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  5. LAKE PLAINS COMMUNITY CARE NETWORK, INC.

LAKE PLAINS COMMUNITY CARE NETWORK, INC.

Company Details

Name: LAKE PLAINS COMMUNITY CARE NETWORK, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 11 Sep 1997 (27 years ago)
Entity Number: 2179313
ZIP code: 14011
County: Wyoming
Place of Formation: New York
Address: 11 EXCHANGE STREET, ATTICA, NY, United States, 14011

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
44Z97 Active Non-Manufacturer 2005-09-20 2024-03-11 2026-02-05 2022-02-03

Contact Information
POC CHARLOTTE CRAWFORD
Phone +1 585-345-6110
Fax +1 585-345-7452
Address 575 E MAIN ST, BATAVIA, NY, 14020 2741, 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
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2023 161536607 2024-09-27 LAKE PLAINS COMMUNITY CARE NETWORK 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 319 W MAIN ST, SUITE 9, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2024-09-27
Name of individual signing COLLEEN KIPFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-27
Name of individual signing GENNA SALEMI
Valid signature Filed with authorized/valid electronic signature
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2022 161536607 2024-05-01 LAKE PLAINS COMMUNITY CARE NETWORK 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 319 W MAIN ST, SUITE 9, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2024-04-30
Name of individual signing COLLEEN KIPFER
Role Employer/plan sponsor
Date 2024-05-01
Name of individual signing GENNA SALEMI
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2021 161536607 2022-12-14 LAKE PLAINS COMMUNITY CARE NETWORK 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 319 W MAIN ST SUITE 9, CHURCHVILLE, NY, 14428

Signature of
Role Plan administrator
Date 2022-12-14
Name of individual signing COLLEEN KIPFER
Role Employer/plan sponsor
Date 2022-12-14
Name of individual signing GENNA SALEMI
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2020 161536607 2021-09-21 LAKE PLAINS COMMUNITY CARE NETWORK 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2021-09-21
Name of individual signing A1557312
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2019 161536607 2020-08-17 LAKE PLAINS COMMUNITY CARE NETWORK 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2020-08-17
Name of individual signing A1557312
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2018 161536607 2019-06-25 LAKE PLAINS COMMUNITY CARE NETWORK 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2019-06-25
Name of individual signing COLLEEN KIPFER
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2017 161536607 2018-07-06 LAKE PLAINS COMMUNITY CARE NETWORK 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing COLLEEN KIPFER
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2016 161536607 2017-07-20 LAKE PLAINS COMMUNITY CARE NETWORK 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing COLLEEN KIPFER
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2015 161536607 2016-10-14 LAKE PLAINS COMMUNITY CARE NETWORK 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing COLLEEN KIPFER
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing PATRICIA HALL
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2014 161536607 2015-07-30 LAKE PLAINS COMMUNITY CARE NETWORK 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing COLLEEN KIPFER
Role Employer/plan sponsor
Date 2015-07-30
Name of individual signing PATRICIA HALL

DOS Process Agent

Name Role Address
C/O DADD & NELSON P.C. DOS Process Agent 11 EXCHANGE STREET, ATTICA, NY, United States, 14011

Filings

Filing Number Date Filed Type Effective Date
970911000230 1997-09-11 CERTIFICATE OF INCORPORATION 1997-09-11

Related by officers

No related officers

Related by address

11 EXCHANGE STREET, ATTICA, NY, United States, 14011

GOURMET GADGETS AND GIFTS, LLC WYOMING COUNTY AGRICULTURAL AND BUSINESS CENTER FOUNDATION, INC. DADD AND NELSON P.C. TX DATA CORPORATION DADD, NELSON, WILKINSON & WUJCIK, PLLC WNW PROPERTIES, LLC

Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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