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THE SAMUEL WAXMAN CANCER RESEARCH FOUNDATION

Company Details

Name: THE SAMUEL WAXMAN CANCER RESEARCH FOUNDATION
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 27 Mar 1980 (45 years ago)
Entity Number: 617227
ZIP code: 10170
County: New York
Place of Formation: New York
Address: 420 LEXINGTON AVENUE SUITE 825, NEW YORK, NY, United States, 10170

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAMUEL WAXMAN CANCER RESEARCH FOUNDATION 403(B) PLAN 2023 133020943 2024-05-02 SAMUEL WAXMAN CANCER RESEARCH FOUNDATION 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 813000
Sponsor’s telephone number 6463985260
Plan sponsor’s address 420 LEXINGTON AVE STE 825, NEW YORK, NY, 10170

Signature of

Role Plan administrator
Date 2024-05-02
Name of individual signing GREGORY FABIJANCZUK
Role Employer/plan sponsor
Date 2024-05-02
Name of individual signing GREGORY FABIJANCZUK
SAMUEL WAXMAN CANCER RESEARCH FOUNDATION 403(B) PLAN 2022 133020943 2023-05-24 SAMUEL WAXMAN CANCER RESEARCH FOUNDATION 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 813000
Sponsor’s telephone number 6463985260
Plan sponsor’s address 420 LEXINGTON AVE STE 825, NEW YORK, NY, 10170

Signature of

Role Plan administrator
Date 2023-05-24
Name of individual signing GREGORY FABIJANCZUK
Role Employer/plan sponsor
Date 2023-05-24
Name of individual signing GREGORY FABIJANCZUK
SAMUEL WAXMAN CANCER RESEARCH FOUNDATION 403(B) PLAN 2021 133020943 2022-09-28 SAMUEL WAXMAN CANCER RESEARCH FOUNDATION 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 813000
Sponsor’s telephone number 6463985270
Plan sponsor’s address 420 LEXINGTON AVE STE 825, NEW YORK, NY, 10170

Signature of

Role Plan administrator
Date 2022-08-17
Name of individual signing WILLIAM T. SULLIVAN
Role Employer/plan sponsor
Date 2022-08-17
Name of individual signing WILLIAM T. SULLIVAN
SAMUEL WAXMAN CANCER RESEARCH FOUNDATION 403(B) PLAN 2020 133020943 2021-07-07 SAMUEL WAXMAN CANCER RESEARCH FOUNDATION 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 813000
Sponsor’s telephone number 6463985270
Plan sponsor’s address 420 LEXINGTON AVE STE 825, NEW YORK, NY, 10170

Signature of

Role Plan administrator
Date 2021-07-07
Name of individual signing WILLIAM T SULLIVAN
SAMUEL WAXMAN CANCER RESEARCH FOUNDATION 403(B) PLAN 2019 133020943 2020-06-13 SAMUEL WAXMAN CANCER RESEARCH FOUNDATION 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 813000
Sponsor’s telephone number 6463985270
Plan sponsor’s address 420 LEXINGTON AVE STE 825, NEW YORK, NY, 10170

Signature of

Role Plan administrator
Date 2020-06-13
Name of individual signing WILLIAM T SULLIVAN

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 420 LEXINGTON AVENUE SUITE 825, NEW YORK, NY, United States, 10170

History

Start date End date Type Value
1980-03-27 2021-01-08 Address 158 GRAND ST., WHITE PLAINS, NY, 10601, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210108000246 2021-01-08 CERTIFICATE OF AMENDMENT 2021-01-08
A655158-9 1980-03-27 CERTIFICATE OF INCORPORATION 1980-03-27

Date of last update: 07 Jan 2025

Sources: New York Secretary of State