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HEAD INJURY ASSOCIATION, INC.

Company Details

Name: HEAD INJURY ASSOCIATION, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 23 Dec 1988 (36 years ago)
Entity Number: 1230171
ZIP code: 11788
County: Nassau
Place of Formation: New York
Address: 300 KENNEDY DRIVE, HAUPPAUGE, NY, United States, 11788

Contact Details

Phone +1 631-543-2245

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
254900TXKOSNA066LE46 1230171 US-NY GENERAL ACTIVE 1988-12-23

Addresses

Legal c/o The Corporation, 300 Kennedy Drive, Hauppaugue, US-NY, US, 11788
Headquarters 300 Kennedy Drive, Hauppauge, US-NY, US, 11788

Registration details

Registration Date 2022-04-25
Last Update 2023-04-26
Status LAPSED
Next Renewal 2023-04-25
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 1230171

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEAD INJURY ASSOCIATION, INC. EMPLOYEE HEALTH PLAN 2021 112946185 2022-12-27 HEAD INJURY ASSOCIATION, INC. 281
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2015-06-01
Business code 621498
Sponsor’s telephone number 6315432245
Plan sponsor’s mailing address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013
Plan sponsor’s address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013

Number of participants as of the end of the plan year

Active participants 361

Signature of

Role Plan administrator
Date 2022-12-20
Name of individual signing BARBARA SENZEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-12-20
Name of individual signing BARBARA SENZEL
Valid signature Filed with authorized/valid electronic signature
HEAD INJURY ASSOCIATION, INC. EMPLOYEE HEALTH PLAN 2020 112946185 2022-01-11 HEAD INJURY ASSOCIATION, INC. 193
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2015-06-01
Business code 621498
Sponsor’s telephone number 6315432245
Plan sponsor’s mailing address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013
Plan sponsor’s address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013

Number of participants as of the end of the plan year

Active participants 281

Signature of

Role Plan administrator
Date 2022-01-11
Name of individual signing DANUTA PONIATOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-11
Name of individual signing DANUTA PONIATOWSKI
Valid signature Filed with authorized/valid electronic signature
HEAD INJURY ASSOCIATION, INC. EMPLOYEE VISION PLAN 2020 112946185 2022-01-11 HEAD INJURY ASSOCIATION, INC. 189
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2015-06-01
Business code 621498
Sponsor’s telephone number 6315432245
Plan sponsor’s mailing address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013
Plan sponsor’s address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2022-01-11
Name of individual signing DANUTA PONIATOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-11
Name of individual signing DANUTA PONIATOWSKI
Valid signature Filed with authorized/valid electronic signature
HEAD INJURY ASSOCIATION, INC. EMPLOYEE VISION PLAN 2019 112946185 2021-01-22 HEAD INJURY ASSOCIATION, INC. 190
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2015-06-01
Business code 621498
Sponsor’s telephone number 6315432245
Plan sponsor’s mailing address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013
Plan sponsor’s address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013

Number of participants as of the end of the plan year

Active participants 189

Signature of

Role Plan administrator
Date 2021-01-22
Name of individual signing LIZ GIORDANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-01-22
Name of individual signing LIZ GIORDANO
Valid signature Filed with authorized/valid electronic signature
HEAD INJURY ASSOCIATION, INC. EMPLOYEE HEALTH PLAN 2019 112946185 2021-01-22 HEAD INJURY ASSOCIATION, INC. 194
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2015-06-01
Business code 621498
Sponsor’s telephone number 6315432245
Plan sponsor’s mailing address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013
Plan sponsor’s address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013

Number of participants as of the end of the plan year

Active participants 193

Signature of

Role Plan administrator
Date 2021-01-22
Name of individual signing LIZ GIORDANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-01-22
Name of individual signing LIZ GIORDANO
Valid signature Filed with authorized/valid electronic signature
HEAD INJURY ASSOCIATION, INC. EMPLOYEE VISION PLAN 2019 112946185 2020-12-03 HEAD INJURY ASSOCIATION, INC. 190
Three-digit plan number (PN) 504
Effective date of plan 2015-06-01
Business code 621498
Sponsor’s telephone number 6315432245
Plan sponsor’s mailing address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013
Plan sponsor’s address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013

Number of participants as of the end of the plan year

Active participants 189

Signature of

Role Employer/plan sponsor
Date 2020-12-03
Name of individual signing LIZ GIORDANO
Valid signature Filed with authorized/valid electronic signature
HEAD INJURY ASSOCIATION, INC. EMPLOYEE HEALTH PLAN 2019 112946185 2020-12-03 HEAD INJURY ASSOCIATION, INC. 194
Three-digit plan number (PN) 501
Effective date of plan 2015-06-01
Business code 621498
Sponsor’s telephone number 6315432245
Plan sponsor’s mailing address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013
Plan sponsor’s address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013

