| Name: | HEALTH SYSTEM SERVICES, LTD. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Active |
| Date of registration: | 09 May 1996 (29 years ago) |
| Entity Number: | 2028016 |
| ZIP code: | 14304 |
| County: | Niagara |
| Place of Formation: | New York |
| Address: | Health System Services, 6867 Williams Rd, Niagara Falls, NY, United States, 14304 |
| Principal Address: | 6867 WILLIAMS RD, NIAGARA FALLS, NY, United States, 14304 |
Contact Details
Phone +1 716-283-2339
Shares Details
Shares issued 10000
Share Par Value 0
Type NO PAR VALUE
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | HEALTH SYSTEM SERVICES, LTD., CONNECTICUT | 0669461 | CONNECTICUT |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6DVJ0 | Active | Non-Manufacturer | 2011-05-21 | 2024-03-11 | 2026-06-16 | 2022-07-14 | |||||||||||||||
|
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| POC | JEFF ROSE |
| Phone | +1 716-283-2339 |
| Fax | +1 716-283-1291 |
| Address | 6867 WILLIAMS RD, NIAGARA FALLS, NIAGARA, NY, 14304 2993, 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 |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH SYSTEM SERVICES, LTD. 401(K) PLAN | 2023 | 161500957 | 2024-07-23 | HEALTH SYSTEM SERVICES, LTD. | 88 | |||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-07-23 |
| Name of individual signing | ROBERT MINICUCCI |
| Role | Employer/plan sponsor |
| Date | 2024-07-23 |
| Name of individual signing | ROBERT MINICUCCI |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 7162832339 |
| Plan sponsor’s address | 6867 WILLIAMS ROAD, NIAGARA FALLS, NY, 14304 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-20 |
| Name of individual signing | ROBERT MINICUCCI |
| Role | Employer/plan sponsor |
| Date | 2023-09-20 |
| Name of individual signing | ROBERT MINICUCCI |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 7162832339 |
| Plan sponsor’s address | 6867 WILLIAMS ROAD, NIAGARA FALLS, NY, 14304 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-05 |
| Name of individual signing | ROBERT MINICUCCI |
| Role | Employer/plan sponsor |
| Date | 2022-10-05 |
| Name of individual signing | ROBERT MINICUCCI |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 7162832339 |
| Plan sponsor’s address | 6867 WILLIAMS ROAD, NIAGARA FALLS, NY, 14304 |
Signature of
| Role | Plan administrator |
| Date | 2021-08-29 |
| Name of individual signing | ROBERT MINICUCCI |
| Role | Employer/plan sponsor |
| Date | 2021-08-29 |
| Name of individual signing | ROBERT MINICUCCI |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 7162832339 |
| Plan sponsor’s address | 6867 WILLIAMS ROAD, NIAGARA FALLS, NY, 14304 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-23 |
| Name of individual signing | ROBERT A MINICUCCI |
| Role | Employer/plan sponsor |
| Date | 2020-07-23 |
| Name of individual signing | ROBERT A MINICUCCI |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 7162832339 |
| Plan sponsor’s address | 6867 WILLIAMS ROAD, NIAGARA FALLS, NY, 14304 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-07 |
| Name of individual signing | ROBERT MINICUCCI |
| Role | Employer/plan sponsor |
| Date | 2019-10-07 |
| Name of individual signing | ROBERT MINICUCCI |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 7162832339 |
| Plan sponsor’s address | 6867 WILLIAMS ROAD, NIAGARA FALLS, NY, 14304 |
Signature of
| Role | Plan administrator |
| Date | 2018-07-02 |
| Name of individual signing | ROBERT MINICUCCI |
| Role | Employer/plan sponsor |
| Date | 2018-07-02 |
| Name of individual signing | ROBERT MINICUCCI |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 7162832339 |
| Plan sponsor’s address | 6867 WILLIAMS ROAD, NIAGARA FALLS, NY, 14304 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-26 |
| Name of individual signing | ROBERT MINICUCCI |
| Role | Employer/plan sponsor |
| Date | 2017-07-26 |
| Name of individual signing | ROBERT MINICUCCI |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 7162832339 |
| Plan sponsor’s address | 6867 WILLIAMS ROAD, NIAGARA FALLS, NY, 14304 |
Signature of
| Role | Plan administrator |
| Date | 2016-05-20 |
| Name of individual signing | ROBERT MINICUCCI |
| Role | Employer/plan sponsor |
| Date | 2016-05-20 |
| Name of individual signing | ROBERT MINICUCCI |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 7162832339 |
| Plan sponsor’s address | 6867 WILLIAMS ROAD, NIAGARA FALLS, NY, 14304 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-02 |
| Name of individual signing | ROBERT MINICUCCI |
| Role | Employer/plan sponsor |
| Date | 2015-07-02 |
| Name of individual signing | ROBERT MINICUCCI |
| Name | Role | Address |
|---|---|---|
