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TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND

Company Details

Name: TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 21 Apr 1864 (161 years ago)
Entity Number: 5551235
ZIP code: 13501
County: Oneida
Place of Formation: New York
Address: 2150 BLEECKER STREET, UTICA, NY, United States, 13501

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MASONIC CARE COMMUNITY OF NEW YORK - HEALTH PLAN 2014 135563012 2015-08-25 TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND 418
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1968-01-01
Business code 623000
Sponsor’s telephone number 3157984882
Plan sponsor’s DBA name MASONIC CARE COMMUNITY OF NEW YORK
Plan sponsor’s mailing address 2150 BLEECKER STREET, UTICA, NY, 13501
Plan sponsor’s address 2150 BLEECKER STREET, UTICA, NY, 13501

Number of participants as of the end of the plan year

Active participants 426

Signature of

Role Plan administrator
Date 2015-08-25
Name of individual signing ROBERT RAFFLE
Valid signature Filed with authorized/valid electronic signature
MASONIC CARE COMMUNITY OF NEW YORK - GROUP LIFE & DISABILITY INSURANCE PLAN 2014 135563012 2015-08-25 TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND 941
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 3157984882
Plan sponsor’s DBA name MASONIC CARE COMMUNITY OF NEW YORK
Plan sponsor’s mailing address 215 BLEECKER STREET, UTICA, NY, 13501
Plan sponsor’s address 215 BLEECKER STREET, UTICA, NY, 13501

Number of participants as of the end of the plan year

Active participants 929

Signature of

Role Plan administrator
Date 2015-08-25
Name of individual signing ROBERT RAFFLE
Valid signature Filed with authorized/valid electronic signature
DENTAL INSURANCE PLAN OF THE MASONIC CARE COMMUNITY 2014 135563012 2015-08-25 TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND 451
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1992-01-01
Business code 623000
Sponsor’s telephone number 3157984882
Plan sponsor’s DBA name MASONIC CARE COMMUNITY OF NEW YORK
Plan sponsor’s mailing address 2150 BLEECKER STREET, UTICA, NY, 13501
Plan sponsor’s address 2150 BLEECKER STREET, UTICA, NY, 13501

Number of participants as of the end of the plan year

Active participants 457

Signature of

Role Plan administrator
Date 2015-08-25
Name of individual signing ROBERT RAFFLE
Valid signature Filed with authorized/valid electronic signature
MASONIC CARE COMMUNITY OF NEW YORK - HEALTH PLAN 2013 135563012 2014-08-15 TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND 422
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1968-01-01
Business code 623000
Sponsor’s telephone number 3157984909
Plan sponsor’s DBA name MASONIC CARE COMMUNITY OF NEW YORK
Plan sponsor’s mailing address 2150 BLEECKER STREET, UTICA, NY, 13501
Plan sponsor’s address 2150 BLEECKER STREET, UTICA, NY, 13501

Number of participants as of the end of the plan year

Active participants 418

Signature of

Role Plan administrator
Date 2014-08-14
Name of individual signing ROBERT RAFFLE
Valid signature Filed with authorized/valid electronic signature
DENTAL INSURANCE PLAN OF THE MASONIC CARE COMMUNITY OF NEW YORK 2013 135563012 2014-08-15 TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND 551
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1992-01-01
Business code 623000
Sponsor’s telephone number 3157984909
Plan sponsor’s DBA name MASONIC CARE COMMUNITY OF NEW YORK
Plan sponsor’s mailing address 2150 BLEECKER STREET, UTICA, NY, 13501
Plan sponsor’s address 2150 BLEECKER STREET, UTICA, NY, 13501

Number of participants as of the end of the plan year

Active participants 451

Signature of

Role Plan administrator
Date 2014-08-14
Name of individual signing ROBERT RAFFLE
Valid signature Filed with authorized/valid electronic signature
MASONIC CARE COMMUNITY OF NEW YORK - GROUP LIFE & DISABILITY INSURANCE PLAN 2013 135563012 2014-08-15 TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND 909
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 3157984909
Plan sponsor’s DBA name MASONIC CARE COMMUNITY OF NEW YORK
Plan sponsor’s mailing address 2150 BLEECKER STREET, UTICA, NY, 13501
Plan sponsor’s address 2150 BLEECKER STREET, UTICA, NY, 13501