Number of participants as of the end of the plan year

Active participants 193

Signature of

Role Employer/plan sponsor
Date 2020-12-03
Name of individual signing LIZ GIORDANO
Valid signature Filed with authorized/valid electronic signature
HEAD INJURY ASSOCIATION, INC. EMPLOYEE HEALTH PLAN 2018 112946185 2020-03-14 HEAD INJURY ASSOCIATION, INC. 162
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2015-06-01
Business code 621498
Sponsor’s telephone number 6315432245
Plan sponsor’s mailing address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013
Plan sponsor’s address 300 KENNEDY DR, HAUPPAUGE, NY, 117884013

Number of participants as of the end of the plan year

Active participants 194

Signature of

Role Plan administrator
Date 2020-03-13
Name of individual signing LIZ GIORDANO
Valid signature Filed with authorized/valid electronic signature
DENTAL AND VISION INSURANCE PLAN OF THE HEAD INJURY ASSOCIATION 2013 112946185 2014-09-02 HEAD INJURY ASSOCIATION, INC 94
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1996-01-01
Business code 813000
Sponsor’s telephone number 6315432245
Plan sponsor’s mailing address 300 KENNEDY DRIVE, HAUPPAUGE, NY, 11788
Plan sponsor’s address 300 KENNEDY DRIVE, HAUPPAUGE, NY, 11788

Number of participants as of the end of the plan year

Active participants 103

Signature of

Role Plan administrator
Date 2014-09-02
Name of individual signing ALAN SEILER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-02
Name of individual signing ALAN SEILER
Valid signature Filed with authorized/valid electronic signature
LIFE INSURANCE AND LTD PLANS OF THE HEAD INJURY ASSOCIATION 2013 112946185 2014-09-02 HEAD INJURY ASSOCIATION 105
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 813000
Sponsor’s telephone number 6315432245
Plan sponsor’s mailing address 300 KENNEDY DRIVE, HAUPPAUGE, NY, 11788
Plan sponsor’s address 300 KENNEDY DRIVE, HAUPPAUGE, NY, 11788

Number of participants as of the end of the plan year

Active participants 123

Signature of

Role Plan administrator
Date 2014-09-02
Name of individual signing ALAN SEILER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-02
Name of individual signing ALAN SEILER
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 300 KENNEDY DRIVE, HAUPPAUGE, NY, United States, 11788

History

Start date End date Type Value
2021-10-05 2022-05-05 Address 300 KENNEDY DRIVE, HAUPPAUGE, NY, 11788, USA (Type of address: Service of Process)
2018-11-08 2021-10-05 Address 300 KENNEDY DRIVE, HAUPPAUGE, NY, 11788, USA (Type of address: Service of Process)
2018-11-08 2022-05-05 Name CENTER FOR NEW HORIZONS, INC.
2017-07-28 2018-11-08 Address 300 KENNEDY DRIVE, HAUPPAUGE, NY, 11788, USA (Type of address: Service of Process)
2013-05-31 2017-07-28 Address 300 KENNEDY DRIVE, HAUPPAUGE, NY, 11788, USA (Type of address: Service of Process)
2009-01-06 2018-11-08 Name HEAD INJURY ASSOCIATION, INC.
2009-01-06 2013-05-31 Address 65 AUSTIN BOULEVARD, COMMACK, NY, 11725, USA (Type of address: Service of Process)
1995-10-11 2009-01-06 Address 65 AUSTIN BOULEVARD, COMMACK, NY, 00000, USA (Type of address: Service of Process)
1988-12-23 1995-10-11 Address 200 GARDEN CITY PLAZA, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)
1988-12-23 2009-01-06 Name LONG ISLAND HEAD INJURY ASSOCIATION, INC.

Filings

Filing Number Date Filed Type Effective Date
220505001123 2022-05-05 CERTIFICATE OF AMENDMENT 2022-05-05
211005000291 2021-10-04 CERTIFICATE OF AMENDMENT 2021-10-04
181108000090 2018-11-08 CERTIFICATE OF AMENDMENT 2018-11-08
170728000436 2017-07-28 CERTIFICATE OF AMENDMENT 2017-07-28
130531000677 2013-05-31 CERTIFICATE OF AMENDMENT 2013-05-31
090106000724 2009-01-06 CERTIFICATE OF AMENDMENT 2009-01-06
951011000663 1995-10-11 CERTIFICATE OF AMENDMENT 1995-10-11
B721560-7 1988-12-23 CERTIFICATE OF INCORPORATION 1988-12-23

Date of last update: 15 Nov 2024

Sources: New York Secretary of State