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MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC.

Company Details

Name: MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 15 Sep 1959 (65 years ago)
Entity Number: 122495
County: Orange
Place of Formation: New York
Address: 20 WALKER STREET, GOSHEN, NY, United States, 10924
Address ZIP Code: 10924

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
EQX1B2ALCMP7 2024-11-14 73 JAMES P KELLY WAY, MIDDLETOWN, NY, 10940, 6948, USA 73 JAMES P. KELLY WAY, MIDDLETOWN, NY, 10940, 6948, USA

Business Information
Doing Business As HELPLINE-ORANGE COUNTY MENTAL HEALTH ASN
URL www.mhaorangeny.com
Division Name MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC.
Congressional District 18
State/Country of Incorporation NY, USA
Activation Date 2023-11-17
Initial Registration Date 2008-06-17
Entity Start Date 1959-09-15
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 624120, 624190, 624310

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DANIELLE K. FINN
Role DIRECTOR OF FINANCE
Address 73 JAMES P. KELLY WAY, MIDDLETOWN, NY, 10940, USA
Government Business
Title PRIMARY POC
Name ANGELA JO HENZE
Role EXECUTIVE DIRECTOR
Address 73 JAMES P. KELLY WAY, MIDDLETOWN, NY, 10940, USA
Title ALTERNATE POC
Name DEBBIE DEJONG
Role ASSOCIATE EXECUTIVE DIRECTOR
Address 73 JAMES P. KELLY WAY, MIDDLETOWN, NY, 10940, USA
Past Performance
Title PRIMARY POC
Name JOHN LENT
Role DIRECTOR OF CORPORATE COMPLIANCE
Address MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC., 73 JAMES P. KELLY WAY, MIDDLETOWN, NY, 10940, USA
Title ALTERNATE POC
Name DEBBIE DEJONG
Role ASSOCIATE EXECUTIVE DIRECTOR
Address 73 JAMES P. KELLY WAY, MIDDLETOWN, NY, 10940, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
543A6 Active Non-Manufacturer 2008-06-17 2024-03-05 2028-11-17 2024-11-14

Contact Information
POC ANGELA JO HENZE
Phone +1 845-342-2400
Fax +1 845-343-9665
Address 73 JAMES P KELLY WAY, MIDDLETOWN, NY, 10940 6948, 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
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 2022 146024124 2023-10-16 MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 145
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-01
Business code 624100
Sponsor’s telephone number 8453422400
Plan sponsor’s mailing address 73 JAMES P KELLY WAY, MIDDLETOWN, NY, 109406948
Plan sponsor’s address 73 JAMES P KELLY WAY, MIDDLETOWN, NY, 109406948

Number of participants as of the end of the plan year
Active participants 145
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 28
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 60
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 2023-10-16
Name of individual signing LUDWIG BACH
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 2017 146024124 2018-10-12 MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-01
Business code 624100
Sponsor’s telephone number 8453422400
Plan sponsor’s mailing address 73 COUNTY HIGHWAY 108, MIDDLETOWN, NY, 109406948
Plan sponsor’s address 73 COUNTY HIGHWAY 108, MIDDLETOWN, NY, 109406948

Number of participants as of the end of the plan year
Active participants 113
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 13
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 30
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 2018-10-12
Name of individual signing LUDWIG BACH
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 2016 146024124 2017-09-12 MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-01
Business code 624100
Sponsor’s telephone number 8453422400
Plan sponsor’s mailing address 73 COUNTY HIGHWAY 108, MIDDLETOWN, NY, 109406948
Plan sponsor’s address 73 COUNTY HIGHWAY 108, MIDDLETOWN, NY, 109406948

Number of participants as of the end of the plan year
Active participants 75
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 10
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 27
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 2017-09-12
Name of individual signing LUDWIG BACH
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 2015 146024124 2016-10-12 MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-01
Business code 624100
Sponsor’s telephone number 8453422400
Plan sponsor’s mailing address 73 JAMES P KELLY WAY, MIDDLETOWN, NY, 109406948
Plan sponsor’s address 73 JAMES P KELLY WAY, MIDDLETOWN, NY, 109406948

