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  5. CHAMPLAIN VALLEY HEALTH NETWORK, INC.

CHAMPLAIN VALLEY HEALTH NETWORK, INC.

Company Details

Name: CHAMPLAIN VALLEY HEALTH NETWORK, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 24 Oct 1996 (28 years ago)
Entity Number: 2078070
ZIP code: 12901
County: Clinton
Place of Formation: New York
Address: 75 BEEKMAN STREET, PLATTSBURGH, NY, United States, 12901

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAMPLAIN VALLEY HEALTH NETWORK, INC. 401(K) PLAN 2016 161586102 2017-10-16 CHAMPLAIN VALLEY HEALTH NETWORK, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 561110
Sponsor’s telephone number 5183143664
Plan sponsor’s address 52 TOM MILLER ROAD, PLATTSBURGH, NY, 129011252

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing MATTHEW LYMAN
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing MATTHEW LYMAN
CHAMPLAIN VALLEY HEALTH NETWORK, INC. 401(K) PLAN 2010 161586102 2011-06-21 CHAMPLAIN VALLEY HEALTH NETWORK, INC. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 622000
Sponsor’s telephone number 5185627055
Plan sponsor’s address P.O. BOX 2866, PLATTSBURGH, NY, 12901

Plan administrator’s name and address
Administrator’s EIN 161586102
Plan administrator’s name CHAMPLAIN VALLEY HEALTH NETWORK, INC.
Plan administrator’s address P.O. BOX 2866, PLATTSBURGH, NY, 12901
Administrator’s telephone number 5185627055

Signature of
Role Plan administrator
Date 2011-06-21
Name of individual signing STEPHENS MUNDY
Role Employer/plan sponsor
Date 2011-06-21
Name of individual signing STEPHENS MUNDY
CHAMPLAIN VALLEY HEALTH NETWORK, INC. 401(K) PLAN 2009 161586102 2010-07-22 CHAMPLAIN VALLEY HEALTH NETWORK, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 622000
Sponsor’s telephone number 5185627055
Plan sponsor’s address P.O. BOX 2866, PLATTSBURGH, NY, 12901

Plan administrator’s name and address
Administrator’s EIN 161586102
Plan administrator’s name CHAMPLAIN VALLEY HEALTH NETWORK, INC.
Plan administrator’s address P.O. BOX 2866, PLATTSBURGH, NY, 12901
Administrator’s telephone number 5185627055

Signature of
Role Plan administrator
Date 2010-07-22
Name of individual signing STEPHENS MUNDY
Role Employer/plan sponsor
Date 2010-07-22
Name of individual signing STEPHENS MUNDY

Chief Executive Officer

Name Role Address
MICHELLE LEBEAU Chief Executive Officer 75 BEEKMAN ST, PLATTSBURGH, NY, United States, 12901

DOS Process Agent

Name Role Address
CHAMPLAIN VALLEY HEALTH NETWORK, INC. DOS Process Agent 75 BEEKMAN STREET, PLATTSBURGH, NY, United States, 12901

History

Start date End date Type Value
2024-10-01 2024-10-01 Address 75 BEEKMAN ST, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)
2023-02-27 2024-10-01 Address 75 BEEKMAN STREET, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)
2023-02-27 2024-10-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-02-27 2023-02-27 Address 75 BEEKMAN ST, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)
2023-02-27 2024-10-01 Address 75 BEEKMAN ST, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)
2016-10-03 2023-02-27 Address 75 BEEKMAN ST, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)
2012-10-05 2023-02-27 Address 52 TOM MILLER RD, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)
2012-10-05 2016-10-03 Address 52 TOM MILLER RD, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)
2008-10-03 2012-10-05 Address 210 CORNELIA ST, 303, PLATTSBURGH, NY, 12901, USA (Type of address: Principal Executive Office)
2008-10-03 2012-10-05 Address 210 CORNELIA ST, 303, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
241001037532 2024-10-01 BIENNIAL STATEMENT 2024-10-01
230227000084 2023-02-27 BIENNIAL STATEMENT 2022-10-01
211216000696 2021-12-16 BIENNIAL STATEMENT 2021-12-16
161003006703 2016-10-03 BIENNIAL STATEMENT 2016-10-01
121005007022 2012-10-05 BIENNIAL STATEMENT 2012-10-01
101021003043 2010-10-21 BIENNIAL STATEMENT 2010-10-01
081003002046 2008-10-03 BIENNIAL STATEMENT 2008-10-01
061011003018 2006-10-11 BIENNIAL STATEMENT 2006-10-01
021003002030 2002-10-03 BIENNIAL STATEMENT 2002-10-01
981023002308 1998-10-23 BIENNIAL STATEMENT 1998-10-01

Related by officers

MICHELLE LEBEAU

MEDIQUEST CORP.

Related by address

75 BEEKMAN STREET, PLATTSBURGH, NY, United States, 12901

CHAMPLAIN VALLEY MEDICAL OFFICE BUILDING DEVELOPMENT COMPANY, LLC CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER COMMUNITY PROVIDERS, INC. EMT OF CVPH, INC. LAKE CHAMPLAIN PHYSICIAN SERVICES, P.C. THE UNIVERSITY OF VERMONT HEALTH NETWORK MEDICAL GROUP, INC. VALCOUR IMAGING, LLC CHAMPLAIN VALLEY CT, INC. PLATTSBURGH MEDICAL ON CALL SERVICES, PLLC

Date of last update: 13 Nov 2024

Sources: New York Secretary of State

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