Number of participants as of the end of the plan year

Active participants 941

Signature of

Role Plan administrator
Date 2014-08-14
Name of individual signing ROBERT RAFFLE
Valid signature Filed with authorized/valid electronic signature
DENTAL INSURANCE PLAN OF THE MASONIC CARE COMMUNITY OF NEW YORK 2012 135563012 2013-07-11 TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND 168
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1992-01-01
Business code 623000
Sponsor’s telephone number 3157984858
Plan sponsor’s DBA name MASONIC CARE COMMUNITY OF NEW YORK
Plan sponsor’s mailing address 2150 BLEECKER STREET, UTICA, NY, 13501
Plan sponsor’s address 2150 BLEECKER STREET, UTICA, NY, 13501

Number of participants as of the end of the plan year

Active participants 166

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing ROBERT RAFFLE
Valid signature Filed with authorized/valid electronic signature
MASONIC CARE COMMUNITY OF NEW YORK - GROUP LIFE & DISABILITY INSURANCE PLAN 2012 135563012 2013-07-11 TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND 897
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 3157984858
Plan sponsor’s DBA name MASONIC CARE COMMUNITY OF NEW YORK
Plan sponsor’s mailing address 2150 BLEECKER STREET, UTICA, NY, 13501
Plan sponsor’s address 2150 BLEECKER STREET, UTICA, NY, 13501

Number of participants as of the end of the plan year

Active participants 909

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing ROBERT RAFFLE
Valid signature Filed with authorized/valid electronic signature
MASONIC CARE COMMUNITY OF NEW YORK - HEALTH PLAN 2012 135563012 2013-07-11 TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND 457
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1968-01-01
Business code 623000
Sponsor’s telephone number 3157984858
Plan sponsor’s DBA name MASONIC CARE COMMUNITY OF NEW YORK
Plan sponsor’s mailing address 2150 BLEECKER STREET, UTICA, NY, 13501
Plan sponsor’s address 2150 BLEECKER STREET, UTICA, NY, 13501

Number of participants as of the end of the plan year

Active participants 422

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing ROBERT RAFFLE
Valid signature Filed with authorized/valid electronic signature
DENTAL INSURANCE PLAN OF THE MASONIC CARE COMMUNITY OF NEW YORK 2011 135563012 2012-07-31 TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND 167
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1992-01-01
Business code 623000
Sponsor’s telephone number 3157984811
Plan sponsor’s DBA name MASONIC CARE COMMUNITY OF NEW YORK
Plan sponsor’s mailing address 2150 BLEECKER STREET, UTICA, NY, 13501
Plan sponsor’s address 2150 BLEECKER STREET, UTICA, NY, 13501

Plan administrator’s name and address

Administrator’s EIN 135563012
Plan administrator’s name TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND
Plan administrator’s address 2150 BLEECKER STREET, UTICA, NY, 13501
Administrator’s telephone number 3157984811

Number of participants as of the end of the plan year

Active participants 168

Signature of

Role Plan administrator
Date 2012-07-31
Name of individual signing ROBERT RAFFLE
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2150 BLEECKER STREET, UTICA, NY, United States, 13501

History

Start date End date Type Value
2019-07-01 2022-09-23 Address 2150 BLEECKER STREET, UTICA, NY, 13501, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220923001222 2022-09-21 RESTATED CERTIFICATE 2022-09-21
190701000212 2019-07-01 CERTIFICATE OF AMENDMENT 2019-07-01
CH272-LW1864 1864-04-21 CERTIFICATE OF INCORPORATION 1864-04-21

Date of last update: 26 Dec 2024

Sources: New York Secretary of State