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  5. MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC.

MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC.

Company Details

Name: MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 06 Sep 1984 (40 years ago)
Entity Number: 941712
ZIP code: 11377
County: Queens
Place of Formation: New York
Address: 40-23 62ND STREET, 2ND FLOOR, WOODSIDE, NY, United States, 11377

Contact Details

Phone +1 718-476-0076

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
6RFZ2 Active Non-Manufacturer 2012-05-29 2024-03-03 No data No data

Contact Information
POC JAMES MCQUADE
Phone +1 718-476-0076
Fax +1 718-476-0077
Address 4404 QUEENS BLVD FL 2, SUNNYSIDE, NY, 11104 2406, 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
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 2022 112700062 2023-10-05 MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 111
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-07-01
Business code 624100
Sponsor’s telephone number 7184760076
Plan sponsor’s mailing address 4023 62ND ST, FLOOR 2, WOODSIDE, NY, 113775098
Plan sponsor’s address 4023 62ND ST, FLOOR 2, WOODSIDE, NY, 113775098

Number of participants as of the end of the plan year
Active participants 57
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 73
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 126
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing DEBRA TIMMS
Valid signature Filed with authorized/valid electronic signature
401(A) THRIFT PLAN OF MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 2021 112700062 2023-03-16 MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621420
Sponsor’s telephone number 7184760076
Plan sponsor’s mailing address 4023 62ND ST APT 2, WOODSIDE, NY, 113775098
Plan sponsor’s address 4023 62ND ST APT 2, WOODSIDE, NY, 113775098

Number of participants as of the end of the plan year
Active participants 60
Other retired or separated participants entitled to future benefits 59
Number of participants with account balances as of the end of the plan year 119
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 9

Signature of
Role Plan administrator
Date 2023-03-16
Name of individual signing DEBRA TIMMS
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 2021 112700062 2022-07-18 MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 104
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-07-01
Business code 624100
Sponsor’s telephone number 7184760076
Plan sponsor’s mailing address 4023 62ND ST APT 2, WOODSIDE, NY, 113775098
Plan sponsor’s address 4023 62ND ST APT 2, WOODSIDE, NY, 113775098

Number of participants as of the end of the plan year
Active participants 53
Other retired or separated participants entitled to future benefits 60
Number of participants with account balances as of the end of the plan year 111
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing DEBRA TIMMS
Valid signature Filed with authorized/valid electronic signature
401(A) THRIFT PLAN OF MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 2020 112700062 2022-03-21 MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621420
Sponsor’s telephone number 7184760076
Plan sponsor’s mailing address 4023 62ND ST APT 2, WOODSIDE, NY, 113775098
Plan sponsor’s address 4023 62ND ST APT 2, WOODSIDE, NY, 113775098

Number of participants as of the end of the plan year
Active participants 55
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 56
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 111
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 4

Signature of
Role Plan administrator
Date 2022-03-21
Name of individual signing DEBRA TIMMS
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 2020 112700062 2021-10-15 MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 99
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-07-01
Business code 624100
Sponsor’s telephone number 7184760076
Plan sponsor’s mailing address 4023 62ND ST FL 2, WOODSIDE, NY, 11377
Plan sponsor’s address 4023 62ND ST FL 2, WOODSIDE, NY, 11377

Number of participants as of the end of the plan year
Active participants 54
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 50
Number of participants with account balances as of the end of the plan year 104
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing DEBRA TIMMS
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 2019 112700062 2021-10-15 MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 89
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-07-01
Business code 624100
Sponsor’s telephone number 7184760076
Plan sponsor’s mailing address 4023 62ND ST FL 2, WOODSIDE, NY, 11377
Plan sponsor’s address 4023 62ND ST FL 2, WOODSIDE, NY, 11377

Number of participants as of the end of the plan year
Active participants 56
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 43
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 98
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing DEBRA TIMMS
Valid signature Filed with authorized/valid electronic signature
401(A) THRIFT PLAN OF MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 2019 112700062 2021-04-15 MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621420
Plan sponsor’s address 4023 62ND ST APT 2, WOODSIDE, NY, 113775098

Signature of
Role Plan administrator
Date 2021-04-15
Name of individual signing DEBRA TIMMS
Role Employer/plan sponsor
Date 2021-04-15
Name of individual signing DEBRA TIMMS
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 2018 112700062 2019-09-30 MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 65
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-07-01
Business code 621420
Sponsor’s telephone number 7184760076
Plan sponsor’s address 4023 62ND ST FL 2, WOODSIDE, NY, 113774962

Signature of
Role Plan administrator
Date 2019-09-30
Name of individual signing DEBRA TIMMS
Role Employer/plan sponsor
Date 2019-09-30
Name of individual signing DEBRA TIMMS
401(A) THRIFT PLAN OF MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 2018 112700062 2020-04-15 MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621420
Sponsor’s telephone number 7184760076
Plan sponsor’s address 4023 62ND ST FL 2, WOODSIDE, NY, 113774962

Signature of
Role Plan administrator
Date 2020-04-15
Name of individual signing DEBRA TIMMS
Role Employer/plan sponsor
Date 2020-04-15
Name of individual signing DEBRA TIMMS
401(A) THRIFT PLAN OF MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 2017 112700062 2019-04-08 MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621420
Sponsor’s telephone number 7184760076
Plan sponsor’s address 4023 62ND ST FL 2, WOODSIDE, NY, 113774962

Signature of
Role Plan administrator
Date 2019-04-08
Name of individual signing DEBRA TIMMS
Role Employer/plan sponsor
Date 2019-04-08
Name of individual signing DEBRA TIMMS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 40-23 62ND STREET, 2ND FLOOR, WOODSIDE, NY, United States, 11377

History

Start date End date Type Value
1990-09-20 2011-04-18 Address ONE DAG HAMMARSKJOLD PLAZA, 31ST FLOOR, NEW YORK, NY, 10017, USA (Type of address: Service of Process)
1987-12-23 1990-09-20 Address ONE DAY HAMMARSKJOLD PLZ, 31ST FLOOR, NEW YORK, NY, 10017, USA (Type of address: Service of Process)
1984-09-06 1987-12-23 Address %LOUIS RAYBIN, 292 MADISON AVE., NEW YORK, NY, 10017, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
110418000812 2011-04-18 CERTIFICATE OF AMENDMENT 2011-04-18
900920000406 1990-09-20 CERTIFICATE OF AMENDMENT 1990-09-20
B582829-6 1987-12-23 CERTIFICATE OF AMENDMENT 1987-12-23
B139359-10 1984-09-06 CERTIFICATE OF INCORPORATION 1984-09-06

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THE CORPORATION

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Related by address

No related companies by address

Date of last update: 24 Jan 2025

Sources: New York Secretary of State

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