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AFFINITY LEGACY, INC.

Company Details

Name: AFFINITY LEGACY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 07 Feb 1986 (39 years ago) (Companies founded in February 1986)
Entity Number: 1056567
ZIP code: 12207 (Companies in Bronx, 12207)
County: Bronx
Place of Formation: New York
Address: c/o corporation service company, 80 state street, ALBANY, NY, United States, 12207

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AFFINITY LEGACY INC 2023 133330672 2024-09-13 AFFINITY LEGACY 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 524140
Sponsor’s telephone number 3478311657
Plan sponsor’s address 1200 WATER PLACE, SUITE 105, BRONX, NY, 10461

Signature of

Role Plan administrator
Date 2024-09-13
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
AFFINITY LEGACY INC 2022 133330672 2023-09-14 AFFINITY LEGACY 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 524140
Sponsor’s telephone number 3478311657
Plan sponsor’s address 1200 WATER PLACE, SUITE 105, BRONX, NY, 10461

Signature of

Role Plan administrator
Date 2023-09-14
Name of individual signing SHIRLEY HORNER
AFFINITY LEGACY INC 2022 133330672 2023-10-16 AFFINITY LEGACY 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 524140
Sponsor’s telephone number 3478311657
Plan sponsor’s address 1200 WATER PLACE, SUITE 105 TEST99, BRONX, NY, 10461

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing SHIRLEY HORNER
AFFINITY LEGACY INC 2022 133330672 2023-10-14 AFFINITY LEGACY 1
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 524140
Sponsor’s telephone number 3478311657
Plan sponsor’s address 1200 WATER PLACE, SUITE 105 TEST99, BRONX, NY, 10461

Signature of

Role Plan administrator
Date 2023-10-14
Name of individual signing SHIRLEY HORNER

DOS Process Agent

Name Role Address
the corporation DOS Process Agent c/o corporation service company, 80 state street, ALBANY, NY, United States, 12207

History

Start date End date Type Value
2022-02-02 2023-07-10 Address c/o corporation service company, 80 state street, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process)
2017-08-09 2022-02-02 Address 1776 EASTCHESTER ROAD, BRONX, NY, 10461, USA (Type of address: Service of Process)
2011-07-14 2017-08-09 Address ATTN: REGULATORY & LEGAL, AFFAIRS DEPT., 2500 HALSEY ST., BRONX, NY, 10461, USA (Type of address: Service of Process)
2001-12-21 2011-07-14 Address ONE FORDHAM PLAZA, BRONX, NY, 10458, 5871, USA (Type of address: Service of Process)
2001-12-21 2022-02-02 Name AFFINITY HEALTH PLAN, INC.
1986-02-07 2001-12-21 Name THE BRONX HEALTH PLAN, INC.
1986-02-07 2001-12-21 Address OFFICE OF PLANNING, MMC, 111 E. 210TH ST., BRONX, NY, 10467, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230710000845 2023-07-07 CERTIFICATE OF AMENDMENT 2023-07-07
220202003829 2022-02-01 CERTIFICATE OF AMENDMENT 2022-02-01
170809000521 2017-08-09 CERTIFICATE OF CHANGE 2017-08-09
110714000100 2011-07-14 CERTIFICATE OF CHANGE 2011-07-14
011221000764 2001-12-21 CERTIFICATE OF AMENDMENT 2001-12-21
B320064-11 1986-02-07 CERTIFICATE OF INCORPORATION 1986-02-07

Date of last update: 15 Nov 2024

Sources: New York Secretary of State