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  5. INDEPENDENT LIVING, INC.

INDEPENDENT LIVING, INC.

Company Details

Name: INDEPENDENT LIVING, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 03 Dec 1987 (37 years ago)
Entity Number: 1162711
ZIP code: 12550
County: Orange
Place of Formation: New York
Address: 5 WASHINGTON TERRACE, NEWBURGH, NY, United States, 12550

Contact Details

Phone +1 914-565-1162

Phone +1 845-565-1162

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
LLXCY53A9AN7 2025-03-29 5 WASHINGTON TER, NEWBURGH, NY, 12550, 5383, USA 5 WASHINGTON TER, NEWBURGH, NY, 12550, 5338, USA

Business Information
URL http://www.myindependentliving.org
Congressional District 18
State/Country of Incorporation NY, USA
Activation Date 2024-04-12
Initial Registration Date 2004-06-23
Entity Start Date 1987-10-14
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 525120, 621399, 621610, 624110, 624120, 624190

Points of Contacts
Electronic Business
Title PRIMARY POC
Name SHANNON M ZAWISKI
Role COO
Address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550, 5338, USA
Title ALTERNATE POC
Name EMILY ROBISCH
Address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550, 5338, USA
Government Business
Title PRIMARY POC
Name SHANNON M ZAWISKI
Role COO
Address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550, USA
Title ALTERNATE POC
Name JILL VARRICCHO
Address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550, USA
Past Performance
Title PRIMARY POC
Name JILL VARRICCHO
Address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550, USA
Title ALTERNATE POC
Name JILL VARRICCHO
Address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3XCF1 Active Non-Manufacturer 2004-06-24 2024-04-12 2029-04-12 2025-03-29

Contact Information
POC SHANNON M. ZAWISKI
Phone +1 845-565-1162
Fax +1 845-565-0567
Address 5 WASHINGTON TER, NEWBURGH, ORANGE, NY, 12550 5383, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE INDEPENDENT LIVING, INC. RETIREMENT PLAN & TRUST 2018 222894558 2019-07-19 INDEPENDENT LIVING, INC. 118
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 624100
Sponsor’s telephone number 8455651162
Plan sponsor’s address 5 WASHINGTON TER, NEWBURGH, NY, 125505383

Plan administrator’s name and address
Administrator’s EIN 133745616
Plan administrator’s name PENTEGRA SERVICES, INC.
Plan administrator’s address 701 WESTCHESTER AVE, SUITE 320E, WHITE PLAINS, NY, 10604
Administrator’s telephone number 8443672848

Signature of
Role Plan administrator
Date 2019-07-19
Name of individual signing BETTY CALDWELL
THE INDEPENDENT LIVING, INC. RETIREMENT PLAN & TRUST 2017 222894558 2018-10-01 INDEPENDENT LIVING, INC. 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 624100
Sponsor’s telephone number 8455651162
Plan sponsor’s address 5 WASHINGTON TER, NEWBURGH, NY, 125505383

Signature of
Role Plan administrator
Date 2018-10-01
Name of individual signing DOUGLAS HOVEY
Role Employer/plan sponsor
Date 2018-09-28
Name of individual signing DOUGLAS HOVEY
THE INDEPENDENT LIVING, INC. RETIREMENT PLAN & TRUST 2016 222894558 2017-10-13 INDEPENDENT LIVING, INC. 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 624100
Sponsor’s telephone number 8455651162
Plan sponsor’s address 5 WASHINGTON TER, NEWBURGH, NY, 125505383

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing DOUGLAS HOVEY
Role Employer/plan sponsor
Date 2017-10-13
Name of individual signing DOUGLAS HOVEY
THE INDEPENDENT LIVING, INC. RETIREMENT PLAN & TRUST 2015 222894558 2016-10-13 INDEPENDENT LIVING, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 624100
Sponsor’s telephone number 8455651162
Plan sponsor’s address 5 WASHINGTON TER, NEWBURGH, NY, 125505383

