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PREMIER HEALTH INC.

Company Details

Name: PREMIER HEALTH INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Inactive
Date of registration: 07 Jan 1997 (28 years ago)
Date of dissolution: 27 Dec 2000
Entity Number: 2099556
ZIP code: 11784
County: Suffolk
Place of Formation: New York
Address: 1305 MIDDLE COUNTRY ROAD, SUITE 5, SELDEN, NY, United States, 11784

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
PREMIER HEALTH INC. SUPER SIMPLIFIED 401K PLAN 2019 133906091 2020-10-12 PREMIER HEALTH INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 6314864619
Plan sponsor’s address C/O GREGG BERNARD, CPA, 31 CURTIS PATH, EAST NORTHPORT, NY, 117316317

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing GABRIELLE COREN
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing GABRIELLE COREN
PREMIER HEALTH INC. SUPER SIMPLIFIED 401K PLAN 2018 133906091 2019-07-28 PREMIER HEALTH INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 6314864619
Plan sponsor’s address 110 E 57TH ST APT 4F, NEW YORK, NY, 100222616

Signature of

Role Plan administrator
Date 2019-07-28
Name of individual signing GABRIELLE COREN
Role Employer/plan sponsor
Date 2019-07-28
Name of individual signing GABRIELLE COREN
PREMIER HEALTH INC SUPER SIMPLIFIED 401K PLAN 2017 133906091 2018-07-27 PREMIER HEALTH INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 6314864619
Plan sponsor’s address 110 E 57TH ST APT 4F, NEW YORK, NY, 100222616

Signature of

Role Plan administrator
Date 2018-07-27
Name of individual signing GABRIELLE COREN
Role Employer/plan sponsor
Date 2018-07-27
Name of individual signing GABRIELLE COREN
PREMIER HEALTH INC. SUPER SIMPLIFIED 401K PLAN 2016 133906091 2017-09-19 PREMIER HEALTH INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 6314864619
Plan sponsor’s address 110 E 57TH ST APT 4F, NEW YORK, NY, 100222616

Signature of

Role Plan administrator
Date 2017-09-19
Name of individual signing GABRIELLE COREN
Role Employer/plan sponsor
Date 2017-09-19
Name of individual signing GABRIELLE COREN
PREMIER HEALTH INC. SUPER SIMPLIFIED 401K PLAN 2015 133906091 2016-07-29 PREMIER HEALTH INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 6314864619
Plan sponsor’s address 110 E 57TH ST APT 4F, NEW YORK, NY, 100222616

Signature of

Role Plan administrator
Date 2016-07-29
Name of individual signing GABRIELLE COREN
Role Employer/plan sponsor
Date 2016-07-29
Name of individual signing GABRIELLE COREN
PREMIER HEALTH INC SUPER SIMPLIFIED 401K PLAN 2014 133906091 2015-09-28 PREMIER HEALTH INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 6314864619
Plan sponsor’s address 110 EAST 57TH STREET, SUITE 4F, NEW YORK, NY, 10022

Signature of

Role Plan administrator
Date 2015-09-28
Name of individual signing GREGG BERNARD
PREMIER HEALTH INC SUPER SIMPLIFIED 401K PLAN 2013 133906091 2014-10-04 PREMIER HEALTH INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 6314864619
Plan sponsor’s address 110 EAST 57TH STREET, SUITE 4F, NEW YORK, NY, 10022

Signature of

Role Plan administrator
Date 2014-10-04
Name of individual signing GREGG BERNARD
PREMIER HEALTH INC SUPER SIMPLIFIED 401K PLAN 2012 133906091 2013-10-08 PREMIER HEALTH INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 6314864619
Plan sponsor’s address 110 EAST 57TH STREET, SUIT 4F, NEW YORK, NY, 10022

Signature of

Role Plan administrator
Date 2013-10-08
Name of individual signing GABRIELLE COREN

DOS Process Agent

Name Role Address
C/O STEVE SHAPIRO DOS Process Agent 1305 MIDDLE COUNTRY ROAD, SUITE 5, SELDEN, NY, United States, 11784

Filings

Filing Number Date Filed Type Effective Date
DP-1502143 2000-12-27 DISSOLUTION BY PROCLAMATION 2000-12-27
970107000492 1997-01-07 CERTIFICATE OF INCORPORATION 1997-01-07

Date of last update: 01 Apr 2025

Sources: New York Secretary of State