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  5. THE MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC.

THE MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC.

Company Details

Name: THE MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 12 Jan 1953 (72 years ago)
Entity Number: 86904
ZIP code: 11550
County: Nassau
Place of Formation: New York
Address: NASSAU COUNTY, INC., 186 CLINTON ST., HEMPSTEAD, NY, United States, 11550

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC. 2021 111710983 2022-06-22 MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-08-01
Business code 813000
Sponsor’s telephone number 5164892322
Plan sponsor’s address 16 MAIN ST, HEMPSTEAD, NY, 115504020

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing MICHELLE HICKEY
Role Employer/plan sponsor
Date 2022-06-22
Name of individual signing MICHELLE HICKEY
403(B) THRIFT PLAN FOR EMPLOYEES OF MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC. 2021 111710983 2024-10-17 MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-08-01
Business code 813000
Sponsor’s telephone number 5164892322
Plan sponsor’s address 16 MAIN STREET, HEMPSTEAD, NY, 115504020

Signature of
Role Plan administrator
Date 2024-10-17
Name of individual signing MICHAEL FAGAN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC. 2020 111710983 2021-10-15 MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC. 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-08-01
Business code 813000
Sponsor’s telephone number 5164892322
Plan sponsor’s address 16 MAIN ST, HEMPSTEAD, NY, 115504020

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing MICHELLE HICKEY
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing MICHELLE HICKEY
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC. 2019 111710983 2020-10-13 MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-08-01
Business code 624100
Sponsor’s telephone number 5164892322
Plan sponsor’s address 16 MAIN ST, HEMPSTEAD, NY, 115504020

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing MICHELLE HICKEY
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing MICHELLE HICKEY
MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY EMPLOYEE WELFARE BENEFIT PLAN 2018 111710983 2019-02-06 MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY INC. 108
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 5164892322
Plan sponsor’s mailing address 16 MAIN ST, HEMPSTEAD, NY, 115504020
Plan sponsor’s address 16 MAIN ST, HEMPSTEAD, NY, 115504020

Number of participants as of the end of the plan year
Active participants 114

Signature of
Role Plan administrator
Date 2019-02-05
Name of individual signing MICHELLE HICKEY
Valid signature Filed with authorized/valid electronic signature
MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY EMPLOYEE WELFARE BENEFIT PLAN 2018 111710983 2019-02-06 MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY INC. 114
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 5164892322
Plan sponsor’s mailing address 16 MAIN ST, HEMPSTEAD, NY, 115504020
Plan sponsor’s address 16 MAIN ST, HEMPSTEAD, NY, 115504020

Signature of
Role Plan administrator
Date 2019-02-05
Name of individual signing MICHELLE HICKEY
Valid signature Filed with authorized/valid electronic signature
MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY EMPLOYEE WELFARE BENEFIT PLAN 2018 111710983 2019-02-06 MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY INC. 102
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 5164892322
Plan sponsor’s mailing address 16 MAIN ST, HEMPSTEAD, NY, 115504020
Plan sponsor’s address 16 MAIN ST, HEMPSTEAD, NY, 115504020

Number of participants as of the end of the plan year
Active participants 109

Signature of
Role Plan administrator
Date 2019-02-05
Name of individual signing MICHELLE HICKEY
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC. 2018 111710983 2019-10-15 MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, INC. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-08-01
Business code 624100
Sponsor’s telephone number 5164892322
Plan sponsor’s address 16 MAIN ST, HEMPSTEAD, NY, 115504020

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing MICHELLE HICKEY
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing MICHELLE HICKEY
MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY EMPLOYEE WELFARE BENEFIT PLAN 2017 111710983 2019-06-27 MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY INC. 102
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 5164892322
Plan sponsor’s mailing address 16 MAIN ST, HEMPSTEAD, NY, 115504020
Plan sponsor’s address 16 MAIN ST, HEMPSTEAD, NY, 115504020

Number of participants as of the end of the plan year
Active participants 108

Signature of
Role Plan administrator
Date 2019-06-27
Name of individual signing MICHELLE HICKEY
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY INC 2017 111710983 2018-10-12 MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY INC 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-08-01
Business code 624100
Sponsor’s telephone number 5164892322
Plan sponsor’s address 16 MAIN ST, HEMPSTEAD, NY, 115504020

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing MICHELLE HICKEY
Role Employer/plan sponsor
Date 2018-10-12
Name of individual signing MICHELLE HICKEY

DOS Process Agent

Name Role Address
MENTAL HEALTH ASSOCIATION OF DOS Process Agent NASSAU COUNTY, INC., 186 CLINTON ST., HEMPSTEAD, NY, United States, 11550

History

Start date End date Type Value
1981-11-19 1983-04-18 Address 186 CLINTON ST., HEMPSTEAD, NY, 11550, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
B608140-2 1988-02-29 ASSUMED NAME CORP INITIAL FILING 1988-02-29
A970694-9 1983-04-18 CERTIFICATE OF AMENDMENT 1983-04-18
A816359-12 1981-11-19 CERTIFICATE OF AMENDMENT 1981-11-19
567Q-98 1953-01-12 CERTIFICATE OF INCORPORATION 1953-01-12

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 22 Dec 2024

Sources: New York Secretary of State

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