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PREMIUM HEALTH, INC.

Company Details

Name: PREMIUM HEALTH, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 20 Apr 2010 (15 years ago)
Entity Number: 3939132
ZIP code: 11219
County: New York
Place of Formation: New York
Address: 5904 13TH AVENUE, BROOKLYN, NY, United States, 11219

Contact Details

Phone +1 718-407-7300

Phone +1 718-438-4400

Phone +1 844-370-6199

Phone +1 646-261-1195

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
N8K9BMVL41J8 2025-04-26 620 FOSTER AVE STE 2T, BROOKLYN, NY, 11230, 1388, USA 4510 16TH AVENUE, 5TH FLOOR, BROOKLYN, NY, 11204, USA

Business Information

URL http://premiumhealthcenter.org/
Congressional District 09
State/Country of Incorporation NY, USA
Activation Date 2024-04-30
Initial Registration Date 2019-02-15
Entity Start Date 2014-02-14
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MEIR BRODY
Address 620 FOSTER AVE, SUITE 200, BROOKLYN, NY, 11230, USA
Title ALTERNATE POC
Name MICHAEL BRANDSDORFER
Address 620 FOSTER AVENUE, BROOKLYN, NY, 11219, USA
Government Business
Title PRIMARY POC
Name MEIR BRODY
Address 620 FOSTER AVE, SUITE 200, BROOKLYN, NY, 11230, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF PREMIUM HEALTH, INC. 2023 300640372 2024-07-26 PREMIUM HEALTH, INC. 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-02-01
Business code 621498
Plan sponsor’s address 620 FOSTER AVE, BROOKLYN, NY, 112301399

Signature of

Role Plan administrator
Date 2024-07-26
Name of individual signing MEIR BRODY
Role Employer/plan sponsor
Date 2024-07-26
Name of individual signing MEIR BRODY
403(B) THRIFT PLAN OF PREMIUM HEALTH, INC. 2023 300640372 2024-06-26 PREMIUM HEALTH, INC. 105
Three-digit plan number (PN) 001
Business code 621498
Plan sponsor’s address 620 FOSTER AVE, BROOKLYN, NY, 112301399

Signature of

Role Plan administrator
Date 2024-06-26
Name of individual signing MEIR BRODY
403(B) THRIFT PLAN OF PREMIUM HEALTH, INC. 2022 300640372 2023-07-06 PREMIUM HEALTH, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-02-01
Business code 621498
Sponsor’s telephone number 7184077300
Plan sponsor’s address 620 FOSTER AVE, BROOKLYN, NY, 112301399

Signature of

Role Plan administrator
Date 2023-07-06
Name of individual signing MEIR BRODY
403(B) THRIFT PLAN OF PREMIUM HEALTH, INC. 2021 300640372 2022-09-16 PREMIUM HEALTH, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-02-01
Business code 621498
Sponsor’s telephone number 7184077300
Plan sponsor’s address 620 FOSTER AVE, BROOKLYN, NY, 112301399

Signature of

Role Plan administrator
Date 2022-09-16
Name of individual signing MEIR BRODY
403(B) THRIFT PLAN OF PREMIUM HEALTH, INC. 2021 300640372 2022-09-02 PREMIUM HEALTH, INC. 0
Three-digit plan number (PN) 001
Effective date of plan 2021-02-01
Sponsor’s telephone number 7184077300
Plan sponsor’s address 620 FOSTER AVE, BROOKLYN, NY, 112301399

Signature of

Role Plan administrator
Date 2022-09-02
Name of individual signing MEIR BRODY

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 5904 13TH AVENUE, BROOKLYN, NY, United States, 11219

Filings

Filing Number Date Filed Type Effective Date
100420000788 2010-04-20 CERTIFICATE OF INCORPORATION 2010-04-20

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
30-0640372 Corporation Unconditional Exemption 620 FOSTER AVE STE 6T, BROOKLYN, NY, 11230-1399 2010-09
In Care of Name % MEIR BRODY
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 57840545
Income Amount 60215723
Form 990 Revenue Amount 60215723
National Taxonomy of Exempt Entities Health Care: Ambulatory Health Center, Community Clinic
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)

Determination Letter

Final Letter(s) FinalLetter_30-0640372_PREMIUMHEALTHINC_08132010_01.tif
FinalLetter_30-0640372_PREMIUMHEALTHINC_08132010_02.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name PREMIUM HEALTH INC
EIN 30-0640372
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name PREMIUM HEALTH INC
EIN 30-0640372
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name PREMIUM HEALTH INC
EIN 30-0640372
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name PREMIUM HEALTH INC
EIN 30-0640372
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name PREMIUM HEALTH INC
EIN 30-0640372
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name PREMIUM HEALTH INC
EIN 30-0640372
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name PREMIUM HEALTH INC
EIN 30-0640372
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name PREMIUM HEALTH INC
EIN 30-0640372
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name PREMIUM HEALTH INC
EIN 30-0640372
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name PREMIUM HEALTH INC
EIN 30-0640372
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name PREMIUM HEALTH INC
EIN 30-0640372
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name PREMIUM HEALTH INC
EIN 30-0640372
Tax Period 201512
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
9271178401 2021-02-16 0202 PPS 620 Foster Ave, Brooklyn, NY, 11230-1399
Loan Status Date 2022-02-04
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1051100
Loan Approval Amount (current) 1051100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 58771
Servicing Lender Name Legacy Bank
Servicing Lender Address 101 W Main St, HINTON, OK, 73047
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Brooklyn, KINGS, NY, 11230-1399
Project Congressional District NY-09
Number of Employees 85
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 58771
Originating Lender Name Legacy Bank
Originating Lender Address HINTON, OK
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1060267.93
Forgiveness Paid Date 2021-12-29
4964237301 2020-04-30 0202 PPP 620 Foster Ave, Brooklyn, NY, 11230-1399
Loan Status Date 2021-06-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 925100
Loan Approval Amount (current) 925100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 58771
Servicing Lender Name Legacy Bank
Servicing Lender Address 101 W Main St, HINTON, OK, 73047
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Brooklyn, KINGS, NY, 11230-1399
Project Congressional District NY-09
Number of Employees 88
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 58771
Originating Lender Name Legacy Bank
Originating Lender Address HINTON, OK
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 934351
Forgiveness Paid Date 2021-05-03

Date of last update: 27 Mar 2025

Sources: New York Secretary of State