| ROBERT A MINICUCCI | Chief Executive Officer | 453 WOODLAND CT, YOUNGSTOWN, NY, United States, 14174 |
| Name | Role | Address |
|---|---|---|
| ROBERT A MINICUCCI | DOS Process Agent | Health System Services, 6867 Williams Rd, Niagara Falls, NY, United States, 14304 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2024-03-28 | 2024-06-13 | Shares | Share type: NO PAR VALUE, Number of shares: 10000, Par value: 0 |
| 2024-03-28 | 2024-03-28 | Address | 453 WOODLAND CT, YOUNGSTOWN, NY, 14174, USA (Type of address: Chief Executive Officer) |
| 2023-06-20 | 2024-03-28 | Shares | Share type: NO PAR VALUE, Number of shares: 10000, Par value: 0 |
| 2006-06-06 | 2024-03-28 | Address | 6867 WILLIAMS RD, NIAGARA FALLS, NY, 14304, USA (Type of address: Service of Process) |
| 2006-06-06 | 2024-03-28 | Address | 453 WOODLAND CT, YOUNGSTOWN, NY, 14174, USA (Type of address: Chief Executive Officer) |
| 2006-05-25 | 2023-06-20 | Shares | Share type: NO PAR VALUE, Number of shares: 10000, Par value: 0 |
| 2004-07-02 | 2006-06-06 | Address | 453 WOODLAND COURT, YOUNGSTOWN, NY, 14174, USA (Type of address: Principal Executive Office) |
| 1998-05-14 | 2004-07-02 | Address | 4827 TOMSON AVE, NIAGARA FALLS, NY, 14304, USA (Type of address: Principal Executive Office) |
| 1998-05-14 | 2006-06-06 | Address | 4827 TOMSON AVE, NIAGARA FALLS, NY, 14304, USA (Type of address: Chief Executive Officer) |
| 1996-05-09 | 2006-05-25 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 240328001184 | 2024-03-28 | BIENNIAL STATEMENT | 2024-03-28 |
| 211116002535 | 2021-11-16 | BIENNIAL STATEMENT | 2021-11-16 |
| 060606003329 | 2006-06-06 | BIENNIAL STATEMENT | 2006-05-01 |
| 060525001079 | 2006-05-25 | CERTIFICATE OF AMENDMENT | 2006-05-25 |
| 040702002193 | 2004-07-02 | BIENNIAL STATEMENT | 2004-05-01 |
| 020514002197 | 2002-05-14 | BIENNIAL STATEMENT | 2002-05-01 |
| 000525002035 | 2000-05-25 | BIENNIAL STATEMENT | 2000-05-01 |
| 980514002207 | 1998-05-14 | BIENNIAL STATEMENT | 1998-05-01 |
| 960509000046 | 1996-05-09 | CERTIFICATE OF INCORPORATION | 1996-05-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8901817103 | 2020-04-15 | 0296 | PPP | 6867 Williams Road, Niagara Falls, NY, 14304 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3991369 | Intrastate Non-Hazmat | 2022-11-29 | - | - | 2 | 8 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 2 |
| Driver Fitness BASIC Serious Violation Indicator | No |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance measure value | .75 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 2 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 10 |
| Total Number of Vehicle Inspections for the measurement period | 1 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 7.5 |
| Number of inspections with at least one Driver Fitness BASIC violation | 1 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 1 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 1 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 1 |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Number of inspections with at least one Unsafe Driving BASIC violation | 1 |
Inspections
| Unique report number of the inspection | 5L37000301 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2023-07-07 |
| ID that indicates the level of inspection | Full |
| State abbreviation that indicates where the inspection occurred | NY |
| Time weight of the inspection | 1 |
| Number of Out-Of-Service violations related to Driver | 1 |
| Number of Out-Of-Service violations related to vehicle | 1 |
| Number of violations related to Hazardous Materials | 0 |
| Total number of Out-Of-Service violations | 2 |
| Total number of Out-Of-Service violations related to Hazardous Materials | 0 |
| Description of the type of the main unit | STRAIGHT TRUCK |
| Description of the make of the main unit | CHEV |
| License plate of the main unit | 16000ML |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 1GB3GSCG1H1137777 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol BASIC inspection | Y |
| Vehicle Maintenance BASIC inspection | Y |
| Total number of BASIC violations | 4 |
| Number of Unsafe Driving BASIC violations | 0 |
| Number of Hours-of-Service Compliance BASIC violations | 0 |
| Number of Driver Fitness BASIC violations | 1 |
| Number of Controlled Substances/Alcohol BASIC violations | 0 |
| Number of Vehicle Maintenance BASIC violations | 3 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
| Unique report number of the inspection | 5L37000241 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2023-01-20 |
| ID that indicates the level of inspection | Full |
| State abbreviation that indicates where the inspection occurred | NY |
| Time weight of the inspection | 1 |
