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RELIANCE HOME SENIOR SERVICES, LLC

Company Details

Name: RELIANCE HOME SENIOR SERVICES, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Dec 2015 (9 years ago) (Companies founded in December 2015)
Entity Number: 4865425
ZIP code: 11762 (Companies in Nassau, 11762)
County: Nassau
Place of Formation: New York
Address: 1035 PARK BOULEVARD, SUITE 2C, MASSAPEQUA PARK, NY, United States, 11762

Contact Details

Phone +1 718-475-2114

Fax +1 718-475-2114

Phone +1 516-308-4840

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RELIANCE HOME SENIOR SERVICES, LLC 401(K) PLAN PROFIT SHARING 2023 811242123 2024-10-15 RELIANCE HOME SENIOR SERVICES, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-04-01
Business code 621610
Sponsor’s telephone number 5163084840
Plan sponsor’s address 1035 PARK BLVD., MASSAPEQUA PARK, NY, 11762

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
RELIANCE HOME SENIOR SERVICES, LLC 401(K) PLAN PROFIT SHARING 2022 811242123 2023-09-22 RELIANCE HOME SENIOR SERVICES, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-04-01
Business code 621610
Sponsor’s telephone number 5163084840
Plan sponsor’s address 1035 PARK BLVD., MASSAPEQUA PARK, NY, 11762

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2023-09-22
Name of individual signing TARA EVANS, FOR TAG RESOURCES
RELIANCE HOME SENIOR SERVICES, LLC 401(K) PLAN PROFIT SHARING 2021 811242123 2022-09-23 RELIANCE HOME SENIOR SERVICES, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-04-01
Business code 621610
Sponsor’s telephone number 5163084840
Plan sponsor’s address 1035 PARK BLVD., MASSAPEQUA PARK, NY, 11762

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2022-09-23
Name of individual signing TARA EVANS
RELIANCE HOME SENIOR SERVICES, LLC 401(K) PLAN PROFIT SHARING 2020 811242123 2021-10-12 RELIANCE HOME SENIOR SERVICES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-04-01
Business code 621610
Sponsor’s telephone number 5163084840
Plan sponsor’s address 1035 PARK BLVD., MASSAPEQUA PARK, NY, 11762

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing PHIL TISUE
RELIANCE HOME SENIOR SERVICES, LLC 401(K) PROFIT SHARING PLAN 2019 811242123 2020-10-15 RELIANCE HOME SENIOR SERVICES, LLC 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621610
Sponsor’s telephone number 5163084840
Plan sponsor’s address ONE SUNRISE MALL, UNIT 1025, MASSAPEQUA, NY, 11758

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing TZVI SAPERSTEIN
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing TZVI SAPERSTEIN
RELIANCE HOME SENIOR SERVICES, LLC 401(K) PROFIT SHARING PLAN 2018 811242123 2019-10-04 RELIANCE HOME SENIOR SERVICES, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621610
Sponsor’s telephone number 5163084840
Plan sponsor’s address ONE SUNRISE MALL, UNIT 1025, MASSAPEQUA, NY, 11758

Signature of

Role Plan administrator
Date 2019-10-04
Name of individual signing DANA ARNONE
Role Employer/plan sponsor
Date 2019-10-04
Name of individual signing DANA ARNONE

DOS Process Agent

Name Role Address
RELIANCE HOME SENIOR SERVICES, LLC DOS Process Agent 1035 PARK BOULEVARD, SUITE 2C, MASSAPEQUA PARK, NY, United States, 11762

History

Start date End date Type Value
2015-12-16 2023-08-03 Address 1035 PARK BOULEVARD, SUITE 2C, MASSAPEQUA PARK, NY, 11762, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230803000831 2023-08-03 BIENNIAL STATEMENT 2021-12-01
160516001238 2016-05-16 CERTIFICATE OF PUBLICATION 2016-05-16
151216010411 2015-12-16 ARTICLES OF ORGANIZATION 2015-12-16

Date of last update: 23 Nov 2024

Sources: New York Secretary of State