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IVES HILL RETIREMENT COMMUNITY, INC.

Company Details

Name: IVES HILL RETIREMENT COMMUNITY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 12 Jun 1997 (27 years ago) (Companies founded in June 1997)
Entity Number: 2152551
ZIP code: 13601 (Companies in Jefferson, 13601)
County: Jefferson
Place of Formation: New York
Address: P.O. BOX 632, JEWELL DRIVE, WATERTOWN, NY, United States, 13601

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IVES HILL RETIREMENT COMMUNITY 401(K) PROFIT SHARING PLAN & TRUST 2020 161529379 2021-03-24 IVES HILL RETIREMENT COMMUNITY 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3317799590
Plan sponsor’s address 1200 JEWELL DR, WATERTOWN, NY, 136014247

Signature of
Role Plan administrator
Date 2021-03-24
Name of individual signing ANNA PATTERSON
IVES HILL RETIREMENT COMMUNITY 2020 161529379 2021-03-24 IVES HILL RETIREMENT COMMUNITY 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3157799590
Plan sponsor’s address 1200 JEWELL DR, WATERTOWN, NY, 136014247

Signature of
Role Plan administrator
Date 2021-03-24
Name of individual signing ANNA PATTERSON
IVES HILL RETIREMENT COMMUNITY 2016 161529379 2017-10-16 IVES HILL RETIREMENT COMMUNITY 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3157799590
Plan sponsor’s address 1200 JEWELL DR, WATERTOWN, NY, 136014247

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing STACEY BRISTOW
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing STACEY BRISTOW
IVES HILL RETIREMENT COMMUNITY 401 K PROFIT SHARING PLAN TRUST 2015 161529379 2016-06-23 IVES HILL RETIREMENT COMMUNITY 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3157799590
Plan sponsor’s address 1200 JEWELL DRIVE, WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2016-06-23
Name of individual signing NIKKI REITEMA
IVES HILL RETIREMENT COMMUNITY 401 K PROFIT SHARING PLAN TRUST 2014 161529379 2015-05-07 IVES HILL RETIREMENT COMMUNITY 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3157799590
Plan sponsor’s address 1200 JEWELL DRIVE, WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2015-05-07
Name of individual signing NIKKI REITEMA
IVES HILL RETIREMENT COMMUNITY 401 K PROFIT SHARING PLAN TRUST 2013 161529379 2014-07-25 IVES HILL RETIREMENT COMMUNITY 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3157799590
Plan sponsor’s address 1200 JEWELL DRIVE, WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing NIKKI REITEMA
TAX DEFERRED ANNUITY PLAN OF IVES HILL RETIREMENT COMMUNITY, INC. 2012 161529379 2013-07-30 IVES HILL RETIREMENT COMMUNITY, INC . 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 623000
Sponsor’s telephone number 3157799590
Plan sponsor’s address 1200 JEWELL DR, WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing MEGAN TINDOLL
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing MEGAN TINDOLL
TAX DEFERRED ANNUITY PLAN OF IVES HILL RETIREMENT COMMUNITY, INC. 2010 161529379 2011-07-28 IVES HILL RETIREMENT COMMUNITY, INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 623000
Sponsor’s telephone number 3157799590
Plan sponsor’s address 1200 JEWELL DR, WATERTOWN, NY, 13601

Plan administrator’s name and address
Administrator’s EIN 161529379
Plan administrator’s name IVES HILL RETIREMENT COMMUNITY, INC
Plan administrator’s address 1200 JEWELL DR, WATERTOWN, NY, 13601
Administrator’s telephone number 3157799590

Signature of
Role Plan administrator
Date 2011-07-28
Name of individual signing DIANNE WARD
Role Employer/plan sponsor
Date 2011-07-28
Name of individual signing DIANNE WARD
TAX DEFERRED ANNUITY PLAN OF IVES HILL RETIREMENT COMMUNITY, INC. 2009 161529379 2010-10-14 IVES HILL RETIREMENT COMMUNITY, INC . 3
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 623000
Sponsor’s telephone number 3157799590
Plan sponsor’s address 1200 JEWELL DR, WATERTOWN, NY, 13601

Plan administrator’s name and address
Administrator’s EIN 161529379
Plan administrator’s name IVES HILL RETIREMENT COMMUNITY, INC .
Plan administrator’s address 1200 JEWELL DR, WATERTOWN, NY, 13601
Administrator’s telephone number 3157799590

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing DIANNE WARD
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing DIANNE WARD
TAX DEFERRED ANNUITY PLAN OF IVES HILL RETIREMENT COMMUNITY, INC. 2009 161529379 2010-10-15 IVES HILL RETIREMENT COMMUNITY, INC . 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 623000
Sponsor’s telephone number 3157799590
Plan sponsor’s address 1200 JEWELL DR, WATERTOWN, NY, 13601

Plan administrator’s name and address
Administrator’s EIN 161529379
Plan administrator’s name IVES HILL RETIREMENT COMMUNITY, INC .
Plan administrator’s address 1200 JEWELL DR, WATERTOWN, NY, 13601
Administrator’s telephone number 3157799590

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing DIANNE WARD
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing DIANNE WARD

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent P.O. BOX 632, JEWELL DRIVE, WATERTOWN, NY, United States, 13601

Filings

Filing Number Date Filed Type Effective Date
970612000373 1997-06-12 CERTIFICATE OF INCORPORATION 1997-06-12

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2024-08-01 No data 1200 JEWELL DRIVE, WATERTOWN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 11D - Non food contact surfaces of equipment not clean
2024-02-16 No data 1200 JEWELL DRIVE, WATERTOWN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 11D - Non food contact surfaces of equipment not clean
2023-09-14 No data 1200 JEWELL DRIVE, WATERTOWN Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2023-01-31 No data 1200 JEWELL DRIVE, WATERTOWN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 10A - Food (ice) contact surfaces are improperly designed, constructed, installed, located (cracks, open seams, pitted surfaces, tin cans reused, uncleanable or corroded food contact surfaces)
2022-09-29 No data 1200 JEWELL DRIVE, WATERTOWN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 10B - Non-food contact surfaces and equipment are improperly designed, constructed, installed, maintained (equipment not readily accessible for cleaning, surface not smooth finish)
2022-04-01 No data 1200 JEWELL DRIVE, WATERTOWN Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2021-10-22 No data 1200 JEWELL DRIVE, WATERTOWN Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2020-02-25 No data 1200 JEWELL DRIVE, WATERTOWN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 15A - Floors, walls, ceilings, not smooth, properly constructed, in disrepair, dirty surfaces
2019-10-15 No data 1200 JEWELL DRIVE, WATERTOWN Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2019-01-09 No data 1200 JEWELL DRIVE, WATERTOWN Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data

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Related by address

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Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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