Menu
Search icon

PASSPORT HEALTH, INC.

Company Details

Name: PASSPORT HEALTH, INC.
Jurisdiction: New York
Legal type: FOREIGN DESIGNATION OF THE SECRETARY OF STATE
Status: Recorded
Date of registration: 15 Oct 1997 (28 years ago)
Date of dissolution: 15 Oct 1997
Entity Number: 2189712
County: Blank
Place of Formation: Maryland

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PASSPORT HEALTH 2023 061750197 2024-07-05 PASSPORT HEALTH 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-09-01
Business code 621111
Sponsor’s telephone number 5166262004
Plan sponsor’s address 200 SOUTH SERVICE ROAD, SUITE 212, ROSLYN HEIGHTS, NY, 11577

Signature of
Role Plan administrator
Date 2024-07-05
Name of individual signing ALEXANDER LUPENKO
PASSPORT HEALTH 2022 061750197 2023-12-15 PASSPORT HEALTH 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-09-01
Business code 621111
Sponsor’s telephone number 5166262004
Plan sponsor’s address 200 SOUTH SERVICE ROAD, SUITE 212, ROSLYN HEIGHTS, NY, 11577

Signature of
Role Plan administrator
Date 2023-12-15
Name of individual signing ALEXANDER LUPENKO
PASSPORT HEALTH 2021 061750197 2022-06-21 PASSPORT HEALTH 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-09-01
Business code 621111
Sponsor’s telephone number 5166262004
Plan sponsor’s address 200 SOUTH SERVICE ROAD, SUITE 212, ROSLYN HEIGHTS, NY, 11577

Signature of
Role Plan administrator
Date 2022-06-21
Name of individual signing ALEXANDER LUPENKO
PASSPORT HEALTH 2020 061750197 2021-12-21 PASSPORT HEALTH 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-09-01
Business code 621111
Sponsor’s telephone number 5166262004
Plan sponsor’s address 200 SOUTH SERVICE ROAD, ROSLYN HEIGHTS, NY, 11577

Signature of
Role Plan administrator
Date 2021-12-21
Name of individual signing ALEXANDER LUPENKO
PASSPORT HEALTH 2020 061750197 2021-11-29 PASSPORT HEALTH 9
Three-digit plan number (PN) 001
Effective date of plan 2018-09-01
Business code 621111
Sponsor’s telephone number 5166262004
Plan sponsor’s address 200 SOUTH SERVICE ROAD, ROSLYN HEIGHTS, NY, 11577

Signature of
Role Plan administrator
Date 2021-11-29
Name of individual signing ALEXANDER LUPENKO
PASSPORT HEALTH 2019 061750197 2021-11-29 PASSPORT HEALTH 10
Three-digit plan number (PN) 001
Effective date of plan 2018-09-01
Business code 621111
Sponsor’s telephone number 5166262004
Plan sponsor’s address 200 SOUTH SERVICE ROAD, ROSLYN HEIGHTS, NY, 11577

Signature of
Role Plan administrator
Date 2021-11-29
Name of individual signing ALEXANDER LUPENKO
PASSPORT HEALTH 2019 061750197 2021-12-21 PASSPORT HEALTH 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-09-01
Business code 621111
Sponsor’s telephone number 5166262004
Plan sponsor’s address 200 SOUTH SERVICE ROAD, ROSLYN HEIGHTS, NY, 11577

Signature of
Role Plan administrator
Date 2021-12-21
Name of individual signing ALEXANDER LUPENKO

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 31 Mar 2025

Sources: New York Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 bizyork.com, Part of Big Data Integrated