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CHILDREN OF BELLEVUE, INC.

Company Details

Name: CHILDREN OF BELLEVUE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 10 Feb 1949 (76 years ago)
Entity Number: 72860
County: New York
Place of Formation: New York

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
6RUM7 Active Non-Manufacturer 2012-06-14 2024-02-29 No data No data

Contact Information
POC JEAN L. FOLSOM
Phone +1 212-562-4130
Fax +1 212-562-7297
Address 462 FIRST AVENUE, NEW YORK, NY, 10016 9196, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHILDREN OF BELLEVUE 403(B) PLAN 2016 131679615 2017-05-16 CHILDREN OF BELLEVUE 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 624100
Sponsor’s telephone number 2125624130
Plan sponsor’s address 462 FIRST AVENUE ME-15, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2017-05-16
Name of individual signing MARY-LEE KVIETKUS
CHILDREN OF BELLEVUE 403(B) PLAN 2016 131679615 2017-08-16 CHILDREN OF BELLEVUE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 624100
Sponsor’s telephone number 2125624130
Plan sponsor’s address 462 FIRST AVENUE ME-15, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2017-08-16
Name of individual signing MARY-LEE KVIETKUS
CHILDREN OF BELLEVUE 403(B) PLAN 2015 131679615 2016-05-03 CHILDREN OF BELLEVUE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 624100
Sponsor’s telephone number 2125624130
Plan sponsor’s address 462 FIRST AVENUE ME-15, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2016-05-03
Name of individual signing MARY-LEE KVIETKUS
CHILDREN OF BELLEVUE 403(B) PLAN 2014 131679615 2015-09-25 CHILDREN OF BELLEVUE 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 624100
Sponsor’s telephone number 2125624130
Plan sponsor’s address 462 FIRST AVENUE, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2015-09-25
Name of individual signing MARY-LEE KVIETKUS
CHILDREN OF BELLEVUE 403(B) PLAN 2013 131679615 2014-07-16 CHILDREN OF BELLEVUE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 624100
Sponsor’s telephone number 2125624130
Plan sponsor’s address 462 FIRST AVENUE, NEW YORK CITY, NY, 10016

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing ISMAEL COULIBALY
CHILDREN OF BELLEVUE 403(B) PLAN 2012 131679615 2013-09-06 CHILDREN OF BELLEVUE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 624100
Sponsor’s telephone number 2125624130
Plan sponsor’s address 462 FIRST AVENUE, NEW YORK CITY, NY, 10016

Signature of
Role Plan administrator
Date 2013-09-06
Name of individual signing ISMAEL COULIBALY
CHILDREN OF BELLEVUE 403(B) PLAN 2011 131679615 2012-09-25 CHILDREN OF BELLEVUE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 624100
Sponsor’s telephone number 2125624130
Plan sponsor’s address 462 1ST AVENUE, NEW YORK, NY, 10016

Plan administrator’s name and address
Administrator’s EIN 131679615
Plan administrator’s name CHILDREN OF BELLEVUE
Plan administrator’s address 462 1ST AVENUE, NEW YORK, NY, 10016
Administrator’s telephone number 2125624130

Signature of
Role Plan administrator
Date 2012-09-25
Name of individual signing ISMAEL COULIBALY
CHILDREN OF BELLEVUE 403(B) PLAN 2010 131679615 2011-10-05 CHILDREN OF BELLEVUE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 624100
Sponsor’s telephone number 2125624130
Plan sponsor’s address 462 FIRST AVENUE, NEW YORK CITY, NY, 10016

Plan administrator’s name and address
Administrator’s EIN 131679615
Plan administrator’s name CHILDREN OF BELLEVUE
Plan administrator’s address 462 FIRST AVENUE, NEW YORK CITY, NY, 10016
Administrator’s telephone number 2125624130

Signature of
Role Plan administrator
Date 2011-10-05
Name of individual signing BARBARA PAXTON
CHILDREN OF BELLEVUE 403(B) PLAN 2009 131679615 2010-10-12 CHILDREN OF BELLEVUE 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-01
Business code 624100
Sponsor’s telephone number 2125624130
Plan sponsor’s address 462 FIRST AVENUE, NEW YORK CITY, NY, 10016

Plan administrator’s name and address
Administrator’s EIN 131679615
Plan administrator’s name CHILDREN OF BELLEVUE
Plan administrator’s address 462 FIRST AVENUE, NEW YORK CITY, NY, 10016
Administrator’s telephone number 2125624130

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing BARBARA D. PAXTON

Agent

Name Role Address
N/A BELLEVUE HOSPITAL Agent CENTER, NO STREET ADDRESS, NEW YORK, NY

Filings

Filing Number Date Filed Type Effective Date
A805008-2 1981-10-13 ASSUMED NAME CORP INITIAL FILING 1981-10-13
928902-10 1971-08-23 CERTIFICATE OF AMENDMENT 1971-08-23
510Q-82 1949-02-10 CERTIFICATE OF INCORPORATION 1949-02-10

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
13-1679615 Corporation Unconditional Exemption 462 1ST AVE FRNT 1, NEW YORK, NY, 10016-9196 1949-05
In Care of Name % NICOLE SHEARMAN
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific 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 Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 1,000,000 to 4,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 2082437
Income Amount 1681058
Form 990 Revenue Amount 403760
National Taxonomy of Exempt Entities -
Sort Name BELLEVUE HOSPITAL CENTER

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name CHILDREN OF BELLEVUE INC
EIN 13-1679615
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name CHILDREN OF BELLEVUE INC
EIN 13-1679615
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CHILDREN OF BELLEVUE INC
EIN 13-1679615
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name CHILDREN OF BELLEVUE INC
EIN 13-1679615
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name CHILDREN OF BELLEVUE INC
EIN 13-1679615
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name CHILDREN OF BELLEVUE INC
EIN 13-1679615
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name CHILDREN OF BELLEVUE INC
EIN 13-1679615
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name CHILDREN OF BELLEVUE INC
EIN 13-1679615
Tax Period 201512
Filing Type E
Return Type 990
File View File

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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