CIDNY-INDEPENDENT LIVING SERVICES, INC.

Company Details

Name:	CIDNY-INDEPENDENT LIVING SERVICES, INC.
Jurisdiction:	New York
Legal type:	DOMESTIC NOT-FOR-PROFIT CORPORATION
Status:	Active
Date of registration:	21 Dec 1979 (45 years ago)
Entity Number:	597160
County:	New York
Place of Formation:	New York
Address:	853 BROADWAY, NEW YORK, NY, United States, 10003
Address ZIP Code:	10003

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

EMPLOYEE BENEFIT PLAN OF CIDNY - INDEPENDENT LIVING SERVICES, INC

2013

133028816

2015-04-09

CIDNY - INDEPENDENT LIVING SERVICES, INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-09-01
Business code	621610
Sponsor’s telephone number	2122545000
Plan sponsor’s address	150 OCEAN PKWY, ROOM 101, BROOKLYN, NY, 11218

Signature of

Role	Plan administrator
Date	2015-04-09
Name of individual signing	ALEXEI KHAMARKHANOV

Role	Employer/plan sponsor
Date	2015-04-09
Name of individual signing	ALEXEI KHAMARKHANOV

EMPLOYEE BENEFIT PLAN OF CIDNY - INDEPENDENT LIVING SERVICES, INC.

2012

133028816

2014-01-30

CIDNY - INDEPENDENT LIVING SERVICES, INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-09-01
Business code	621610
Sponsor’s telephone number	2122545000
Plan sponsor’s address	150 OCEAN PKWY, ROOM 101, BROOKLYN, NY, 11218

Signature of

Role	Plan administrator
Date	2014-01-30
Name of individual signing	ALEXEI KHAMARKHANOV

Role	Employer/plan sponsor
Date	2014-01-30
Name of individual signing	ALEXEI KHAMARKHANOV

EMPLOYEE BENEFIT PLAN OF CIDNY - INDEPENDENT LIVING SERVICES INC

2011

133028816

2013-05-28

CIDNY - INDEPENDENT LIVING SERVICES INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-09-01
Business code	621610
Sponsor’s telephone number	2122545000
Plan sponsor’s mailing address	841 BROADWAY, SUITE 303, NEW YORK, NY, 10003
Plan sponsor’s address	841 BROADWAY, SUITE 303, NEW YORK, NY, 10003

Plan administrator’s name and address

Administrator’s EIN	133028816
Plan administrator’s name	CIDNY - INDEPENDENT LIVING SERVICES INC
Plan administrator’s address	841 BROADWAY, SUITE 303, NEW YORK, NY, 10003
Administrator’s telephone number	2122545000

Number of participants as of the end of the plan year

Active participants	7
Other retired or separated participants entitled to future benefits	2
Number of participants with account balances as of the end of the plan year	9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2013-05-28
Name of individual signing	ALEXEI KHAMARKHANOV
Valid signature	Filed with authorized/valid electronic signature

EMPLOYEE BENEFIT PLAN OF CIDNY - INDEPENDENT LIVING SERVICES INC

2010

133028816

2012-04-17

CIDNY - INDEPENDENT LIVING SERVICES INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-09-01
Business code	621610
Sponsor’s telephone number	2122545000
Plan sponsor’s mailing address	841 BROADWAY, SUITE 303, NEW YORK, NY, 10003
Plan sponsor’s address	841 BROADWAY, SUITE 303, NEW YORK, NY, 10003

Plan administrator’s name and address

Administrator’s EIN	133028816
Plan administrator’s name	CIDNY - INDEPENDENT LIVING SERVICES INC
Plan administrator’s address	841 BROADWAY, SUITE 303, NEW YORK, NY, 10003
Administrator’s telephone number	2122545000

Number of participants as of the end of the plan year

Active participants	7
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2012-04-17
Name of individual signing	ALEXEI KHAMARKHANOV
Valid signature	Filed with authorized/valid electronic signature

EMPLOYEE BENEFIT PLAN OF CIDNY - INDEPENDENT LIVING SERVICES INC

2009

133028816

2011-04-12

CIDNY - INDEPENDENT LIVING SERVICES INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-09-01
Business code	621610
Sponsor’s telephone number	2122545000
Plan sponsor’s mailing address	841 BROADWAY SUITE 303, NEW YORK, NY, 10003
Plan sponsor’s address	841 BROADWAY SUITE 303, NEW YORK, NY, 10003

Plan administrator’s name and address

Administrator’s EIN	133028816
Plan administrator’s name	CIDNY - INDEPENDENT LIVING SERVICES INC
Plan administrator’s address	841 BROADWAY SUITE 303, NEW YORK, NY, 10003
Administrator’s telephone number	2122545000

Number of participants as of the end of the plan year

Active participants	9
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	12
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	1

Signature of

Role	Plan administrator
Date	2011-04-12
Name of individual signing	ALEXEI KHAMARKHANOV
Valid signature	Filed with authorized/valid electronic signature

DOS Process Agent

Name	Role	Address
CIDNY-INDEPENDENT LIVING SERVICES, INC	DOS Process Agent	853 BROADWAY, NEW YORK, NY, United States, 10003

Filings

Filing Number	Date Filed	Type	Effective Date
A629806-9	1979-12-21	CERTIFICATE OF INCORPORATION	1979-12-21

Date of last update: 29 Oct 2024

Sources: New York Secretary of State

CIDNY-INDEPENDENT LIVING SERVICES, INC.

Company Details

form 5500

DOS Process Agent

Filings

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