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  5. A. L. JACOBSEN FUNERAL HOME, INC.

A. L. JACOBSEN FUNERAL HOME, INC.

Company Details

Name: A. L. JACOBSEN FUNERAL HOME, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 09 Aug 1928 (96 years ago)
Entity Number: 25072
ZIP code: 11746
County: Suffolk
Place of Formation: New York
Address: 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, United States, 11746
Principal Address: 3 THORMAN LANE, HUNTINGTON, NY, United States, 11743

Shares Details

Shares issued 0

Share Par Value 5000

Type CAP

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
A. L. JACOBSEN FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2019 110915740 2020-04-10 A L JACOBSEN FUNERAL HOME INC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-05-13
Business code 812210
Sponsor’s telephone number 6314232185
Plan sponsor’s address 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, 11746

Signature of
Role Plan administrator
Date 2020-04-10
Name of individual signing BOB LAMONTE
A. L. JACOBSEN FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2018 110915740 2019-07-15 A L JACOBSEN FUNERAL HOME INC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-05-13
Business code 812210
Sponsor’s telephone number 6314232185
Plan sponsor’s address 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, 11746

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing SHAWN FIVES
A. L. JACOBSEN FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2017 110915740 2018-06-11 A L JACOBSEN FUNERAL HOME INC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-05-13
Business code 812210
Sponsor’s telephone number 6314232185
Plan sponsor’s address 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, 11746

Signature of
Role Plan administrator
Date 2018-06-11
Name of individual signing SHAWN FIVES
A. L. JACOBSEN FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2016 110915740 2017-06-22 A L JACOBSEN FUNERAL HOME INC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-05-13
Business code 812210
Sponsor’s telephone number 6314232185
Plan sponsor’s address 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, 11746

Signature of
Role Plan administrator
Date 2017-06-22
Name of individual signing SHAWN FIVES
A. L. JACOBSEN FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2015 110915740 2016-06-29 A L JACOBSEN FUNERAL HOME INC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-05-13
Business code 812210
Sponsor’s telephone number 6314232185
Plan sponsor’s address 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, 11746

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing SHAWN FIVES
A. L. JACOBSEN FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2014 110915740 2015-05-28 A L JACOBSEN FUNERAL HOME INC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-05-13
Business code 812210
Sponsor’s telephone number 6314232185
Plan sponsor’s address 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, 11746

Signature of
Role Plan administrator
Date 2015-05-28
Name of individual signing SHAWN FIVES
A. L. JACOBSEN FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2013 110915740 2014-06-26 A L JACOBSEN FUNERAL HOME INC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-05-13
Business code 812210
Sponsor’s telephone number 6314232185
Plan sponsor’s address 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, 11746

Signature of
Role Plan administrator
Date 2014-06-26
Name of individual signing SHAWN FIVES
A L JACOBSEN FUNERAL HOME INC 401K PLAN 2011 110915740 2012-10-01 A L JACOBSEN FUNERAL HOME INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-05-13
Business code 812210
Sponsor’s telephone number 6314232185
Plan sponsor’s address 1380 NEW YORK AVENUE, ATTN CHRISTIAN JACOBSEN, HUNTINGTON STATION, NY, 11746

Plan administrator’s name and address
Administrator’s EIN 110915740
Plan administrator’s name A L JACOBSEN FUNERAL HOME INC
Plan administrator’s address 1380 NEW YORK AVENUE, ATTN CHRISTIAN JACOBSEN, HUNTINGTON STATION, NY, 11746
Administrator’s telephone number 6314232185

Signature of
Role Plan administrator
Date 2012-10-01
Name of individual signing CHRISTIAN JACOBSEN
A. L. JACOBSEN FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2010 110915740 2011-10-04 A. L. JACOBSEN FUNERAL HOME, INC. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 6314232185
Plan sponsor’s address 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, 11746

Plan administrator’s name and address
Administrator’s EIN 110915740
Plan administrator’s name A. L. JACOBSEN FUNERAL HOME, INC.
Plan administrator’s address 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, 11746
Administrator’s telephone number 6314232185

Signature of
Role Plan administrator
Date 2011-08-18
Name of individual signing CHRISTIAN K. JACOBSEN
A. L. JACOBSEN FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2010 110915740 2011-08-18 A. L. JACOBSEN FUNERAL HOME, INC. 10
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 6314232185
Plan sponsor’s address 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, 11746

Plan administrator’s name and address
Administrator’s EIN 110915740
Plan administrator’s name A. L. JACOBSEN FUNERAL HOME, INC.
Plan administrator’s address 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, 11746
Administrator’s telephone number 6314232185

Signature of
Role Plan administrator
Date 2011-08-18
Name of individual signing CHRISTIAN K. JACOBSEN

Chief Executive Officer

Name Role Address
CHRISTIAN K JACOBSEN Chief Executive Officer 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, United States, 11746

DOS Process Agent

Name Role Address
CHRISTIAN K JACOBSEN DOS Process Agent 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, United States, 11746

History

Start date End date Type Value
1995-02-02 1998-07-20 Address 1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, 11746, USA (Type of address: Principal Executive Office)
1928-08-09 1995-02-02 Address NO STREET ADDRESS, HUNTINGTON, NY, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
060825002338 2006-08-25 BIENNIAL STATEMENT 2006-08-01
020722002667 2002-07-22 BIENNIAL STATEMENT 2002-08-01
000907002003 2000-09-07 BIENNIAL STATEMENT 2000-08-01
980720002246 1998-07-20 BIENNIAL STATEMENT 1998-08-01
960815002693 1996-08-15 BIENNIAL STATEMENT 1996-08-01
950202002064 1995-02-02 BIENNIAL STATEMENT 1993-08-01
C202827-2 1993-09-02 ASSUMED NAME CORP INITIAL FILING 1993-09-02
B338989-3 1986-03-27 CERTIFICATE OF AMENDMENT 1986-03-27
880698-3 1971-01-08 CERTIFICATE OF AMENDMENT 1971-01-08
3353-65 1928-08-09 CERTIFICATE OF INCORPORATION 1928-08-09

Related by officers

No related officers

Related by address

1380 NEW YORK AVENUE, HUNTINGTON STATION, NY, United States, 11746

5 HAVENWOOD DRIVE, LLC VIRAG - MADDEX FUNERAL DIRECTORS, INC.

Date of last update: 22 Dec 2024

Sources: New York Secretary of State

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