HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

Company Details

Name:	HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.
Jurisdiction:	New York
Legal type:	DOMESTIC NOT-FOR-PROFIT CORPORATION
Status:	Active
Date of registration:	26 May 1988 (36 years ago) (Companies founded in May 1988)
Entity Number:	1265062
ZIP code:	12801 (Companies in Washington, 12801)
County:	Washington
Place of Formation:	New York
Address:	68 warren street, p.o. box 2017, GLENS FALLS, NY, United States, 12801

Contact Details

Phone +1 518-891-9631

Fax +1 518-891-9631

Unique Entity ID

Unique Entity ID

Expiration Date

Physical Address

Mailing Address

ETPGWAPFDAY7

2024-01-24

454 GLEN ST, GLENS FALLS, NY, 12801, 2970, USA

454 GLEN ST, GLENS FALLS, NY, 12801, 2970, USA

Business Information

Congressional District	21
State/Country of Incorporation	NY, USA
Activation Date	2023-01-26
Initial Registration Date	2023-01-24
Entity Start Date	1988-03-30
Fiscal Year End Close Date	Dec 31

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	NICHOLAS GEORGE
Role	EXECUTIVE DIRECTOR
Address	454 GLEN STREET, GLENS FALLS, NY, 12801, USA

Government Business
Title	PRIMARY POC
Name	NICHOLAS GEORGE
Role	EXECUTIVE DIRECTOR
Address	454 GLEN STREET, GLENS FALLS, NY, 12801, USA

Past Performance	Information not Available

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

2014

141712904

2015-09-17

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

1

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	813000
Sponsor’s telephone number	5188919631
Plan sponsor’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983

Signature of

Role	Plan administrator
Date	2015-09-17
Name of individual signing	TINA MOODY

Role	Employer/plan sponsor
Date	2015-09-17
Name of individual signing	TINA MOODY

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

2013

141712904

2014-07-21

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

1

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	813000
Sponsor’s telephone number	5188919631
Plan sponsor’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983

Signature of

Role	Plan administrator
Date	2014-07-18
Name of individual signing	TINA MOODY

Role	Employer/plan sponsor
Date	2014-07-18
Name of individual signing	TINA MOODY

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

2012

141712904

2013-10-15

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

1

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	813000
Sponsor’s telephone number	5188919631
Plan sponsor’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983

Signature of

Role	Plan administrator
Date	2013-10-15
Name of individual signing	TINA MOODY

Role	Employer/plan sponsor
Date	2013-10-15
Name of individual signing	TINA MOODY

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

2011

141712904

2012-08-31

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

1

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	813000
Sponsor’s telephone number	5188919631
Plan sponsor’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983

Plan administrator’s name and address

Administrator’s EIN	141712904
Plan administrator’s name	HIGH PEAKS HOSPICE AND PALLIATIVE C
Plan administrator’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983
Administrator’s telephone number	5188919631

Signature of

Role	Plan administrator
Date	2012-08-31
Name of individual signing	TINA MOODY

Role	Employer/plan sponsor
Date	2012-08-31
Name of individual signing	TINA MOODY

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

2010

141712904

2011-10-07

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

1

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	813000
Sponsor’s telephone number	5188919631
Plan sponsor’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983

Plan administrator’s name and address

Administrator’s EIN	141712904
Plan administrator’s name	HIGH PEAKS HOSPICE AND PALLIATIVE C
Plan administrator’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983
Administrator’s telephone number	5188919631

Signature of

Role	Plan administrator
Date	2011-10-04
Name of individual signing	TINA MOODY

Role	Employer/plan sponsor
Date	2011-10-04
Name of individual signing	TINA MOODY

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

2010

141712904

2011-10-07

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

39

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2005-01-01
Business code	813000
Sponsor’s telephone number	5188919631
Plan sponsor’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983

Plan administrator’s name and address

Administrator’s EIN	141712904
Plan administrator’s name	HIGH PEAKS HOSPICE AND PALLIATIVE C
Plan administrator’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983
Administrator’s telephone number	5188919631

Signature of

Role	Plan administrator
Date	2011-10-04
Name of individual signing	TINA MOODY

Role	Employer/plan sponsor
Date	2011-10-04
Name of individual signing	TINA MOODY

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

2009

141712904

2010-09-02

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	813000
Sponsor’s telephone number	5188919631
Plan sponsor’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983

Plan administrator’s name and address

Administrator’s EIN	141712904
Plan administrator’s name	HIGH PEAKS HOSPICE AND PALLIATIVE C
Plan administrator’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983
Administrator’s telephone number	5188919631

Signature of

Role	Plan administrator
Date	2010-09-02
Name of individual signing	TINA MOODY

Role	Employer/plan sponsor
Date	2010-09-02
Name of individual signing	TINA MOODY

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

2009

141712904

2010-09-02

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

44

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2005-01-01
Business code	813000
Sponsor’s telephone number	5188919631
Plan sponsor’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983

Plan administrator’s name and address

Administrator’s EIN	141712904
Plan administrator’s name	HIGH PEAKS HOSPICE AND PALLIATIVE C
Plan administrator’s address	P.O. BOX 840, SARANAC LAKE, NY, 12983
Administrator’s telephone number	5188919631

Signature of

Role	Plan administrator
Date	2010-09-02
Name of individual signing	TINA MOODY

Role	Employer/plan sponsor
Date	2010-09-02
Name of individual signing	TINA MOODY

DOS Process Agent

Name	Role	Address
fitzgerald morris baker firth, p.c.	DOS Process Agent	68 warren street, p.o. box 2017, GLENS FALLS, NY, United States, 12801

History

Start date	End date	Type	Value
2007-11-16	2024-02-29	Address	POST OFFICE BOX 840, SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)
2001-10-23	2007-11-16	Address	PO BOX 840, SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)
1996-12-19	2001-10-23	Address	P.O. BOX 840, TRUDEAU ROAD, SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)
1995-03-30	1996-12-19	Address	PO BOX 131, SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)
1988-05-26	1995-03-30	Address	P.O. BOX 850, SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
240229003989	2024-02-29	CERTIFICATE OF CHANGE BY ENTITY	2024-02-29
110912000295	2011-09-12	CERTIFICATE OF CHANGE	2011-09-12
071116000860	2007-11-16	CERTIFICATE OF AMENDMENT	2007-11-16
011023000478	2001-10-23	CERTIFICATE OF AMENDMENT	2001-10-23
961219000625	1996-12-19	CERTIFICATE OF AMENDMENT	1996-12-19
950330000043	1995-03-30	CERTIFICATE OF CHANGE	1995-03-30
B644989-14	1988-05-26	CERTIFICATE OF INCORPORATION	1988-05-26

Date of last update: 15 Nov 2024

Sources: New York Secretary of State