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  5. LITTLE FALLS HOSPITAL

LITTLE FALLS HOSPITAL

Company Details

Name: LITTLE FALLS HOSPITAL
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 23 Mar 1894 (131 years ago)
Entity Number: 28134
ZIP code: 13365
County: Herkimer
Place of Formation: New York
Address: 140 BURWELL STREET, LITTLE FALLS, NY, United States, 13365

Contact Details

Phone +1 315-823-5281

Phone +1 315-429-8714

Phone +1 315-858-0040

Phone +1 315-823-4546

Phone +1 518-568-3403

Phone +1 315-822-6348

Phone +1 315-823-1000

Phone +1 315-845-6100

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
KDWDDVHKN899 2025-02-21 140 BURWELL ST, LITTLE FALLS, NY, 13365, 1794, USA 140 BURWELL STREET, LITTLE FALLS, NY, 13365, 1725, USA

Business Information
Congressional District 21
State/Country of Incorporation NY, USA
Activation Date 2024-02-26
Initial Registration Date 2009-07-21
Entity Start Date 1893-01-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111, 621999, 622110
Product and Service Codes Q201, Q301, Q501, Q513, Q514, Q522, Q523, Q527, Q999

Points of Contacts
Electronic Business
Title PRIMARY POC
Name STEPHEN CLARK
Role DIRECTOR OGM
Address ONE ATWELL RD., COOPERSTOWN, NY, 13326, USA
Government Business
Title PRIMARY POC
Name JAMES VIELKKIND
Role VICE PRESIDENT FINANCE
Address 140 BURWELL STREET, LITTLE FALLS, NY, 13365, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
5LC62 Active Non-Manufacturer 2009-07-21 2024-03-10 2029-02-26 2025-02-21

Contact Information
POC JAMES VIELKKIND
Phone +1 315-823-5281
Address 140 BURWELL ST, LITTLE FALLS, NY, 13365 1794, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner
Vendor Certified 2024-02-26
CAGE number 9GBE8
Company Name BASSETT HEALTHCARE NETWORK
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
LITTLE FALLS HOSPITAL GROUP PLAN 2015 150533578 2016-07-27 LITTLE FALLS HOSPITAL 254
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2003-06-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL ST, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL ST, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 236
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL EMPLOYEE RETIREMENT PLAN 2014 150533578 2015-10-15 LITTLE FALLS HOSPITAL 364
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 102
Retired or separated participants receiving benefits 172
Other retired or separated participants entitled to future benefits 78
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
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 JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL GROUP PLAN 2014 150533578 2015-07-17 LITTLE FALLS HOSPITAL 184
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2003-06-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL ST, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL ST, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 235
Retired or separated participants receiving benefits 19

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL EMPLOYEE RETIREMENT PLAN 2013 150533578 2014-10-10 LITTLE FALLS HOSPITAL 370
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 108
Retired or separated participants receiving benefits 166
Other retired or separated participants entitled to future benefits 84
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 6
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 2014-10-09
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL GROUP PLAN 2013 150533578 2014-07-30 LITTLE FALLS HOSPITAL 189
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2003-06-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL ST, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL ST, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 264
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL GROUP PLAN 2013 150533578 2014-06-05 LITTLE FALLS HOSPITAL 189
Three-digit plan number (PN) 505
Effective date of plan 2003-06-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL ST, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL ST, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 184
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2014-06-04
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL EMPLOYEE RETIREMENT PLAN 2012 150533578 2013-10-11 LITTLE FALLS HOSPITAL 371
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 117
Retired or separated participants receiving benefits 160
Other retired or separated participants entitled to future benefits 87
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 6
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 2013-10-11
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL GROUP PLAN 2012 150533578 2013-10-10 LITTLE FALLS HOSPITAL 189
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2003-06-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 189
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL EMPLOYEE RETIREMENT PLAN 2011 150533578 2012-10-15 LITTLE FALLS HOSPITAL 375
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365

Plan administrator’s name and address
Administrator’s EIN 150533578
Plan administrator’s name LITTLE FALLS HOSPITAL
Plan administrator’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Administrator’s telephone number 3158231000

Number of participants as of the end of the plan year
Active participants 124
Retired or separated participants receiving benefits 160
Other retired or separated participants entitled to future benefits 83
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
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 2012-10-15
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL EMPLOYEE RETIREMENT PLAN 2010 150533578 2012-09-13 LITTLE FALLS HOSPITAL 385
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365

Plan administrator’s name and address
Administrator’s EIN 150533578
Plan administrator’s name LITTLE FALLS HOSPITAL
Plan administrator’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Administrator’s telephone number 3158231000

Number of participants as of the end of the plan year
Active participants 130
Retired or separated participants receiving benefits 152
Other retired or separated participants entitled to future benefits 89
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4

Signature of
Role Plan administrator
Date 2012-09-13
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
N/A: THE CORP. Agent 140 BURWELL ST., LITTLE FALLS, NY, 13365

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 140 BURWELL STREET, LITTLE FALLS, NY, United States, 13365

Filings

Filing Number Date Filed Type Effective Date
171204000641 2017-12-04 CERTIFICATE OF AMENDMENT 2017-12-04
A61665-2 1973-04-03 CERTIFICATE OF AMENDMENT 1973-04-03
753983-3 1969-05-02 CERTIFICATE OF AMENDMENT 1969-05-02
11EX-136 1951-02-28 CERTIFICATE OF AMENDMENT 1951-02-28
51P-153 1894-03-23 CERTIFICATE OF INCORPORATION 1894-03-23

Related by officers

N/A: THE CORP.

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THE CORPORATION

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Related by address

No related companies by address

Date of last update: 17 Nov 2024

Sources: New York Secretary of State

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