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  5. THE SOUTHAMPTON HOSPITAL ASSOCIATION

THE SOUTHAMPTON HOSPITAL ASSOCIATION

Company Details

Name: THE SOUTHAMPTON HOSPITAL ASSOCIATION
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 10 Feb 1944 (81 years ago)
Entity Number: 27364
ZIP code: 11968
County: Suffolk
Place of Formation: New York
Address: ATTN: PRESIDENT, 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968

Contact Details

Phone +1 631-288-7746

Phone +1 631-726-8300

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHAMPTON HOSPITAL MEDICAL AND DENTAL PLANS 2010 111667765 2011-10-03 SOUTHAMPTON HOSPITAL ASSOCIATION 263
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1970-12-01
Business code 622000
Sponsor’s telephone number 6317260400
Plan sponsor’s mailing address 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 119685090
Plan sponsor’s address 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 119685090

Plan administrator’s name and address
Administrator’s EIN 111667765
Plan administrator’s name SOUTHAMPTON HOSPITAL ASSOCIATION
Plan administrator’s address 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 119685090
Administrator’s telephone number 6317260400

Number of participants as of the end of the plan year
Active participants 260
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-03
Name of individual signing PAUL DAVIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-03
Name of individual signing PAUL DAVIN
Valid signature Filed with authorized/valid electronic signature
SOUTHAMPTON HOSPITAL MEDICAL AND DENTAL PLANS 2009 111667765 2010-07-30 SOUTHAMPTON HOSPITAL ASSOCIATION 233
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1970-12-01
Business code 622000
Sponsor’s telephone number 6317260400
Plan sponsor’s mailing address 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 119685090
Plan sponsor’s address 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 119685090

Plan administrator’s name and address
Administrator’s EIN 111667765
Plan administrator’s name SOUTHAMPTON HOSPITAL ASSOCIATION
Plan administrator’s address 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 119685090
Administrator’s telephone number 6317260400

Number of participants as of the end of the plan year
Active participants 263
Retired or separated participants receiving benefits 8
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing PAUL DAVIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing PAUL DAVIN
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: PRESIDENT, 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968

History

Start date End date Type Value
2015-12-17 2017-08-02 Address 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process)
2009-04-01 2015-12-17 Address ATTN: PRESIDENT, 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process)
2006-06-09 2009-04-01 Address ATTN: PRESIDENT, 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process)
1998-12-15 2006-06-09 Address 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170802000396 2017-08-02 CERTIFICATE OF AMENDMENT 2017-08-02
151217000379 2015-12-17 CERTIFICATE OF AMENDMENT 2015-12-17
090401000694 2009-04-01 CERTIFICATE OF AMENDMENT 2009-04-01
060609000219 2006-06-09 CERTIFICATE OF AMENDMENT 2006-06-09
981215000143 1998-12-15 CERTIFICATE OF AMENDMENT 1998-12-15
B069958-2 1984-02-16 ASSUMED NAME CORP INITIAL FILING 1984-02-16
706330-4 1968-09-19 CERTIFICATE OF AMENDMENT 1968-09-19
8EX-20 1951-01-17 CERTIFICATE OF AMENDMENT 1951-01-17
438Q-124 1944-02-10 CERTIFICATE OF INCORPORATION 1944-02-10

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
11-1667765 Corporation Unconditional Exemption 240 MEETING HOUSE LN, SOUTHAMPTON, NY, 11968-5009 1942-06
In Care of Name % CHRISTOPHER SCHULTHEIS
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 98627423
Income Amount 23131087
Form 990 Revenue Amount 22701613
National Taxonomy of Exempt Entities Health Care: Health, General and Financing
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letter
Final Letter(s) FinalLetter_11-1667765_THESOUTHAMPTONHOSPITALASSOCIATION_06272016_01.tif
FinalLetter_11-1667765_THESOUTHAMPTONHOSPITALASSOCIATION_06272016_03.tif
FinalLetter_11-1667765_THESOUTHAMPTONHOSPITALASSOCIATION_06272016_02.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name SOUTHAMPTON HOSPITAL ASSOCIATION
EIN 11-1667765
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name SOUTHAMPTON HOSPITAL ASSOCIATION
EIN 11-1667765
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name SOUTHAMPTON HOSPITAL ASSOCIATION
EIN 11-1667765
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name SOUTHAMPTON HOSPITAL ASSOCIATION
EIN 11-1667765
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name SOUTHAMPTON HOSPITAL ASSOCIATION
EIN 11-1667765
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name SOUTHAMPTON HOSPITAL ASSOCIATION
EIN 11-1667765
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name SOUTHAMPTON HOSPITAL ASSOCIATION
EIN 11-1667765
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name SOUTHHAMPTON HOSPITAL ASSOCIATION
EIN 11-1667765
Tax Period 201712
Filing Type P
Return Type 990T
File View File
Organization Name SOUTHAMPTON HOSPITAL ASSOCIATION
EIN 11-1667765
Tax Period 201612
Filing Type P
Return Type 990
File View File
Organization Name SOUTHAMPTON HOSPITAL ASSOCIATION
EIN 11-1667765
Tax Period 201612
Filing Type P
Return Type 990T
File View File
Organization Name SOUTHAMPTON HOSPITAL ASSOCIATION
EIN 11-1667765
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name SOUTHAMPTON HOSPITAL ASSOCIATION
EIN 11-1667765
Tax Period 201512
Filing Type E
Return Type 990
File View File

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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