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HALCYON HEALTH, INC.

Company Details

Name: HALCYON HEALTH, INC.
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Inactive
Date of registration: 08 Nov 2019 (5 years ago)
Date of dissolution: 09 Jun 2023
Entity Number: 5652764
ZIP code: 11249
County: New York
Place of Formation: Delaware
Address: 97 Berry Street, #1, Brooklyn, NY, United States, 11249

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HALCYON HEALTH 401(K) PLAN 2023 843609977 2024-03-13 HALCYON HEALTH INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621900
Sponsor’s telephone number 6464707595
Plan sponsor’s address 97 BERRY ST, APT 1, BROOKLYN, NY, 11249

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 2024-03-13
Name of individual signing QIAN LIU
HALCYON HEALTH 401(K) PLAN 2022 843609977 2023-05-27 HALCYON HEALTH INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621900
Sponsor’s telephone number 6464707595
Plan sponsor’s address 97 BERRY ST, APT 1, BROOKLYN, NY, 11249

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 2023-05-27
Name of individual signing CHRISTINE RIMER
HALCYON HEALTH 401(K) PLAN 2021 843609977 2022-06-02 HALCYON HEALTH INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621900
Sponsor’s telephone number 6464707595
Plan sponsor’s address 97 BERRY ST, APT 1, BROOKLYN, NY, 11249

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 2022-06-02
Name of individual signing CHRISTINE RIMER
HALCYON HEALTH 401(K) PLAN 2020 843609977 2021-06-01 HALCYON HEALTH INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621900
Sponsor’s telephone number 6464707595
Plan sponsor’s address 97 BERRY ST, APT 1, BROOKLYN, NY, 11249

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 2021-06-01
Name of individual signing CAROL HO

DOS Process Agent

Name Role Address
HALCYON HEALTH DOS Process Agent 97 Berry Street, #1, Brooklyn, NY, United States, 11249

Agent

Name Role
REGISTERED AGENT REVOKED Agent

Chief Executive Officer

Name Role Address
JOSHUA NUSSBAUM Chief Executive Officer 97 BERRY STREET, #1, BROOKLYN, NY, United States, 11249

History

Start date End date Type Value
2023-05-17 2023-06-12 Address 97 BERRY STREET, #1, BROOKLYN, NY, 11249, USA (Type of address: Chief Executive Officer)
2023-05-17 2023-06-12 Address 97 Berry Street, #1, Brooklyn, NY, 11249, USA (Type of address: Service of Process)
2019-11-08 2023-05-17 Address 345 E 73RD ST, APARTMENT PHK, NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230612003611 2023-06-09 CERTIFICATE OF TERMINATION 2023-06-09
230517002796 2023-05-17 BIENNIAL STATEMENT 2021-11-01
191108000034 2019-11-08 APPLICATION OF AUTHORITY 2019-11-08

Date of last update: 21 Nov 2024

Sources: New York Secretary of State