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SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC.

Company Details

Name: SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 21 Apr 1993 (32 years ago) (Companies founded in April 1993)
Entity Number: 1720271
ZIP code: 12883 (Companies in Essex, 12883)
County: Essex
Place of Formation: New York
Address: WICKER STREET, TICONDEROGA, NY, United States, 12883

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
69DT7 Obsolete Non-Manufacturer 2011-02-09 2024-03-10 2021-12-14 No data

Contact Information
POC NANCY PAQUETTE
Phone +1 518-585-7424
Fax +1 518-585-7461
Address 173 LORD HOWE ST, TICONDEROGA, NY, 12883 1221, 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
SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 2023 223231441 2024-07-08 SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 624100
Sponsor’s telephone number 5185857424
Plan sponsor’s DBA name THE PREVENTION TEAM
Plan sponsor’s mailing address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221
Plan sponsor’s address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221

Number of participants as of the end of the plan year
Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
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 12
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 2024-07-02
Name of individual signing TRACI PLOUFE
Valid signature Filed with authorized/valid electronic signature
SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 2022 223231441 2023-08-01 SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 624100
Sponsor’s telephone number 5185857424
Plan sponsor’s DBA name THE PREVENTION TEAM
Plan sponsor’s mailing address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221
Plan sponsor’s address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221

Plan administrator’s name and address
Administrator’s EIN 223231441
Plan administrator’s name SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC.
Plan administrator’s address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221
Administrator’s telephone number 5185857424

Number of participants as of the end of the plan year
Active participants 10
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
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 10
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 2023-08-01
Name of individual signing TRACI PLOUFE
Valid signature Filed with authorized/valid electronic signature
SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 2021 223231441 2022-06-21 SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 624100
Sponsor’s telephone number 5185857424
Plan sponsor’s DBA name THE PREVENTION TEAM
Plan sponsor’s mailing address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221
Plan sponsor’s address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221

Plan administrator’s name and address
Administrator’s EIN 223231441
Plan administrator’s name SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC.
Plan administrator’s address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221
Administrator’s telephone number 5185857424

Number of participants as of the end of the plan year
Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
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 12
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 2022-06-21
Name of individual signing TRACI PLOUFE
Valid signature Filed with authorized/valid electronic signature
SUBSTANCE ABUSE PREVENTION TEAM 2019 223231441 2020-06-30 SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 624100
Sponsor’s telephone number 5185857424
Plan sponsor’s DBA name THE PREVENTION TEAM
Plan sponsor’s mailing address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221
Plan sponsor’s address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221

Number of participants as of the end of the plan year
Active participants 10
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
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 11
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 2020-06-24
Name of individual signing DOUGLAS TERBEEK
Valid signature Filed with authorized/valid electronic signature
SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 2018 223231441 2019-07-30 SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 611000
Sponsor’s telephone number 5185857424
Plan sponsor’s DBA name THE PREVENTION TEAM
Plan sponsor’s mailing address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221
Plan sponsor’s address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221

Number of participants as of the end of the plan year
Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
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 11
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 2019-07-30
Name of individual signing DOUGLAS TERBEEK
Valid signature Filed with authorized/valid electronic signature
SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 2017 223231441 2018-07-25 SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 611000
Sponsor’s telephone number 5185857424
Plan sponsor’s DBA name THE PREVENTION TEAM
Plan sponsor’s mailing address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221
Plan sponsor’s address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 12
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 10
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 2018-07-25
Name of individual signing DOUGLAS TERBEEK
Valid signature Filed with authorized/valid electronic signature
SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 2016 223231441 2017-05-15 SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 611000
Sponsor’s telephone number 5185857424
Plan sponsor’s DBA name THE PREVENTION TEAM
Plan sponsor’s mailing address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221
Plan sponsor’s address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221

Number of participants as of the end of the plan year
Active participants 7
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
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 11
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 2017-05-12
Name of individual signing DOUGLAS TERBEEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-12
Name of individual signing DOUGLAS TERBEEK
Valid signature Filed with authorized/valid electronic signature
SUBSTANCE ABUSE PREVENTION TEAM 2015 223231441 2016-05-31 SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 611000
Sponsor’s telephone number 5185857424
Plan sponsor’s DBA name THE PREVENTION TEAM
Plan sponsor’s mailing address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221
Plan sponsor’s address 173 LORD HOWE ST, TICONDEROGA, NY, 128831221

Number of participants as of the end of the plan year
Active participants 7
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 11
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2016-05-31
Name of individual signing DOUGLAS TERBEEK
Valid signature Filed with authorized/valid electronic signature
SUBSTANCE ABUSE PREVENTION TEAM 2014 223231441 2015-05-26 SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 624100
Sponsor’s telephone number 5185857424
Plan sponsor’s DBA name THE PREVENTION TEAM
Plan sponsor’s mailing address 173 LORD HOWE ST., TICONDEROGA, NY, 12883
Plan sponsor’s address 173 LORD HOWE ST., TICONDEROGA, NY, 12883

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
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 12
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 2015-05-26
Name of individual signing DOUGLAS TERBEEK
Valid signature Filed with authorized/valid electronic signature
SUBSTANCE ABUSE PREVENTION TEAM 2013 223231441 2015-05-18 SUBSTANCE ABUSE PREVENTION TEAM OF ESSEX COUNTY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 624100
Sponsor’s telephone number 5185857424
Plan sponsor’s DBA name THE PREVENTION TEAM
Plan sponsor’s mailing address 173 LORD HOWE ST., TICONDEROGA, NY, 12883
Plan sponsor’s address 173 LORD HOWE ST., TICONDEROGA, NY, 12883

Number of participants as of the end of the plan year
Active participants 9
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 that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-05-18
Name of individual signing DOUGLAS TERBEEK
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent WICKER STREET, TICONDEROGA, NY, United States, 12883

Filings

Filing Number Date Filed Type Effective Date
930421000243 1993-04-21 CERTIFICATE OF INCORPORATION 1993-04-21

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THE CORPORATION

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Related by address

WICKER STREET, TICONDEROGA, NY, United States, 12883

MOSES-LUDINGTON NURSING HOME COMPANY, INC.

Date of last update: 13 Nov 2024

Sources: New York Secretary of State

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