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BETHANY RETIREMENT HOME, INC.

Company Details

Name: BETHANY RETIREMENT HOME, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 02 Jul 1969 (55 years ago) (Companies founded in July 1969)
Entity Number: 279083
ZIP code: 14845 (Companies in Chemung, 14845)
County: Chemung
Place of Formation: New York
Address: 3005 WATKINS ROAD, HORSEHEADS, NY, United States, 14845

Contact Details

Phone +1 607-378-6531

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
XEUPHDMC7677 2024-08-15 3005 WATKINS RD, HORSEHEADS, NY, 14845, 1800, USA 3005 WATKINS ROAD, HORSEHEADS, NY, 14845, 1881, USA

Business Information
Doing Business As BETHANY VILLAGE
Congressional District 23
State/Country of Incorporation NY, USA
Activation Date 2023-08-18
Initial Registration Date 2004-06-23
Entity Start Date 1969-01-26
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MICHAEL KISER
Role EXECUTIVE DIRECTOR
Address 3005 WATKINS ROAD, HORSEHEADS, NY, 14845, USA
Government Business
Title PRIMARY POC
Name MICHAEL KISER
Role EXECUTIVE DIRECTOR
Address 3005 WATKINS ROAD, HORSEHEADS, NY, 14845, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3XAV3 Obsolete Non-Manufacturer 2004-06-23 2024-06-18 No data 2025-06-17

Contact Information
POC MICHAEL KISER
Phone +1 607-378-6574
Address 3005 WATKINS RD, HORSEHEADS, NY, 14845 1800, 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
BETHANY RETIREMENT HOME, INC. TAX DEFERRED ANNUITY PLAN 2015 160988865 2016-10-17 BETHANY RETIREMENT HOME, INC. 344
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 6077398711
Plan sponsor’s mailing address 3005 WATKINS ROAD, HORSEHEADS, NY, 14845
Plan sponsor’s address 3005 WATKINS ROAD, HORSEHEADS, NY, 14845

Number of participants as of the end of the plan year
Active participants 325
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 19
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 106
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing LAURA K. HARTNETT
Valid signature Filed with authorized/valid electronic signature
BETHANY RETIREMENT HOME, INC. TAX DEFERRED ANNUITY PLAN 2014 160988865 2015-10-15 BETHANY RETIREMENT HOME, INC. 381
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 6077398711
Plan sponsor’s mailing address 3005 WATKINS ROAD, HORSEHEADS, NY, 14845
Plan sponsor’s address 3005 WATKINS ROAD, HORSEHEADS, NY, 14845

Number of participants as of the end of the plan year
Active participants 342
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 28
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 171
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JAIMI STEVENS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RETIREMENT HOME OF CENTRAL NEW YORK CONFERENCE OF THE UNITED Agent 751 WATKINS RD., HORSEHEADS, NY, 14845

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3005 WATKINS ROAD, HORSEHEADS, NY, United States, 14845

Licenses

Number Type Date End date Address
21BE1253713 Appearance Enhancement Business License 2006-07-25 2024-11-18 3005 WATKINS RD, HORSEHEADS, NY, 14845

History

Start date End date Type Value
1984-04-20 1994-11-17 Address 751 WATKINS RD., HORSEHEADS, NY, 14845, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
C288536-2 2000-05-12 ASSUMED NAME LLC INITIAL FILING 2000-05-12
941117000296 1994-11-17 CERTIFICATE OF AMENDMENT 1994-11-17
B306535-7 1986-01-03 CERTIFICATE OF AMENDMENT 1986-01-03
B093068-8 1984-04-20 CERTIFICATE OF AMENDMENT 1984-04-20
A95701-3 1973-08-28 CERTIFICATE OF AMENDMENT 1973-08-28
A63198-4 1973-04-09 CERTIFICATE OF AMENDMENT 1973-04-09
896940-7 1971-03-25 CERTIFICATE OF AMENDMENT 1971-03-25
888076-6 1971-02-11 CERTIFICATE OF AMENDMENT 1971-02-11
767565-10 1969-07-02 CERTIFICATE OF INCORPORATION 1969-07-02

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DO AWARD VA528FY08 2008-09-30 2008-09-30 2009-12-31
Unique Award Key CONT_AWD_VA528FY08_3600_VA528BO0033_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ADULT DAY CARE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient BETHANY RETIREMENT HOME INC
UEI XEUPHDMC7677
Legacy DUNS 067916163
Recipient Address UNITED STATES, 3005 WATKINS RD, HORSEHEADS, 148451800
DO AWARD VA528FY08 2008-09-30 2008-09-30 2008-09-30
Unique Award Key CONT_AWD_VA528FY08_3600_V528A8P5321_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title HHA
NAICS Code 621610: HOME HEALTH CARE SERVICES
Product and Service Codes Q401: NURSING SERVICES

