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  5. CAMELOT OF STATEN ISLAND, INC.

CAMELOT OF STATEN ISLAND, INC.

Company Details

Name: CAMELOT OF STATEN ISLAND, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 17 Feb 1970 (55 years ago)
Entity Number: 289205
ZIP code: 10301
County: Richmond
Place of Formation: New York
Address: 56 BAY STREET, 4TH FLOOR, STATEN ISLAND, NY, United States, 10301

Contact Details

Phone +1 718-981-8117

Phone +1 718-356-5100

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MF6PRYUY38X7 2024-11-05 4442 ARTHUR KILL RD STE 4, STATEN ISLAND, NY, 10309, 1321, USA 4442 ARTHUR KILL RD STE 4, STATEN ISLAND, NY, 10309, 1321, USA

Business Information
URL camelotcounseling.com
Division Name CAMELOT OF STATEN ISLAND INC.
Division Number CAMELOT OF
Congressional District 11
State/Country of Incorporation NY, USA
Activation Date 2023-11-22
Initial Registration Date 2021-03-23
Entity Start Date 1970-01-15
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 621420, 623220

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CARL FEREN
Role COO
Address 4442 ARTHUR KILL RD., STATEN ISLAND, NY, 10309, USA
Government Business
Title PRIMARY POC
Name RICHARD BOROWICZ
Role CFO
Address 4442 ARTHUR KILL RD., STATEN ISLAND, NY, 10309, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMELOT COUNSELING CENTERS PROFIT SHARING 401K PLAN 2023 237091329 2024-06-20 CAMELOT OF STATEN ISLAND, INC 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621420
Sponsor’s telephone number 7183565100
Plan sponsor’s address 4442 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2024-06-20
Name of individual signing LORI MONICO
CAMELOT COUNSELING CENTERS PROFIT SHARING 401K PL N 2022 237091329 2023-07-17 CAMELOT OF STATEN ISLAND, INC 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621420
Sponsor’s telephone number 7183565100
Plan sponsor’s address 4442 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2023-07-17
Name of individual signing RICHARD BOROWICZ
CAMELOT COUNSELING CENTERS PROFIT SHARING 401K PL N 2021 237091329 2022-07-13 CAMELOT OF STATEN ISLAND, INC 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621420
Sponsor’s telephone number 7183565100
Plan sponsor’s address 4442 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing LUKE J. NASTA
CAMELOT COUNSELING CENTERS PROFIT SHARING 401K PL N 2020 237091329 2021-06-30 CAMELOT OF STATEN ISLAND, INC 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621420
Sponsor’s telephone number 7183565100
Plan sponsor’s address 4442 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2021-06-30
Name of individual signing LUKE J. NASTA
CAMELOT COUNSELING CENTERS PROFIT SHARING 401K PL N 2019 237091329 2020-05-26 CAMELOT OF STATEN ISLAND, INC 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621420
Sponsor’s telephone number 7183565100
Plan sponsor’s address 4442 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2020-05-26
Name of individual signing LUKE J. NASTA
CAMELOT COUNSELING CENTERS PROFIT SHARING 401K PL N 2018 237091329 2019-04-24 CAMELOT OF STATEN ISLAND, INC 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621420
Sponsor’s telephone number 7183565100
Plan sponsor’s address 4442 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2019-04-24
Name of individual signing LUKE J. NASTA
CAMELOT COUNSELING CENTERS PROFIT SHARING 401K PL N 2017 237091329 2018-05-08 CAMELOT OF STATEN ISLAND, INC 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621420
Sponsor’s telephone number 7183565100
Plan sponsor’s address 4442 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2018-05-08
Name of individual signing LUKE J. NASTA
CAMELOT COUNSELING CENTERS PROFIT SHARING 401K PL N 2016 237091329 2017-05-10 CAMELOT OF STATEN ISLAND, INC 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621420
Sponsor’s telephone number 7183565100
Plan sponsor’s address 4442 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2017-05-10
Name of individual signing LUKE J. NASTA
CAMELOT COUNSELING CENTERS PROFIT SHARING 401K PL N 2015 237091329 2016-08-01 CAMELOT OF STATEN ISLAND, INC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621420
Sponsor’s telephone number 7183565100
Plan sponsor’s address 4442 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309
CAMELOT COUNSELING CENTERS PROFIT SHARING 401K PL N 2014 237091329 2015-05-28 CAMELOT OF STATEN ISLAND, INC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621420
Sponsor’s telephone number 7183565100
Plan sponsor’s address 4442 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2015-05-28
Name of individual signing LUKE NASTA

