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KELSEN, INC.

Company Details

Name: KELSEN, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Inactive
Date of registration: 14 Jan 2002 (23 years ago)
Entity Number: 2718293
County: Suffolk
Date of dissolution: 23 Jul 2004
Place of Formation: New York
Address: 510 BROAD HOLLOW ROAD, MELVILLE, NY, United States, 11747
Address ZIP Code: 11747
Principal Address: 510 BROAD HOLLOW RD, MELVILLE, NY, United States, 11747
Principal Address ZIP Code: 11747

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
KELSEN, INC. 401(K) SAVINGS PLAN 2015 061218866 2016-04-07 KELSEN, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 424400
Sponsor’s telephone number 6316948080
Plan sponsor’s address 40 MARCUS DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2016-04-07
Name of individual signing MICHAEL CONWAY
KELSEN, INC. 401(K) SAVINGS PLAN 2015 061218866 2016-06-08 KELSEN INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 424400
Sponsor’s telephone number 6316948080
Plan sponsor’s address 40 MARCUS DR, MELVILLE, NY, 117474269

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing MICHAEL CONWAY
KELSEN, INC. 401(K) SAVINGS PLAN 2014 061218866 2015-06-11 KELSEN, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 424400
Sponsor’s telephone number 6316948080
Plan sponsor’s address 40 MARCUS DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2015-06-11
Name of individual signing LARS NORGAARD
KELSEN, INC. 401(K) SAVINGS PLAN 2013 061218866 2014-04-09 KELSEN, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 424400
Sponsor’s telephone number 6316948080
Plan sponsor’s address 40 MARCUS DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2014-04-08
Name of individual signing LARS NORGAARD
KELSEN, INC. 401(K) SAVINGS PLAN 2012 061218866 2013-05-10 KELSEN, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 424400
Sponsor’s telephone number 6316948080
Plan sponsor’s address 40 MARCUS DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2013-05-09
Name of individual signing LARS NORGAARD
KELSEN, INC. 401(K) SAVINGS PLAN 2011 061218866 2012-03-15 KELSEN, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 424400
Sponsor’s telephone number 6316948080
Plan sponsor’s address 40 MARCUS DRIVE, MELVILLE, NY, 11747

Plan administrator’s name and address
Administrator’s EIN 061218866
Plan administrator’s name KELSEN, INC.
Plan administrator’s address 40 MARCUS DRIVE, MELVILLE, NY, 11747
Administrator’s telephone number 6316948080

Signature of
Role Plan administrator
Date 2012-03-15
Name of individual signing LARS NORGAARD
KELSEN, INC. 401K SAVINGS PLAN 2010 061218866 2011-05-04 KELSEN, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 424400
Sponsor’s telephone number 6316948080
Plan sponsor’s address 40 MARCUS DRIVE, MELVILLE, NY, 11747

Plan administrator’s name and address
Administrator’s EIN 061218866
Plan administrator’s name KELSEN, INC.
Plan administrator’s address 40 MARCUS DRIVE, MELVILLE, NY, 11747
Administrator’s telephone number 6316948080

Signature of
Role Plan administrator
Date 2011-05-04
Name of individual signing LARS NORGAARD
KELSEN, INC. 401K SAVINGS PLAN 2009 061218866 2010-06-01 KELSEN, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 424400
Sponsor’s telephone number 6316948080
Plan sponsor’s address 40 MARCUS DRIVE, MELVILLE, NY, 11747

Plan administrator’s name and address
Administrator’s EIN 061218866
Plan administrator’s name KELSEN, INC.
Plan administrator’s address 40 MARCUS DRIVE, MELVILLE, NY, 11747
Administrator’s telephone number 6316948080

Signature of
Role Plan administrator
Date 2010-06-01
Name of individual signing LARS NORGAARD
KELSEN, INC. 401K SAVINGS PLAN 2009 061218866 2010-05-27 KELSEN, INC. 20
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 424400
Sponsor’s telephone number 6316948080
Plan sponsor’s address 40 MARCUS DRIVE, MELVILLE, NY, 11747

Plan administrator’s name and address
Administrator’s EIN 061218866
Plan administrator’s name KELSEN, INC.
Plan administrator’s address 40 MARCUS DRIVE, MELVILLE, NY, 11747
Administrator’s telephone number 6316948080

Signature of
Role Plan administrator
Date 2010-05-27
Name of individual signing LARS NORGAARD

Chief Executive Officer

Name Role Address
LARS NORGAARD Chief Executive Officer 510 BROAD HOLLOW RD, MELVILLE, NY, United States, 11747

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 510 BROAD HOLLOW ROAD, MELVILLE, NY, United States, 11747

Filings

Filing Number Date Filed Type Effective Date
040723000105 2004-07-23 CERTIFICATE OF DISSOLUTION 2004-07-23
040210002750 2004-02-10 BIENNIAL STATEMENT 2004-01-01
020114000109 2002-01-14 CERTIFICATE OF INCORPORATION 2002-01-14

Related by officers

LARS NORGAARD

CONCORDE SOURCING & CONSULTING, INC.

THE CORPORATION

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Related by address

510 BROAD HOLLOW ROAD, MELVILLE, NY, United States, 11747

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510 BROAD HOLLOW RD, MELVILLE, NY, United States, 11747

MASTEQ, INC.

Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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