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  5. THE ANTHEM LLC

THE ANTHEM LLC

Company Details

Name: THE ANTHEM LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 25 Apr 2003 (22 years ago)
Entity Number: 2898617
ZIP code: 10019
County: New York
Place of Formation: New York
Address: 3 WEST 57TH STREET / 7TH FL, NEW YORK, NY, United States, 10019

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANTHEM LLC 401(K) PLAN 2015 058267594 2016-04-28 ANTHEM LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561790
Sponsor’s telephone number 2126847074
Plan sponsor’s address 222 E 34TH ST, NEW YORK, NY, 100164842

Signature of
Role Plan administrator
Date 2016-04-28
Name of individual signing PAUL ATHENS
Role Employer/plan sponsor
Date 2016-04-28
Name of individual signing PAUL ATHENS
ANTHEM LLC 401(K) PLAN 2014 058267594 2015-04-16 ANTHEM LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561790
Sponsor’s telephone number 2126847074
Plan sponsor’s address 222 E 34TH ST, NEW YORK, NY, 100164842

Signature of
Role Plan administrator
Date 2015-04-16
Name of individual signing PAUL ATHENS
Role Employer/plan sponsor
Date 2015-04-16
Name of individual signing PAUL ATHENS
ANTHEM LLC 401(K) PLAN 2013 058267594 2014-07-21 ANTHEM LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561790
Sponsor’s telephone number 2126847074
Plan sponsor’s address 222 E 34TH ST, NEW YORK, NY, 100164842

Signature of
Role Plan administrator
Date 2014-07-21
Name of individual signing PAUL ATHENS
Role Employer/plan sponsor
Date 2014-07-21
Name of individual signing PAUL ATHENS
ANTHEM LLC 401(K) PLAN 2012 058267594 2013-07-23 ANTHEM LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561790
Sponsor’s telephone number 2126847074
Plan sponsor’s address 222 E 34TH ST, NEW YORK, NY, 100164842

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing PAUL ATHENS
Role Employer/plan sponsor
Date 2013-07-23
Name of individual signing PAUL ATHENS
THE ANTHEM LLC 401(K) PLAN AND TRUST 2011 058267594 2012-09-14 THE ANTHEM LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561790
Sponsor’s telephone number 2126847704
Plan sponsor’s address 222 E 34TH ST, NEW YORK, NY, 100164842

Plan administrator’s name and address
Administrator’s EIN 058267594
Plan administrator’s name THE ANTHEM LLC
Plan administrator’s address 222 E 34TH ST, NEW YORK, NY, 100164842
Administrator’s telephone number 2126847704

Signature of
Role Plan administrator
Date 2012-09-14
Name of individual signing PAUL ATHENS
THE ANTHEM LLC 401(K) PLAN AND TRUST 2010 058267594 2011-01-26 THE ANTHEM LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561790
Sponsor’s telephone number 2126847704
Plan sponsor’s mailing address 222 E 34TH ST, NEW YORK, NY, 100164842
Plan sponsor’s address 222 E 34TH ST, NEW YORK, NY, 100164842

Plan administrator’s name and address
Administrator’s EIN 058267594
Plan administrator’s name THE ANTHEM LLC
Plan administrator’s address 222 E 34TH ST, NEW YORK, NY, 100164842
Administrator’s telephone number 2126847704

Number of participants as of the end of the plan year
Active participants 25
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
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 15
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 2011-01-26
Name of individual signing KAMRAN HAKIM
Valid signature Filed with authorized/valid electronic signature
THE ANTHEM LLC 401(K) PLAN AND TRUST 2009 058267594 2010-05-13 THE ANTHEM LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561790
Sponsor’s telephone number 2126847704
Plan sponsor’s mailing address 222 E 34TH ST, NEW YORK, NY, 100164842
Plan sponsor’s address 222 E 34TH ST, NEW YORK, NY, 100164842

Plan administrator’s name and address
Administrator’s EIN 058267594
Plan administrator’s name THE ANTHEM LLC
Plan administrator’s address 222 E 34TH ST, NEW YORK, NY, 100164842
Administrator’s telephone number 2126847704

Number of participants as of the end of the plan year
Active participants 21
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
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 15
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 2010-05-13
Name of individual signing PAUL ATHENS
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 3 WEST 57TH STREET / 7TH FL, NEW YORK, NY, United States, 10019

History

Start date End date Type Value
2005-04-14 2011-05-02 Address 3 WEST 57TH ST, 7TH FLOOR, NEW YORK, NY, 10019, USA (Type of address: Service of Process)
2003-04-25 2005-04-14 Address 425 EAST 61ST STREET, 1ST FL, NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130426002138 2013-04-26 BIENNIAL STATEMENT 2013-04-01
110502002678 2011-05-02 BIENNIAL STATEMENT 2011-04-01
090410002306 2009-04-10 BIENNIAL STATEMENT 2009-04-01
070426002295 2007-04-26 BIENNIAL STATEMENT 2007-04-01
050414002595 2005-04-14 BIENNIAL STATEMENT 2005-04-01
030819000654 2003-08-19 AFFIDAVIT OF PUBLICATION 2003-08-19
030819000651 2003-08-19 AFFIDAVIT OF PUBLICATION 2003-08-19
030425000023 2003-04-25 ARTICLES OF ORGANIZATION 2003-04-25

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Related by address

No related companies by address

Date of last update: 19 Jan 2025

Sources: New York Secretary of State

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