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COMMUNITY, WORK, AND INDEPENDENCE, INC.

Company Details

Name: COMMUNITY, WORK, AND INDEPENDENCE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 01 Feb 1963 (62 years ago) (Companies founded in February 1963)
Entity Number: 154292
ZIP code: 12801 (Companies in Warren, 12801)
County: Warren
Place of Formation: New York
Address: 36 EVERTS AVENUE, GLENS FALLS, NY, United States, 12801

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY, WORK AND INDEPENDENCE, INC. 401(K) PLAN 2022 141470091 2023-10-11 COMMUNITY, WORK AND INDEPENDENCE, INC. 230
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 5187458084
Plan sponsor’s mailing address P.O. BOX 303, GLENS FALLS, NY, 12801
Plan sponsor’s address 37 EVERTS AVENUE, GLENS FALLS, NY, 12801

Number of participants as of the end of the plan year

Active participants 156
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 63
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 140
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Signature of

Role Plan administrator
Date 2023-10-12
Name of individual signing LISA CRUZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY, WORK AND INDEPENDENCE, INC. RETIREMENT PLAN 2022 141470091 2023-10-11 COMMUNITY, WORK AND INDEPENDENCE, INC. 309
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 813000
Sponsor’s telephone number 5187934700
Plan sponsor’s mailing address P.O. BOX 303, GLENS FALLS, NY, 12801
Plan sponsor’s address 37 EVERTS AVENUE, GLENS FALLS, NY, 12801

Number of participants as of the end of the plan year

Active participants 161
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 140
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 282
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Signature of

Role Plan administrator
Date 2023-10-12
Name of individual signing LISA CRUZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY, WORK AND INDEPENDENCE, INC. RETIREMENT PLAN 2021 141470091 2022-10-12 COMMUNITY, WORK AND INDEPENDENCE, INC. 391
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 813000
Sponsor’s telephone number 5187934700
Plan sponsor’s mailing address P.O. BOX 303, GLENS FALLS, NY, 12801
Plan sponsor’s address 37 EVERTS AVENUE, GLENS FALLS, NY, 12801

Number of participants as of the end of the plan year

Active participants 178
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 120
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 305
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 2022-10-12
Name of individual signing LISA CRUZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing LISA CRUZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY, WORK AND INDEPENDENCE, INC. 401(K) PLAN 2021 141470091 2022-10-12 COMMUNITY, WORK AND INDEPENDENCE, INC. 271
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 5187458084
Plan sponsor’s mailing address P.O. BOX 303, GLENS FALLS, NY, 12801
Plan sponsor’s address 37 EVERTS AVENUE, GLENS FALLS, NY, 12801

Number of participants as of the end of the plan year

Active participants 147
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 82
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 187
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 5

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing LISA CRUZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing LISA CRUZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY, WORK AND INDEPENDENCE, INC. 401(K) PLAN 2020 141470091 2021-10-14 COMMUNITY, WORK AND INDEPENDENCE, INC. 263
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 5187458084
Plan sponsor’s mailing address P.O. BOX 303, GLENS FALLS, NY, 12801
Plan sponsor’s address 37 EVERTS AVENUE, GLENS FALLS, NY, 12801

Number of participants as of the end of the plan year

Active participants 194
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 67
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 198
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 4

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing LISA CRUZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing LISA CRUZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY, WORK AND INDEPENDENCE, INC. RETIREMENT PLAN 2020 141470091 2021-10-14 COMMUNITY, WORK AND INDEPENDENCE, INC. 355
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 813000
Sponsor’s telephone number 5187934700
Plan sponsor’s mailing address P.O. BOX 303, GLENS FALLS, NY, 12801
Plan sponsor’s address 37 EVERTS AVENUE, GLENS FALLS, NY, 12801

Number of participants as of the end of the plan year

Active participants 217
Retired or separated participants receiving benefits 7
Other retired or separated participants entitled to future benefits 105
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 325
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 9

