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  5. BROTHERS OF MERCY NURSING HOME COMPANY, INC.

BROTHERS OF MERCY NURSING HOME COMPANY, INC.

Company Details

Name: BROTHERS OF MERCY NURSING HOME COMPANY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 08 Jun 1971 (53 years ago)
Entity Number: 309080
ZIP code: 14031
County: Erie
Place of Formation: New York
Address: 4520 RANSOM RD., CLARENCE, NY, United States, 14031

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
JTZLPHBL4LC1 2023-03-19 10570 BERGTOLD RD, CLARENCE, NY, 14031, 2105, USA 10570 BERGTOLD RD, CLARENCE, NY, 14031, 2105, USA

Business Information
Doing Business As BROTHERS OF MERCY NURSING & REHABILITATION CENTER
Congressional District 27
State/Country of Incorporation NY, USA
Activation Date 2022-02-21
Initial Registration Date 2020-06-10
Entity Start Date 1975-01-01
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JOSEPH WIDMER
Address 10570 BERGTOLD RD, CLARENCE, NY, 14031, USA
Government Business
Title PRIMARY POC
Name TERESA DILLSWORTH
Role ADMINISTRATOR
Address 10570 BERGTOLD RD, CLARENCE, NY, 14031, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROTHERS OF MERCY HEALTH CARE PLAN 2022 237155198 2023-10-14 BROTHERS OF MERCY NURSING HOME COMPANY INC 189
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 7167597600
Plan sponsor’s DBA name BROTHERS OF MERCY NURSING AND REHABILITATION CENTER
Plan sponsor’s mailing address 10570 BERGTOLD RD, CLARENCE, NY, 140312105
Plan sponsor’s address 10570 BERGTOLD RD, CLARENCE, NY, 140312105

Number of participants as of the end of the plan year
Active participants 176
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2023-10-14
Name of individual signing JOSEPH WIDMER
Valid signature Filed with authorized/valid electronic signature
BROTHERS OF MERCY HEALTH CARE PLAN 2020 237155198 2021-07-30 BROTHERS OF MERCY NURSING HOME COMPANY ,INC. 279
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 7167597600
Plan sponsor’s mailing address 10570 BERGTOLD RD, CLARENCE, NY, 140312105
Plan sponsor’s address 10570 BERGTOLD RD, CLARENCE, NY, 140312105

Number of participants as of the end of the plan year
Active participants 221
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing JOSEPH WIDMER
Valid signature Filed with authorized/valid electronic signature
BROTHERS OF MERCY HEALTH CARE PLAN 2019 237155198 2020-10-15 BROTHERS OF MERCY NURSING HOME COMPANY, INC. 259
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 7167597600
Plan sponsor’s mailing address 10570 BERGTOLD RD, CLARENCE, NY, 140312105
Plan sponsor’s address 10570 BERGTOLD RD, CLARENCE, NY, 140312105

Number of participants as of the end of the plan year
Active participants 273
Retired or separated participants receiving benefits 6
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing JOSEPH WIDMER
Valid signature Filed with authorized/valid electronic signature
BROTHERS OF MERCY HEALTH CARE PLAN 2018 237155198 2019-10-15 BROTHERS OF MERCY NURSING HOME COMPANY, INC 302
Three-digit plan number (PN) 505
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 7167596985
Plan sponsor’s mailing address 10570 BERGTOLD RD, CLARENCE, NY, 140312105
Plan sponsor’s address 10570 BERGTOLD RD, CLARENCE, NY, 140312105

Number of participants as of the end of the plan year
Active participants 252
Retired or separated participants receiving benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
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 2019-10-15
Name of individual signing JOSEPH WIDMER
Valid signature Filed with authorized/valid electronic signature
BROTHERS OF MERCY HEALTH CARE PLAN 2018 237155198 2019-10-15 BROTHERS OF MERCY NURSING HOME COMPANY, INC 302
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 7167596985
Plan sponsor’s mailing address 10570 BERGTOLD RD, CLARENCE, NY, 140312105
Plan sponsor’s address 10570 BERGTOLD RD, CLARENCE, NY, 140312105

Number of participants as of the end of the plan year
Active participants 252
Retired or separated participants receiving benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
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 2019-10-15
Name of individual signing JOSEPH WIDMER
Valid signature Filed with authorized/valid electronic signature
BROTHERS OF MERCY HEALTH CARE PLAN 2017 237155198 2018-10-15 BROTHERS OF MERCY NURSING HOME COMPANY, INC. 342
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 7167596985
Plan sponsor’s mailing address 10570 BERGTOLD RD, CLARENCE, NY, 14031
Plan sponsor’s address 10570 BERGTOLD RD, CLARENCE, NY, 14031

Number of participants as of the end of the plan year
Active participants 291
Retired or separated participants receiving benefits 11

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing JOSEPH WIDMER
Valid signature Filed with authorized/valid electronic signature
BROTHERS OF MERCY RETIREMENT SAVINGS PLAN 2016 237155198 2017-10-14 BROTHERS OF MERCY NURSING HOME COMPANY, INC. 240
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-01
Business code 623000
Sponsor’s telephone number 7167596985
Plan sponsor’s mailing address 10570 BERGTOLD ROAD, CLARENCE, NY, 140312105
Plan sponsor’s address 10570 BERGTOLD ROAD, CLARENCE, NY, 140312105

Number of participants as of the end of the plan year
Active participants 196
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 27
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 243

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing JOSEPH F. WIDMER
Valid signature Filed with authorized/valid electronic signature
BROTHERS OF MERCY HEALTH CARE PLAN 2016 237155198 2017-10-14 BROTHERS OF MERCY NURSING HOME COMPANY, INC. 345
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 7167596985
Plan sponsor’s mailing address 10570 BERGTOLD RD, CLARENCE, NY, 14031
Plan sponsor’s address 10570 BERGTOLD RD, CLARENCE, NY, 14031

Number of participants as of the end of the plan year
Active participants 332
Retired or separated participants receiving benefits 10

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing JOSEPH WIDMER
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
%THE CORP. DOS Process Agent 4520 RANSOM RD., CLARENCE, NY, United States, 14031

Filings

Filing Number Date Filed Type Effective Date
20151222023 2015-12-22 ASSUMED NAME LLC INITIAL FILING 2015-12-22
A76574-9 1973-06-06 CERTIFICATE OF AMENDMENT 1973-06-06
912982-9 1971-06-08 CERTIFICATE OF INCORPORATION 1971-06-08

Related by officers

%THE CORP.

E.R.F. FOREIGN AUTO SERVICE, INC. DPK ASSOCIATES, INC. ACCUMATIC GOLF, INC. BODY BASICS, INC. JUDGES HOTEL & RESTAURANT, INC. SHOU KAU LEE CO., INC. GAS 'N GO IMPORTS, INC. A & E HAIRCUTTING CORP. A.A.D. ENTERPRISES, INC. A.B.I. SHIPPING CORPORATION

Related by address

4520 RANSOM RD., CLARENCE, NY, United States, 14031

BROTHERS OF MERCY HOUSING COMPANY, INC.

Date of last update: 17 Nov 2024

Sources: New York Secretary of State

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