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HAVEN MANOR HEALTH CARE CENTER, LLC

Company Details

Name: HAVEN MANOR HEALTH CARE CENTER, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Sep 2007 (17 years ago)
Entity Number: 3573254
County: Queens
Place of Formation: New York
Address: 1441 GATEWAY BLVD., FAR ROCKAWAY, NY, United States, 11691
Address ZIP Code: 11691

Contact Details

Phone +1 718-471-1500

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAVEN MANOR HEALTH RELATED FACILITY MONEY-PURCHASE PENSION PLAN 2023 113102777 2024-09-12 HAVEN MANOR HEALTH CARE CENTER 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 7184711500
Plan sponsor’s address 1441 GATEWAY BLVD, FAR ROCKAWAY, NY, 116914316
HAVEN MANOR HEALTH CARE CENTER 401(K) SALARY REDUCTION PLAN 2023 113102777 2024-09-12 HAVEN MANOR HEALTH CARE CENTER 35
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 623000
Sponsor’s telephone number 7184711500
Plan sponsor’s address 1441 GATEWAY BLVD, FAR ROCKAWAY, NY, 116914316
HAVEN MANOR HEALTH RELATED FACILITY MONEY-PURCHASE PENSION PLAN 2022 113102777 2023-10-16 HAVEN MANOR HEALTH CARE CENTER 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 7184711500
Plan sponsor’s address 1441 GATEWAY BLVD, FAR ROCKAWAY, NY, 116914316

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing ARON CYTRYN
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing ARON CYTRYN
HAVEN MANOR HEALTH CARE CENTER 401(K) SALARY REDUCTION PLAN 2022 113102777 2023-10-16 HAVEN MANOR HEALTH CARE CENTER 38
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 623000
Sponsor’s telephone number 7184711500
Plan sponsor’s address 1441 GATEWAY BLVD, FAR ROCKAWAY, NY, 116914316

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing ARON CYTRYN
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing ARON CYTRYN
HAVEN MANOR HEALTH RELATED FACILITY MONEY-PURCHASE PENSION PLAN 2021 113102777 2022-09-14 HAVEN MANOR HEALTH CARE CENTER 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 7184711500
Plan sponsor’s address 1441 GATEWAY BLVD, FAR ROCKAWAY, NY, 116914316

Signature of

Role Plan administrator
Date 2022-09-14
Name of individual signing ARON CYTRYN
HAVEN MANOR HEALTH CARE CENTER 401(K) SALARY REDUCTION PLAN 2021 113102777 2022-09-15 HAVEN MANOR HEALTH CARE CENTER 32
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 623000
Sponsor’s telephone number 7184711500
Plan sponsor’s address 1441 GATEWAY BLVD, FAR ROCKAWAY, NY, 116914316

Signature of

Role Plan administrator
Date 2022-09-15
Name of individual signing ARON CYTRYN
HAVEN MANOR HEALTH CARE CENTER 401(K) SALARY REDUCTION PLAN 2020 113102777 2022-01-21 HAVEN MANOR HEALTH CARE CENTER 46
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 623000
Sponsor’s telephone number 7184711500
Plan sponsor’s address 1441 GATEWAY BLVD, FAR ROCKAWAY, NY, 116914316

Signature of

Role Plan administrator
Date 2022-01-21
Name of individual signing ARON CYTRYN
HAVEN MANOR HEALTH CARE CENTER 401(K) SALARY REDUCTION PLAN 2020 113102777 2022-09-14 HAVEN MANOR HEALTH CARE CENTER 46
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 623000
Sponsor’s telephone number 7184711500
Plan sponsor’s address 1441 GATEWAY BLVD, FAR ROCKAWAY, NY, 116914316

Signature of

Role Plan administrator
Date 2022-09-14
Name of individual signing ARON CYTRYN
HAVEN MANOR HEALTH RELATED FACILITY MONEY-PURCHASE PENSION PLAN 2020 113102777 2022-01-21 HAVEN MANOR HEALTH CARE CENTER 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 7184711500
Plan sponsor’s address 1441 GATEWAY BLVD, FAR ROCKAWAY, NY, 116914316

Signature of

Role Plan administrator
Date 2022-01-21
Name of individual signing ARON CYTRYN
HAVEN MANOR HEALTH CARE CENTER 401(K) SALARY REDUCTION PLAN 2019 113102777 2020-10-14 HAVEN MANOR HEALTH CARE CENTER 46
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 623000
Sponsor’s telephone number 7184711500
Plan sponsor’s address 1441 GATEWAY BLVD, FAR ROCKAWAY, NY, 116914316

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing ARON CYTRYN

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1441 GATEWAY BLVD., FAR ROCKAWAY, NY, United States, 11691

Filings

Filing Number Date Filed Type Effective Date
150904006126 2015-09-04 BIENNIAL STATEMENT 2015-09-01
131016006820 2013-10-16 BIENNIAL STATEMENT 2013-09-01
110926002513 2011-09-26 BIENNIAL STATEMENT 2011-09-01
090904002524 2009-09-04 BIENNIAL STATEMENT 2009-09-01
070927000058 2007-09-27 CERTIFICATE OF CONVERSION 2007-09-27

Date of last update: 09 Nov 2024

Sources: New York Secretary of State