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  5. LONG BEACH MEDICAL CENTER

LONG BEACH MEDICAL CENTER

Company Details

Name: LONG BEACH MEDICAL CENTER
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 17 Jan 1924 (101 years ago)
Entity Number: 18835
ZIP code: 11561
County: Nassau
Place of Formation: New York
Address: ATTN CHIEF EXECUTIVE OFFICER, 455 EAST BAY DRIVE, LONG BEACH, NY, United States, 11561

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LONG BEACH MEDICAL CENTER AND KOMANOFF CENTER FOR GERIATRIC AND REHABILITATIVE MEDICINE 403B RETIREMENT PLAN 2016 111635084 2017-02-23 LONG BEACH MEDICAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 622000
Sponsor’s telephone number 5168971000
Plan sponsor’s address 455 E BAY DR, LONG BEACH, NY, 115612301

Signature of
Role Plan administrator
Date 2017-02-23
Name of individual signing STANLEY WEBER
GROUP LIFE INSURANCE PLAN OF LONG BEACH MEDICAL CENTER 2009 111635084 2011-02-11 LONG BEACH MEDICAL CENTER 866
Three-digit plan number (PN) 502
Business code 813000
Sponsor’s telephone number 5168971000
Plan sponsor’s mailing address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Plan sponsor’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561

Plan administrator’s name and address
Administrator’s EIN 111635084
Plan administrator’s name LONG BEACH MEDICAL CENTER
Plan administrator’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Administrator’s telephone number 5168971000

Number of participants as of the end of the plan year
Active participants 888

Signature of
Role Plan administrator
Date 2011-02-11
Name of individual signing BARRY STERN
Valid signature Filed with authorized/valid electronic signature
GROUP LIFE INSURANCE PLAN OF LONG BEACH MEDICAL CENTER 2009 111635084 2011-02-14 LONG BEACH MEDICAL CENTER 866
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1991-05-01
Business code 813000
Sponsor’s telephone number 5168971000
Plan sponsor’s mailing address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Plan sponsor’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561

Plan administrator’s name and address
Administrator’s EIN 111635084
Plan administrator’s name LONG BEACH MEDICAL CENTER
Plan administrator’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Administrator’s telephone number 5168971000

Number of participants as of the end of the plan year
Active participants 888

Signature of
Role Plan administrator
Date 2011-02-11
Name of individual signing BARRY STERN
Valid signature Filed with authorized/valid electronic signature
LONG BEACH MEDICAL CENTER PENSION PLAN 2009 111635084 2010-10-15 LONG BEACH MEDICAL CENTER 1219
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 622000
Sponsor’s telephone number 5168971000
Plan sponsor’s mailing address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Plan sponsor’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561

Plan administrator’s name and address
Administrator’s EIN 111635084
Plan administrator’s name PENSION COMMITTEE
Plan administrator’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Administrator’s telephone number 5168971000

Number of participants as of the end of the plan year
Active participants 633
Retired or separated participants receiving benefits 274
Other retired or separated participants entitled to future benefits 322
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 13
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 12

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing BARRY STERN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing BARRY STERN
Valid signature Filed with authorized/valid electronic signature
GROUP MEDICAL PLAN OF LONG BEACH MEMORIAL HOSPITAL 2009 111635084 2010-10-14 LONG BEACH MEDICAL CENTER 562
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1936-09-14
Business code 622000
Sponsor’s telephone number 5168971000
Plan sponsor’s mailing address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Plan sponsor’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561

Plan administrator’s name and address
Administrator’s EIN 111635084
Plan administrator’s name LONG BEACH MEDICAL CENTER
Plan administrator’s address 455 EAST BAY DRIVE, LONG BEACH, NY, 11561
Administrator’s telephone number 5168971000

Number of participants as of the end of the plan year
Active participants 673

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing BARRY STERN
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN CHIEF EXECUTIVE OFFICER, 455 EAST BAY DRIVE, LONG BEACH, NY, United States, 11561

History

Start date End date Type Value
1995-05-15 1997-05-14 Address ATTN: CHIEF EXECUTIVE OFFICER, 455 EAST BAY DRIVE, LONG BEACH, NY, 11561, USA (Type of address: Service of Process)
1986-09-23 1995-05-15 Name LONG BEACH MEMORIAL HOSPITAL
1986-09-23 1995-05-15 Address ATTN:CHIEF EXEC. OFFICER, 455 EAST BAY DRIVE, LONG BEACH, NY, 11561, USA (Type of address: Service of Process)
1985-05-20 1986-09-23 Address P.O.B. 300, LONG BEACH, NY, 11561, USA (Type of address: Service of Process)
1971-01-07 1985-05-20 Address 455 E. BAY DR., LONG BEACH, NY, 11561, USA (Type of address: Service of Process)
1945-07-30 1986-09-23 Name LONG BEACH MEMORIAL HOSPITAL, INC.
1924-01-17 1945-07-30 Name LONG BEACH HOSPITAL, INC.

Filings

Filing Number Date Filed Type Effective Date
970514000627 1997-05-14 CERTIFICATE OF AMENDMENT 1997-05-14
950515000281 1995-05-15 CERTIFICATE OF AMENDMENT 1995-05-15
C080098-10 1989-11-27 CERTIFICATE OF AMENDMENT 1989-11-27
B754999-6 1989-03-20 CERTIFICATE OF AMENDMENT 1989-03-20
B404514-13 1986-09-23 CERTIFICATE OF AMENDMENT 1986-09-23
B228163-9 1985-05-20 CERTIFICATE OF AMENDMENT 1985-05-20
Z659-2 1979-01-19 ASSUMED NAME CORP INITIAL FILING 1979-01-19
880306-3 1971-01-07 CERTIFICATE OF AMENDMENT 1971-01-07
9EX-171 1951-02-05 CERTIFICATE OF AMENDMENT 1951-02-05
455Q-58 1945-07-30 CERTIFICATE OF AMENDMENT 1945-07-30

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

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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