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INDEPENDENCE CARE, INC.

Company Details

Name: INDEPENDENCE CARE, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 17 Nov 2004 (20 years ago)
Entity Number: 3127507
County: Oneida
Place of Formation: New York
Address: 6296 LORENA ROAD, ROME, NY, United States, 13440
Address ZIP Code: 13440
Principal Address: 6296 LORENA RD, ROME, NY, United States, 13440
Principal Address ZIP Code: 13440

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INDEPENDENCE CARE, INC 401(K) PLAN 2020 201895672 2021-06-25 INDEPENDENCE CARE INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621610
Sponsor’s telephone number 3153343351
Plan sponsor’s address 6296 LORENA ROAD, ROME, NY, 13440

Signature of

Role Plan administrator
Date 2021-06-25
Name of individual signing MARCIA KOTARY
INDEPENDENCE CARE, INC 401(K) PLAN 2019 201895672 2020-08-13 INDEPENDENCE CARE INC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621610
Sponsor’s telephone number 3153343351
Plan sponsor’s address 6296 LORENA ROAD, ROME, NY, 13440

Signature of

Role Plan administrator
Date 2020-08-13
Name of individual signing MARCIA KOTARY
INDEPENDENCE CARE, INC 401(K) PLAN 2018 201895672 2019-07-18 INDEPENDENCE CARE INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621610
Sponsor’s telephone number 3153343351
Plan sponsor’s address 6296 LORENA ROAD, ROME, NY, 13440

Signature of

Role Plan administrator
Date 2019-07-18
Name of individual signing MARCIA KOTARY
INDEPENDENCE CARE, INC. EMPLOYEE RETIREMENT PLAN 2017 201895672 2018-07-23 INDEPENDENCE CARE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621610
Sponsor’s telephone number 3153370037
Plan sponsor’s address 6296 LORENA ROAD, ROME, NY, 13440

Chief Executive Officer

Name Role Address
MARCIA A KOTARY Chief Executive Officer 6296 LORENA RD, ROME, NY, United States, 13440

Agent

Name Role Address
MARCIA A. KOTARY, PRESIDENT Agent 6296 LOROENA ROAD, ROME, NY, 13440

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 6296 LORENA ROAD, ROME, NY, United States, 13440

Filings

Filing Number Date Filed Type Effective Date
121109002349 2012-11-09 BIENNIAL STATEMENT 2012-11-01
081030002209 2008-10-30 BIENNIAL STATEMENT 2008-11-01
061106002677 2006-11-06 BIENNIAL STATEMENT 2006-11-01
041117000732 2004-11-17 CERTIFICATE OF INCORPORATION 2005-01-01

Date of last update: 10 Nov 2024

Sources: New York Secretary of State