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LONG ISLAND SELECT HEALTHCARE, INC.

Company Details

Name: LONG ISLAND SELECT HEALTHCARE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 12 May 2014 (11 years ago)
Entity Number: 4575618
County: Nassau
Place of Formation: New York
Address: 159 CARLETON AVENUE, CENTRAL ISLIP, NY, United States, 11722
Address ZIP Code: 11722

Contact Details

Phone +1 631-543-5100

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
SH8NLUGZVKS5 2024-08-01 159 CARLETON AVE, CENTRAL ISLIP, NY, 11722, 4172, USA 159 CARLETON AVE, CENTRAL ISLIP, NY, 11722, 4172, USA

Business Information
Doing Business As LONG ISLAND SELECT HEALTHCARE
Division Name LONG ISLAND SELECT HEALTHCARE, INC.
Congressional District 02
State/Country of Incorporation NY, USA
Activation Date 2023-08-03
Initial Registration Date 2014-07-28
Entity Start Date 2014-05-13
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621112, 621210, 621399, 621498
Product and Service Codes Q503, Q509, Q510, Q511, Q516, Q518, Q519, Q520, Q526, Q999

Points of Contacts
Electronic Business
Title PRIMARY POC
Name KAM SATTAR
Address 159 CARLETON AVENUE, CENTRAL ISLIP, NY, 11722, USA
Government Business
Title PRIMARY POC
Name KAM SATTAR
Address 159 CARLETON AVENUE, CENTRAL ISLIP, NY, 11722, USA
Past Performance
Title ALTERNATE POC
Name KAM SATTAR
Address 159 CARLETON AVENUE, CENTRAL ISLIP, NY, 11722, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
76M25 Active Non-Manufacturer 2014-08-08 2024-08-13 2029-08-13 2025-08-09

Contact Information
POC KAM SATTAR
Phone +1 631-650-2087
Fax +1 631-650-0497
Address 159 CARLETON AVE, CENTRAL ISLIP, NY, 11722 4172, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LONG ISLAND SELECT HEALTHCARE RETIREMENT PLAN 2020 471001464 2022-09-22 LONG ISLAND SELECT HEALTHCARE 116
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621498
Sponsor’s telephone number 6314394300
Plan sponsor’s address 159 CARLETON AVENUE, CENTRAL ISLIP, NY, 11722

Signature of
Role Plan administrator
Date 2022-09-22
Name of individual signing JAMES HOLLAND
LONG ISLAND SELECT HEALTHCARE RETIREMENT PLAN 2020 471001464 2021-07-29 LONG ISLAND SELECT HEALTHCARE 116
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621498
Sponsor’s telephone number 6314394300
Plan sponsor’s address 159 CARLETON AVENUE, CENTRAL ISLIP, NY, 11722

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing JAMES HOLLAND
LONG ISLAND SELECT HEALTHCARE RETIREMENT PLAN 2020 471001464 2022-10-14 LONG ISLAND SELECT HEALTHCARE 116
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621498
Sponsor’s telephone number 6314394300
Plan sponsor’s address 159 CARLETON AVENUE, CENTRAL ISLIP, NY, 11722

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing JAMES HOLLAND
LONG ISLAND SELECT HEALTHCARE RETIREMENT PLAN 2020 471001464 2021-07-28 LONG ISLAND SELECT HEALTHCARE 116
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621498
Sponsor’s telephone number 6314394300
Plan sponsor’s address 159 CARLETON AVENUE, CENTRAL ISLIP, NY, 11722

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing MARK BOEHRER
LONG ISLAND SELECT HEALTHCARE RETIREMENT PLAN 2019 471001464 2020-08-24 LONG ISLAND SELECT HEALTHCARE 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621498
Sponsor’s telephone number 6314394300
Plan sponsor’s address 159 CARLETON AVENUE, CENTRAL ISLIP, NY, 11722

Signature of
Role Plan administrator
Date 2020-08-24
Name of individual signing JAMES HOLLAND
LONG ISLAND SELECT HEALTHCARE RETIREMENT PLAN 2018 471001464 2019-03-29 LONG ISLAND SELECT HEALTHCARE 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621498
Sponsor’s telephone number 6314394300
Plan sponsor’s address 159 CARLETON AVENUE, CENTRAL ISLIP, NY, 11722

Signature of
Role Plan administrator
Date 2019-03-29
Name of individual signing JAMES HOLLAND
LONG ISLAND SELECT HEALTHCARE RETIREMENT PLAN 2017 471001464 2018-07-18 LONG ISLAND SELECT HEALTHCARE 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621498
Sponsor’s telephone number 6314394300
Plan sponsor’s address 159 CARLETON AVENUE, CENTRAL ISLIP, NY, 11722

Signature of
Role Plan administrator
Date 2018-07-18
Name of individual signing JAMES HOLLAND
LONG ISLAND SELECT HEALTHCARE RETIREMENT PLAN 2016 471001464 2017-07-20 LONG ISLAND SELECT HEALTHCARE 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621498
Sponsor’s telephone number 6314394300
Plan sponsor’s address 159 CARLETON AVENUE, CENTRAL ISLIP, NY, 11722

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing JAMES HOLLAND

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 159 CARLETON AVENUE, CENTRAL ISLIP, NY, United States, 11722

History

Start date End date Type Value
2014-05-12 2016-12-09 Address C/O GARFUNKEL WILD, P.C., 111 GREAT NECK ROAD SUITE 600, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
161209000507 2016-12-09 CERTIFICATE OF AMENDMENT 2016-12-09
140512000228 2014-05-12 CERTIFICATE OF INCORPORATION 2014-05-12

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

No related companies by address

Date of last update: 06 Nov 2024

Sources: New York Secretary of State

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