| Name: | ATLANTIC HEALTH MANAGEMENT SOLUTIONS LLC |
| Jurisdiction: | New York |
| Legal type: | FOREIGN LIMITED LIABILITY COMPANY |
| Status: | Inactive |
| Date of registration: | 22 Mar 2011 (14 years ago) |
| Date of dissolution: | 20 Mar 2015 |
| Branch of: | ATLANTIC HEALTH MANAGEMENT SOLUTIONS LLC, Florida (Company Number L10000127878) |
| Entity Number: | 4070580 |
| ZIP code: | 33606 |
| County: | Suffolk |
| Place of Formation: | Florida |
| Address: | 1402 W SWANN AVENUE, TAMPA, FL, United States, 33606 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ATLANTIC HEALTH MANAGEMENT SOLUTIONS, LLC 401(K) PLAN | 2014 | 274554823 | 2015-06-11 | ATLANTIC HEALTH MANAGEMENT SOLUTIONS, LLC | 11 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 621874769 |
| Plan administrator’s name | TAG RESOURCES, LLC |
| Plan administrator’s address | 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2015-06-11 |
| Name of individual signing | PHIL TISUE |
| File | View Page |
| Three-digit plan number (PN) | 101 |
| Effective date of plan | 2012-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 8136752428 |
| Plan sponsor’s address | 500 WEST MAIN STREET, BABYLON, NY, 11702 |
Plan administrator’s name and address
| Administrator’s EIN | 621874769 |
| Plan administrator’s name | TAG RESOURCES, LLC |
| Plan administrator’s address | 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2014-07-14 |
| Name of individual signing | PHIL TISUE |
| File | View Page |
| Three-digit plan number (PN) | 101 |
| Effective date of plan | 2012-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 8136752428 |
| Plan sponsor’s address | 500 WEST MAIN STREET, BABYLON, NY, 11702 |
Plan administrator’s name and address
| Administrator’s EIN | 621874769 |
| Plan administrator’s name | TAG RESOURCES, LLC |
| Plan administrator’s address | 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2013-09-13 |
| Name of individual signing | PHIL TISUE |
| Name | Role |
|---|---|
| REGISTERED AGENT REVOKED | Agent |
| Name | Role | Address |
|---|---|---|
| MELISSA TROXEL | DOS Process Agent | 1402 W SWANN AVENUE, TAMPA, FL, United States, 33606 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2011-03-22 | 2013-03-08 | Address | 500 WEST MAIN STREET, SUITE 108, BABYLON, NY, 11704, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 150320000050 | 2015-03-20 | CERTIFICATE OF TERMINATION | 2015-03-20 |
| 130308006678 | 2013-03-08 | BIENNIAL STATEMENT | 2013-03-01 |
| 110322000126 | 2011-03-22 | APPLICATION OF AUTHORITY | 2011-03-22 |
Date of last update: 16 Jan 2025
Sources: New York Secretary of State
