| Name: | AFFINITY HOSPICE MANAGEMENT LLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 10 Dec 2014 (10 years ago) |
| Entity Number: | 4678207 |
| ZIP code: | 11210 |
| County: | Kings |
| Place of Formation: | New York |
| Address: | 2407 Avenue J, Brooklyn, NY, United States, 11210 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AFFINITY HOSPICE MANAGEMENT LLC 401(K) PLAN | 2022 | 472507505 | 2023-10-03 | AFFINITY HOSPICE MANAGEMENT LLC | 113 | |||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2023-10-03 |
| Name of individual signing | CHRIS HORNE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-08-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 6465852175 |
| Plan sponsor’s address | 2302 QUENTIN ROAD, BROOKLYN, NY, 11229 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-26 |
| Name of individual signing | CHRIS HORNE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-08-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 6465852175 |
| Plan sponsor’s mailing address | 2302 QUENTIN RD, BROOKLYN, NY, 112292414 |
| Plan sponsor’s address | 2302 QUENTIN RD, BROOKLYN, NY, 112292414 |
Number of participants as of the end of the plan year
| Active participants | 67 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 12 |
| Number of participants with account balances as of the end of the plan year | 48 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 10 |
Signature of
| Role | Plan administrator |
| Date | 2022-02-15 |
| Name of individual signing | ARIEL JOUDAI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| AFFINITY HOSPICE MANAGEMENT LLC | DOS Process Agent | 2407 Avenue J, Brooklyn, NY, United States, 11210 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2024-11-04 | 2024-12-02 | Address | 2407 Avenue J, Brooklyn, NY, 11210, USA (Type of address: Service of Process) |
| 2020-12-01 | 2024-11-04 | Address | 975 EAST 24TH ST, BROOKLYN, NY, 11210, USA (Type of address: Service of Process) |
| 2017-09-26 | 2020-12-01 | Address | 850 EAST 24TH ST, BROOKLYN, NY, 11210, USA (Type of address: Service of Process) |
| 2014-12-10 | 2017-09-26 | Address | PO BOX 10873, ALBANY, NY, 12201, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 241202006975 | 2024-12-02 | BIENNIAL STATEMENT | 2024-12-02 |
| 241104004828 | 2024-11-04 | BIENNIAL STATEMENT | 2024-11-04 |
| 201201061741 | 2020-12-01 | BIENNIAL STATEMENT | 2020-12-01 |
| 171026000041 | 2017-10-26 | CERTIFICATE OF CHANGE | 2017-10-26 |
| 170926000199 | 2017-09-26 | CERTIFICATE OF CHANGE | 2017-09-26 |
| 150224000103 | 2015-02-24 | CERTIFICATE OF PUBLICATION | 2015-02-24 |
| 141210010174 | 2014-12-10 | ARTICLES OF ORGANIZATION | 2014-12-10 |
Date of last update: 15 Jan 2025
Sources: New York Secretary of State
