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  5. VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC.

VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC.

Company Details

Name: VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 13 Mar 1952 (73 years ago)
Entity Number: 77585
ZIP code: 11768
County: Suffolk
Place of Formation: New York
Address: 505 MAIN STREET, NORTHPORT, NY, United States, 11768

Contact Details

Phone +1 631-261-7200

Phone +1 631-930-9399

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VISTING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 2023 111722477 2024-10-11 VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 304
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-03-01
Business code 621610
Sponsor’s telephone number 6312617200
Plan sponsor’s mailing address 505 MAIN STREET, NORTHPORT, NY, 117681954
Plan sponsor’s address 505 MAIN STREET, NORTHPORT, NY, 117681954

Number of participants as of the end of the plan year
Active participants 218
Retired or separated participants receiving benefits 16
Other retired or separated participants entitled to future benefits 72
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 291
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 5
VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 2022 111722477 2023-10-16 VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 303
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-03-01
Business code 621610
Sponsor’s telephone number 6312617200
Plan sponsor’s mailing address 505 MAIN ST, NORTHPORT, NY, 117681954
Plan sponsor’s address 505 MAIN ST, NORTHPORT, NY, 117681954

Number of participants as of the end of the plan year
Active participants 212
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 91
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 295
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 16

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing SCOTT WILLIAMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing SCOTT WILLIAMS
Valid signature Filed with authorized/valid electronic signature
VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 2021 111722477 2022-10-13 VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 296
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-03-01
Business code 621610
Sponsor’s telephone number 6312617200
Plan sponsor’s mailing address 505 MAIN ST, NORTHPORT, NY, 117681954
Plan sponsor’s address 505 MAIN ST, NORTHPORT, NY, 117681954

Number of participants as of the end of the plan year
Active participants 228
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 73
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 277
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 10

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing SCOTT WILLIAMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-13
Name of individual signing SCOTT WILLIAMS
Valid signature Filed with authorized/valid electronic signature
VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 2020 111722477 2021-10-12 VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 281
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-03-01
Business code 621610
Sponsor’s telephone number 6312617200
Plan sponsor’s mailing address 505 MAIN ST, NORTHPORT, NY, 117681954
Plan sponsor’s address 505 MAIN ST, NORTHPORT, NY, 117681954

Number of participants as of the end of the plan year
Active participants 225
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 71
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 277
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing SCOTT WILLIAMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing SCOTT WILLIAMS
Valid signature Filed with authorized/valid electronic signature
403 B THRIFT PLAN OF VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 2019 111722477 2020-10-14 VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 281
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-03-01
Business code 621610
Sponsor’s telephone number 6312617200
Plan sponsor’s mailing address 505 MAIN ST, NORTHPORT, NY, 117681954
Plan sponsor’s address 505 MAIN ST, NORTHPORT, NY, 117681954

Number of participants as of the end of the plan year
Active participants 207
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 74
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 265
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 20

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing SCOTT WILLIAMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing SCOTT WILLIAMS
Valid signature Filed with authorized/valid electronic signature
403 B THRIFT PLAN OF VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 2018 111722477 2019-10-15 VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 193
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-03-01
Business code 621610
Sponsor’s telephone number 6312617200
Plan sponsor’s mailing address 505 MAIN ST, NORTHPORT, NY, 117681954
Plan sponsor’s address 505 MAIN ST, NORTHPORT, NY, 117681954

Number of participants as of the end of the plan year
Active participants 210
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 70
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 257
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing SCOTT WILLIAMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing SCOTT WILLIAMS
Valid signature Filed with authorized/valid electronic signature
FLEXIBLE ANNUITY DC PLAN OF VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 2017 111722477 2018-10-15 VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 193
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621610
Sponsor’s telephone number 6312617200
Plan sponsor’s mailing address 505 MAIN ST, NORTHPORT, NY, 11768
Plan sponsor’s address 505 MAIN ST, NORTHPORT, NY, 11768

Number of participants as of the end of the plan year
Active participants 165
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 37
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 203
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing SCOTT WILLIAMS
Valid signature Filed with authorized/valid electronic signature
AGGREGATED 403(B) THRIFT PLAN OF VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 2016 111722477 2017-10-16 VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 191
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-03-01
Business code 621610
Sponsor’s telephone number 6312617200
Plan sponsor’s mailing address 505 MAIN ST, NORTHPORT, NY, 11768
Plan sponsor’s address 505 MAIN ST, NORTHPORT, NY, 11768

Number of participants as of the end of the plan year
Active participants 134
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 60
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 195
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 8

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing STEVEN MOLLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing STEVEN MOLLER
Valid signature Filed with authorized/valid electronic signature
FLEXIBLE ANNUITY DC PLAN OF VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 2016 111722477 2017-10-16 VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. 192
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621610
Sponsor’s telephone number 6312617200
Plan sponsor’s mailing address 505 MAIN STREET, NORTHPORT, NY, 11768
Plan sponsor’s address 505 MAIN STREET, NORTHPORT, NY, 11768

Number of participants as of the end of the plan year
Active participants 155
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 35
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants with account balances as of the end of the plan year 165
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 6

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing STEVEN MOLLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing STEVEN MOLLER
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 505 MAIN STREET, NORTHPORT, NY, United States, 11768

History

Start date End date Type Value
1985-07-08 2003-02-03 Name VISITING NURSE SERVICE, INC.
1985-07-08 2003-02-03 Address 125 W HILLS RD, HUNTINGTON STATION, NY, 11746, USA (Type of address: Service of Process)
1967-08-14 1985-07-08 Name THE VISITING NURSE SERVICE OF HUNTINGTON TOWNSHIP, INC.
1952-03-13 1967-08-14 Name THE VISITING NURSE ASSOCIATION OF HUNTINGTON TOWNSHIP, INC.

Filings

Filing Number Date Filed Type Effective Date
030203000453 2003-02-03 CERTIFICATE OF AMENDMENT 2003-02-03
C041308-8 1989-08-07 CERTIFICATE OF AMENDMENT 1989-08-07
B470756-1 1987-03-17 ASSUMED NAME CORP DISCONTINUANCE 1987-03-17
B244748-6 1985-07-08 CERTIFICATE OF AMENDMENT 1985-07-08
A845580-2 1982-03-02 ASSUMED NAME CORP INITIAL FILING 1982-03-02
633352-4 1967-08-14 CERTIFICATE OF AMENDMENT 1967-08-14
555Q-77 1952-03-13 CERTIFICATE OF INCORPORATION 1952-03-13

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
11-1722477 Corporation Unconditional Exemption 505 MAIN ST, NORTHPORT, NY, 11768-1954 1953-02
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 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 normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 10121426
Income Amount 17687868
Form 990 Revenue Amount 17620685
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 VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK INC
EIN 11-1722477
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK INC
EIN 11-1722477
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK INC
EIN 11-1722477
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK INC
EIN 11-1722477
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK INC
EIN 11-1722477
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK INC
EIN 11-1722477
Tax Period 201612
Filing Type E
Return Type 990
File View File

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Related by address

505 MAIN STREET, NORTHPORT, NY, United States, 11768

VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK FOUNDATION, INC.

Date of last update: 02 Mar 2025

Sources: New York Secretary of State

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