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HOSPICE OF JEFFERSON COUNTY INC.

Company Details

Name: HOSPICE OF JEFFERSON COUNTY INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 07 May 1986 (39 years ago) (Companies founded in May 1986)
Entity Number: 1080382
ZIP code: 13601 (Companies in Jefferson, 13601)
County: Jefferson
Place of Formation: New York
Address: PO BOXL 677, WATERTOWN, NY, United States, 13601

Contact Details

Phone +1 315-788-7323

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOSPICE OF JEFFERSON COUNTY, INC. SAVINGS & RETIREMENT PLAN 2023 161266041 2024-09-18 HOSPICE OF JEFFERSON COUNTY, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621610
Sponsor’s telephone number 3157887323
Plan sponsor’s address 1398 GOTHAM STREET, WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2024-09-18
Name of individual signing ANNA PATTERSON
Valid signature Filed with authorized/valid electronic signature
HOSPICE OF JEFFERSON COUNTY, INC. SAVINGS & RETIREMENT PLAN 2022 161266041 2023-10-06 HOSPICE OF JEFFERSON COUNTY, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621610
Sponsor’s telephone number 3157887323
Plan sponsor’s address 1398 GOTHAM STREET, WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing MICHELE RICHTER
HOSPICE OF JEFFERSON COUNTY, INC. SAVINGS & RETIREMENT PLAN 2021 161266041 2022-05-23 HOSPICE OF JEFFERSON COUNTY, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621610
Sponsor’s telephone number 3157887323
Plan sponsor’s address 1398 GOTHAM STREET, WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2022-05-23
Name of individual signing DAVID SANFORD
HOSPICE OF JEFFERSON COUNTY, INC. SAVINGS & RETIREMENT PLAN 2020 161266041 2021-07-27 HOSPICE OF JEFFERSON COUNTY, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621610
Sponsor’s telephone number 3157887323
Plan sponsor’s address 1398 GOTHAM STREET, WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing DAVID SANFORD
HOSPICE OF JEFFERSON COUNTY, INC. SAVINGS & RETIREMENT PLAN 2019 161266041 2020-10-06 HOSPICE OF JEFFERSON COUNTY, INC. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621610
Sponsor’s telephone number 3157887323
Plan sponsor’s address 1398 GOTHAM STREET, WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing DIANA WOODHOUSE
HOSPICE OF JEFFERSON COUNTY, INC. SAVINGS & RETIREMENT PLAN 2018 161266041 2019-07-12 HOSPICE OF JEFFERSON COUNTY, INC. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621610
Sponsor’s telephone number 3157887323
Plan sponsor’s address 1398 GOTHAM ST., WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing DIANA WOODHOUSE
Role Employer/plan sponsor
Date 2019-07-12
Name of individual signing DIANA WOODHOUSE
HOSPICE OF JEFFERSON COUNTY, INC. SAVINGS & RETIREMENT PLAN 2017 161266041 2019-02-22 HOSPICE OF JEFFERSON COUNTY, INC. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621610
Sponsor’s telephone number 3157887323
Plan sponsor’s address 1398 GOTHAM ST., WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2019-02-22
Name of individual signing DIANA WOODHOUSE
Role Employer/plan sponsor
Date 2019-02-22
Name of individual signing DIANA WOODHOUSE
HOSPICE OF JEFFERSON COUNTY, INC. SAVINGS & RETIREMENT PLAN 2016 161266041 2018-03-05 HOSPICE OF JEFFERSON COUNTY, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621610
Sponsor’s telephone number 3157887323
Plan sponsor’s address 1398 GOTHAM ST., WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2018-03-05
Name of individual signing DIANA WOODHOUSE
Role Employer/plan sponsor
Date 2018-03-05
Name of individual signing DIANA WOODHOUSE
HOSPICE OF JEFFERSON COUNTY, INC. SAVINGS & RETIREMENT PLAN 2015 161266041 2017-04-03 HOSPICE OF JEFFERSON COUNTY, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621610
Sponsor’s telephone number 3157887323
Plan sponsor’s address 1398 GOTHAM ST., WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2017-04-03
Name of individual signing DIANA WOODHOUSE
Role Employer/plan sponsor
Date 2017-04-03
Name of individual signing DIANA WOODHOUSE
HOSPICE OF JEFFERSON COUNTY, INC. SAVINGS & RETIREMENT PLAN 2014 161266041 2016-05-13 HOSPICE OF JEFFERSON COUNTY, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621610
Sponsor’s telephone number 3157887323
Plan sponsor’s address 1398 GOTHAM ST., WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2016-05-13
Name of individual signing DIANA WOODHOUSE
Role Employer/plan sponsor
Date 2016-05-13
Name of individual signing DIANA WOODHOUSE

DOS Process Agent

Name Role Address
HOSPICE OF JEFFERSON COUNTY INC. DOS Process Agent PO BOXL 677, WATERTOWN, NY, United States, 13601

Filings

Filing Number Date Filed Type Effective Date
B355583-7 1986-05-07 CERTIFICATE OF INCORPORATION 1986-05-07

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 15 Nov 2024

Sources: New York Secretary of State

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