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BASSETT HOSPITAL OF SCHOHARIE COUNTY

Company Details

Name: BASSETT HOSPITAL OF SCHOHARIE COUNTY
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 27 Jun 1994 (30 years ago) (Companies founded in June 1994)
Entity Number: 1832290
ZIP code: 12043 (Companies in Schoharie, 12043)
County: Schoharie
Place of Formation: New York
Address: 178 GRANDVIEW DRIVE, COBLESKILL, NY, United States, 12043

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2015 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 259
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Plan sponsor’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 247
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

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2015 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 268
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Plan sponsor’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 273
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

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2015 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 279
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Plan sponsor’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 268
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

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2015 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 284
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Plan sponsor’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 279
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

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2015 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 278
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Plan sponsor’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 284
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

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2015 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 0
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Plan sponsor’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 278
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

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2014 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 262
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DRIVE, COBLESKILL, NY, 12043
Plan sponsor’s address 178 GRANDVIEW DRIVE, COBLESKILL, NY, 12043

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DRIVE, COBLESKILL, NY, 12043
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 259
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

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2013 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 273
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DRIVE, COBLESKILL, NY, 12043
Plan sponsor’s address 178 GRANDVIEW DRIVE, COBLESKILL, NY, 12043

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DRIVE, COBESKILL, NY, 12043
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 262
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

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 178 GRANDVIEW DRIVE, COBLESKILL, NY, United States, 12043

History

Start date End date Type Value
1994-06-27 2017-08-08 Address 30 WALL STREET, NEW YORK, NY, 10005, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170808000606 2017-08-08 CERTIFICATE OF AMENDMENT 2017-08-08
940627000408 1994-06-27 CERTIFICATE OF INCORPORATION 1994-06-27

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

No related companies by address

Date of last update: 13 Nov 2024

Sources: New York Secretary of State

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