| Name: | STATEN ISLAND MENTAL HEALTH SOCIETY, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC NOT-FOR-PROFIT CORPORATION |
| Status: | Inactive |
| Date of registration: | 23 Nov 1954 (70 years ago) |
| Date of dissolution: | 01 Jan 2019 |
| Entity Number: | 90075 |
| ZIP code: | 10301 |
| County: | Richmond |
| Place of Formation: | New York |
| Address: | 669 CASTLETON AVENUE, STATEN ISLAND, NY, United States, 10301 |
Contact Details
Phone +1 718-442-2225
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4AZS3 | Obsolete | Non-Manufacturer | 2006-02-14 | 2024-03-02 | 2023-06-18 | No data | |||||||||||||||
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| POC | FERN ZAGOR |
| Phone | +1 718-442-2225 |
| Fax | +1 718-442-2289 |
| Address | 669 CASTLETON AVE, STATEN ISLAND, NY, 10301 2028, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
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| Immediate Level Owner | Information not Available |
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| List of Offerors (0) | Information not Available |
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| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 403(B) THRIFT PLAN OF STATEN ISLAND MENTAL HEALTH SOCIETY INC | 2009 | 135623279 | 2011-04-17 | STATEN ISLAND MENTAL HEALTH SOCIETY INC | 135 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 135623279 |
| Plan administrator’s name | STATEN ISLAND MENTAL HEALTH SOCIETY INC |
| Plan administrator’s address | 669 CASTLETON AVE, STATEN ISLAND, NY, 10301 |
| Administrator’s telephone number | 7184422225 |
Number of participants as of the end of the plan year
| Active participants | 98 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 37 |
| 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 | 135 |
| 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 | 2011-04-17 |
| Name of individual signing | KENNETH POPLER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 669 CASTLETON AVENUE, STATEN ISLAND, NY, United States, 10301 |
| Name | Role | Address |
|---|---|---|
| STATEN ISLAND MENTAL HEALTH SOCIETY, INC. | Agent | 657 CASTLETON AVE., STATEN ISLAND, NY, 10301 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1983-03-30 | 2007-04-17 | Address | 669 CASTLETON AVE., STATEN ISLAND, NY, 10301, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 181221000782 | 2018-12-21 | CERTIFICATE OF MERGER | 2019-01-01 |
| 070417000570 | 2007-04-17 | CERTIFICATE OF AMENDMENT | 2007-04-17 |
| 940201000214 | 1994-02-01 | CERTIFICATE OF AMENDMENT | 1994-02-01 |
| B691210-11 | 1988-10-03 | CERTIFICATE OF AMENDMENT | 1988-10-03 |
| B003565-2 | 1983-07-21 | ASSUMED NAME CORP INITIAL FILING | 1983-07-21 |
| A965389-6 | 1983-03-30 | CERTIFICATE OF AMENDMENT | 1983-03-30 |
| A90135-2 | 1973-08-03 | CERTIFICATE OF AMENDMENT | 1973-08-03 |
| 211788 | 1960-04-21 | CERTIFICATE OF CONSOLIDATION | 1960-04-21 |
| 71934 | 1957-07-24 | CERTIFICATE OF AMENDMENT | 1957-07-24 |
| 597Q-43 | 1954-11-23 | CERTIFICATE OF INCORPORATION | 1954-11-23 |
Date of last update: 17 Nov 2024
Sources: New York Secretary of State
