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HHH CHOICES HEALTH PLAN, LLC

Company Details

Name: HHH CHOICES HEALTH PLAN, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Aug 2006 (18 years ago) (Companies founded in August 2006)
Entity Number: 3394901
ZIP code: 10595 (Companies in Westchester, 10595)
County: Westchester
Place of Formation: New York
Address: 55 GRASSLANDS ROAD, VALHALLA, NY, United States, 10595

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HHH CHOICES HEALTH PLAN 403B PLAN 2021 205527012 2022-10-17 HHH CHOICES HEALTH PLAN LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 9178813884
Plan sponsor’s address 1311 MAMARONECK AVE, STE 340, WHITE PLAINS, NY, 10605

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing MARY FRANCES BARRETT
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing MARY FRANCES BARRETT
HHH CHOICES HEALTH PLAN 403B PLAN 2020 205527012 2021-10-04 HHH CHOICES HEALTH PLAN LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 9178813884
Plan sponsor’s address 1311 MAMARONECK AVE, STE 340, WHITE PLAINS, NY, 10605

Signature of
Role Plan administrator
Date 2021-10-04
Name of individual signing JAMES FASOLINO
HHH CHOICES HEALTH PLAN 403B PLAN 2019 205527012 2020-07-29 HHH CHOICES HEALTH PLAN LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 9178813884
Plan sponsor’s address 1311 MAMARONECK AVENUE, SUITE 340, WHITE PLAINS, NY, 10605

Signature of
Role Plan administrator
Date 2020-07-29
Name of individual signing JAMES A FASOLINO
HHH CHOICES HEALTH PLAN 403B PLAN 2018 205527012 2019-10-14 HHH CHOICES HEALTH PLAN LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 9178813884
Plan sponsor’s address 1311 MAMARONECK AVENUE, SUITE 340, WHITE PLAINS, NY, 10605

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing JAMES FASOLINO
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing JAMES FASOLINO
HHH CHOICES HEALTH PLAN 403(B) PLAN 2017 205527012 2018-10-13 HHH CHOICES HEALTH PLAN LLC 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 9178813884
Plan sponsor’s address 1311 MAMARONECK AVENUE, SUITE 340, WHITE PLAINS, NY, 10605

Signature of
Role Plan administrator
Date 2018-10-13
Name of individual signing JAMES FASOLINO
HHH CHOICES HEALTH PLAN 403B PLAN 2012 205527012 2013-07-31 HHH CHOICES HEALTH PLAN, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 7182396444
Plan sponsor’s address 55 GRASSLANDS RD, VALHALLA, NY, 10595

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing RONALD PANCOTTI
Role Employer/plan sponsor
Date 2013-07-31
Name of individual signing REYNALDO TENORIO
HHH CHOICES HEALTH PLAN 403B PLAN 2011 205527012 2012-09-27 HHH CHOICES HEALTH PLAN, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 7182396444
Plan sponsor’s address 55 GRASSLANDS RD, VALHALLA, NY, 10595

Plan administrator’s name and address
Administrator’s EIN 205527012
Plan administrator’s name HHH CHOICES HEALTH PLAN, LLC
Plan administrator’s address 55 GRASSLANDS RD, VALHALLA, NY, 10595
Administrator’s telephone number 7182396444

Signature of
Role Plan administrator
Date 2012-09-27
Name of individual signing RONALD PANCOTTI
Role Employer/plan sponsor
Date 2012-09-27
Name of individual signing REYNALDO TENORIO
HHH CHOICES HEALTH PLAN 403B PLAN 2010 205527012 2011-07-20 HHH CHOICES HEALTH PLAN, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 7182396444
Plan sponsor’s address 55 GRASSLANDS RD, VALHALLA, NY, 10595

Plan administrator’s name and address
Administrator’s EIN 205527012
Plan administrator’s name HHH CHOICES HEALTH PLAN, LLC
Plan administrator’s address 55 GRASSLANDS RD, VALHALLA, NY, 10595
Administrator’s telephone number 7182396444

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing RONALD PANCOTTI
HHH CHOICES HEALTH PLAN 403B PLAN 2009 205527012 2010-09-15 HHH CHOICES HEALTH PLAN, LLC 20
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 7182396444
Plan sponsor’s address 55 GRASSLANDS RD, VALHALLA, NY, 10595

Plan administrator’s name and address
Administrator’s EIN 205527012
Plan administrator’s name HHH CHOICES HEALTH PLAN, LLC
Plan administrator’s address 55 GRASSLANDS RD, VALHALLA, NY, 10595
Administrator’s telephone number 7182396444

Signature of
Role Plan administrator
Date 2010-09-15
Name of individual signing REYNALDO TENORIO
HHH CHOICES HEALTH PLAN 403B PLAN 2009 205527012 2010-09-20 HHH CHOICES HEALTH PLAN, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 7182396444
Plan sponsor’s address 55 GRASSLANDS RD, VALHALLA, NY, 10595

Plan administrator’s name and address
Administrator’s EIN 205527012
Plan administrator’s name HHH CHOICES HEALTH PLAN, LLC
Plan administrator’s address 55 GRASSLANDS RD, VALHALLA, NY, 10595
Administrator’s telephone number 7182396444

Signature of
Role Plan administrator
Date 2010-09-20
Name of individual signing RON PANCOTTI
Role Employer/plan sponsor
Date 2010-09-20
Name of individual signing REYNALDO TENORIO

Agent

Name Role Address
MARY FRANCES BARRETT Agent 55 GRASSLANDS ROAD, VALHALLA, NY, 10595

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 55 GRASSLANDS ROAD, VALHALLA, NY, United States, 10595

History

Start date End date Type Value
2012-09-07 2015-07-01 Address 2100 BARTOW AVE, SUITE 310, BRONX, NY, 10475, USA (Type of address: Service of Process)
2010-11-08 2012-09-07 Address 801 CO-OP CITY BLVD, BRONX, NY, 10475, USA (Type of address: Service of Process)
2006-08-01 2010-11-08 Address C/O NIXON PEABODY LLP, P.O. BOX 31051, ROCHESTER, NY, 14603, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
150701000833 2015-07-01 CERTIFICATE OF CHANGE 2015-07-01
120907006326 2012-09-07 BIENNIAL STATEMENT 2012-08-01
101108003168 2010-11-08 BIENNIAL STATEMENT 2010-08-01
080811002013 2008-08-11 BIENNIAL STATEMENT 2008-08-01
061130000438 2006-11-30 CERTIFICATE OF PUBLICATION 2006-11-30
060801000178 2006-08-01 ARTICLES OF ORGANIZATION 2006-08-01

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Date of last update: 09 Nov 2024

Sources: New York Secretary of State

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