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  5. FOREST AVENUE BILLING CORP.

FOREST AVENUE BILLING CORP.

Company Details

Name: FOREST AVENUE BILLING CORP.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 26 Nov 2008 (16 years ago)
Entity Number: 3747603
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 2177 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOREST AVENUE BILLING CORP. 401(K) PLAN 2023 263798941 2024-05-30 FOREST AVENUE BILLING CORP. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541219
Sponsor’s telephone number 7184421768
Plan sponsor’s address 2177 VICTORY BLVD., STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2024-05-30
Name of individual signing MARY SCAFURI
FOREST AVENUE BILLING CORP. 401(K) PLAN 2022 263798941 2023-05-30 FOREST AVENUE BILLING CORP. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541219
Sponsor’s telephone number 7183703730
Plan sponsor’s address 2177 VICTORY BLVD., STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2023-05-30
Name of individual signing MARY SCAFURI
FOREST AVENUE BILLING CORP. 401(K) PLAN 2021 263798941 2022-06-02 FOREST AVENUE BILLING CORP. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541219
Sponsor’s telephone number 7183703730
Plan sponsor’s address 2177 VICTORY BLVD., STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2022-06-02
Name of individual signing MARY SCAFURI
FOREST AVENUE BILLING CORP. 401(K) PLAN 2020 263798941 2021-06-15 FOREST AVENUE BILLING CORP. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541219
Sponsor’s telephone number 7183703730
Plan sponsor’s address 2177 VICTORY BLVD., STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2021-06-15
Name of individual signing MARY SCAFURI
FOREST AVENUE BILLING CORP. 401(K) PLAN 2019 263798941 2020-07-17 FOREST AVENUE BILLING CORP. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541219
Sponsor’s telephone number 7183703730
Plan sponsor’s address 2177 VICTORY BLVD., STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2020-07-17
Name of individual signing MARY SCAFURI
FOREST AVENUE BILLING CORP. 401(K) PLAN 2018 263798941 2019-07-31 FOREST AVENUE BILLING CORP. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541219
Sponsor’s telephone number 7183703730
Plan sponsor’s address 682 FOREST AVENUE, STATEN ISLAND, NY, 10310
FOREST AVENUE BILLING CORP 401 K PROFIT SHARING PLAN TRUST 2017 263798941 2018-06-05 FOREST AVENUE BILLING CORP 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7184421768
Plan sponsor’s address 682 FOREST AVENUE, STATEN ISLAND, NY, 10310

Signature of
Role Plan administrator
Date 2018-06-05
Name of individual signing MARY SCAFURI
FOREST AVENUE BILLING CORP 401 K PROFIT SHARING PLAN TRUST 2016 263798941 2017-05-17 FOREST AVENUE BILLING CORP 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7184421768
Plan sponsor’s address 682 FOREST AVENUE, STATEN ISLAND, NY, 10310

Signature of
Role Plan administrator
Date 2017-05-17
Name of individual signing MARY M. SCAFURI
FOREST AVENUE BILLING CORP 401 K PROFIT SHARING PLAN TRUST 2015 263798941 2017-05-17 FOREST AVENUE BILLING CORP 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7184421768
Plan sponsor’s address 682 FOREST AVENUE, STATEN ISLAND, NY, 10310

Signature of
Role Plan administrator
Date 2017-05-17
Name of individual signing MARY M. SCAFURI

DOS Process Agent

Name Role Address
FOREST AVENUE BILLING CORP. DOS Process Agent 2177 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

Chief Executive Officer

Name Role Address
MARY M SCAFURI Chief Executive Officer 2177 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

History

Start date End date Type Value
2024-11-04 2024-11-04 Address 682 FOREST AVENUE, STATEN ISLAND, NY, 10310, USA (Type of address: Chief Executive Officer)
2020-11-02 2024-11-04 Address 1000 SOUTH AVENUE, STE 104, STATEN ISLAND, NY, 10314, USA (Type of address: Service of Process)
2014-11-18 2024-11-04 Address 682 FOREST AVENUE, STATEN ISLAND, NY, 10310, USA (Type of address: Chief Executive Officer)
2010-11-15 2014-11-18 Address 682 FOREST AVENUE, STATENISLAND, NY, 10310, USA (Type of address: Chief Executive Officer)
2008-11-26 2020-11-02 Address 682 FOREST AVENUE, STATEN ISLAND, NY, 10310, USA (Type of address: Service of Process)
2008-11-26 2024-11-04 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
241104000220 2024-11-04 BIENNIAL STATEMENT 2024-11-04
221121001941 2022-11-21 BIENNIAL STATEMENT 2022-11-01
201102061801 2020-11-02 BIENNIAL STATEMENT 2020-11-01
190618060310 2019-06-18 BIENNIAL STATEMENT 2018-11-01
141118006259 2014-11-18 BIENNIAL STATEMENT 2014-11-01
101115002013 2010-11-15 BIENNIAL STATEMENT 2010-11-01
081126000925 2008-11-26 CERTIFICATE OF INCORPORATION 2008-11-26

Related by officers

No related officers

Related by address

2177 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

388 FANNING LLC JOSEPH R. MERMELSTEIN, M.D., P.C.

Date of last update: 30 Dec 2024

Sources: New York Secretary of State

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