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  5. COMMUNITY AGENCY FOR SENIOR CITIZENS, INC.

COMMUNITY AGENCY FOR SENIOR CITIZENS, INC.

Company Details

Name: COMMUNITY AGENCY FOR SENIOR CITIZENS, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 23 Mar 1984 (41 years ago)
Entity Number: 904075
ZIP code: 10301
County: Richmond
Place of Formation: New York
Address: SENIOR CITIZENS, 56 BAY ST., STATEN ISLAND, NY, United States, 10301

Contact Details

Phone +1 718-981-6226

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
WZWLSFRTABC3 2024-12-25 120 STUYVESANT PL, STE 409, STATEN ISLAND, NY, 10301, 1992, USA 120 STUYVESANT PL STE 409, STATEN ISLAND, NY, 10301, 1992, USA

Business Information
Doing Business As COMMUNITY AGENCY FOR SENIOR CITIZENS INC
Congressional District 11
State/Country of Incorporation NY, USA
Activation Date 2023-12-28
Initial Registration Date 2010-01-09
Entity Start Date 1985-07-02
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name SUSAN LEWIS
Address 120 STUYVESANT PLACE, SUITE 409, STATEN ISLAND, NY, 10301, 2563, USA
Title ALTERNATE POC
Name NICHOLETTE ODLIVAK
Address 120 STUYVESANT PLACE, SUITE 409, STATEN ISLAND, NY, 10301, 2563, USA
Government Business
Title PRIMARY POC
Name SUSAN LEWIS
Address 120 STUYVESANT PLACE, SUITE 409, STATEN ISLAND, NY, 10301, 2563, USA
Title ALTERNATE POC
Name NICHOLETTE ODLIVAK
Address 120 STUYVESANT PLACE, STE 409, STATEN ISLAND, NY, 10301, 2563, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
5USM2 Obsolete Non-Manufacturer 2010-01-12 2024-03-02 No data 2024-12-25

Contact Information
POC SUSAN LEWIS
Phone +1 718-981-6226
Address 120 STUYVESANT PL, STATEN ISLAND, NY, 10301 1992, 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
403(B) THRIFT PLAN OF COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 2023 133263537 2024-10-18 COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 7189816226
Plan sponsor’s address 120 STUYVESANT PL STE 409, STATEN ISLAND, NY, 103011992

Signature of
Role Plan administrator
Date 2024-10-18
Name of individual signing LISA MCFARLAND
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 2022 133263537 2024-04-15 COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 7189816226
Plan sponsor’s address 120 STUYVESANT PL STE 409, STATEN ISLAND, NY, 103011992

Signature of
Role Plan administrator
Date 2024-04-15
Name of individual signing SUSAN LEWIS
Role Employer/plan sponsor
Date 2024-04-15
Name of individual signing SUSAN LEWIS
403(B) THRIFT PLAN OF COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 2021 133263537 2022-10-15 COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 7189816226
Plan sponsor’s address 120 STUYVESANT PL STE 409, STATEN ISLAND, NY, 103011992

Signature of
Role Plan administrator
Date 2022-10-15
Name of individual signing SUSAN LEWIS
Role Employer/plan sponsor
Date 2022-10-15
Name of individual signing SUSAN LEWIS
403(B) THRIFT PLAN OF COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 2020 133263537 2021-10-13 COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 7189816226
Plan sponsor’s address 120 STUYVESANT PL STE 409, STATEN ISLAND, NY, 103011992

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing SUSAN LEWIS
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing SUSAN LEWIS
403(B) THRIFT PLAN OF COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 2019 133263537 2020-06-16 COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 7189816226
Plan sponsor’s address 56 BAY ST, STATEN ISLAND, NY, 103012563

Signature of
Role Plan administrator
Date 2020-06-16
Name of individual signing ISABEL ALLEN
Role Employer/plan sponsor
Date 2020-06-16
Name of individual signing ISABEL ALLEN
403(B) THRIFT PLAN OF COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 2019 133263537 2020-06-16 COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 0
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 7189816226
Plan sponsor’s address 56 BAY ST, STATEN ISLAND, NY, 103012563

Signature of
Role Plan administrator
Date 2020-06-16
Name of individual signing ISABEL ALLEN
Role Employer/plan sponsor
Date 2020-06-16
Name of individual signing ISABEL ALLEN
403(B) THRIFT PLAN OF COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 2018 133263537 2019-06-05 COMMUNITY AGENCY FOR SENIOR CITIZENS, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 7189816226
Plan sponsor’s address 56 BAY ST, STATEN ISLAND, NY, 103012563

Signature of
Role Plan administrator
Date 2019-06-05
Name of individual signing ISABEL ALLEN
Role Employer/plan sponsor
Date 2019-06-05
Name of individual signing ISABEL ALLEN
TAX DEFERRED ANNUITY PLAN OF COMMUNITY AGENCY FOR SENIOR CITIZENS 2009 133263537 2010-09-15 COMMUNITY AGENCY FOR SENIOR CITIZENS 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-07-01
Business code 624100
Sponsor’s telephone number 7189816226
Plan sponsor’s address 56 BAY ST, STATEN ISLAND, NY, 10301

Plan administrator’s name and address
Administrator’s EIN 133263537
Plan administrator’s name COMMUNITY AGENCY FOR SENIOR CITIZENS
Plan administrator’s address 56 BAY ST, STATEN ISLAND, NY, 10301
Administrator’s telephone number 7189816226

Signature of
Role Plan administrator
Date 2010-09-15
Name of individual signing JOHN FIORE
Role Employer/plan sponsor
Date 2010-09-15
Name of individual signing JOHN FIORE

DOS Process Agent

Name Role Address
COMMUNITY AGENCY FOR DOS Process Agent SENIOR CITIZENS, 56 BAY ST., STATEN ISLAND, NY, United States, 10301

Filings

Filing Number Date Filed Type Effective Date
B159229-5 1984-11-08 CERTIFICATE OF AMENDMENT 1984-11-08
B082807-11 1984-03-23 CERTIFICATE OF INCORPORATION 1984-03-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: New York Secretary of State

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