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  5. FORTUNE-KEOUGH FUNERAL HOME, INC.

FORTUNE-KEOUGH FUNERAL HOME, INC.

Company Details

Name: FORTUNE-KEOUGH FUNERAL HOME, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 01 Jul 1970 (54 years ago)
Entity Number: 292484
ZIP code: 12983
County: Franklin
Place of Formation: New York
Address: 20 CHURCH ST, SARANAC LAKE, NY, United States, 12983

Shares Details

Shares issued 286

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FORTUNE-KEOUGH FUNERAL HOME, INC. PSP 401(K) PLAN 2013 141514487 2014-05-02 FORTUNE-KEOUGH FUNERAL HOME INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 812210
Sponsor’s telephone number 5188913613
Plan sponsor’s address 20 CHURCH STREET, SARANAC LAKE, NY, 12983

Signature of
Role Plan administrator
Date 2014-05-02
Name of individual signing SHAWN STUART
Role Employer/plan sponsor
Date 2014-05-02
Name of individual signing SHAWN STUART
FORTUNE-KEOUGH FUNERAL HOME, INC. PSP 401(K) PLAN 2012 141514487 2013-05-09 FORTUNE-KEOUGH FUNERAL HOME INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 812210
Sponsor’s telephone number 5188913613
Plan sponsor’s address 20 CHURCH STREET, SARANAC LAKE, NY, 12983

Signature of
Role Plan administrator
Date 2013-05-09
Name of individual signing SHAWN STUART
Role Employer/plan sponsor
Date 2013-05-09
Name of individual signing SHAWN STUART
FORTUNE-KEOUGH FUNERAL HOME, INC. PSP 401(K) PLAN 2011 141514487 2012-04-23 FORTUNE-KEOUGH FUNERAL HOME INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 812210
Sponsor’s telephone number 5188913613
Plan sponsor’s address 20 CHURCH STREET, SARANAC LAKE, NY, 12983

Plan administrator’s name and address
Administrator’s EIN 141514487
Plan administrator’s name FORTUNE-KEOUGH FUNERAL HOME INC.
Plan administrator’s address 20 CHURCH STREET, SARANAC LAKE, NY, 12983
Administrator’s telephone number 5188913613

Signature of
Role Plan administrator
Date 2012-04-23
Name of individual signing SHAWN STUART
Role Employer/plan sponsor
Date 2012-04-23
Name of individual signing SHAWN STUART
FORTUNE-KEOUGH FUNERAL HOME, INC. PSP 401(K) PLAN 2010 141514487 2011-04-18 FORTUNE-KEOUGH FUNERAL HOME INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 812210
Sponsor’s telephone number 5188913613
Plan sponsor’s address 20 CHURCH STREET, SARANAC LAKE, NY, 12983

Plan administrator’s name and address
Administrator’s EIN 141514487
Plan administrator’s name FORTUNE-KEOUGH FUNERAL HOME INC.
Plan administrator’s address 20 CHURCH STREET, SARANAC LAKE, NY, 12983
Administrator’s telephone number 5188913613

Signature of
Role Plan administrator
Date 2011-04-18
Name of individual signing SHAWN STUART
Role Employer/plan sponsor
Date 2011-04-18
Name of individual signing SHAWN STUART
FORTUNE-KEOUGH FUNERAL HOME, INC. PSP 401(K) PLAN 2009 141514487 2010-06-24 FORTUNE-KEOUGH FUNERAL HOME INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 812210
Sponsor’s telephone number 5188913613
Plan sponsor’s address 20 CHURCH STREET, SARANAC LAKE, NY, 12983

Plan administrator’s name and address
Administrator’s EIN 141514487
Plan administrator’s name FORTUNE-KEOUGH FUNERAL HOME INC.
Plan administrator’s address 20 CHURCH STREET, SARANAC LAKE, NY, 12983
Administrator’s telephone number 5188913613

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing SHAWN STUART
Role Employer/plan sponsor
Date 2010-06-24
Name of individual signing SHAWN STUART

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 20 CHURCH ST, SARANAC LAKE, NY, United States, 12983

Chief Executive Officer

Name Role Address
BRENDAN J. KEOUGH Chief Executive Officer 20 CHURCH ST, SARANAC LAKE, NY, United States, 12983

History

Start date End date Type Value
2004-08-02 2012-08-23 Address 20 CHURCH ST, SARANAC LAKE, NY, 12983, USA (Type of address: Chief Executive Officer)
2004-08-02 2006-07-11 Address 20 CHURCH ST, SARANAC LAKE, NY, 12983, USA (Type of address: Principal Executive Office)
1993-02-05 2004-08-02 Address 40 CHURCH ST, SARANAC LAKE, NY, 12983, USA (Type of address: Principal Executive Office)
1993-02-05 2004-08-02 Address 40 CHURCH ST, SARANAC LAKE, NY, 12983, USA (Type of address: Chief Executive Officer)
1993-02-05 2004-08-02 Address 40 CHURCH ST, SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)
1970-07-01 1993-02-05 Address 40 CHURCH ST., SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)
1970-07-01 1991-07-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
120823006061 2012-08-23 BIENNIAL STATEMENT 2012-07-01
100810002679 2010-08-10 BIENNIAL STATEMENT 2010-07-01
080716002800 2008-07-16 BIENNIAL STATEMENT 2008-07-01
060711002448 2006-07-11 BIENNIAL STATEMENT 2006-07-01
040802002066 2004-08-02 BIENNIAL STATEMENT 2004-07-01
C337556-2 2003-10-06 ASSUMED NAME CORP INITIAL FILING 2003-10-06
020621002493 2002-06-21 BIENNIAL STATEMENT 2002-07-01
000821002381 2000-08-21 BIENNIAL STATEMENT 2000-07-01
980626002205 1998-06-26 BIENNIAL STATEMENT 1998-07-01
960807002187 1996-08-07 BIENNIAL STATEMENT 1996-07-01

Related by officers

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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