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  5. SOUTHERN TIER HEALTH CARE SYSTEM INC.

SOUTHERN TIER HEALTH CARE SYSTEM INC.

Company Details

Name: SOUTHERN TIER HEALTH CARE SYSTEM INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 13 Oct 1994 (30 years ago)
Entity Number: 1859499
ZIP code: 14760
County: Cattaraugus
Place of Formation: New York
Address: ONE BLUE BIRD SQUARE, OLEAN, NY, United States, 14760

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
V7BCVZ2ZMBF2 2025-01-08 150 N UNION ST, OLEAN, NY, 14760, 2735, USA 150 N UNION ST, OLEAN, NY, 14760, 2735, USA

Business Information
URL http://www.sthcs.org
Congressional District 23
State/Country of Incorporation NY, USA
Activation Date 2024-01-11
Initial Registration Date 2006-01-10
Entity Start Date 1994-08-02
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DONNA L. KAHM
Role PRESIDENT AND CEO
Address SOUTHERN TIER HEALTH CARE SYSTEM INC., 150 NORTH UNION STREET, OLEAN, NY, 14760, 2500, USA
Title ALTERNATE POC
Name ALICIA N. BROADBENT
Role DIRECTOR OF PLANNING AND DEVELOPMENT
Address 150 NORTH UNION STREET, 150 NORTH UNION STREET, OLEAN, NY, 14760, USA
Government Business
Title PRIMARY POC
Name DONNA L. KAHM
Role PRESIDENT AND CEO
Address SOUTHERN TIER HEALTH CARE SYSTEM INC., 150 NORTH UNION STREET, OLEAN, NY, 14760, USA
Title ALTERNATE POC
Name DONNA KAHM
Role PRESIDENT AND CEO
Address SOUTHERN TIER HEALTH CARE SYSTEM INC., 150 NORTH UNION STREET, OLEAN, NY, 14760, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
49BH3 Obsolete Non-Manufacturer 2006-01-11 2024-03-10 No data 2025-01-08

Contact Information
POC DONNA L.. KAHM
Phone +1 716-372-0614
Fax +1 716-372-5217
Address 150 N UNION ST, OLEAN, NY, 14760 2735, 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
SOUTHERN TIER HEALTH CARE SYSTEM, INC. TAX SHELTERED ANNUITY PROGRAM 2023 161469489 2024-06-24 SOUTHERN TIER HEALTH CARE SYSTEM, INC. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 813000
Sponsor’s telephone number 7163720614
Plan sponsor’s address 150 NORTH UNION STREET, OLEAN, NY, 147602500

Signature of
Role Plan administrator
Date 2024-06-24
Name of individual signing DONNA KAHM
SOUTHERN TIER HEALTH CARE SYSTEM, INC. TAX SHELTERED ANNUITY PROGRAM 2022 161469489 2023-05-16 SOUTHERN TIER HEALTH CARE SYSTEM, INC. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 813000
Sponsor’s telephone number 7163720614
Plan sponsor’s address 150 NORTH UNION STREET, OLEAN, NY, 147602500

Signature of
Role Plan administrator
Date 2023-05-16
Name of individual signing DONNA KAHM
SOUTHERN TIER HEALTH CARE SYSTEM, INC. TAX SHELTERED ANNUITY PROGRAM 2021 161469489 2022-06-22 SOUTHERN TIER HEALTH CARE SYSTEM, INC. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 813000
Sponsor’s telephone number 7163720614
Plan sponsor’s address 150 NORTH UNION STREET, OLEAN, NY, 147602500

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing DONNA KAHM
SOUTHERN TIER HEALTH CARE SYSTEM, INC. TAX SHELTERED ANNUITY PROGRAM 2020 161469489 2021-07-28 SOUTHERN TIER HEALTH CARE SYSTEM, INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 813000
Sponsor’s telephone number 7163720614
Plan sponsor’s address 150 NORTH UNION STREET, OLEAN, NY, 147602500

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing DONNA KAHM
SOUTHERN TIER HEALTH CARE SYSTEM, INC. TAX SHELTERED ANNUITY PROGRAM 2019 161469489 2020-07-23 SOUTHERN TIER HEALTH CARE SYSTEM, INC. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 813000
Sponsor’s telephone number 7163720614
Plan sponsor’s address 150 NORTH UNION STREET, OLEAN, NY, 147602500

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing DONNA KAHM
SOUTHERN TIER HEALTH CARE SYSTEM, INC. TAX SHELTERED ANNUITY PROGRAM 2018 161469489 2019-08-06 SOUTHERN TIER HEALTH CARE SYSTEM, INC. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 813000
Sponsor’s telephone number 7163720614
Plan sponsor’s address 150 NORTH UNION STREET, OLEAN, NY, 147602500

Signature of
Role Plan administrator
Date 2019-08-06
Name of individual signing DONNA KAHM
SOUTHERN TIER HEALTH CARE SYSTEM, INC. TAX SHELTERED ANNUITY PROGRAM 2017 161469489 2018-10-04 SOUTHERN TIER HEALTH CARE SYSTEM, INC. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 813000
Sponsor’s telephone number 7163720614
Plan sponsor’s address 150 NORTH UNION STREET, OLEAN, NY, 147602500

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing DONNA KAHM
SOUTHERN TIER HEALTH CARE SYSTEM, INC. TAX SHELTERED ANNUITY PROGRAM 2016 161469489 2017-07-13 SOUTHERN TIER HEALTH CARE SYSTEM, INC. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 813000
Sponsor’s telephone number 7163720614
Plan sponsor’s address ONE BLUE BIRD SQUARE, OLEAN, NY, 147602500

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing DONNA KAHM
SOUTHERN TIER HEALTH CARE SYSTEM, INC. TAX SHELTERED ANNUITY PROGRAM 2015 161469489 2016-10-14 SOUTHERN TIER HEALTH CARE SYSTEM, INC. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 813000
Sponsor’s telephone number 7163720614
Plan sponsor’s address ONE BLUE BIRD SQUARE, OLEAN, NY, 147602500

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing DONNA KAHM
SOUTHERN TIER HEALTH CARE SYSTEM, INC. TAX SHELTERED ANNUITY PROGRAM 2014 161469489 2015-09-14 SOUTHERN TIER HEALTH CARE SYSTEM, INC. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-10-01
Business code 813000
Sponsor’s telephone number 7163720614
Plan sponsor’s address ONE BLUE BIRD SQUARE, OLEAN, NY, 147602500

Signature of
Role Plan administrator
Date 2015-09-14
Name of individual signing DONNA KAHM

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ONE BLUE BIRD SQUARE, OLEAN, NY, United States, 14760

History

Start date End date Type Value
1996-08-08 2002-07-19 Address C/O OLEAN GENERAL HOSPITAL, 515 MAIN STREET, OLEAN, NY, 14760, USA (Type of address: Service of Process)
1994-10-13 1996-08-08 Address C/O OLEAN GENERAL HOSPITAL, 515 MAIN STREET, OLEAN, NY, 14760, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
020719000113 2002-07-19 CERTIFICATE OF CHANGE 2002-07-19
960808000222 1996-08-08 CERTIFICATE OF AMENDMENT 1996-08-08
941013000335 1994-10-13 CERTIFICATE OF INCORPORATION 1994-10-13

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THE CORPORATION

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Related by address

ONE BLUE BIRD SQUARE, OLEAN, NY, United States, 14760

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Date of last update: 13 Nov 2024

Sources: New York Secretary of State

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