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PARTNERS HEALTH PLAN, INC.

Company Details

Name: PARTNERS HEALTH PLAN, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 14 Nov 2012 (12 years ago)
Entity Number: 4319635
ZIP code: 10017
County: New York
Place of Formation: New York
Address: 655 THIRD AVENUE, SECOND FLOOR, NEW YORK, NY, United States, 10017

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARTNERS HEALTH PLAN, INC. 401K PLAN 2018 461496685 2019-07-31 PARTNERS HEALTH PLAN, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524140
Sponsor’s telephone number 6467602175
Plan sponsor’s address 655 THIRD AVENUE, 2ND FLOOR, NEW YORK, NY, 10017

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing CHRISTOPHER MASI
PARTNERS HEALTH PLAN, INC. 401K PLAN 2017 461496685 2018-07-10 PARTNERS HEALTH PLAN, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524140
Sponsor’s telephone number 6467602175
Plan sponsor’s address 655 THIRD AVENUE, 2ND FLOOR, NEW YORK, NY, 10017

Signature of

Role Plan administrator
Date 2018-07-10
Name of individual signing CHRISTOPHER MASI
PARTNERS HEALTH PLAN, INC. 401K PLAN 2016 461496685 2017-05-26 PARTNERS HEALTH PLAN, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524140
Sponsor’s telephone number 6467602175
Plan sponsor’s address 655 THIRD AVENUE, 2ND FLOOR, NEW YORK, NY, 10017

Signature of

Role Plan administrator
Date 2017-05-26
Name of individual signing RON ARFIN
PARTNERS HEALTH PLAN, INC. 401K PLAN 2015 461496685 2016-07-22 PARTNERS HEALTH PLAN, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524140
Sponsor’s telephone number 6467602175
Plan sponsor’s address 655 THIRD AVENUE, 2ND FLOOR, NEW YORK, NY, 100179130

Signature of

Role Plan administrator
Date 2016-07-22
Name of individual signing RON ARFIN
PARTNERS HEALTH PLAN, INC. 401K PLAN 2014 461496685 2015-07-01 PARTNERS HEALTH PLAN, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 6468444020
Plan sponsor’s address 55 BROADWAY, SUITE 501, NEW YORK, NY, 10006

Signature of

Role Plan administrator
Date 2015-07-01
Name of individual signing CELIA SOLOMITA

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 655 THIRD AVENUE, SECOND FLOOR, NEW YORK, NY, United States, 10017

History

Start date End date Type Value
2015-08-03 2017-02-21 Address 55 BROADWAY, SUITE 501, NEW YORK, NY, 10006, USA (Type of address: Service of Process)
2015-04-09 2015-08-03 Address 55 BROADWAY, SUITE 501, NEW YORK, NY, 10006, USA (Type of address: Service of Process)
2013-12-20 2015-04-09 Address 521 5TH AVENUE, 3RD FLOOR, NEW YORK, NY, 10175, USA (Type of address: Service of Process)
2012-11-14 2013-12-20 Address 189 WHEATLEY ROAD, BROOKVILLE, NY, 11545, 2699, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170221000459 2017-02-21 CERTIFICATE OF CHANGE 2017-02-21
150803000384 2015-08-03 CERTIFICATE OF AMENDMENT 2015-08-03
150409000537 2015-04-09 CERTIFICATE OF CHANGE 2015-04-09
131220000647 2013-12-20 CERTIFICATE OF CHANGE 2013-12-20
121114000230 2012-11-14 CERTIFICATE OF INCORPORATION 2012-11-14

Date of last update: 25 Nov 2024

Sources: New York Secretary of State