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  5. MONTEFIORE NYACK HOSPITAL

MONTEFIORE NYACK HOSPITAL

Company Details

Name: MONTEFIORE NYACK HOSPITAL
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 20 Jun 1895 (130 years ago)
Entity Number: 28497
ZIP code: 10960
County: Rockland
Place of Formation: New York
Address: ATTN: LEGAL DEPARTMENT, 160 NORTH MIDLAND AVENUE, NYACK, NY, United States, 10960

Contact Details

Phone +1 845-638-8700

Fax +1 845-638-8700

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTEFIORE NYACK HOSPITAL NEW YORK RETIREE MEDICAL PLAN VEBA AND TRUST VEBA AND TRUST 2023 874774733 2024-10-16 MONTEFIORE NYACK HOSPITAL 17
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-12-02
Business code 622000
Sponsor’s telephone number 8007227214
Plan sponsor’s address 131 WEST 33RD STREET, NEW YORK, NY, 10001

Plan administrator’s name and address
Administrator’s EIN 874774733
Plan administrator’s name BD OF TRUSTEES MONTEFIORE NYACK HOS
Plan administrator’s address 131 WEST 33RD STREET, NEW YORK, NY, 10001
Administrator’s telephone number 8007227214
NYACK HOSPITAL GROUP LIFE INSURANCE PLAN 2020 131740119 2021-11-02 MONTEFIORE NYACK HOSPITAL 634
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1992-10-01
Business code 622000
Sponsor’s telephone number 8453482000
Plan sponsor’s mailing address 160 N MIDLAND AVE, NYACK, NY, 109601912
Plan sponsor’s address 160 N MIDLAND AVE, NYACK, NY, 109601912

Number of participants as of the end of the plan year
Active participants 859

Signature of
Role Plan administrator
Date 2021-08-13
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
NYACK HOSPITAL HEALTH & DENTAL PLAN 2020 131740119 2021-11-02 MONTEFIORE NYACK HOSPITAL 1181
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1981-05-01
Business code 622000
Sponsor’s telephone number 8453482000
Plan sponsor’s mailing address 160 N MIDLAND AVE, NYACK, NY, 109601912
Plan sponsor’s address 160 N MIDLAND AVE, NYACK, NY, 109601912

Number of participants as of the end of the plan year
Active participants 1211

Signature of
Role Plan administrator
Date 2021-08-13
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
NYACK HOSPITAL GROUP LIFE INSURANCE PLAN 2019 131740119 2020-08-31 MONTEFIORE NYACK HOSPITAL 852
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1992-10-01
Business code 622000
Sponsor’s telephone number 8453482000
Plan sponsor’s mailing address 160 N MIDLAND AVE, NYACK, NY, 109601912
Plan sponsor’s address 160 N MIDLAND AVE, NYACK, NY, 109601912

Number of participants as of the end of the plan year
Active participants 634

Signature of
Role Plan administrator
Date 2020-08-31
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-31
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
NYACK HOSPITAL HEALTH & DENTAL PLAN 2019 131740119 2020-08-31 MONTEFIORE NYACK HOSPITAL 1111
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1981-05-01
Business code 622000
Sponsor’s telephone number 8453482000
Plan sponsor’s mailing address 160 N MIDLAND AVE, NYACK, NY, 109601912
Plan sponsor’s address 160 N MIDLAND AVE, NYACK, NY, 109601912

Number of participants as of the end of the plan year
Active participants 1181

Signature of
Role Plan administrator
Date 2020-08-31
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-31
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
NYACK HOSPITAL HEALTH & DENTAL PLAN 2018 131740119 2019-08-22 MONTEFIORE NYACK HOSPITAL 1150
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1981-05-01
Business code 622000
Sponsor’s telephone number 8453482000
Plan sponsor’s mailing address 160 N MIDLAND AVE, NYACK, NY, 109601912
Plan sponsor’s address 160 N MIDLAND AVE, NYACK, NY, 109601912

Number of participants as of the end of the plan year
Active participants 1111

Signature of
Role Plan administrator
Date 2019-08-20
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-20
Name of individual signing JOHN BURKE
Valid signature Filed with authorized/valid electronic signature
NYACK HOSPITAL GROUP LIFE INSURANCE PLAN 2018 131740119 2019-08-28 MONTEFIORE NYACK HOSPITAL 686
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1992-10-01
Business code 622000
Sponsor’s telephone number 8453482000
Plan sponsor’s mailing address 160 N MIDLAND AVE, NYACK, NY, 109601912
Plan sponsor’s address 160 N MIDLAND AVE, NYACK, NY, 109601912

Number of participants as of the end of the plan year
Active participants 852

Signature of
Role Plan administrator
Date 2019-08-22
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-27
Name of individual signing JOHN BURKE
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: LEGAL DEPARTMENT, 160 NORTH MIDLAND AVENUE, NYACK, NY, United States, 10960

History

Start date End date Type Value
2018-02-05 2018-02-05 Address ATT: LEGAL DEPARTMENT, 160 NORTH MIDLAND AVE, NYACK, NY, 10960, USA (Type of address: Service of Process)
2005-02-08 2018-02-05 Address PRESIDENT, 160 N. MIDLAND AVE, NYACK, NY, 10960, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180205000622 2018-02-05 CERTIFICATE OF AMENDMENT 2018-02-05
180205000365 2018-02-05 CERTIFICATE OF AMENDMENT 2018-02-05
20050223015 2005-02-23 ASSUMED NAME CORP INITIAL FILING 2005-02-23
050208000106 2005-02-08 CERTIFICATE OF AMENDMENT 2005-02-08
758113-3 1969-05-21 CERTIFICATE OF AMENDMENT 1969-05-21
494733 1965-04-29 CERTIFICATE OF AMENDMENT 1965-04-29
271920 1961-06-02 CERTIFICATE OF AMENDMENT 1961-06-02
595Q-64 1954-10-15 CERTIFICATE OF AMENDMENT 1954-10-15
2CR-347 1953-01-06 CERTIFICATE OF ANNULMENT OF DISSOLUTION AND REINSTATEMENT OF CORPORATE EXISTENCE 1953-01-06
DP-2814 1952-10-15 DISSOLUTION BY PROCLAMATION 1952-10-15

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

No related companies by address

Date of last update: 22 Dec 2024

Sources: New York Secretary of State

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