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing LISA CRUZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing LISA CRUZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY, WORK AND INDEPENDENCE, INC. RETIREMENT PLAN 2019 141470091 2020-10-13 COMMUNITY, WORK AND INDEPENDENCE, INC. 368
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 813000
Sponsor’s telephone number 5187934700
Plan sponsor’s mailing address P.O. BOX 303, GLENS FALLS, NY, 12801
Plan sponsor’s address 37 EVERTS AVENUE, GLENS FALLS, NY, 12801

Number of participants as of the end of the plan year

Active participants 233
Retired or separated participants receiving benefits 8
Other retired or separated participants entitled to future benefits 98
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 334
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 4

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing MARK DONAHUE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing MARK DONAHUE
Valid signature Filed with authorized/valid electronic signature
COMMUNITY, WORK AND INDEPENDENCE, INC. 401(K) PLAN 2019 141470091 2020-10-12 COMMUNITY, WORK AND INDEPENDENCE, INC. 296
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 5187458084
Plan sponsor’s mailing address P.O. BOX 303, GLENS FALLS, NY, 12801
Plan sponsor’s address 37 EVERTS AVENUE, GLENS FALLS, NY, 12801

Number of participants as of the end of the plan year

Active participants 200
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 60
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 199
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 2020-10-12
Name of individual signing MARK DONAHUE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing MARK DONAHUE
Valid signature Filed with authorized/valid electronic signature
COMMUNITY, WORK AND INDEPENDENCE, INC. 401(K) PLAN 2018 141470091 2019-10-15 COMMUNITY, WORK AND INDEPENDENCE, INC. 314
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 5187458084
Plan sponsor’s mailing address P.O. BOX 303, GLENS FALLS, NY, 12801
Plan sponsor’s address 37 EVERTS AVENUE, GLENS FALLS, NY, 12801

Number of participants as of the end of the plan year

Active participants 214
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 49
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 191
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing MARK DONAHUE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing MARK DONAHUE
Valid signature Filed with authorized/valid electronic signature
COMMUNITY, WORK AND INDEPENDENCE, INC. RETIREMENT PLAN 2018 141470091 2019-10-15 COMMUNITY, WORK AND INDEPENDENCE, INC. 368
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 813000
Sponsor’s telephone number 5187934700
Plan sponsor’s mailing address P.O. BOX 303, GLENS FALLS, NY, 12801
Plan sponsor’s address 37 EVERTS AVENUE, GLENS FALLS, NY, 12801

Number of participants as of the end of the plan year

Active participants 233
Retired or separated participants receiving benefits 6
Other retired or separated participants entitled to future benefits 99
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 335
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 8

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing MARK DONAHUE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing MARK DONAHUE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
N/A: THE CORP. Agent 23 THOMSON AVENUE, GLENS FALLS, NY

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 36 EVERTS AVENUE, GLENS FALLS, NY, United States, 12801

History

Start date End date Type Value
2004-02-11 2007-04-30 Address 36 EVERTS AVENUE, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)
1992-01-17 2004-02-11 Address 36 EVERTS AVENUE, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)
1991-07-15 1992-01-17 Address 36 EVERTS AVE., GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
070430001350 2007-04-30 CERTIFICATE OF AMENDMENT 2007-04-30
040211000288 2004-02-11 CERTIFICATE OF AMENDMENT 2004-02-11
920117000206 1992-01-17 CERTIFICATE OF AMENDMENT 1992-01-17
910715000285 1991-07-15 CERTIFICATE OF AMENDMENT 1991-07-15
C090327-2 1989-12-27 ASSUMED NAME CORP INITIAL FILING 1989-12-27
A670318-5 1980-05-22 CERTIFICATE OF AMENDMENT 1980-05-22
A116322-3 1973-11-20 CERTIFICATE OF AMENDMENT 1973-11-20
401171 1963-10-15 CERTIFICATE OF AMENDMENT 1963-10-15
364731 1963-02-01 CERTIFICATE OF INCORPORATION 1963-02-01

Date of last update: 17 Nov 2024

Sources: New York Secretary of State