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FIRST COMMUNITY CARE OF BASSETT, LLC

Company Details

Name: FIRST COMMUNITY CARE OF BASSETT, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 10 May 1996 (29 years ago)
Entity Number: 2028754
ZIP code: 13326
County: Otsego
Place of Formation: New York
Address: 12 Commons Drive, STE 18, COOPERSTOWN, NY, United States, 13326

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
37VM0 Obsolete Non-Manufacturer 2005-03-25 2024-03-10 2022-10-13 No data

Contact Information

POC JENNIFER KUCZEWSKI
Phone +1 716-568-2236
Fax +1 716-568-2243
Address 12 COMMONS DR STE 18, COOPERSTOWN, NY, 13326 9502, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner
Vendor Certified 2017-10-12
CAGE number 7JQL4
Company Name BASSETT REGIONAL CORPORATION
CAGE Last Updated 2024-03-10
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN 2023 161504464 2024-09-05 FIRST COMMUNITY CARE OF BASSETT, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 6075472173
Plan sponsor’s address 12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326

Signature of

Role Plan administrator
Date 2024-09-05
Name of individual signing JEREMY PAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-05
Name of individual signing JEREMY PAIN
Valid signature Filed with authorized/valid electronic signature
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN 2022 161504464 2023-09-19 FIRST COMMUNITY CARE OF BASSETT, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 6075472173
Plan sponsor’s address 12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326

Signature of

Role Plan administrator
Date 2023-09-19
Name of individual signing TODD BLANCHARD
Role Employer/plan sponsor
Date 2023-09-19
Name of individual signing TODD BLANCHARD
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN 2021 161504464 2022-10-06 FIRST COMMUNITY CARE OF BASSETT, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 6075472173
Plan sponsor’s address 12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326

Signature of

Role Plan administrator
Date 2022-10-06
Name of individual signing KEVIN HARRINGTON
Role Employer/plan sponsor
Date 2022-10-06
Name of individual signing KEVIN HARRINGTON
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN 2020 161504464 2021-10-14 FIRST COMMUNITY CARE OF BASSETT, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 6075472173
Plan sponsor’s address 12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing KEVIN HARRINGTON
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing KEVIN HARRINGTON
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN 2019 161504464 2020-09-17 FIRST COMMUNITY CARE OF BASSETT, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 6075472173
Plan sponsor’s address 12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326

Signature of

Role Plan administrator
Date 2020-09-17
Name of individual signing BETTY HORRIGAN
Role Employer/plan sponsor
Date 2020-09-17
Name of individual signing BETTY HORRIGAN
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN 2018 161504464 2019-10-01 FIRST COMMUNITY CARE OF BASSETT, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 6075472173
Plan sponsor’s address 12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326

Signature of

Role Plan administrator
Date 2019-10-01
Name of individual signing BETTY HORRIGAN
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing BETTY HORRIGAN
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN 2017 161504464 2019-10-01 FIRST COMMUNITY CARE OF BASSETT, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 6075472173
Plan sponsor’s address 12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326

Signature of

Role Plan administrator
Date 2019-10-01
Name of individual signing BETTY HORRIGAN
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing BETTY HORRIGAN
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN 2017 161504464 2018-10-12 FIRST COMMUNITY CARE OF BASSETT, LLC 14
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 6075472173
Plan sponsor’s address 12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing BETTY HORRIGAN
Role Employer/plan sponsor
Date 2018-10-12
Name of individual signing BETTY HORRIGAN
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN 2017 161504464 2018-10-12 FIRST COMMUNITY CARE OF BASSETT, LLC 14
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 6075472173
Plan sponsor’s address 12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing BETTY HORRIGAN
Role Employer/plan sponsor
Date 2018-10-12
Name of individual signing BETTY HORRIGAN
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN 2016 161504464 2017-10-03 FIRST COMMUNITY CARE OF BASSETT, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 6075472173
Plan sponsor’s address 12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326

Signature of

Role Plan administrator
Date 2017-10-03
Name of individual signing BETTY HORRIGAN
Role Employer/plan sponsor
Date 2017-10-03
Name of individual signing BETTY HORRIGAN

DOS Process Agent

Name Role Address
FIRST COMMUNITY CARE OF BASSETT, LLC DOS Process Agent 12 Commons Drive, STE 18, COOPERSTOWN, NY, United States, 13326

History

Start date End date Type Value
2023-08-24 2024-05-02 Address 12 Commons Drive, STE 18, COOPERSTOWN, NY, 13326, USA (Type of address: Service of Process)
2006-05-03 2023-08-24 Address 5384 STATE HWY 28, STE A, COOPERSTOWN, NY, 13326, USA (Type of address: Service of Process)
1996-05-10 2006-05-03 Address 210 JOHN GLENN DRIVE SUITE 12, AMHERST, NY, 14228, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240502002928 2024-05-02 BIENNIAL STATEMENT 2024-05-02
230824001186 2023-08-24 BIENNIAL STATEMENT 2022-05-01
100607002257 2010-06-07 BIENNIAL STATEMENT 2010-05-01
080516002048 2008-05-16 BIENNIAL STATEMENT 2008-05-01
060503002144 2006-05-03 BIENNIAL STATEMENT 2006-05-01
040427002157 2004-04-27 BIENNIAL STATEMENT 2004-05-01
020423002103 2002-04-23 BIENNIAL STATEMENT 2002-05-01
000505002116 2000-05-05 BIENNIAL STATEMENT 2000-05-01
980506002108 1998-05-06 BIENNIAL STATEMENT 1998-05-01
960510000431 1996-05-10 ARTICLES OF ORGANIZATION 1996-05-10

Date of last update: 13 Nov 2024

Sources: New York Secretary of State