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  5. OVERTON FUNERAL HOME, INC.

OVERTON FUNERAL HOME, INC.

Company Details

Name: OVERTON FUNERAL HOME, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 25 Jan 1963 (62 years ago)
Entity Number: 154085
ZIP code: 11751
County: Suffolk
Place of Formation: New York
Address: 172 MAIN ST, ISLIP, NY, United States, 11751

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OVERTON FUNERAL HOME INC. 401(K) PLAN 2023 112009039 2024-02-27 OVERTON FUNERAL HOME INC. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6315815085
Plan sponsor’s address 172 MAIN STREET, ISLIP, NY, 11751
OVERTON FUNERAL HOME INC. 401(K) PLAN 2022 112009039 2023-03-16 OVERTON FUNERAL HOME INC. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6315815085
Plan sponsor’s address 172 MAIN STREET, ISLIP, NY, 11751
OVERTON FUNERAL HOME INC. 401(K) PLAN 2021 112009039 2022-03-31 OVERTON FUNERAL HOME INC. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6315815085
Plan sponsor’s address 172 MAIN STREET, ISLIP, NY, 11751

Signature of
Role Plan administrator
Date 2022-03-31
Name of individual signing A. WAYNE OVERTON
OVERTON FUNERAL HOME INC. 401(K) PLAN 2020 112009039 2021-04-14 OVERTON FUNERAL HOME INC. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6315815085
Plan sponsor’s address 172 MAIN STREET, ISLIP, NY, 11751

Signature of
Role Plan administrator
Date 2021-04-14
Name of individual signing A. WAYNE OVERTON
OVERTON FUNERAL HOME INC. 401(K) PLAN 2019 112009039 2020-05-01 OVERTON FUNERAL HOME INC. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6315815085
Plan sponsor’s address 172 MAIN STREET, ISLIP, NY, 11751

Signature of
Role Plan administrator
Date 2020-05-01
Name of individual signing A. WAYNE OVERTON
OVERTON FUNERAL HOME INC. 401(K) PLAN 2018 112009039 2019-03-04 OVERTON FUNERAL HOME INC. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6315815085
Plan sponsor’s address 172 MAIN STREET, ISLIP, NY, 11751

Plan administrator’s name and address
Administrator’s EIN 112009039
Plan administrator’s name OVERTON FUNERAL HOME INC.
Plan administrator’s address 172 MAIN STREET, ISLIP, NY, 11751
Administrator’s telephone number 6315815085

Signature of
Role Plan administrator
Date 2019-03-04
Name of individual signing A. WAYNE OVERTON
OVERTON FUNERAL HOME INC. 401(K) PLAN 2017 112009039 2018-05-09 OVERTON FUNERAL HOME INC. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6315815085
Plan sponsor’s address 172 MAIN STREET, ISLIP, NY, 11751

Plan administrator’s name and address
Administrator’s EIN 112009039
Plan administrator’s name OVERTON FUNERAL HOME INC.
Plan administrator’s address 172 MAIN STREET, ISLIP, NY, 11751
Administrator’s telephone number 6315815085

Signature of
Role Plan administrator
Date 2018-05-09
Name of individual signing A. WAYNE OVERTON
OVERTON FUNERAL HOME INC. 401(K) PLAN 2016 112009039 2017-03-28 OVERTON FUNERAL HOME INC. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6315815085
Plan sponsor’s address 172 MAIN STREET, ISLIP, NY, 11751

Plan administrator’s name and address
Administrator’s EIN 112009039
Plan administrator’s name OVERTON FUNERAL HOME INC.
Plan administrator’s address 172 MAIN STREET, ISLIP, NY, 11751
Administrator’s telephone number 6315815085

Signature of
Role Plan administrator
Date 2017-03-28
Name of individual signing A. WAYNE OVERTON
OVERTON FUNERAL HOME INC. 401(K) PLAN 2015 112009039 2016-04-06 OVERTON FUNERAL HOME INC. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6315815085
Plan sponsor’s address 172 MAIN STREET, ISLIP, NY, 11751

Plan administrator’s name and address
Administrator’s EIN 112009039
Plan administrator’s name OVERTON FUNERAL HOME INC.
Plan administrator’s address 172 MAIN STREET, ISLIP, NY, 11751
Administrator’s telephone number 6315815085

Signature of
Role Plan administrator
Date 2016-04-06
Name of individual signing A. WAYNE OVERTON
OVERTON FUNERAL HOME INC. 401(K) PLAN 2014 112009039 2015-05-11 OVERTON FUNERAL HOME INC. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6315815085
Plan sponsor’s address 172 MAIN STREET, ISLIP, NY, 11751

Plan administrator’s name and address
Administrator’s EIN 112009039
Plan administrator’s name OVERTON FUNERAL HOME INC.
Plan administrator’s address 172 MAIN STREET, ISLIP, NY, 11751
Administrator’s telephone number 6315815085

Signature of
Role Plan administrator
Date 2015-05-11
Name of individual signing A. WAYNE OVERTON

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 172 MAIN ST, ISLIP, NY, United States, 11751

Chief Executive Officer

Name Role Address
A. WAYNE OVERTON Chief Executive Officer 172 MAIN ST, ISLIP, NY, United States, 11751

History

Start date End date Type Value
2023-06-22 2024-08-22 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
1993-04-22 2005-02-09 Address 172 MAIN STREET, BOX 487, ISLIP, NY, 11751, USA (Type of address: Chief Executive Officer)
1993-04-22 2005-02-09 Address 172 MAIN STREET, BOX 487, ISLIP, NY, 11751, USA (Type of address: Principal Executive Office)
1993-04-22 2005-02-09 Address 172 MAIN STREET, BOX 487, ISLIP, NY, 11751, USA (Type of address: Service of Process)
1963-01-25 2023-06-22 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
1963-01-25 1993-04-22 Address 172 MAIN ST., ISLIP, NY, 11751, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
150116006031 2015-01-16 BIENNIAL STATEMENT 2015-01-01
130122002277 2013-01-22 BIENNIAL STATEMENT 2013-01-01
110114002966 2011-01-14 BIENNIAL STATEMENT 2011-01-01
081229003053 2008-12-29 BIENNIAL STATEMENT 2009-01-01
070109002251 2007-01-09 BIENNIAL STATEMENT 2007-01-01
050209002453 2005-02-09 BIENNIAL STATEMENT 2005-01-01
030107002540 2003-01-07 BIENNIAL STATEMENT 2003-01-01
010119002171 2001-01-19 BIENNIAL STATEMENT 2001-01-01
990121002104 1999-01-21 BIENNIAL STATEMENT 1999-01-01
970224002307 1997-02-24 BIENNIAL STATEMENT 1997-01-01

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 17 Nov 2024

Sources: New York Secretary of State

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