| Name: | PHELPS MEMORIAL HOSPITAL ASSOCIATION |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC NOT-FOR-PROFIT CORPORATION |
| Status: | Active |
| Date of registration: | 24 Dec 1952 (72 years ago) |
| Entity Number: | 78729 |
| ZIP code: | 10591 |
| County: | Westchester |
| Place of Formation: | New York |
| Address: | ATTN: PRESIDENT, 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, United States, 10591 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FFS6G99RN6G4 | 2025-03-19 | 701 N BROADWAY, SLEEPY HOLLOW, NY, 10591, 1020, USA | 701 NORTH BROADWAY, PHELPS MEMORIAL HOSPITAL, TARRYTOWN, NY, 10591, 1096, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 17 |
| State/Country of Incorporation | NY, USA |
| Activation Date | 2024-03-21 |
| Initial Registration Date | 2006-03-15 |
| Entity Start Date | 1956-01-07 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 622110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JAMES MCCULLAGH |
| Role | ASSOCIATE EXECUTIVE DIRECTOR OF FINANCE |
| Address | 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, 1096, USA |
| Title | ALTERNATE POC |
| Name | DENISE PASSALACQUA |
| Role | EXECUTIVE SECRETARY |
| Address | 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, 1096, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JAMES MCCULLAGH |
| Role | ASSOCIATE EXECUTIVE DIRECTOR OF FINANCE |
| Address | 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, 1096, USA |
| Title | ALTERNATE POC |
| Name | DENISE PASSALACQUA |
| Role | EXECUTIVE SECRETARY |
| Address | 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, 1096, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4C6F6 | Active | Non-Manufacturer | 2006-03-16 | 2024-03-21 | 2029-03-21 | 2025-03-19 | |||||||||||||||||||||||
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| POC | JAMES MCCULLAGH |
| Phone | +1 914-366-3120 |
| Fax | +1 914-366-1017 |
| Address | 701 N BROADWAY, SLEEPY HOLLOW, NY, 10591 1020, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | |
|---|---|
| Vendor Certified | 2024-03-21 |
| CAGE number | 4AJP5 |
| Company Name | NORTHWELL HEALTH, INC. |
| CAGE Last Updated | 2024-03-03 |
| List of Offerors (0) | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAJOR MEDICAL PLAN FOR EMPLOYEES OF PHELPS MEMORIAL HOSPITAL CENTER | 2010 | 131725076 | 2011-10-10 | PHELPS MEMORIAL HOSPITAL ASSOCIATION | 1025 | |||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 131725076 |
| Plan administrator’s name | PHELPS MEMORIAL HOSPITAL ASSOCIATION |
| Plan administrator’s address | 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591 |
| Administrator’s telephone number | 9143663000 |
Number of participants as of the end of the plan year
| Active participants | 1006 |
| Retired or separated participants receiving benefits | 70 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-09 |
| Name of individual signing | JOANNE STURANS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-07 |
| Name of individual signing | VINCENT DESANTIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 503 |
| Effective date of plan | 1986-06-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9143663000 |
| Plan sponsor’s mailing address | 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591 |
| Plan sponsor’s address | 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591 |
Plan administrator’s name and address
| Administrator’s EIN | 131725076 |
| Plan administrator’s name | PHELPS MEMORIAL HOSPITAL ASSOCIATION |
| Plan administrator’s address | 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591 |
| Administrator’s telephone number | 9143663000 |
Number of participants as of the end of the plan year
| Active participants | 941 |
| Retired or separated participants receiving benefits | 84 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | JOANNE STURANS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | DFE |
| Date | 2010-10-14 |
| Name of individual signing | VINCENT DESANTIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PHELPS MEMORIAL HOSPITAL ASSOCIATION | Agent | NO STREET ADDRESS GIVEN, ATT: ADMIN., NO TARRYTOWN, NY, 10591 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | ATTN: PRESIDENT, 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, United States, 10591 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2014-01-10 | 2018-10-22 | Address | ATTN: PRESIDENT, 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, USA (Type of address: Service of Process) |
| 2000-09-29 | 2014-01-10 | Address | ATTN: PRESIDENT, 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, USA (Type of address: Service of Process) |
| 1997-09-23 | 2000-09-29 | Address | ATTN: PRESIDENT, 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, USA (Type of address: Service of Process) |
| 1986-06-02 | 1997-09-23 | Address | ASSOCIATION, ATTN: PRESIDENT, NORTH TARRYTOWN, NY, 10591, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 181022000351 | 2018-10-22 | CERTIFICATE OF AMENDMENT | 2018-10-22 |
| 140110000182 | 2014-01-10 | CERTIFICATE OF AMENDMENT | 2014-01-10 |
| 20120802068 | 2012-08-02 | ASSUMED NAME CORP INITIAL FILING | 2012-08-02 |
| 040408000796 | 2004-04-08 | CERTIFICATE OF MERGER | 2004-04-08 |
| 000929000426 | 2000-09-29 | CERTIFICATE OF AMENDMENT | 2000-09-29 |
| 970923000560 | 1997-09-23 | CERTIFICATE OF AMENDMENT | 1997-09-23 |
| 940923000484 | 1994-09-23 | CERTIFICATE OF MERGER | 1994-09-23 |
| B365162-8 | 1986-06-02 | CERTIFICATE OF AMENDMENT | 1986-06-02 |
| A93118-4 | 1973-08-17 | CERTIFICATE OF AMENDMENT | 1973-08-17 |
| 775107-10 | 1969-08-08 | CERTIFICATE OF CONSOLIDATION | 1969-08-08 |
Date of last update: 17 Nov 2024
Sources: New York Secretary of State
