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  5. CUSTOM CARE SOLUTION, LLC

CUSTOM CARE SOLUTION, LLC

Company Details

Name: CUSTOM CARE SOLUTION, LLC
Jurisdiction: New York
Legal type: FOREIGN LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Feb 2004 (21 years ago)
Entity Number: 3007918
ZIP code: 10016
County: New York
Place of Formation: New Jersey
Address: 136 MADISON AVE, 5TH FL, STE 511, NEW YORK, NY, United States, 10016

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CUSTOM CARE SOLUTION, LLC 401(K) PROFIT SHARING PLAN 2012 030520254 2013-09-19 CUSTOM CARE SOLUTION, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 2123444040
Plan sponsor’s address 79 MADISON AVENUE, 7TH FLOOR, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2013-09-19
Name of individual signing KARIN WERTHEIM
CUSTOM CARE SOLUTION, LLC 401(K) PROFIT SHARING PLAN 2011 030520254 2012-10-15 CUSTOM CARE SOLUTION, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 2123444040
Plan sponsor’s address 215 PARK AVENUE SOUTH, SUITE 1402, NEW YORK, NY, 10003

Plan administrator’s name and address
Administrator’s EIN 030520254
Plan administrator’s name CUSTOM CARE SOLUTION, LLC
Plan administrator’s address 215 PARK AVENUE SOUTH, SUITE 1402, NEW YORK, NY, 10003
Administrator’s telephone number 2123444040

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing KARIN WERTHEIM
CUSTOM CARE SOLUTION, LLC 401(K) PROFIT SHARING PLAN 2010 030520254 2011-10-11 CUSTOM CARE SOLUTION, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 2123444040
Plan sponsor’s address 140 BROADWAY, 26TH FLOOR, NEW YORK, NY, 10005

Plan administrator’s name and address
Administrator’s EIN 030520254
Plan administrator’s name CUSTOM CARE SOLUTION, LLC
Plan administrator’s address 140 BROADWAY, 26TH FLOOR, NEW YORK, NY, 10005
Administrator’s telephone number 2123444040

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing KARIN WERTHEIM
CUSTOM CARE SOLUTION, LLC 401(K) PROFIT SHARING PLAN 2009 030520254 2010-10-14 CUSTOM CARE SOLUTION, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 2123444040
Plan sponsor’s address 140 BROADWAY, 26TH FLOOR, NEW YORK, NY, 10005

Plan administrator’s name and address
Administrator’s EIN 030520254
Plan administrator’s name CUSTOM CARE SOLUTION, LLC
Plan administrator’s address 140 BROADWAY, 26TH FLOOR, NEW YORK, NY, 10005
Administrator’s telephone number 2123444040

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing KARIN WERTHEIM

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 136 MADISON AVE, 5TH FL, STE 511, NEW YORK, NY, United States, 10016

History

Start date End date Type Value
2012-04-05 2014-07-14 Address KERIN WERTHEIM, 215 PARK AVE SOUTH STE 1402, NEW YORK, NY, 10003, USA (Type of address: Service of Process)
2010-03-15 2012-04-05 Address CUSTOM CARE SOLUTION LLC, 140 BROADWAY 26TH FLR, NEW YORK, NY, 10005, USA (Type of address: Service of Process)
2008-04-15 2010-03-15 Address CUSTON CARE SOLUTION LLC, 140 BROADWAY 26TH FLR, NEW YORK, NY, 10005, USA (Type of address: Service of Process)
2004-02-02 2008-04-15 Address 26 COLUMBIA TURNPIKE, FLORHAM PARK, NJ, 07932, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140714002224 2014-07-14 BIENNIAL STATEMENT 2014-02-01
120405002452 2012-04-05 BIENNIAL STATEMENT 2012-02-01
100315002356 2010-03-15 BIENNIAL STATEMENT 2010-02-01
080415002639 2008-04-15 BIENNIAL STATEMENT 2008-02-01
070123002005 2007-01-23 BIENNIAL STATEMENT 2006-02-01
040202001339 2004-02-02 APPLICATION OF AUTHORITY 2004-02-02

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Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: New York Secretary of State

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