0001078782-17-001508.txt : 20171108 0001078782-17-001508.hdr.sgml : 20171108 20171108164258 ACCESSION NUMBER: 0001078782-17-001508 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171108 DATE AS OF CHANGE: 20171108 EFFECTIVENESS DATE: 20171108 FILER: COMPANY DATA: COMPANY CONFORMED NAME: QUALITY HEALTH PLANS OF NEW YORK, INC. CENTRAL INDEX KEY: 0001721998 IRS NUMBER: 264251838 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-298367 FILM NUMBER: 171187161 BUSINESS ADDRESS: STREET 1: 2805 VETERANS MEMORIAL HIGHWAY STREET 2: #17 CITY: RONKONKOMA STATE: NY ZIP: 11779 BUSINESS PHONE: 813-463-0099 MAIL ADDRESS: STREET 1: 2805 VETERANS MEMORIAL HIGHWAY STREET 2: #17 CITY: RONKONKOMA STATE: NY ZIP: 11779 D 1 primary_doc.xml X0708 D LIVE 0001721998 QUALITY HEALTH PLANS OF NEW YORK, INC. 2805 VETERANS MEMORIAL HIGHWAY #17 RONKONKOMA NY NEW YORK 11779 813-463-0099 NEW YORK None None Corporation true Francis B Olsen 2805 Veterans Memorial Highway Suite 17 Ronkonkoma NY NEW YORK 11779 Executive Officer Director Richard Clark 2805 Veterans Memorial Highway Suite 17 Ronkonkoma NY NEW YORK 11779 Executive Officer Arain Nawaz 2805 Veterans Memorial Highway Suite 17 Ronkonkoma NY NEW YORK 11779 Director Bonanno Richard 2805 Veterans Memorial Highway Suite 17 Ronkonkoma NY NEW YORK 11779 Director Safia Khan 2805 Veterans Memorial Highway Suite 17 Ronkonkoma NY NEW YORK 11779 Executive Officer Director Health Insurance $25,000,001 - $100,000,000 06b false true false true false 24000 9600000 0 9600000 false 0 0 true 0 true 0 true false QUALITY HEALTH PLANS OF NEW YORK, INC. /s/ Richard Clark Richard Clark CFO 2017-11-02