| Number of Out-Of-Service violations related to Driver | 0 |
| Number of Out-Of-Service violations related to vehicle | 0 |
| Number of violations related to Hazardous Materials | 0 |
| Total number of Out-Of-Service violations | 0 |
| Total number of Out-Of-Service violations related to Hazardous Materials | 0 |
| Description of the type of the main unit | STRAIGHT TRUCK |
| Description of the make of the main unit | FORD |
| License plate of the main unit | 87246NB |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 1FDWE3FN9NDC15694 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol BASIC inspection | Y |
| Vehicle Maintenance BASIC inspection | Y |
| Total number of BASIC violations | 0 |
| Number of Unsafe Driving BASIC violations | 0 |
| Number of Hours-of-Service Compliance BASIC violations | 0 |
| Number of Driver Fitness BASIC violations | 0 |
| Number of Controlled Substances/Alcohol BASIC violations | 0 |
| Number of Vehicle Maintenance BASIC violations | 0 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
| Unique report number of the inspection | SPB3100124 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2024-12-03 |
| ID that indicates the level of inspection | Driver-Only |
| State abbreviation that indicates where the inspection occurred | NY |
| Time weight of the inspection | 3 |
| Number of Out-Of-Service violations related to Driver | 0 |
| Number of Out-Of-Service violations related to vehicle | 0 |
| Number of violations related to Hazardous Materials | 0 |
| Total number of Out-Of-Service violations | 0 |
| Total number of Out-Of-Service violations related to Hazardous Materials | 0 |
| Description of the type of the main unit | STRAIGHT TRUCK |
| Description of the make of the main unit | FORD |
| License plate of the main unit | 27915NE |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 1FDWE3FK5NDC30196 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol BASIC inspection | Y |
| Total number of BASIC violations | 1 |
| Number of Unsafe Driving BASIC violations | 1 |
| Number of Hours-of-Service Compliance BASIC violations | 0 |
| Number of Driver Fitness BASIC violations | 0 |
| Number of Controlled Substances/Alcohol BASIC violations | 0 |
| Number of Vehicle Maintenance BASIC violations | 0 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
Violations
| The date of the inspection | 2024-12-03 |
| Code of the violation | 3922SLLTCD |
| Name of the BASIC | Unsafe Driving |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 5 |
| The time weight that is assigned to a violation | 3 |
| The description of a violation | State/Local Laws - Failed to obey a traffic control device - Permanent or Temporary - e.g. safety official signal sign light lane marking other |
| The description of the violation group | Dangerous Driving |
| The unit a violation is cited against | Driver |
| The date of the inspection | 2023-07-07 |
| Code of the violation | 39395F |
| Name of the BASIC | Vehicle Maintenance |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 2 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Emergency Equipment - Stopped vehicle warning devices missing or improper |
| The description of the violation group | Emergency Equipment |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2023-07-07 |
| Code of the violation | 3939 |
| Name of the BASIC | Vehicle Maintenance |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 2 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Inoperable Required Lamp |
| The description of the violation group | Clearance Identification Lamps/Other |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2023-07-07 |
| Code of the violation | 39341 |
| Name of the BASIC | Vehicle Maintenance |
| The violation is identified as Out-Of-Service violation | Y |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 2 |
| The severity weight that is assigned to a violation | 4 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | No or defective parking brake system on CMV |
| The description of the violation group | Brakes All Others |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2023-07-07 |
| Code of the violation | 39141A1FPC |
| Name of the BASIC | Driver Fitness |
| The violation is identified as Out-Of-Service violation | Y |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 2 |
| The severity weight that is assigned to a violation | 1 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Operating a property-carrying vehicle without possessing a valid medical certificate. Previously Cited on [DATE] |
| The description of the violation group | Medical Certificate |
| The unit a violation is cited against | Driver |
Date of last update: 14 Mar 2025
Sources: New York Secretary of State
