HOSPICE OF ST. LAWRENCE VALLEY, INC.

Company Details

Name:	HOSPICE OF ST. LAWRENCE VALLEY, INC.
Jurisdiction:	New York
Legal type:	DOMESTIC NOT-FOR-PROFIT CORPORATION
Status:	Active
Date of registration:	27 Mar 1986 (39 years ago)
Entity Number:	1069025
County:	St. Lawrence
Place of Formation:	New York
Address:	INC., P.O. BOX 469, POTSDAM, NY, United States, 13676
Address ZIP Code:	13676

Contact Details

Phone +1 315-265-3105

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

403(B) THRIFT PLAN OF HOSPICE OF ST. LAWRENCE VALLEY, INC.

2023

222627929

2024-07-03

HOSPICE OF ST. LAWRENCE VALLEY, INC.

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2000-01-01
Business code	622000
Sponsor’s telephone number	3152653105
Plan sponsor’s address	PO BOX 510, POTSDAM, NY, 13676

Signature of

Role	Plan administrator
Date	2024-07-03
Name of individual signing	STACEY A. TARBOX

403(B) THRIFT PLAN OF HOSPICE OF ST. LAWRENCE VALLEY, INC.

2022

222627929

2023-07-11

HOSPICE OF ST. LAWRENCE VALLEY, INC.

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2000-01-01
Business code	622000
Sponsor’s telephone number	3152653105
Plan sponsor’s address	6805 US HIGHWAY 11, PO BOX 510, POTSDAM, NY, 13676

Signature of

Role	Plan administrator
Date	2023-07-11
Name of individual signing	RUTH FISHBECK

403(B) THRIFT PLAN OF HOSPICE OF ST. LAWRENCE VALLEY, INC.

2021

222627929

2022-07-19

HOSPICE OF ST. LAWRENCE VALLEY, INC.

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2000-01-01
Business code	622000
Sponsor’s telephone number	3152653105
Plan sponsor’s address	6805 US HIGHWAY 11, POTSDAM, NY, 13676

Signature of

Role	Plan administrator
Date	2022-07-19
Name of individual signing	RUTH FISHBECK

403(B) THRIFT PLAN OF HOSPICE OF ST. LAWRENCE VALLEY, INC.

2020

222627929

2021-07-02

HOSPICE OF ST. LAWRENCE VALLEY, INC.

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2000-01-01
Business code	622000
Sponsor’s telephone number	3152653105
Plan sponsor’s address	6805 US HIGHWAY 11, POTSDAM, NY, 13676

Signature of

Role	Plan administrator
Date	2021-07-02
Name of individual signing	RUTH FISHBECK

403(B) THRIFT PLAN OF HOSPICE OF ST. LAWRENCE VALLEY, INC.

2019

222627929

2020-07-28

HOSPICE OF ST. LAWRENCE VALLEY, INC.

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2000-01-01
Business code	622000
Sponsor’s telephone number	3152653105
Plan sponsor’s address	6805 US HIGHWAY 11, POTSDAM, NY, 13676

Signature of

Role	Plan administrator
Date	2020-07-28
Name of individual signing	ELIZABETH DEMO

403(B) THRIFT PLAN OF HOSPICE OF ST. LAWRENCE VALLEY, INC.

2018

222627929

2019-07-25

HOSPICE OF ST. LAWRENCE VALLEY, INC.

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2000-01-01
Business code	622000
Sponsor’s telephone number	3152653105
Plan sponsor’s address	6805 US HIGHWAY 11, POTSDAM, NY, 136763131

Signature of

Role	Plan administrator
Date	2019-07-25
Name of individual signing	ELIZABETH DEMO

403(B) THRIFT PLAN OF HOSPICE OF ST LAWRENCE VALLEY INC

2017

222627929

2018-07-16

HOSPICE OF ST LAWRENCE VALLEY INC

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2000-01-01
Business code	622000
Sponsor’s telephone number	3152653105
Plan sponsor’s address	6805 US HIGHWAY 11, POTSDAM, NY, 136763131

Signature of

Role	Plan administrator
Date	2018-07-16
Name of individual signing	ELIZABETH M. DEMO

Role	Employer/plan sponsor
Date	2018-07-16
Name of individual signing	ELIZABETH M. DEMO

403(B) THRIFT PLAN OF HOSPICE OF ST. LAWRENCE VALLEY, INC.

2016

222627929

2017-06-29

HOSPICE OF ST. LAWRENCE VALLEY, INC .

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2000-01-01
Business code	622000
Sponsor’s telephone number	3152653105
Plan sponsor’s address	6805 US HIGHWAY 11, POTSDAM, NY, 13676

Signature of

Role	Plan administrator
Date	2017-06-29
Name of individual signing	ELIZABETH M. DEMO

Role	Employer/plan sponsor
Date	2017-06-29
Name of individual signing	ELIZABETH M. DEMO

403(B) THRIFT PLAN OF HOSPICE OF ST. LAWRENCE VALLEY, INC.

2015

222627929

2016-05-19

HOSPICE OF ST. LAWRENCE VALLEY, INC .

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2000-01-01
Business code	622000
Sponsor’s telephone number	3152653105
Plan sponsor’s address	6805 US HIGHWAY 11, POTSDAM, NY, 13676

Signature of

Role	Plan administrator
Date	2016-05-19
Name of individual signing	STEPHANIE T. WALLACE

Role	Employer/plan sponsor
Date	2016-05-19
Name of individual signing	STEPHANIE T. WALLACE

403(B) THRIFT PLAN OF HOSPICE OF ST. LAWRENCE VALLEY, INC.

2014

222627929

2015-06-18

HOSPICE OF ST. LAWRENCE VALLEY, INC .

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2000-01-01
Business code	622000
Sponsor’s telephone number	3152653105
Plan sponsor’s address	6805 US HIGHWAY 11, POTSDAM, NY, 13676

Signature of

Role	Plan administrator
Date	2015-06-18
Name of individual signing	MACKENZIE F. SHOEN

Role	Employer/plan sponsor
Date	2015-06-18
Name of individual signing	MACKENZIE F. SHOEN

DOS Process Agent

Name	Role	Address
HOSPICE OF POTSDAM-CANTON,	DOS Process Agent	INC., P.O. BOX 469, POTSDAM, NY, United States, 13676

History

Start date	End date	Type	Value
1986-03-27	1988-12-28	Address	24 LEROY ST, POTSDAM, NY, 13676, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
B722764-9	1988-12-28	CERTIFICATE OF AMENDMENT	1988-12-28
B339168-12	1986-03-27	CERTIFICATE OF INCORPORATION	1986-03-27

Date of last update: 28 Oct 2024

Sources: New York Secretary of State

HOSPICE OF ST. LAWRENCE VALLEY, INC.

Company Details

form 5500

DOS Process Agent

History

Filings

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