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PATIENT AIRLIFT SERVICES, INC.

Company Details

Name: PATIENT AIRLIFT SERVICES, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 13 Apr 2010 (15 years ago) (Companies founded in April 2010)
Entity Number: 3936388
ZIP code: 11762 (Companies in Nassau, 11762)
County: Nassau
Place of Formation: New York
Address: 205 ATLANTIC AVENUE, MASSAPEQUA PARK, NY, United States, 11762

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PATIENT AIRLIFT SERVICES, INC. 401(K) PLAN 2023 272370028 2024-04-11 PATIENT AIRLIFT SERVICES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621900
Sponsor’s telephone number 6316947257
Plan sponsor’s address 7110 REPUBLIC AIRPORT, STE 202, FARMINGDALE, NY, 11735

Signature of

Role Plan administrator
Date 2024-04-10
Name of individual signing DONNA COLLINS
PATIENT AIRLIFT SERVICES, INC. 401(K) PLAN 2022 272370028 2023-04-17 PATIENT AIRLIFT SERVICES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621900
Sponsor’s telephone number 6316947257
Plan sponsor’s address 7110 REPUBLIC AIRPORT, STE 202, FARMINGDALE, NY, 11735

Signature of

Role Plan administrator
Date 2023-04-17
Name of individual signing ANDREA MCAULIFFE
Role Employer/plan sponsor
Date 2023-04-17
Name of individual signing ANDREA MCAULIFFE
PATIENT AIRLIFT SERVICES, INC. 401(K) PLAN 2021 272370028 2022-04-08 PATIENT AIRLIFT SERVICES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621900
Sponsor’s telephone number 6316947257
Plan sponsor’s address 7110 REPUBLIC AIRPORT, STE 202, FARMINGDALE, NY, 11735

Signature of

Role Plan administrator
Date 2022-03-30
Name of individual signing JILLIAN BORN
Role Employer/plan sponsor
Date 2022-03-30
Name of individual signing JILLIAN BORN
PATIENT AIRLIFT SERVICES, INC. 401(K) PLAN 2020 272370028 2021-04-30 PATIENT AIRLIFT SERVICES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621900
Sponsor’s telephone number 6316947257
Plan sponsor’s address 7110 REPUBLIC AIRPORT, STE 202, FARMINGDALE, NY, 11735

Signature of

Role Plan administrator
Date 2021-04-30
Name of individual signing JILLIAN BORN
PATIENT AIRLIFT SERVICES, INC. 401(K) PLAN 2019 272370028 2020-04-08 PATIENT AIRLIFT SERVICES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621900
Sponsor’s telephone number 6316947257
Plan sponsor’s address 7110 REPUBLIC AIRPORT, STE 202, FARMINGDALE, NY, 11735

Signature of

Role Plan administrator
Date 2020-04-07
Name of individual signing JILLIAN BORN
PATIENT AIRLIFT SERVICES, INC. 401(K) PLAN 2018 272370028 2019-04-16 PATIENT AIRLIFT SERVICES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621900
Sponsor’s telephone number 6316947257
Plan sponsor’s address 7110 REPUBLIC AIRPORT, STE 202, FARMINGDALE, NY, 11735

Signature of

Role Plan administrator
Date 2019-04-15
Name of individual signing JILLIAN BORN
PATIENT AIRLIFT SERVICES, INC. 401(K) PLAN 2017 272370028 2018-07-20 PATIENT AIRLIFT SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621900
Sponsor’s telephone number 6316947257
Plan sponsor’s address 7110 REPUBLIC AIRPORT, STE 202, FARMINGDALE, NY, 11735
PATIENT AIRLIFT SERVICES, INC. 401(K) PLAN 2016 272370028 2017-05-16 PATIENT AIRLIFT SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621900
Sponsor’s telephone number 6316947257
Plan sponsor’s address 120 ADAMS BOULEVARD, FARMINGDALE, NY, 11735

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 205 ATLANTIC AVENUE, MASSAPEQUA PARK, NY, United States, 11762

Filings

Filing Number Date Filed Type Effective Date
100429000285 2010-04-29 CERTIFICATE OF CORRECTION 2010-04-29
100413000776 2010-04-13 CERTIFICATE OF INCORPORATION 2010-04-13

Date of last update: 08 Nov 2024

Sources: New York Secretary of State