Number of participants as of the end of the plan year
Active participants 20
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
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 21
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 2016-10-12
Name of individual signing LUDWIG BACH
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY INC. 2014 146024124 2015-10-14 MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-01
Business code 624100
Sponsor’s telephone number 8453422400
Plan sponsor’s mailing address 73 JAMES P. KELLY WAY, MIDDLETOWN, NY, 10940
Plan sponsor’s address 73 JAMES P. KELLY WAY, MIDDLETOWN, NY, 10940

Number of participants as of the end of the plan year
Active participants 20
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
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 25
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 2015-10-14
Name of individual signing LUDWIG BACH
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 2013 146024124 2014-10-15 MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-01
Business code 624100
Sponsor’s telephone number 8453422400
Plan sponsor’s mailing address 73 JAMES P. KELLY WAY, MIDDLETOWN, NY, 10940
Plan sponsor’s address 73 JAMES P. KELLY WAY, MIDDLETOWN, NY, 10940

Number of participants as of the end of the plan year
Active participants 21
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
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 23
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 2014-10-15
Name of individual signing LUDWIG BACH
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 2012 146024124 2013-07-30 MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-01
Business code 624100
Sponsor’s telephone number 8453422400
Plan sponsor’s address 73 COUNTY HIGHWAY 108, MIDDLETOWN, NY, 10940

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing NADIA ALLEN
Role Employer/plan sponsor
Date 2013-07-11
Name of individual signing NADIA ALLEN
TAX DEFERRED ANNUITY PLAN OF MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 2012 146024124 2013-07-11 MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 18
Three-digit plan number (PN) 001
Effective date of plan 1988-08-01
Business code 624100
Sponsor’s telephone number 8453422400
Plan sponsor’s address 73 COUNTY HIGHWAY 108, MIDDLETOWN, NY, 10940

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing MAUREEN JANES
Role Employer/plan sponsor
Date 2013-07-11
Name of individual signing NADIA ALLEN
MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 2011 146024124 2012-07-06 MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-01
Business code 624100
Sponsor’s telephone number 8453422400
Plan sponsor’s address 73 COUNTY HIGHWAY 108, MIDDLETOWN, NY, 10940

Plan administrator’s name and address
Administrator’s EIN 146024124
Plan administrator’s name MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC.
Plan administrator’s address 73 COUNTY HIGHWAY 108, MIDDLETOWN, NY, 10940
Administrator’s telephone number 8453422400

Signature of
Role Plan administrator
Date 2012-07-06
Name of individual signing NADIA ALLEN
MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 2010 146024124 2011-07-13 MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-01
Business code 624100
Sponsor’s telephone number 8453422400
Plan sponsor’s address 73 COUNTY HIGHWAY 108, MIDDLETOWN, NY, 10940

Plan administrator’s name and address
Administrator’s EIN 146024124
Plan administrator’s name MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC.
Plan administrator’s address 73 COUNTY HIGHWAY 108, MIDDLETOWN, NY, 10940
Administrator’s telephone number 8453422400

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing NADIA ALLEN

Agent

Name Role Address
N/A: MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC. Agent 99 MAIN STREET, GOSHEN, NY, 10924

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 20 WALKER STREET, GOSHEN, NY, United States, 10924

Filings

Filing Number Date Filed Type Effective Date
070615000039 2007-06-15 CERTIFICATE OF AMENDMENT 2007-06-15
C231482-1 1996-02-08 ASSUMED NAME CORP DISCONTINUANCE 1996-02-08
B503423-2 1987-06-02 ASSUMED NAME CORP INITIAL FILING 1987-06-02
A454552-4 1978-01-05 CERTIFICATE OF AMENDMENT 1978-01-05
177908 1959-09-15 CERTIFICATE OF INCORPORATION 1959-09-15

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD W91YTZ23P0042 2023-06-08 2025-06-11 2028-06-11
Unique Award Key CONT_AWD_W91YTZ23P0042_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 168726.15
Current Award Amount 168726.15
Potential Award Amount 506282.22

Description
Title FORENSIC HEALTH ON-CALL SERV - OPT 1
NAICS Code 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS
Product and Service Codes Q401: MEDICAL- NURSING

Recipient Details
Recipient MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC.
UEI EQX1B2ALCMP7
Recipient Address UNITED STATES, 73 JAMES P KELLY WAY, MIDDLETOWN, ORANGE, NEW YORK, 10940

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Date of last update: 30 Oct 2024

Sources: New York Secretary of State

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