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  5. THE PALM BEACH HOME FOR ADULTS, LLC

THE PALM BEACH HOME FOR ADULTS, LLC

Company Details

Name: THE PALM BEACH HOME FOR ADULTS, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Jan 2004 (21 years ago)
Entity Number: 3006972
ZIP code: 11235
County: Kings
Place of Formation: New York
Address: 2900 BRAGG STREET, BROOKLYN, NY, United States, 11235

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALM BEACH HOME FOR ADULTS 401 K PROFIT SHARING PLAN 2020 112388357 2021-03-31 PALM BEACH HOME FOR ADULTS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-12-15
Business code 621610
Sponsor’s telephone number 7188918400
Plan sponsor’s address 2900 BRAGG STREET, BROOKLYN, NY, 11235

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing SHIMON LEFKOWITZ
Role Employer/plan sponsor
Date 2021-03-31
Name of individual signing SHIMON LEFKOWITZ
PALM BEACH HOME FOR ADULTS 401 K PROFIT SHARING PLAN 2019 112388357 2020-06-17 PALM BEACH HOME FOR ADULTS 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-12-15
Business code 621610
Sponsor’s telephone number 7188918400
Plan sponsor’s address 2900 BRAGG STREET, BROOKLYN, NY, 11235

Signature of
Role Plan administrator
Date 2020-06-17
Name of individual signing SHIMON LEFKOWITZ
Role Employer/plan sponsor
Date 2020-06-17
Name of individual signing SHIMON LEFKOWITZ
PALM BEACH HOME FOR ADULTS 401 K PROFIT SHARING PLAN 2018 112388357 2019-07-25 PALM BEACH HOME FOR ADULTS 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-12-15
Business code 621610
Sponsor’s telephone number 7188918400
Plan sponsor’s address 2900 BRAGG STREET, BROOKLYN, NY, 11235

Signature of
Role Plan administrator
Date 2019-07-25
Name of individual signing SHIMON LEFKOWITZ
Role Employer/plan sponsor
Date 2019-07-25
Name of individual signing SHIMON LEFKOWITZ
PALM BEACH HOME FOR ADULTS 401 K PROFIT SHARING PLAN 2017 112388357 2018-06-19 PALM BEACH HOME FOR ADULTS 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-12-15
Business code 621610
Sponsor’s telephone number 7188918400
Plan sponsor’s address 2900 BRAGG STREET, BROOKLYN, NY, 11235

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing SHIMON LEFKOWITZ
Role Employer/plan sponsor
Date 2018-06-19
Name of individual signing SHIMON LEFKOWITZ
PALM BEACH HOME FOR ADULTS 401 K PROFIT SHARING PLAN 2016 112388357 2017-10-16 PALM BEACH HOME FOR ADULTS 12
Three-digit plan number (PN) 001
Effective date of plan 1998-12-15
Business code 621610
Sponsor’s telephone number 7188918400
Plan sponsor’s address 2900 BRAGG STREET, BROOKLYN, NY, 11235

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing SHIMON LEFKOWITZ
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing SHIMON LEFKOWITZ
PALM BEACH HOME FOR ADULTS 401 K PROFIT SHARING PLAN 2016 112388357 2017-10-16 PALM BEACH HOME FOR ADULTS 12
Three-digit plan number (PN) 001
Effective date of plan 1998-12-15
Business code 621610
Sponsor’s telephone number 7188918400
Plan sponsor’s address 2900 BRAGG STREET, BROOKLYN, NY, 11235

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing SHIMON LEFKOWITZ
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing SHIMON LEFKOWITZ
PALM BEACH HOME FOR ADULTS 401 K PROFIT SHARING PLAN 2016 112388357 2017-10-16 PALM BEACH HOME FOR ADULTS 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-12-15
Business code 621610
Sponsor’s telephone number 7188918400
Plan sponsor’s address 2900 BRAGG STREET, BROOKLYN, NY, 11235

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing SHIMON LEFKOWITZ
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing SHIMON LEFKOWITZ
PALM BEACH HOME FOR ADULTS 401 K PROFIT SHARING PLAN 2016 112388357 2017-10-16 PALM BEACH HOME FOR ADULTS 12
Three-digit plan number (PN) 001
Effective date of plan 1998-12-15
Business code 621610
Sponsor’s telephone number 7188918400
Plan sponsor’s address 2900 BRAGG STREET, BROOKLYN, NY, 11235

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing SHIMON LEFKOWITZ
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing SHIMON LEFKOWITZ
PALM BEACH HOME FOR ADULTS 401 K PROFIT SHARING PLAN 2016 112388357 2017-06-15 PALM BEACH HOME FOR ADULTS 12
Three-digit plan number (PN) 001
Effective date of plan 1998-12-15
Business code 621610
Sponsor’s telephone number 7188918400
Plan sponsor’s address 2900 BRAGG STREET, BROOKLYN, NY, 11235

Signature of
Role Plan administrator
Date 2017-06-15
Name of individual signing SHIMON LEFKOWITZ
Role Employer/plan sponsor
Date 2017-06-15
Name of individual signing SHIMON LEFKOWITZ
PALM BEACH HOME FOR ADULTS 401 K PROFIT SHARING PLAN 2015 112388357 2016-06-06 PALM BEACH HOME FOR ADULTS 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-12-15
Business code 621610
Sponsor’s telephone number 7188918400
Plan sponsor’s address 2900 BRAGG STREET, BROOKLYN, NY, 11235

Signature of
Role Plan administrator
Date 2016-06-06
Name of individual signing SHIMON LEFKOWITZ
Role Employer/plan sponsor
Date 2016-06-06
Name of individual signing SHIMON LEFKOWITZ

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2900 BRAGG STREET, BROOKLYN, NY, United States, 11235

History

Start date End date Type Value
2004-01-30 2024-06-28 Address 2900 BRAGG STREET, BROOKLYN, NY, 11235, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240628001848 2024-06-28 BIENNIAL STATEMENT 2024-06-28
191210060204 2019-12-10 BIENNIAL STATEMENT 2018-01-01
140307002637 2014-03-07 BIENNIAL STATEMENT 2014-01-01
120203002643 2012-02-03 BIENNIAL STATEMENT 2012-01-01
100701002310 2010-07-01 BIENNIAL STATEMENT 2010-01-01
100217000676 2010-02-17 CERTIFICATE OF PUBLICATION 2010-02-17
090928002145 2009-09-28 BIENNIAL STATEMENT 2009-01-01
040130000445 2004-01-30 CERTIFICATE OF CONVERSION 2004-01-30

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Related by address

2900 BRAGG STREET, BROOKLYN, NY, United States, 11235

2900 BRAGG STREET, LLC 631-635 FOSTER AVENUE, LLC PALM BEACH DIRECT CARE LLC PALM BEACH HEALTH CARE AGENCY, LLC SIMON & SIMON PROPERTIES OF NY LLC SMACF, INC.

Date of last update: 01 Jan 2025

Sources: New York Secretary of State

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