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing DOUG HOVEY
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing DOUG HOVEY
THE INDEPENDENT LIVING, INC. RETIREMENT PLAN & TRUST 2014 222894558 2015-10-13 INDEPENDENT LIVING, INC. 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 624100
Sponsor’s telephone number 8455651162
Plan sponsor’s address 5 WASHINGTON TER, NEWBURGH, NY, 125505383

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing EMILY ROBISCH
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing EMILY ROBISCH
INDEPENDENT LIVING, INC. RETIREMENT PLAN & TRUST 2013 222894558 2014-06-12 INDEPENDENT LIVING, INC. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 624100
Sponsor’s telephone number 8455651162
Plan sponsor’s address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550

Signature of
Role Plan administrator
Date 2014-06-10
Name of individual signing BECKY POTTER
INDEPENDENT LIVING, INC. RETIREMENT PLAN & TRUST 2012 222894558 2013-10-09 INDEPENDENT LIVING, INC. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 624100
Sponsor’s telephone number 8455651162
Plan sponsor’s address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing BECKY POTTER
INDEPENDENT LIVING, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2011 222894558 2012-10-15 INDEPENDENT LIVING, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 624100
Sponsor’s telephone number 8455651162
Plan sponsor’s mailing address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550
Plan sponsor’s address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550

Plan administrator’s name and address
Administrator’s EIN 222894558
Plan administrator’s name INDEPENDENT LIVING, INC.
Plan administrator’s address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550
Administrator’s telephone number 8455651162

Number of participants as of the end of the plan year
Active participants 54
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 30
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 84
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing LUDWIG BACH
Valid signature Filed with authorized/valid electronic signature
INDEPENDENT LIVING, INC. 401(K) PLAN 2010 222894558 2011-07-28 INDEPENDENT LIVING, INC. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 624100
Sponsor’s telephone number 8455651162
Plan sponsor’s mailing address 2 WASHINGTON TERRACE, NEWBURGH, NY, 12550
Plan sponsor’s address 2 WASHINGTON TERRACE, NEWBURGH, NY, 12550

Plan administrator’s name and address
Administrator’s EIN 222894558
Plan administrator’s name INDEPENDENT LIVING, INC.
Plan administrator’s address 2 WASHINGTON TERRACE, NEWBURGH, NY, 12550
Administrator’s telephone number 8455651162

Number of participants as of the end of the plan year
Active participants 48
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 31
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 79
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-07-28
Name of individual signing LUDWIG BACH
Valid signature Filed with authorized/valid electronic signature
INDEPENDENT LIVING, INC. 401(K) PLAN 2009 222894558 2010-10-14 INDEPENDENT LIVING INC 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 624100
Sponsor’s telephone number 8455651162
Plan sponsor’s mailing address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550
Plan sponsor’s address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550

Plan administrator’s name and address
Administrator’s EIN 222894558
Plan administrator’s name INDEPENDENT LIVING INC
Plan administrator’s address 5 WASHINGTON TERRACE, NEWBURGH, NY, 12550
Administrator’s telephone number 8455651162

Number of participants as of the end of the plan year
Active participants 37
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 46
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 84
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 6

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing LUDWIG BACH
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 5 WASHINGTON TERRACE, NEWBURGH, NY, United States, 12550

History

Start date End date Type Value
1987-12-03 1997-10-07 Address 200 LAKE ST., NEWBURGH, NY, 12550, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
971007000279 1997-10-07 CERTIFICATE OF AMENDMENT 1997-10-07
B574258-7 1987-12-03 CERTIFICATE OF INCORPORATION 1987-12-03

Related by officers

THE CORPORATION

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Related by address

5 WASHINGTON TERRACE, NEWBURGH, NY, United States, 12550

IL INDUSTRIAL DRIVE, LLC OLDE CONEY ISLAND, LTD. MARTIAL UNDERGROUND, INC.

Date of last update: 15 Nov 2024

Sources: New York Secretary of State

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