Name Raw PROJECT SAMARITAN HEALTH SERVICES, INC.
Recipient UEI MDYKCCCM91Z4
Recipient DUNS 145406786
Recipient Address 138-02 QUEENS BLVD, 2ND FLOOR, BRIARWOOD, QUEENS, NEW YORK, 11435, UNITED STATES
Obligated Amount 368685.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS11965 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient DAMIAN FAMILY CARE CENTERS INC
Recipient Name Raw PROJECT SAMARITAN HEALTH SERVICES, INC.
Recipient UEI MDYKCCCM91Z4
Recipient DUNS 145406786
Recipient Address 138-02 QUEENS BLVD, 2ND FLOOR, BRIARWOOD, QUEENS, NEW YORK, 11435, UNITED STATES
Obligated Amount 134684.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS01765 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2003-09-01 2011-04-30 HEALTH CENTER CLUSTER
Recipient DAMIAN FAMILY CARE CENTERS INC
Recipient Name Raw PROJECT SAMARITAN HEALTH SERVICES, INC.
Recipient UEI MDYKCCCM91Z4
Recipient DUNS 145406786
Recipient Address 138-02 QUEENS BLVD, 2ND FLOOR, BRIARWOOD, QUEENS, NEW YORK, 11435, UNITED STATES
Obligated Amount 12594126.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
22-3433831 Corporation Unconditional Exemption 8956 162ND ST FL 3, JAMAICA, NY, 11432-5072 1997-11
In Care of Name % LESLIE BERRIOS
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 Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-06
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 37435372
Income Amount 34931121
Form 990 Revenue Amount 34931121
National Taxonomy of Exempt Entities Health Care: Health Treatment Facilities, Primarily Outpatient
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 DAMIAN FAMILY CARE CENTERS INC
EIN 22-3433831
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name DAMIAN FAMILY CARE CENTERS INC
EIN 22-3433831
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name DAMIAN FAMILY CARE CENTERS INC
EIN 22-3433831
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name DAMIAN FAMILY CARE CENTERS INC
EIN 22-3433831
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name DAMIAN FAMILY CARE CENTERS INC
EIN 22-3433831
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name DAMIAN FAMILY CARE CENTERS INC
EIN 22-3433831
Tax Period 201606
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5071127104 2020-04-13 0202 PPP 89-56 162nd Street, JAMAICA, NY, 11432-0001
Loan Status Date 2021-09-28
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1971200
Loan Approval Amount (current) 2503300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 464999
Servicing Lender Name BankUnited, National Association
Servicing Lender Address 14817 Oak Lane, MIAMI LAKES, FL, 33016-1517
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address JAMAICA, QUEENS, NY, 11432-0001
Project Congressional District NY-05
Number of Employees 171
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 464999
Originating Lender Name BankUnited, National Association
Originating Lender Address MIAMI LAKES, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2535842.9
Forgiveness Paid Date 2021-08-03

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Related by address

No related companies by address

Date of last update: 14 Mar 2025

Sources: New York Secretary of State

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