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SOUTH NASSAU COMMUNITIES HOSPITAL

Company Details

Name: SOUTH NASSAU COMMUNITIES HOSPITAL
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 29 Jan 1927 (98 years ago)
Entity Number: 20932
ZIP code: 11572
County: Nassau
Place of Formation: New York
Address: ATTN: PRESIDENT AND CEO, 2445 OCEANSIDE ROAD, OCEANSIDE, NY, United States, 11572

Contact Details

Phone +1 516-377-5000

Phone +1 516-632-3078

Phone +1 516-632-3672

Phone +1 516-663-0333

Phone +1 516-432-2004

Phone +1 516-632-3670

Phone +1 516-632-4848

Phone +1 516-377-5400

Phone +1 516-485-5710

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
SJRHLPN3L9T8 2024-10-11 1 HEALTHY WAY, OCEANSIDE, NY, 11572, 1551, USA ONE HEALTHY WAY, OCEANSIDE, NY, 11572, 1551, USA

Business Information

URL http://www.southnassau.org
Congressional District 04
State/Country of Incorporation NY, USA
Activation Date 2023-10-13
Initial Registration Date 2008-02-07
Entity Start Date 1927-01-29
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 622110
Product and Service Codes Q523, Q999

Points of Contacts

Electronic Business
Title PRIMARY POC
Name KEN MARSHALL
Role DIRECTOR, CORP, FDN & GOV'T RELATIONS
Address ONE HEALTHY WAY, OCEANSIDE, NY, 11572, 1551, USA
Title ALTERNATE POC
Name KEN MARSHALL
Role DIRECTOR, CORP, FDN & GOV'T RELATIONS
Address ONE HEALTHY WAY, OCEANSIDE, NY, 11572, 1551, USA
Government Business
Title PRIMARY POC
Name KEN MARSHALL
Role DIRECTOR, CORP, FDN & GOV'T RELATIONS
Address ONE HEALTHY WAY, OCEANSIDE, NY, 11572, 1551, USA
Title ALTERNATE POC
Name KEN MARSHALL
Role DIRECTOR, CORP, FDN & GOV'T RELATIONS
Address ONE HEALTHY WAY, OCEANSIDE, NY, 11572, 1551, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4ZHP1 Active Non-Manufacturer 2008-02-07 2024-03-05 2028-10-13 2024-10-11

Contact Information

POC KEN MARSHALL
Phone +1 516-497-7283
Address 1 HEALTHY WAY, OCEANSIDE, NY, 11572 1551, 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
SOUTH NASSAU COMMUNITIES HOSPITAL PHYSICIAN RETIREMENT PLAN 2023 111352310 2024-08-08 SOUTH NASSAU COMMUNITIES HOSPITAL 52
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5162551650
Plan sponsor’s address ONE HEALTHY WAY, OCEANSIDE, NY, 115721551

Signature of

Role Plan administrator
Date 2024-08-08
Name of individual signing JOHN POHLMAN
SOUTH NASSAU COMMUNITIES HOSPITAL PHYSICIAN RETIREMENT PLAN 2022 111352310 2023-10-02 SOUTH NASSAU COMMUNITIES HOSPITAL 53
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5162551650
Plan sponsor’s address ONE HEALTHY WAY, OCEANSIDE, NY, 115721551

Signature of

Role Plan administrator
Date 2023-10-02
Name of individual signing JOHN POHLMAN
SOUTH NASSAU COMMUNITIES HOSPITAL PHYSICIAN RETIREMENT PLAN 2021 111352310 2022-10-12 SOUTH NASSAU COMMUNITIES HOSPITAL 56
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5162551650
Plan sponsor’s address ONE HEALTHY WAY, OCEANSIDE, NY, 115721551

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing JOHN POHLMAN
SOUTH NASSAU COMMUNITIES HOSPITAL PHYSICIAN RETIREMENT PLAN 2020 111352310 2022-05-12 SOUTH NASSAU COMMUNITIES HOSPITAL 53
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5162551650
Plan sponsor’s address ONE HEALTHY WAY, OCEANSIDE, NY, 115721551

