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  5. FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER, INC.

FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER, INC.

Company Details

Name: FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 19 May 1950 (75 years ago)
Entity Number: 74770
ZIP code: 11203
County: Kings
Place of Formation: New York
Address: PRESIDENT, 450 CLARKSON AVENUE, BOX 1217, BROOKLYN, NY, United States, 11203

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TIAA CREF REF PLAN FOR FSA DOWNSTATE MED CTR 2023 111704590 2024-10-15 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 611000
Sponsor’s telephone number 7182703148
Plan sponsor’s address MSC 1219 - 450 CLARKSON AVENUE, BROOKLYN, NY, 112032098

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing SERGIO MAFFETTONE
Valid signature Filed with authorized/valid electronic signature
TIAA CREF REF PLAN FOR FSA DOWNSTATE MED CTR 2022 111704590 2023-10-05 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 611000
Sponsor’s telephone number 7182703148
Plan sponsor’s address MSC 1219 - 450 CLARKSON AVENUE, BROOKLYN, NY, 112032098

Signature of
Role Plan administrator
Date 2023-07-26
Name of individual signing SERGIO MAFFETTONE
TIAA CREF REF PLAN FOR FSA DOWNSTATE MED CTR 2021 111704590 2022-10-14 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 611000
Sponsor’s telephone number 7182703148
Plan sponsor’s address MSC 1219 - 450 CLARKSON AVENUE, BROOKLYN, NY, 112032098

Signature of
Role Plan administrator
Date 2022-09-29
Name of individual signing SERGIO MAFFETTONE
TIAA CREF REF PLAN FOR FSA DOWNSTATE MED CTR 2020 111704590 2021-10-14 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 611000
Sponsor’s telephone number 7182703148
Plan sponsor’s address MSC 1219 - 450 CLARKSON AVENUE, BROOKLYN, NY, 112032098

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing SERGIO MAFFETTONE
TIAA CREF REF PLAN FOR FSA DOWNSTATE MED CTR 2019 111704590 2020-07-30 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 611000
Sponsor’s telephone number 7182703148
Plan sponsor’s address MSC 1219 - 450 CLARKSON AVENUE, BROOKLYN, NY, 112032098

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing SERGIO MAFFETTONE
TIAA CREF REF PLAN FOR FSA ASSOC OF DOWNSTATE MED CTR 2018 111704590 2019-06-17 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 611000
Sponsor’s telephone number 7182703148
Plan sponsor’s address 450 CLARKSON AVE MSC 1219, BROOKLYN, NY, 112032012

Signature of
Role Plan administrator
Date 2019-06-17
Name of individual signing CHRISTOPHER SENA
TIAA CREF REF PLAN FOR FSA ASSOC OF DOWNSTATE MED CTR 2017 111704590 2018-05-08 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 611000
Sponsor’s telephone number 7182703148
Plan sponsor’s address 450 CLARKSON AVE MSC 1219, BROOKLYN, NY, 112032012

Signature of
Role Plan administrator
Date 2018-05-08
Name of individual signing CHRISTOPHER SENA
TIAA CREF REF PLAN FOR FSA ASSOC OF DOWNSTATE MED CTR 2016 111704590 2017-06-06 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 611000
Sponsor’s telephone number 7182703148
Plan sponsor’s address 450 CLARKSON AVE MSC 1219, BROOKLYN, NY, 112032012

Signature of
Role Plan administrator
Date 2017-06-06
Name of individual signing CHRISTOPHER SENA
TIAA CREF REF PLAN FOR FSA ASSOC OF DOWNSTATE MED CTR 2015 111704590 2016-07-26 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 611000
Sponsor’s telephone number 7182703148
Plan sponsor’s address 450 CLARKSON AVE MSC 1219, BROOKLYN, NY, 112032012

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing CHRISTOPHER SENA
TIAA CREF REF PLAN FOR FSA ASSOC OF DOWNSTATE MED CTR 2014 111704590 2016-06-08 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 611000
Plan sponsor’s address 450 CLARKSON AVENUE, MSC 1219, BROOKLYN, NY, 112032098

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing RODNEY VENTEN

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent PRESIDENT, 450 CLARKSON AVENUE, BOX 1217, BROOKLYN, NY, United States, 11203

Filings

Filing Number Date Filed Type Effective Date
010424000856 2001-04-24 CERTIFICATE OF AMENDMENT 2001-04-24
584993-7 1966-10-31 CERTIFICATE OF AMENDMENT 1966-10-31
529Q-110 1950-05-19 CERTIFICATE OF INCORPORATION 1950-05-19

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
11-1704590 Corporation Unconditional Exemption 450 CLARKSON AVE, BROOKLYN, NY, 11203-2012 1952-10
In Care of Name -
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 Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
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 2023-05
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 May
Asset Amount 2352766
Income Amount 3537473
Form 990 Revenue Amount 3430887
National Taxonomy of Exempt Entities -
Sort Name -

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 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC
EIN 11-1704590
Tax Period 202305
Filing Type E
Return Type 990
File View File
Organization Name FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC
EIN 11-1704590
Tax Period 202205
Filing Type E
Return Type 990
File View File
Organization Name FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC
EIN 11-1704590
Tax Period 202105
Filing Type E
Return Type 990
File View File
Organization Name FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC
EIN 11-1704590
Tax Period 202005
Filing Type E
Return Type 990
File View File
Organization Name FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC
EIN 11-1704590
Tax Period 201905
Filing Type E
Return Type 990
File View File
Organization Name FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC
EIN 11-1704590
Tax Period 201805
Filing Type E
Return Type 990
File View File
Organization Name FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC
EIN 11-1704590
Tax Period 201705
Filing Type E
Return Type 990
File View File
Organization Name FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC
EIN 11-1704590
Tax Period 201605
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4295017405 2020-05-08 0202 PPP 450 Clarkson Ave., MSC 1219 0.0, Brooklyn, NY, 11203-2012
Loan Status Date 2021-06-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 65612
Loan Approval Amount (current) 65612
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Brooklyn, KINGS, NY, 11203-2012
Project Congressional District NY-09
Number of Employees 6
NAICS code 451211
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 66288.93
Forgiveness Paid Date 2021-05-26
2006828806 2021-04-11 0202 PPS 450 Clarkson Ave Msc 1219, Brooklyn, NY, 11203-2012
Loan Status Date 2022-02-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 61075
Loan Approval Amount (current) 61075
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Brooklyn, KINGS, NY, 11203-2012
Project Congressional District NY-09
Number of Employees 6
NAICS code 451211
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 61528.89
Forgiveness Paid Date 2022-01-11

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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