| Name: | HEALTH REPUBLIC INSURANCE OF NEW YORK, CORP. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC NOT-FOR-PROFIT CORPORATION |
| Status: | Active |
| Date of registration: | 13 Oct 2011 (13 years ago) |
| Entity Number: | 4153032 |
| ZIP code: | 12207 |
| County: | New York |
| Place of Formation: | New York |
| Address: | 80 STATE STREET, ALBANY, NY, United States, 12207 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH REPUBLIC INSURANCE OF NEW YORK, CORP SAVINGS PLAN | 2015 | 453368051 | 2016-10-11 | HEALTH REPUBLIC INSURANCE OF NEW YORK, CORP | 86 | |||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2016-10-11 |
| Name of individual signing | RONALD LABENSKI |
| Role | Employer/plan sponsor |
| Date | 2016-10-11 |
| Name of individual signing | RONALD LABENSKI |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2014-01-01 |
| Business code | 524140 |
| Sponsor’s telephone number | 6466813385 |
| Plan sponsor’s mailing address | 30 BROAD STREET, 7TH FLOOR, NEW YORK, NY, 10004 |
| Plan sponsor’s address | 30 BROAD STREET, 7TH FLOOR, NEW YORK, NY, 10004 |
Number of participants as of the end of the plan year
| Active participants | 94 |
Signature of
| Role | Plan administrator |
| Date | 2015-10-13 |
| Name of individual signing | RON ROSTOW |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| C/O CORPORATION SERVICE COMPANY | DOS Process Agent | 80 STATE STREET, ALBANY, NY, United States, 12207 |
| Name | Role |
|---|---|
| REGISTERED AGENT RESIGNED | Agent |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2014-05-09 | 2014-06-26 | Address | 30 BROAD STREET, 34TH FLOOR, NEW YORK, NY, 10004, USA (Type of address: Registered Agent) |
| 2014-05-09 | 2014-10-10 | Address | 30 BROAD STREET, 34TH FLOOR, NEW YORK, NY, 10004, USA (Type of address: Service of Process) |
| 2011-10-13 | 2014-05-09 | Address | 20 JAY STREET, BROOKLYN, NY, 11201, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 141010000086 | 2014-10-10 | CERTIFICATE OF AMENDMENT | 2014-10-10 |
| 140626000640 | 2014-06-26 | CERTIFICATE OF RESIGNATION OF REGISTERED AGENT | 2014-07-26 |
| 140509000759 | 2014-05-09 | CERTIFICATE OF CHANGE | 2014-05-09 |
| 111013000526 | 2011-10-13 | CERTIFICATE OF INCORPORATION | 2011-10-13 |
Date of last update: 02 Feb 2025
Sources: New York Secretary of State