Agent

Name Role Address
THE NORTH SHORE KIWANIS CHARITABLE FOUNDATION, INC. Agent 888 FOREST AVE., STATEN ISLAND, NY, 10310

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 56 BAY STREET, 4TH FLOOR, STATEN ISLAND, NY, United States, 10301

History

Start date End date Type Value
1986-06-04 1992-01-09 Address 263 RICHMOND AVE., STATEN ISLAND, NY, 10302, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
C297369-2 2001-01-02 ASSUMED NAME LLC INITIAL FILING 2001-01-02
920109000115 1992-01-09 CERTIFICATE OF AMENDMENT 1992-01-09
B365987-5 1986-06-04 CERTIFICATE OF AMENDMENT 1986-06-04
A479801-12 1978-04-18 CERTIFICATE OF AMENDMENT 1978-04-18
815611-9 1970-02-17 CERTIFICATE OF INCORPORATION 1970-02-17

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
23-7091329 Corporation Unconditional Exemption 4442 ARTHUR KILL RD STE 4, STATEN ISLAND, NY, 10309-1321 1971-02
In Care of Name -
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 normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-06
Asset 10,000,000 to 49,999,999
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 Jun
Asset Amount 20810915
Income Amount 10355511
Form 990 Revenue Amount 10355511
National Taxonomy of Exempt Entities -
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)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name CAMELOT OF STATEN ISLAND INC
EIN 23-7091329
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name CAMELOT OF STATEN ISLAND INC
EIN 23-7091329
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name CAMELOT OF STATEN ISLAND INC
EIN 23-7091329
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name CAMELOT OF STATEN ISLAND INC
EIN 23-7091329
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name CAMELOT OF STATEN ISLAND INC
EIN 23-7091329
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name CAMELOT OF STATEN ISLAND INC
EIN 23-7091329
Tax Period 201606
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2428687304 2020-04-29 0202 PPP 4442 Arthur Kill Road, Suite 4, STATEN ISLAND, NY, 10309-1321
Loan Status Date 2022-02-02
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 888600
Loan Approval Amount (current) 888600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 378478
Servicing Lender Name Empire State Bank
Servicing Lender Address 68 N Plank Rd, NEWBURGH, NY, 12550-2109
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address STATEN ISLAND, RICHMOND, NY, 10309-1321
Project Congressional District NY-11
Number of Employees 82
NAICS code 621420
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 378478
Originating Lender Name Empire State Bank
Originating Lender Address NEWBURGH, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 893761.18
Forgiveness Paid Date 2020-11-30

Court Cases

Docket Number Nature of Suit Filing Date Disposition
2307779 Civil Rights Employment 2023-10-18 missing
Circuit Second Circuit
Origin original proceeding
Jurisdiction federal question
Jury Demand Plaintiff demands jury
Demanded Amount 0
Termination Class Action Missing
Procedural Progress Missing
Nature Of Judgment Missing
Judgement missing
Arbitration On Termination Missing
Office 1
Filing Date 2023-10-18
Termination Date 1900-01-01
Section 0451
Status Pending

Parties
Name GALLO
Role Plaintiff
Name CAMELOT OF STATEN ISLAND, INC.
Role Defendant

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THE CORPORATION

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Related by address

No related companies by address

Date of last update: 18 Mar 2025

Sources: New York Secretary of State

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