| Name: | THE SOUTHAMPTON HOSPITAL ASSOCIATION |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC NOT-FOR-PROFIT CORPORATION |
| Status: | Active |
| Date of registration: | 10 Feb 1944 (81 years ago) |
| Entity Number: | 27364 |
| ZIP code: | 11968 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | ATTN: PRESIDENT, 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968 |
Contact Details
Phone +1 631-288-7746
Phone +1 631-726-8300
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHAMPTON HOSPITAL MEDICAL AND DENTAL PLANS | 2010 | 111667765 | 2011-10-03 | SOUTHAMPTON HOSPITAL ASSOCIATION | 263 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 111667765 |
| Plan administrator’s name | SOUTHAMPTON HOSPITAL ASSOCIATION |
| Plan administrator’s address | 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 119685090 |
| Administrator’s telephone number | 6317260400 |
Number of participants as of the end of the plan year
| Active participants | 260 |
| Retired or separated participants receiving benefits | 3 |
| 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 | 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 | 2011-10-03 |
| Name of individual signing | PAUL DAVIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-03 |
| Name of individual signing | PAUL DAVIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1970-12-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 6317260400 |
| Plan sponsor’s mailing address | 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 119685090 |
| Plan sponsor’s address | 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 119685090 |
Plan administrator’s name and address
| Administrator’s EIN | 111667765 |
| Plan administrator’s name | SOUTHAMPTON HOSPITAL ASSOCIATION |
| Plan administrator’s address | 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 119685090 |
| Administrator’s telephone number | 6317260400 |
Number of participants as of the end of the plan year
| Active participants | 263 |
| Retired or separated participants receiving benefits | 8 |
| 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 | 2010-07-30 |
| Name of individual signing | PAUL DAVIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-30 |
| Name of individual signing | PAUL DAVIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | ATTN: PRESIDENT, 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2015-12-17 | 2017-08-02 | Address | 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process) |
| 2009-04-01 | 2015-12-17 | Address | ATTN: PRESIDENT, 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process) |
| 2006-06-09 | 2009-04-01 | Address | ATTN: PRESIDENT, 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process) |
| 1998-12-15 | 2006-06-09 | Address | 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 170802000396 | 2017-08-02 | CERTIFICATE OF AMENDMENT | 2017-08-02 |
| 151217000379 | 2015-12-17 | CERTIFICATE OF AMENDMENT | 2015-12-17 |
| 090401000694 | 2009-04-01 | CERTIFICATE OF AMENDMENT | 2009-04-01 |
| 060609000219 | 2006-06-09 | CERTIFICATE OF AMENDMENT | 2006-06-09 |
| 981215000143 | 1998-12-15 | CERTIFICATE OF AMENDMENT | 1998-12-15 |
| B069958-2 | 1984-02-16 | ASSUMED NAME CORP INITIAL FILING | 1984-02-16 |
| 706330-4 | 1968-09-19 | CERTIFICATE OF AMENDMENT | 1968-09-19 |
| 8EX-20 | 1951-01-17 | CERTIFICATE OF AMENDMENT | 1951-01-17 |
| 438Q-124 | 1944-02-10 | CERTIFICATE OF INCORPORATION | 1944-02-10 |
Date of last update: 17 Nov 2024
Sources: New York Secretary of State
