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FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC.

Company Details

Name: FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 29 Aug 1958 (66 years ago)
Entity Number: 113040
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: 120 WASHINGTON ST., STE. 510, WATERTOWN, NY, United States, 13601

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 2020 160597601 2022-02-23 FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 9
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 624100
Sponsor’s telephone number 3157824483
Plan sponsor’s address 531 WASHINGTON ST STE 4124, WATERTOWN, NY, 136014037

Signature of

Role Employer/plan sponsor
Date 2022-02-22
Name of individual signing JENNIFER HUTTEMANN-KALL
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 2020 160597601 2022-02-23 FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 624100
Sponsor’s telephone number 3157824483
Plan sponsor’s address 531 WASHINGTON ST STE 4124, WATERTOWN, NY, 136014037

Signature of

Role Plan administrator
Date 2022-02-23
Name of individual signing JENNIFER HUTTEMANN-KALL
Role Employer/plan sponsor
Date 2022-02-23
Name of individual signing JENNIFER HUTTEMANN-KALL
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 2019 150597601 2020-10-12 FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 624100
Sponsor’s telephone number 3157824483
Plan sponsor’s address 531 WASHINGTON ST, SUITE 4124, WATERTOWN, NY, 13601

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing PHILLIP KNEELAND
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 2018 150597601 2019-10-14 FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 624100
Sponsor’s telephone number 3157824483
Plan sponsor’s address 200 MULLIN ST STE 102, WATERTOWN, NY, 136013619

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing PHILLIP KNEELAND
EMPLOYEE BENEFIT PLAN FOR EMPLOYEES OF FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC 2009 150597601 2010-10-14 FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 621112
Sponsor’s telephone number 3157824483
Plan sponsor’s address 120 WASHINGTON STREET, SUITE 510, WATERTOWN, NY, 13601

Plan administrator’s name and address

Administrator’s EIN 150597601
Plan administrator’s name FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC
Plan administrator’s address 120 WASHINGTON STREET, SUITE 510, WATERTOWN, NY, 13601
Administrator’s telephone number 3157824483

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing COLLENE ALEXANDER
TAX DEFERRED ANNUITY PLAN OF FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, IN INC 2009 150597601 2010-10-14 FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-06-01
Business code 621112
Sponsor’s telephone number 3157824483
Plan sponsor’s address 120 WASHINGTON ST STE 5, WATERTOWN, NY, 13601

Plan administrator’s name and address

Administrator’s EIN 150597601
Plan administrator’s name FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC.
Plan administrator’s address 120 WASHINGTON ST STE 5, WATERTOWN, NY, 13601
Administrator’s telephone number 3157824483

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing COLLENE ALEXANDER
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing COLLENE ALEXANDER

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 120 WASHINGTON ST., STE. 510, WATERTOWN, NY, United States, 13601

Filings

Filing Number Date Filed Type Effective Date
020904000539 2002-09-04 CERTIFICATE OF AMENDMENT 2002-09-04
B322636-2 1986-02-14 ASSUMED NAME CORP INITIAL FILING 1986-02-14
121322 1958-08-29 CERTIFICATE OF INCORPORATION 1958-08-29

Date of last update: 17 Nov 2024

Sources: New York Secretary of State