Recipient Details
Recipient BETHANY RETIREMENT HOME INC
UEI XEUPHDMC7677
Legacy DUNS 067916163
Recipient Address UNITED STATES, 3005 WATKINS RD, HORSEHEADS, 148451800
No data IDV VA528BO0153 2009-10-01 No data No data
Unique Award Key CONT_IDV_VA528BO0153_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 0.00

Description
Title HOME HEALTH AIDE SERVICES
NAICS Code 621610: HOME HEALTH CARE SERVICES
Product and Service Codes Q401: NURSING SERVICES

Recipient Details
Recipient BETHANY RETIREMENT HOME INC
UEI XEUPHDMC7677
Recipient Address UNITED STATES, 3005 WATKINS RD, HORSEHEADS, CHEMUNG, NEW YORK, 148451800
No data IDV V528A8P5321 2008-08-01 No data No data
Unique Award Key CONT_IDV_V528A8P5321_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 0.00

Description
Title HHA
NAICS Code 621610: HOME HEALTH CARE SERVICES
Product and Service Codes Q401: NURSING SERVICES

Recipient Details
Recipient BETHANY RETIREMENT HOME INC
UEI XEUPHDMC7677
Recipient Address UNITED STATES, 3005 WATKINS RD, HORSEHEADS, CHEMUNG, NEW YORK, 148451800
No data IDV VA528BO0033 2008-01-01 No data No data
Unique Award Key CONT_IDV_VA528BO0033_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 0.00

Description
Title ADHC
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient BETHANY RETIREMENT HOME INC
UEI XEUPHDMC7677
Recipient Address UNITED STATES, 3005 WATKINS RD, HORSEHEADS, CHEMUNG, NEW YORK, 148451800
DO AWARD VA528FY0902 2009-03-31 2009-03-31 2009-12-31
Unique Award Key CONT_AWD_VA528FY0902_3600_VA528BO0033_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ADULT DAY CARE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient BETHANY RETIREMENT HOME INC
UEI XEUPHDMC7677
Legacy DUNS 067916163
Recipient Address UNITED STATES, 3005 WATKINS RD, HORSEHEADS, 148451800
DO AWARD VA528FY0901 2008-12-31 2008-12-31 2011-09-30
Unique Award Key CONT_AWD_VA528FY0901_3600_VA528BO0153_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title HHA
NAICS Code 621610: HOME HEALTH CARE SERVICES
Product and Service Codes Q401: NURSING SERVICES

Recipient Details
Recipient BETHANY RETIREMENT HOME INC
UEI XEUPHDMC7677
Legacy DUNS 067916163
Recipient Address UNITED STATES, 3005 WATKINS RD, HORSEHEADS, 148451800
DO AWARD VA528FY0901 2008-12-31 2008-12-31 2009-12-31
Unique Award Key CONT_AWD_VA528FY0901_3600_VA528BO0033_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ADULT DAY CARE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient BETHANY RETIREMENT HOME INC
UEI XEUPHDMC7677
Legacy DUNS 067916163
Recipient Address UNITED STATES, 3005 WATKINS RD, HORSEHEADS, 148451800
DO AWARD VA5280C5005 2009-10-01 2010-09-30 2011-09-30
Unique Award Key CONT_AWD_VA5280C5005_3600_VA528BO0153_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title HOME HEALTH AIDE SERVICES. DO - EXPRESS REPORT. ACTIVITY: GEC EXPENDITURES
NAICS Code 621610: HOME HEALTH CARE SERVICES
Product and Service Codes Q401: NURSING SERVICES

Recipient Details
Recipient BETHANY RETIREMENT HOME INC
UEI XEUPHDMC7677
Legacy DUNS 067916163
Recipient Address UNITED STATES, 3005 WATKINS RD, HORSEHEADS, 148451800
DO AWARD VA5280C5001 2010-07-01 2010-09-30 2015-06-30
Unique Award Key CONT_AWD_VA5280C5001_3600_VA528BO0247_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ADHC - DO - EXPRESS REPORT. AVTIVITY: GEC EXPENDITURES
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q506: GERIATRIC SERVICES

Recipient Details
Recipient BETHANY RETIREMENT HOME INC
UEI XEUPHDMC7677
Legacy DUNS 067916163
Recipient Address UNITED STATES, 3005 WATKINS RD, HORSEHEADS, 148451800

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Related by address

3005 WATKINS ROAD, HORSEHEADS, NY, United States, 14845

APPLERIDGE RETIREMENT COMMUNITY, INC. BETHANY VILLAGE PRIMARY CARE NETWORK, INC. ORCHARD HOMES AT BETHANY VILLAGE, INC. ORCHARD HOMES DEVELOPMENT, LLC APPLE HOSPITALITY, INC. BETHANY VILLAGE DEVELOPMENT CORPORATION

Date of last update: 17 Nov 2024

Sources: New York Secretary of State

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