LAKESIDE HEALTH SYSTEM, INC.

Company Details

Name:	LAKESIDE HEALTH SYSTEM, INC.
Jurisdiction:	New York
Legal type:	DOMESTIC NOT-FOR-PROFIT CORPORATION
Status:	Active
Date of registration:	05 Jan 1990 (35 years ago)
Entity Number:	1411897
ZIP code:	14420
County:	Monroe
Place of Formation:	New York
Address:	%PRESIDENT, WEST AVENUE, BROCKPORT, NY, United States, 14420

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

LAKESIDE HEALTH SYSTEM BENEFIT PLAN

2009

161396374

2010-10-01

LAKESIDE HEALTH SYSTEM

356

File	View Page
Three-digit plan number (PN)	502
Effective date of plan	1988-01-01
Business code	622000
Sponsor’s telephone number	5853956095
Plan sponsor’s mailing address	156 WEST AVENUE, BROCKPORT, NY, 14420
Plan sponsor’s address	156 WEST AVENUE, BROCKPORT, NY, 14420

Plan administrator’s name and address

Administrator’s EIN	161396374
Plan administrator’s name	LAKESIDE HEALTH SYSTEM
Plan administrator’s address	156 WEST AVENUE, BROCKPORT, NY, 14420
Administrator’s telephone number	5853956095

Number of participants as of the end of the plan year

Active participants	360
Retired or separated participants receiving benefits	33
Other retired or separated participants entitled to future benefits	0

Signature of

Role	Plan administrator
Date	2010-09-30
Name of individual signing	JIM CUMMINGS
Valid signature	Filed with authorized/valid electronic signature

Name	Role	Address
LAKESIDE MEMORIAL HOSPITAL	DOS Process Agent	%PRESIDENT, WEST AVENUE, BROCKPORT, NY, United States, 14420

Filing Number	Date Filed	Type	Effective Date
C093386-9	1990-01-05	CERTIFICATE OF INCORPORATION	1990-01-05

Date of last update: 14 Nov 2024