Signature of

Role Plan administrator
Date 2022-05-12
Name of individual signing JOHN POHLMAN
SOUTH NASSAU COMMUNITIES HOSPITAL PHYSICIAN RETIREMENT PLAN 2019 111352310 2020-10-07 SOUTH NASSAU COMMUNITIES HOSPITAL 53
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5162551650
Plan sponsor’s address ONE HEALTHY WAY, OCEANSIDE, NY, 115721551

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing JOHN POHLMAN
SOUTH NASSAU COMMUNITIES HOSPITAL PHYSICIAN RETIREMENT PLAN 2018 111352310 2019-10-07 SOUTH NASSAU COMMUNITIES HOSPITAL 62
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5162551650
Plan sponsor’s address ONE HEALTHY WAY, OCEANSIDE, NY, 115721551

Signature of

Role Plan administrator
Date 2019-10-07
Name of individual signing WILLIAM ALLISON
SOUTH NASSAU COMMUNITIES HOSPITAL PHYSICIAN RETIREMENT PLAN 2017 111352310 2018-10-15 SOUTH NASSAU COMMUNITIES HOSPITAL 62
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5162551650
Plan sponsor’s address ONE HEALTHY WAY, OCEANSIDE, NY, 11572

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing MARK BOGEN
SOUTH NASSAU COMMUNITIES HOSPITAL PHYSICIAN RETIREMENT PLAN 2016 111352310 2017-10-12 SOUTH NASSAU COMMUNITIES HOSPITAL 60
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5162551650
Plan sponsor’s address ONE HEALTHY WAY, OCEANSIDE, NY, 11572

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing ALEX BALKO
SOUTH NASSAU COMMUNITIES HOSPITAL TAX SHELTERED ANNUITY PLAN 2015 111352310 2017-10-06 SOUTH NASSAU COMMUNITIES HOSPITAL 36
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 622000
Sponsor’s telephone number 5166324080
Plan sponsor’s address ONE HEALTHY WAY, OCEANSIDE, NY, 11572

Signature of

Role Plan administrator
Date 2017-10-06
Name of individual signing ALEX BALKO
SOUTH NASSAU COMMUNITIES HOSPITAL PHYSICIAN RETIREMENT PLAN 2015 111352310 2016-10-11 SOUTH NASSAU COMMUNITIES HOSPITAL 61
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5162551650
Plan sponsor’s address ONE HEALTHY WAY, OCEANSIDE, NY, 11572

Signature of

Role Plan administrator
Date 2016-10-11
Name of individual signing ALEX BALKO

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: PRESIDENT AND CEO, 2445 OCEANSIDE ROAD, OCEANSIDE, NY, United States, 11572

Agent

Name Role Address
N/A: THE CORP. Agent 2445 OCEANSIDE RD., OCEANSIDE, NY

History

Start date End date Type Value
2000-10-19 2018-10-23 Address ATTN:PRESIDENT, 2445 OCEANSIDE ROAD, OCEANSIDE, NY, 11572, USA (Type of address: Service of Process)
1983-09-14 2000-10-19 Address 2445 OCEANSIDE RD., OCEANSIDE, NY, 11572, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
181023000241 2018-10-23 CERTIFICATE OF AMENDMENT 2018-10-23
001019000585 2000-10-19 CERTIFICATE OF AMENDMENT 2000-10-19
B019997-9 1983-09-14 CERTIFICATE OF AMENDMENT 1983-09-14
A816319-2 1981-11-19 ASSUMED NAME CORP INITIAL FILING 1981-11-19
A90266-2 1973-08-03 CERTIFICATE OF AMENDMENT 1973-08-03
11EX-47 1951-02-26 CERTIFICATE OF AMENDMENT 1951-02-26
259Q-101 1927-01-29 CERTIFICATE OF INCORPORATION 1927-01-29

Date of last update: 22 Dec 2024

Sources: New York Secretary of State