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PARTNERS HEALTH PLAN, INC.

Company Details

Name: PARTNERS HEALTH PLAN, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 14 Nov 2012 (12 years ago)
Entity Number: 4319635
ZIP code: 10017
County: New York
Place of Formation: New York
Address: 655 THIRD AVENUE, SECOND FLOOR, NEW YORK, NY, United States, 10017

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARTNERS HEALTH PLAN, INC. 401K PLAN 2018 461496685 2019-07-31 PARTNERS HEALTH PLAN, INC. 81
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Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524140
Sponsor’s telephone number 6467602175
Plan sponsor’s address 655 THIRD AVENUE, 2ND FLOOR, NEW YORK, NY, 10017

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing CHRISTOPHER MASI
PARTNERS HEALTH PLAN, INC. 401K PLAN 2017 461496685 2018-07-10 PARTNERS HEALTH PLAN, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524140
Sponsor’s telephone number 6467602175
Plan sponsor’s address 655 THIRD AVENUE, 2ND FLOOR, NEW YORK, NY, 10017

Signature of

Role Plan administrator
Date 2018-07-10
Name of individual signing CHRISTOPHER MASI
PARTNERS HEALTH PLAN, INC. 401K PLAN 2016 461496685 2017-05-26 PARTNERS HEALTH PLAN, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524140
Sponsor’s telephone number 6467602175
Plan sponsor’s address 655 THIRD AVENUE, 2ND FLOOR, NEW YORK, NY, 10017

Signature of

Role Plan administrator
Date 2017-05-26
Name of individual signing RON ARFIN
PARTNERS HEALTH PLAN, INC. 401K PLAN 2015 461496685 2016-07-22 PARTNERS HEALTH PLAN, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524140
Sponsor’s telephone number 6467602175
Plan sponsor’s address 655 THIRD AVENUE, 2ND FLOOR, NEW YORK, NY, 100179130

Signature of

Role Plan administrator
Date 2016-07-22
Name of individual signing RON ARFIN
PARTNERS HEALTH PLAN, INC. 401K PLAN 2014 461496685 2015-07-01 PARTNERS HEALTH PLAN, INC. 3
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Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 6468444020
Plan sponsor’s address 55 BROADWAY, SUITE 501, NEW YORK, NY, 10006

Signature of

Role Plan administrator
Date 2015-07-01
Name of individual signing CELIA SOLOMITA

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 655 THIRD AVENUE, SECOND FLOOR, NEW YORK, NY, United States, 10017

History

Start date End date Type Value
2015-08-03 2017-02-21 Address 55 BROADWAY, SUITE 501, NEW YORK, NY, 10006, USA (Type of address: Service of Process)
2015-04-09 2015-08-03 Address 55 BROADWAY, SUITE 501, NEW YORK, NY, 10006, USA (Type of address: Service of Process)
2013-12-20 2015-04-09 Address 521 5TH AVENUE, 3RD FLOOR, NEW YORK, NY, 10175, USA (Type of address: Service of Process)
2012-11-14 2013-12-20 Address 189 WHEATLEY ROAD, BROOKVILLE, NY, 11545, 2699, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170221000459 2017-02-21 CERTIFICATE OF CHANGE 2017-02-21
150803000384 2015-08-03 CERTIFICATE OF AMENDMENT 2015-08-03
150409000537 2015-04-09 CERTIFICATE OF CHANGE 2015-04-09
131220000647 2013-12-20 CERTIFICATE OF CHANGE 2013-12-20
121114000230 2012-11-14 CERTIFICATE OF INCORPORATION 2012-11-14

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
46-1496685 Corporation Unconditional Exemption 2500 HALSEY STREET, BRONX, NY, 10461-3613 2014-05
In Care of Name % CHRISTOPHER MASI
Group Exemption Number 0000
Subsection Civic League, Local Association of Employees, Social Welfare 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 Literary Organization, Social Welfare Organization, Labor Organization, Chamber of Commerce, Mutual Cooperative Telephone Co.
Deductibility Contributions are not deductible.
Foundation All organizations except 501(c)(3)
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 116304805
Income Amount 336508613
Form 990 Revenue Amount 336505403
National Taxonomy of Exempt Entities -
Sort Name -

Determination Letter

Final Letter(s) FinalLetter_46-1496685_PARTNERSHEALTHPLANINC_05282013_01.tif

Form 990-N (e-Postcard)

Organization Name PARTNERS HEALTH PLAN INC
EIN 46-1496685
Tax Year 2014
Beginning of tax period 2014-01-01
End of tax period 2014-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 55 Broadway, New York, NY, 10006, US
Principal Officer's Name Aran Ron MD
Principal Officer's Address 55 Broadway, New York, NY, 10006, US
Organization Name PARTNERS HEALTH PLAN INC
EIN 46-1496685
Tax Year 2013
Beginning of tax period 2013-01-01
End of tax period 2013-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 189 Wheatley Ave, Brookville, NY, 11545, US
Principal Officer's Name Jerome Gotthainer
Principal Officer's Address 6 Klakring Court, Annapolis, MD, 21403, US

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

Organization Name PARTNERS HEALTH PLAN INC
EIN 46-1496685
Tax Period 202212
Filing Type E
Return Type 990O
File View File
Organization Name PARTNERS HEALTH PLAN INC
EIN 46-1496685
Tax Period 202112
Filing Type E
Return Type 990O
File View File
Organization Name PARTNERS HEALTH PLAN INC
EIN 46-1496685
Tax Period 202012
Filing Type E
Return Type 990O
File View File
Organization Name PARTNERS HEALTH PLAN INC
EIN 46-1496685
Tax Period 201812
Filing Type E
Return Type 990O
File View File
Organization Name PARTNERS HEALTH PLAN INC
EIN 46-1496685
Tax Period 201712
Filing Type E
Return Type 990O
File View File
Organization Name PARTNERS HEALTH PLAN INC
EIN 46-1496685
Tax Period 201612
Filing Type P
Return Type 990O
File View File

Date of last update: 26 Mar 2025

Sources: New York Secretary of State