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  5. CONCERTIV, INC.

CONCERTIV, INC.

Company Details

Name: CONCERTIV, INC.
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Active
Date of registration: 23 Sep 2016 (8 years ago)
Entity Number: 5012967
ZIP code: 10001
County: New York
Place of Formation: Delaware
Address: 104 W 27th St, Fl 6, NEW YORK, NY, United States, 10001

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONCERTIV, INC 401(K) PLAN 2023 464307491 2024-07-03 CONCERTIV, INC. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 6468543375
Plan sponsor’s address 104 W. 27TH STREET, 6TH FLOOR, NEW YORK, NY, 10001

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-07-02
Name of individual signing QIAN LIU
CONCERTIV, INC 401(K) PLAN 2022 464307491 2023-08-11 CONCERTIV, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 6468543375
Plan sponsor’s address 104 W. 27TH STREET, 6TH FLOOR, NEW YORK, NY, 10001

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-08-11
Name of individual signing CHRISTINE RIMER
CONCERTIV, INC 401(K) PLAN 2021 464307491 2022-06-17 CONCERTIV, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 6468542367
Plan sponsor’s address 104 W. 27TH STREET, 6TH FLOOR, NEW YORK, NY, 10001

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-06-17
Name of individual signing CHRISTINE RIMER
KBB PARTNERS 401(K) PLAN 2020 464307491 2021-04-28 CONCERTIV, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 6468542367
Plan sponsor’s address 275 7TH AVENUE, 7TH FLOOR, NEW YORK, NY, 10001

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-04-28
Name of individual signing CAROL HO
CONCERTIV 401(K) PLAN 2019 464307491 2020-06-10 CONCERTIV, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 6468542367
Plan sponsor’s address 450 7TH AVE, 1909, NEW YORK, NY, 10123

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-06-10
Name of individual signing CAROL HO

DOS Process Agent

Name Role Address
CONCERTIV, INC. DOS Process Agent 104 W 27th St, Fl 6, NEW YORK, NY, United States, 10001

Chief Executive Officer

Name Role Address
PRIYA IYER Chief Executive Officer 104 W 27TH ST, FL 6, NEW YORK, NY, United States, 10001

History

Start date End date Type Value
2018-09-20 2020-09-01 Address 150 MERCER STREET, PRINCETON, NJ, 08540, USA (Type of address: Chief Executive Officer)
2016-09-23 2020-09-01 Address 150 MERCER STREET, PRINCETON, NJ, 08540, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220902002246 2022-09-02 BIENNIAL STATEMENT 2022-09-01
200901061543 2020-09-01 BIENNIAL STATEMENT 2020-09-01
200114000208 2020-01-14 CERTIFICATE OF AMENDMENT 2020-01-14
180920006087 2018-09-20 BIENNIAL STATEMENT 2018-09-01
160923000002 2016-09-23 APPLICATION OF AUTHORITY 2016-09-23

Related by officers

PRIYA IYER

CONCERTIV INSURANCE BROKERS, INC.

Related by address

No related companies by address

Date of last update: 23 Nov 2024

Sources: New York Secretary of State

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