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  5. TANGLEWOOD ACRES ADULT HOME, INC.

TANGLEWOOD ACRES ADULT HOME, INC.

Company Details

Name: TANGLEWOOD ACRES ADULT HOME, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Inactive
Date of registration: 09 Jun 1982 (43 years ago)
Date of dissolution: 02 Jan 2014
Entity Number: 775083
ZIP code: 10977
County: Rockland
Place of Formation: New York
Address: 523 S. PASCACK RD., SPRING VALLEY, NY, United States, 10977

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF TANGLEWOOD ACRES ADULT HOME, INC. 2013 133099825 2014-05-27 TANGLEWOOD ACRES ADULT HOME, INC. 14
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 623000
Sponsor’s telephone number 8456234780
Plan sponsor’s address 724 S PASCACK ROAD, CHESTNUT RIDGE, NY, 10977

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing MARK LUKENS
Role Employer/plan sponsor
Date 2014-05-27
Name of individual signing MARK LUKENS
403(B) THRIFT PLAN OF TANGLEWOOD ACRES ADULT HOME, INC. 2013 133099825 2014-07-18 TANGLEWOOD ACRES ADULT HOME, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 623000
Sponsor’s telephone number 8456234780
Plan sponsor’s address 724 S PASCACK ROAD, CHESTNUT RIDGE, NY, 10977

Plan administrator’s name and address
Administrator’s EIN 133099825
Plan administrator’s name TANGLEWOOD ACRES ADULT HOME, INC.
Plan administrator’s address 724 S PASCACK ROAD, CHESTNUT RIDGE, NY, 10977
Administrator’s telephone number 8456234780

Signature of
Role Plan administrator
Date 2014-07-18
Name of individual signing MARK LUKENS
Role Employer/plan sponsor
Date 2014-07-18
Name of individual signing MARK LUKENS
403(B) THRIFT PLAN OF TANGLEWOOD ACRES ADULT HOME, INC. 2012 133099825 2013-08-23 TANGLEWOOD ACRES ADULT HOME, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 623000
Sponsor’s telephone number 8456234780
Plan sponsor’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977

Signature of
Role Plan administrator
Date 2013-08-23
Name of individual signing MARK J LUKENS
Role Employer/plan sponsor
Date 2013-08-23
Name of individual signing MARK J LUKENS
403(B) THRIFT PLAN OF TANGLEWOOD ACRES ADULT HOME, INC. 2011 133099825 2013-08-21 TANGLEWOOD ACRES ADULT HOME, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 623000
Sponsor’s telephone number 8456234780
Plan sponsor’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977

Plan administrator’s name and address
Administrator’s EIN 133099825
Plan administrator’s name TANGLEWOOD ACRES ADULT HOME, INC.
Plan administrator’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977
Administrator’s telephone number 8456234780

Signature of
Role Plan administrator
Date 2013-08-21
Name of individual signing MARK J LUKENS
403(B) THRIFT PLAN OF TANGLEWOOD ACRES ADULT HOME, INC. 2010 133099825 2011-07-05 TANGLEWOOD ACRES ADULT HOME, INC. 8
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 623000
Sponsor’s telephone number 8456234780
Plan sponsor’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977

Plan administrator’s name and address
Administrator’s EIN 133099825
Plan administrator’s name TANGLEWOOD ACRES ADULT HOME, INC.
Plan administrator’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977
Administrator’s telephone number 8456234780

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing FREDERICK MCCURRY
Role Employer/plan sponsor
Date 2011-07-05
Name of individual signing FREDERICK MCCURRY
403(B) THRIFT PLAN OF TANGLEWOOD ACRES ADULT HOME, INC. 2010 133099825 2011-09-27 TANGLEWOOD ACRES ADULT HOME, INC. 8
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 623000
Sponsor’s telephone number 8456234780
Plan sponsor’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977

Plan administrator’s name and address
Administrator’s EIN 133099825
Plan administrator’s name TANGLEWOOD ACRES ADULT HOME, INC.
Plan administrator’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977
Administrator’s telephone number 8456234780

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing FREDERICK MCCURRY
Role Employer/plan sponsor
Date 2011-09-27
Name of individual signing FREDERICK MCCURRY
403(B) THRIFT PLAN OF TANGLEWOOD ACRES ADULT HOME, INC. 2010 133099825 2011-07-05 TANGLEWOOD ACRES ADULT HOME, INC. 8
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 623000
Sponsor’s telephone number 8456234780
Plan sponsor’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977

Plan administrator’s name and address
Administrator’s EIN 133099825
Plan administrator’s name TANGLEWOOD ACRES ADULT HOME, INC.
Plan administrator’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977
Administrator’s telephone number 8456234780

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing FREDERICK MCCURRY
Role Employer/plan sponsor
Date 2011-07-05
Name of individual signing FREDERICK MCCURRY
403(B) THRIFT PLAN OF TANGLEWOOD ACRES ADULT HOME, INC. 2010 133099825 2013-08-23 TANGLEWOOD ACRES ADULT HOME, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 623000
Sponsor’s telephone number 8456234780
Plan sponsor’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977

Plan administrator’s name and address
Administrator’s EIN 133099825
Plan administrator’s name TANGLEWOOD ACRES ADULT HOME, INC.
Plan administrator’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977
Administrator’s telephone number 8456234780

Signature of
Role Plan administrator
Date 2013-08-23
Name of individual signing MARK J LUKENS
Role Employer/plan sponsor
Date 2013-08-23
Name of individual signing MARK J LUKENS
403(B) THRIFT PLAN OF TANGLEWOOD ACRES ADULT HOME, INC. 2010 133099825 2011-07-05 TANGLEWOOD ACRES ADULT HOME, INC. 8
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 623000
Sponsor’s telephone number 8456234780
Plan sponsor’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977

Plan administrator’s name and address
Administrator’s EIN 133099825
Plan administrator’s name TANGLEWOOD ACRES ADULT HOME, INC.
Plan administrator’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977
Administrator’s telephone number 8456234780

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing FREDERICK MCCURRY
Role Employer/plan sponsor
Date 2011-07-05
Name of individual signing FREDERICK MCCURRY
403(B) THRIFT PLAN OF TANGLEWOOD ACRES ADULT HOME, INC. 2010 133099825 2011-06-17 TANGLEWOOD ACRES ADULT HOME, INC. 8
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 623000
Sponsor’s telephone number 8456234780
Plan sponsor’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977

Plan administrator’s name and address
Administrator’s EIN 133099825
Plan administrator’s name TANGLEWOOD ACRES ADULT HOME, INC.
Plan administrator’s address 724 S PASCACK RD, CHESTNUT RIDGE, NY, 10977
Administrator’s telephone number 8456234780

Signature of
Role Plan administrator
Date 2011-06-17
Name of individual signing FREDERICK C. MCCURRY
Role Employer/plan sponsor
Date 2011-06-17
Name of individual signing FREDERICK C. MCCURRY

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 523 S. PASCACK RD., SPRING VALLEY, NY, United States, 10977

Filings

Filing Number Date Filed Type Effective Date
140102000144 2014-01-02 CERTIFICATE OF DISSOLUTION 2014-01-02
B043823-8 1983-11-29 CERTIFICATE OF AMENDMENT 1983-11-29
A875830-10 1982-06-09 CERTIFICATE OF INCORPORATION 1982-06-09

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 07 Jan 2025

Sources: New York Secretary of State

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