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ATLANTIC DIALYSIS MANAGEMENT SERVICES, LLC

Company Details

Name: ATLANTIC DIALYSIS MANAGEMENT SERVICES, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Jul 1997 (27 years ago)
Entity Number: 2166448
County: Queens
Place of Formation: New York
Address: 385 SENECA AVE, RIDGEWOOD, NY, United States, 11385
Address ZIP Code: 11385

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ATLANTIC DIALYSIS MANAGEMENT SERVICES HEALTH PLAN 2020 113393361 2021-10-13 ATLANTIC DIALYSIS MANAGEMENT SERVICES 537
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 621492
Sponsor’s telephone number 7184837454
Plan sponsor’s mailing address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 113562526
Plan sponsor’s address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 113562526

Number of participants as of the end of the plan year
Active participants 516
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
Role DFE
Date 2021-10-13
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
ATLANTIC DIALYSIS MANAGEMENT SERVCIES HEALTH PLAN 2019 113393361 2020-10-20 ATLANTIC DIALYSIS MANAGEMENT SERVICES 377
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 621492
Sponsor’s telephone number 7184837454
Plan sponsor’s mailing address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 113562526
Plan sponsor’s address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 113562526

Signature of
Role Plan administrator
Date 2020-10-20
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-20
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
ATLANTIC DIALYSIS MANAGEMENT SERVICES HEALTH PLAN 2017 113393361 2018-12-11 ATLANTIC DIALYSIS MANAGEMENT SERVICES 572
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 621492
Sponsor’s telephone number 7184837454
Plan sponsor’s mailing address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 113562526
Plan sponsor’s address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 113562526

Number of participants as of the end of the plan year
Active participants 580
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
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 0
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 2018-07-30
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
ATLANTIC DIALYSIS MANAGEMENT SERVICES HEALTH PLAB 2016 113393361 2017-07-28 ATLANTIC DIALYSIS MANAGEMENT SERVICES 698
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 621492
Sponsor’s telephone number 7184837454
Plan sponsor’s mailing address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 113562526
Plan sponsor’s address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 113562526

Number of participants as of the end of the plan year
Active participants 1091
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
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 0
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 2017-07-28
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-28
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
ATLANTIC DIALYSIS MANAGEMENT SERVICES HEALTH PLAN 2015 113393361 2016-10-17 ATLANTIC DIALYSIS MANAGEMENT SERVICES 698
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 621492
Sponsor’s telephone number 7184837454
Plan sponsor’s mailing address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 113562526
Plan sponsor’s address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 113562526

Number of participants as of the end of the plan year
Active participants 698
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
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 0
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 2016-10-15
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-15
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
ATLANTIC DIALYSIS MANAGEMENT SERVICES HEALTH PLAN 2014 113393361 2015-08-07 ATLANTIC DIALYSIS MANAGEMENT SERVICES 342
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 621492
Sponsor’s telephone number 7184837454
Plan sponsor’s mailing address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 11356
Plan sponsor’s address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 11356

Number of participants as of the end of the plan year
Active participants 342
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
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 0
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 2015-08-06
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-06
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
ATLANTIC DIALYSIS MANAGEMENT SERVICES HEALTH PLAN 2013 113393361 2014-10-16 ATLANTIC DIALYSIS MANAGEMENT SERVICES 324
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 621492
Sponsor’s telephone number 7184837454
Plan sponsor’s mailing address 2314 COLLEGE POINT BLVD, FLUSHING, NY, 11356
Plan sponsor’s address 2314 COLLEGE POINT BLVD, 111 SMITHTOWN BYPASS, FLUSHING, NY, 11356

Plan administrator’s name and address
Administrator’s EIN 113393361
Plan administrator’s name ATLANTIC DIALYSIS MANAGEMENT SERVICES
Administrator’s telephone number 7184834754

Number of participants as of the end of the plan year
Active participants 324
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
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 0
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 2014-10-16
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-16
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature
ATLANTIC DIALYSIS MANAGEMENT FROZEN PLAN, AFFILIATED & RELATED COMPANIES 2011 113393361 2012-02-06 ATLANTIC DIALYSIS MANAGEMENT SERVICES, LLC 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-05-01
Business code 621492
Sponsor’s telephone number 7184837454
Plan sponsor’s address 385 SENECA AVENUE, RIDGEWOOD, NY, 11385

Plan administrator’s name and address
Administrator’s EIN 113393361
Plan administrator’s name ATLANTIC DIALYSIS MANAGEMENT SERVICES, LLC
Plan administrator’s address 385 SENECA AVENUE, RIDGEWOOD, NY, 11385
Administrator’s telephone number 7184837454

Signature of
Role Plan administrator
Date 2012-02-06
Name of individual signing KATHY SAMALONIS
ATLANTIC DIALYSIS MANAGEMENT FROZEN PLAN, AFFILIATED & RELATED COMPANIES 2010 113393361 2011-07-27 ATLANTIC DIALYSIS MANAGEMENT SERVICES, LLC 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-05-01
Business code 621492
Sponsor’s telephone number 7184837454
Plan sponsor’s address 385 SENECA AVENUE, RIDGEWOOD, NY, 11385

Plan administrator’s name and address
Administrator’s EIN 113393361
Plan administrator’s name ATLANTIC DIALYSIS MANAGEMENT SERVICES, LLC
Plan administrator’s address 385 SENECA AVENUE, RIDGEWOOD, NY, 11385
Administrator’s telephone number 7184837454

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing JODUMUTT BHAT
ATLANTIC DIALYSIS MANAGEMENT SERVICES HEALTH PLAN 2009 113393361 2011-07-28 ATLANTIC DIALYSIS MANAGEMENT SERVICES 391
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 621492
Sponsor’s telephone number 7184837454
Plan sponsor’s mailing address 385 SENECA AVE, RIDGEWOOD, NY, 11385
Plan sponsor’s address 385 SENECA AVE, RIDGEWOOD, NY, 11385

Plan administrator’s name and address
Administrator’s EIN 113393361
Plan administrator’s name ATLANTIC DIALYSIS MANAGEMENT SERVICES
Plan administrator’s address 385 SENECA AVE, RIDGEWOOD, NY, 11385
Administrator’s telephone number 7184837454

Number of participants as of the end of the plan year
Active participants 387
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
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 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Signature of
Role Plan administrator
Date 2010-10-18
Name of individual signing JODUMUTT BHAT
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 385 SENECA AVE, RIDGEWOOD, NY, United States, 11385

History

Start date End date Type Value
1997-07-29 2001-07-11 Address 385 SENECA AVENUE, RIDGEWOOD, NY, 11385, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130725002259 2013-07-25 BIENNIAL STATEMENT 2013-07-01
110819002697 2011-08-19 BIENNIAL STATEMENT 2011-07-01
090707003393 2009-07-07 BIENNIAL STATEMENT 2009-07-01
070824002415 2007-08-24 BIENNIAL STATEMENT 2007-07-01
050711002158 2005-07-11 BIENNIAL STATEMENT 2005-07-01
030716002196 2003-07-16 BIENNIAL STATEMENT 2003-07-01
010711002293 2001-07-11 BIENNIAL STATEMENT 2001-07-01
990813002054 1999-08-13 BIENNIAL STATEMENT 1999-07-01
971124000336 1997-11-24 AFFIDAVIT OF PUBLICATION 1997-11-24
971124000330 1997-11-24 AFFIDAVIT OF PUBLICATION 1997-11-24

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Related by address

385 SENECA AVE, RIDGEWOOD, NY, United States, 11385

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Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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