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  5. EXCELSIOR CARE GROUP LLC

EXCELSIOR CARE GROUP LLC

Company Details

Name: EXCELSIOR CARE GROUP LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 Jul 2014 (11 years ago)
Entity Number: 4607903
ZIP code: 11219
County: Kings
Place of Formation: New York
Address: 1463 66TH ST, BROOKLYN, NY, United States, 11219

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EXCELSIOR CARE GROUP, LLC 401(K) PLAN 2023 471358100 2024-07-23 EXCELSIOR CARE GROUP, LLC 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s address 1463 66TH ST, BROOKLYN, NY, 11219

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing AARON KAUFMAN
EXCELSIOR CARE GROUP, LLC 401(K) PLAN 2022 471358100 2023-07-03 EXCELSIOR CARE GROUP, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s address 1463 66TH ST, BROOKLYN, NY, 11219

Signature of
Role Plan administrator
Date 2023-07-03
Name of individual signing AARON KAUFMAN
EXCELSIOR CARE GROUP, LLC 401(K) PLAN 2021 471358100 2022-07-20 EXCELSIOR CARE GROUP, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s address 1463 66TH ST, BROOKLYN, NY, 11219

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing AARON KAUFMAN
EXCELSIOR CARE GROUP, LLC 401(K) PLAN 2020 471358100 2021-07-14 EXCELSIOR CARE GROUP, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s address 1463 66TH ST, BROOKLYN, NY, 11219

Signature of
Role Plan administrator
Date 2021-07-14
Name of individual signing AARON KAUFMAN
EXCELSIOR CARE GRP WELFARE BENEFIT PLAN 2020 471358100 2021-04-12 EXCELSIOR CARE GROUP LLC 176
Three-digit plan number (PN) 501
Effective date of plan 2017-08-01
Business code 621399
Sponsor’s telephone number 7187056740
Plan sponsor’s mailing address 1463 66TH ST, BROOKLYN, NY, 112195776
Plan sponsor’s address 1463 66TH ST, BROOKLYN, NY, 112195776

Number of participants as of the end of the plan year
Active participants 176
EXCELSIOR CARE GRP WELFARE BENEFIT PLAN 2020 471358100 2021-06-10 EXCELSIOR CARE GROUP LLC 194
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-08-01
Business code 621399
Sponsor’s telephone number 7187056740
Plan sponsor’s mailing address 1463 66TH ST, BROOKLYN, NY, 112195776
Plan sponsor’s address 1463 66TH ST, BROOKLYN, NY, 112195776

Number of participants as of the end of the plan year
Active participants 196

Signature of
Role Plan administrator
Date 2021-06-10
Name of individual signing AARON KAUFMAN
Valid signature Filed with authorized/valid electronic signature
EXCELSIOR CARE GROUP, LLC 401(K) PLAN 2019 471358100 2020-03-04 EXCELSIOR CARE GROUP, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s address 1463 66TH ST, BROOKLYN, NY, 11219

Signature of
Role Plan administrator
Date 2020-03-04
Name of individual signing AARON KAUFMAN
EXCELSIOR CARE GROUP, LLC 401(K) PLAN 2018 471358100 2019-07-08 EXCELSIOR CARE GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s address 1463 66TH ST, BROOKLYN, NY, 11219

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing AARON KAUFMAN
EXCELSIOR CARE GROUP, LLC 401(K) PLAN 2017 471358100 2018-10-03 EXCELSIOR CARE GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s address 1463 66TH ST, BROOKLYN, NY, 11219

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing AARON KAUFMAN

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1463 66TH ST, BROOKLYN, NY, United States, 11219

History

Start date End date Type Value
2014-07-17 2020-07-06 Address 1551 52ND ST, BROOKLYN, NY, 11219, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200706060163 2020-07-06 BIENNIAL STATEMENT 2020-07-01
141014000330 2014-10-14 CERTIFICATE OF PUBLICATION 2014-10-14
140717010068 2014-07-17 ARTICLES OF ORGANIZATION 2014-07-17

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Related by address

1463 66TH ST, BROOKLYN, NY, United States, 11219

EXCELSIOR IDAD PARTNERS LLC FARRAGUT ASSOCIATES LLC SNFUPSTATEHOLDINGS LLC

Date of last update: 15 Jan 2025

Sources: New York Secretary of State

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