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  5. STATEN ISLAND CARE CENTER, LLC

STATEN ISLAND CARE CENTER, LLC

Company Details

Name: STATEN ISLAND CARE CENTER, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Nov 1999 (25 years ago)
Entity Number: 2438750
ZIP code: 11230
County: Richmond
Place of Formation: New York
Address: 1487, McDonald Ave, Brooklyn, NY, United States, 11230

Contact Details

Phone +1 718-448-9000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STATEN ISLAND CARE CENTER, LLC 401(K) PLAN 2023 133632426 2024-07-23 STATEN ISLAND CARE CENTER, LLC 92
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-10-01
Business code 623000
Sponsor’s telephone number 7184489000
Plan sponsor’s address 200 LAFAYETE AVE., STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing AARON KAUFMAN
STATEN ISLAND CARE CENTER, LLC 401(K) PLAN 2020 133632426 2021-09-30 STATEN ISLAND CARE CENTER, LLC 109
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-10-01
Business code 623000
Sponsor’s telephone number 7184489000
Plan sponsor’s address 200 LAFAYETE AVE., STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2021-09-30
Name of individual signing AARON KAUFMAN
STATEN ISLAND CARE CENTER, LLC 401(K) PLAN 2019 133632426 2020-07-31 STATEN ISLAND CARE CENTER, LLC 110
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-10-01
Business code 623000
Sponsor’s telephone number 7184489000
Plan sponsor’s address 200 LAFAYETE AVE., STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing AARON KAUFMAN
STATEN ISLAND CARE CENTER, LLC 401(K PROFIT SHARING PLAN 2018 133632426 2019-07-08 STATEN ISLAND CARE CENTER, LLC 103
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-10-01
Business code 623000
Sponsor’s telephone number 7184489000
Plan sponsor’s address 200 LAFAYETE AVE., STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing AARON KAUFMAN
STATEN ISLAND CARE CENTER, LLC 401(K PROFIT SHARING PLAN 2017 133632426 2018-10-03 STATEN ISLAND CARE CENTER, LLC 106
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-10-01
Business code 623000
Sponsor’s telephone number 7184489000
Plan sponsor’s address 200 LAFAYETE AVE., STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing AARON KAUFMAN
STATEN ISLAND CARE CENTER, LLC 401(K PROFIT SHARING PLAN 2016 133632426 2017-10-03 STATEN ISLAND CARE CENTER, LLC 95
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-10-01
Business code 623000
Sponsor’s telephone number 7184489000
Plan sponsor’s address 200 LAFAYETE AVE., STATEN ISLAND, NY, 10301
STATEN ISLAND CARE CENTER, LLC 401(K PROFIT SHARING PLAN 2015 133632426 2016-09-29 STATEN ISLAND CARE CENTER, LLC 112
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-10-01
Business code 623000
Sponsor’s telephone number 7184489000
Plan sponsor’s address 200 LAFAYETE AVE., STATEN ISLAND, NY, 10301
STATEN ISLAND CARE CENTER, LLC 401(K PROFIT SHARING PLAN 2014 133632426 2015-10-21 STATEN ISLAND CARE CENTER, LLC 104
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-10-01
Business code 623000
Sponsor’s telephone number 7184489000
Plan sponsor’s address 200 LAFAYETE AVE., STATEN ISLAND, NY, 10301
STATEN ISLAND CARE CENTER, LLC 401(K PROFIT SHARING PLAN 2014 133632426 2015-10-14 STATEN ISLAND CARE CENTER, LLC 104
Three-digit plan number (PN) 002
Effective date of plan 1993-10-01
Business code 623000
Sponsor’s telephone number 7184489000
Plan sponsor’s address 200 LAFAYETE AVE., STATEN ISLAND, NY, 10301
STATEN ISLAND CARE CENTER RETIREMENT PLAN 2013 133632426 2014-10-23 STATEN ISLAND CARE CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-12-30
Business code 623000
Sponsor’s telephone number 7184489000
Plan sponsor’s address 200 LAFAYETTE AVENUE, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2014-10-22
Name of individual signing MAYER LAUFER

DOS Process Agent

Name Role Address
STATEN ISLAND CARE CENTER, LLC DOS Process Agent 1487, McDonald Ave, Brooklyn, NY, United States, 11230

History

Start date End date Type Value
2022-04-15 2023-11-02 Address 1463 66th street, BROOKLYN, NY, 11219, USA (Type of address: Service of Process)
2017-12-13 2022-04-15 Address C/O EXCELSIOR CARE GROUP, 1463 66TH STREET, BROOKLYN, NY, 11219, USA (Type of address: Service of Process)
2013-11-21 2017-12-13 Address MICHELMAN & ROBINSON, LLP, 800 THIRD AVE, 24TH FL, NEW YORK, NY, 10022, USA (Type of address: Service of Process)
2003-11-05 2013-11-21 Address DUANNE MORRIS LLP, 380 LEXINGTON AVE, NEW YORK, NY, 10168, USA (Type of address: Service of Process)
1999-11-12 2003-11-05 Address ARENT FOX KINTNER PLOTKIN ETAL, 1675 BROADWAY 25TH FLOOR, NEW YORK, NY, 10019, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231102004934 2023-11-02 BIENNIAL STATEMENT 2023-11-01
220415001969 2022-04-14 CERTIFICATE OF CHANGE BY ENTITY 2022-04-14
211004002879 2021-10-04 BIENNIAL STATEMENT 2021-10-04
171213006067 2017-12-13 BIENNIAL STATEMENT 2017-11-01
131121002109 2013-11-21 BIENNIAL STATEMENT 2013-11-01
071224002169 2007-12-24 BIENNIAL STATEMENT 2007-11-01
031105002372 2003-11-05 BIENNIAL STATEMENT 2003-11-01
000512000606 2000-05-12 AFFIDAVIT OF PUBLICATION 2000-05-12
000512000598 2000-05-12 AFFIDAVIT OF PUBLICATION 2000-05-12
991112000381 1999-11-12 CERTIFICATE OF CONVERSION 1999-11-12

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: New York Secretary of State

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