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  5. ANTHEM HEALTH SERVICES, INC.

ANTHEM HEALTH SERVICES, INC.

Company Details

Name: ANTHEM HEALTH SERVICES, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Inactive
Date of registration: 27 Apr 1994 (31 years ago)
Date of dissolution: 15 Feb 2018
Entity Number: 1815936
ZIP code: 12205
County: Albany
Place of Formation: New York
Address: 57 KARNER ROAD, ALBANY, NY, United States, 12205

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANTHEM HEALTH SERVICES, INC. 401K PLAN 2011 141771173 2012-07-27 ANTHEM HEALTH SERVICES, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621610
Sponsor’s telephone number 5188621247
Plan sponsor’s mailing address 57 KARNER ROAD, ALBANY, NY, 12205
Plan sponsor’s address 57 KARNER ROAD, ALBANY, NY, 12205

Plan administrator’s name and address
Administrator’s EIN 141771173
Plan administrator’s name ANTHEM HEALTH SERVICES, INC.
Plan administrator’s address 57 KARNER ROAD, ALBANY, NY, 12205
Administrator’s telephone number 5188621247

Number of participants as of the end of the plan year
Active participants 52
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
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 57
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 2012-07-27
Name of individual signing MICHAEL CLARK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-27
Name of individual signing MICHAEL CLARK
Valid signature Filed with authorized/valid electronic signature
ANTHEM HEALTH SERVICES, INC. 401K PLAN 2010 141771173 2011-07-29 ANTHEM HEALTH SERVICES, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621610
Sponsor’s telephone number 5188621247
Plan sponsor’s mailing address 57 KARNER ROAD, ALBANY, NY, 122053346
Plan sponsor’s address 57 KARNER ROAD, ALBANY, NY, 122053346

Plan administrator’s name and address
Administrator’s EIN 141771173
Plan administrator’s name ANTHEM HEALTH SERVICES, INC.
Plan administrator’s address 57 KARNER ROAD, ALBANY, NY, 122053346
Administrator’s telephone number 5188621247

Number of participants as of the end of the plan year
Active participants 40
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
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 48
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing MICHAEL CLARK
Valid signature Filed with authorized/valid electronic signature
ANTHEM HEALTH SERVICES, INC. 401K PLAN 2010 141771173 2011-07-29 ANTHEM HEALTH SERVICES, INC. 53
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621610
Sponsor’s telephone number 5188621247
Plan sponsor’s mailing address 57 KARNER ROAD, ALBANY, NY, 122053346
Plan sponsor’s address 57 KARNER ROAD, ALBANY, NY, 122053346

Plan administrator’s name and address
Administrator’s EIN 141771173
Plan administrator’s name ANTHEM HEALTH SERVICES, INC.
Plan administrator’s address 57 KARNER ROAD, ALBANY, NY, 122053346
Administrator’s telephone number 5188621247

Number of participants as of the end of the plan year
Active participants 40
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
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 48
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Employer/plan sponsor
Date 2011-07-29
Name of individual signing MICHAEL CLARK
Valid signature Filed with authorized/valid electronic signature
ANTHEM HEALTH SERVICES, INC. 401K PLAN 2009 141771173 2010-07-28 ANTHEM HEALTH SERVICES, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621610
Sponsor’s telephone number 5188621247
Plan sponsor’s mailing address 57 KARNER ROAD, ALBANY, NY, 122053346
Plan sponsor’s address 57 KARNER ROAD, ALBANY, NY, 122053346

Plan administrator’s name and address
Administrator’s EIN 141771173
Plan administrator’s name ANTHEM HEALTH SERVICES, INC.
Plan administrator’s address 57 KARNER ROAD, ALBANY, NY, 122053346
Administrator’s telephone number 5188621247

Number of participants as of the end of the plan year
Active participants 38
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
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 44
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing MICHAEL CLARK
Valid signature Filed with authorized/valid electronic signature
ANTHEM HEALTH SERVICES, INC. 401K PLAN 2009 141771173 2010-07-28 ANTHEM HEALTH SERVICES, INC. 46
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621610
Sponsor’s telephone number 5188621247
Plan sponsor’s mailing address 57 KARNER ROAD, ALBANY, NY, 122053346
Plan sponsor’s address 57 KARNER ROAD, ALBANY, NY, 122053346

Plan administrator’s name and address
Administrator’s EIN 141771173
Plan administrator’s name ANTHEM HEALTH SERVICES, INC.
Plan administrator’s address 57 KARNER ROAD, ALBANY, NY, 122053346
Administrator’s telephone number 5188621247

Number of participants as of the end of the plan year
Active participants 38
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
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 44
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Employer/plan sponsor
Date 2010-07-28
Name of individual signing MICHAEL CLARK
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
KEVIN P. TRUAX Chief Executive Officer 57 KARNER ROAD, ALBANY, NY, United States, 12205

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 57 KARNER ROAD, ALBANY, NY, United States, 12205

History

Start date End date Type Value
1996-04-26 2002-03-29 Address 76 EXCHANGE ST, ALBANY, NY, 12205, USA (Type of address: Chief Executive Officer)
1996-04-26 2002-03-29 Address 76 EXCHANGE ST, ALBANY, NY, 12205, USA (Type of address: Principal Executive Office)
1996-04-26 2002-03-29 Address 76 EXCHANGE ST, ALBANY, NY, 12205, USA (Type of address: Service of Process)
1994-04-27 1996-04-26 Address 26 COMPUTER DRIVE WEST, P.O. BOX 12605, ALBANY, NY, 12212, 2605, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180215000384 2018-02-15 CERTIFICATE OF DISSOLUTION 2018-02-15
120515002931 2012-05-15 BIENNIAL STATEMENT 2012-04-01
100429002227 2010-04-29 BIENNIAL STATEMENT 2010-04-01
080326002635 2008-03-26 BIENNIAL STATEMENT 2008-04-01
060426002791 2006-04-26 BIENNIAL STATEMENT 2006-04-01
040420002373 2004-04-20 BIENNIAL STATEMENT 2004-04-01
020329002458 2002-03-29 BIENNIAL STATEMENT 2002-04-01
000928002793 2000-09-28 BIENNIAL STATEMENT 2000-04-01
981118002038 1998-11-18 BIENNIAL STATEMENT 1998-04-01
960426002042 1996-04-26 BIENNIAL STATEMENT 1996-04-01

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Related by address

No related companies by address

Date of last update: 13 Nov 2024

Sources: New York Secretary of State

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