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INDEPENDENT SUPPORT SERVICES, INC.

Company Details

Name: INDEPENDENT SUPPORT SERVICES, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 23 Oct 2002 (22 years ago) (Companies founded in October 2002)
Entity Number: 2826304
ZIP code: 12701 (Companies in Sullivan, 12701)
County: Sullivan
Place of Formation: New York
Address: PO BOX 1320, MONTICELLO, NY, United States, 12701

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
I S S EMPLOYEE BENEFITS PLAN 2020 050535944 2022-06-17 INDEPENDENT SUPPORT SERVICES, INC. 440
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2019-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address 20 CRYSTAL STREET, P.O. BOX 1320, MONTICELLO, NY, 12701
Plan sponsor’s address 20 CRYSTAL STREET, P.O. BOX 1320, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year

Active participants 426
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2022-06-17
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S EMPLOYEE BENEFITS PLAN 2019 050535944 2021-05-10 INDEPENDENT SUPPORT SERVICES, INC. 427
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2019-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O. BOX 1320, MONTICELLO, NY, 12701
Plan sponsor’s address 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year

Active participants 464

Signature of

Role Plan administrator
Date 2021-05-10
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-10
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S VISION PLAN 2018 050535944 2020-04-27 INDEPENDENT SUPPORT SERVICES, INC. 322
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2018-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O BOX 1320, MONTICELLO, NY, 12701
Plan sponsor’s address 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2020-04-27
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S DENTAL PLAN 2018 050535944 2020-04-27 INDEPENDENT SUPPORT SERVICES, INC. 337
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2018-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O. BOX 1320, MONTICELLO, NY, 12701
Plan sponsor’s address 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2020-04-27
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S EMPLOYEE BENEFITS PLAN 2018 050535944 2020-04-21 INDEPENDENT SUPPORT SERVICES, INC. 383
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-05-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O. BOX 1320, MONTICELLO, NY, 12701
Plan sponsor’s address 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2020-04-20
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S VISION PLAN 2017 050535944 2020-04-22 INDEPENDENT SUPPORT SERVICES, INC. 231
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2017-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701
Plan sponsor’s address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year

Active participants 404

Signature of

Role Plan administrator
Date 2020-04-22
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S DENTAL PLAN 2017 050535944 2020-04-22 INDEPENDENT SUPPORT SERVICES, INC. 256
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2017-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701
Plan sponsor’s address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year

Active participants 346

Signature of

Role Plan administrator
Date 2020-04-22
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S DENTAL PLAN 2017 050535944 2019-08-28 INDEPENDENT SUPPORT SERVICES, INC. 256
Three-digit plan number (PN) 502
Effective date of plan 2017-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701
Plan sponsor’s address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2019-08-28
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S EMPLOYEE BENEFITS PLAN 2017 050535944 2019-08-28 INDEPENDENT SUPPORT SERVICES, INC. 298
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701
Plan sponsor’s address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year

Active participants 354

Signature of

Role Plan administrator
Date 2019-08-28
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S VISION PLAN 2017 050535944 2019-08-28 INDEPENDENT SUPPORT SERVICES, INC. 231
Three-digit plan number (PN) 503
Effective date of plan 2017-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701
Plan sponsor’s address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2019-08-28
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent PO BOX 1320, MONTICELLO, NY, United States, 12701

History

Start date End date Type Value
2002-10-23 2015-12-01 Address 1068 COLD SPRING RD., FORESTBURGH, NY, 12777, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
151201000613 2015-12-01 CERTIFICATE OF CHANGE 2015-12-01
021023000814 2002-10-23 CERTIFICATE OF INCORPORATION 2002-10-23

Date of last update: 11 Nov 2024

Sources: New York Secretary of State