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NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.

Company Details

Name: NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Inactive
Date of registration: 18 Apr 1972 (53 years ago)
Entity Number: 328180
County: Erie
Date of dissolution: 22 May 2024
Place of Formation: New York
Address: 64 HAGER STREET, BUFFALO, NY, United States, 14208
Address ZIP Code: 14208

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NIAGARA LUTHERAN HOME INC. HEALTH PLAN 2015 160798517 2016-07-27 NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC. 138
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1983-06-01
Business code 623000
Sponsor’s telephone number 7166840202
Plan sponsor’s mailing address 5959 BROADWAY ST, LANCASTER, NY, 140869523
Plan sponsor’s address 5959 BROADWAY ST, LANCASTER, NY, 140869523

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2016-07-27
Name of individual signing LAURIE JANKOWSKI
Valid signature Filed with authorized/valid electronic signature
NIAGARA LUTHERAN HOME INC. HEALTH PLAN 2014 160798517 2015-07-14 NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC. 168
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1983-06-01
Business code 623000
Sponsor’s telephone number 7166840202
Plan sponsor’s mailing address 5959 BROADWAY STREET, LANCASTER, NY, 14086
Plan sponsor’s address 64 HAGER STREET, BUFFALO, NY, 14208

Number of participants as of the end of the plan year

Active participants 138

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing LAURIE JANKOWSKI
Valid signature Filed with authorized/valid electronic signature
NIAGARA LUTHERAN HOME INC. HEALTH PLAN 2013 160798517 2014-06-23 NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC. 173
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1983-06-01
Business code 623000
Sponsor’s telephone number 7168864377
Plan sponsor’s mailing address 64 HAGER STREET, BUFFALO, NY, 14208
Plan sponsor’s address 64 HAGER STREET, BUFFALO, NY, 14208

Number of participants as of the end of the plan year

Active participants 168

Signature of

Role Plan administrator
Date 2014-06-23
Name of individual signing LAURIE JANKOWSKI
Valid signature Filed with authorized/valid electronic signature
NIAGARA LUTHERAN HOME, INC. HEALTH PLAN 2012 160798517 2013-08-28 NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC. 178
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1983-06-01
Business code 623000
Sponsor’s telephone number 7168864377
Plan sponsor’s mailing address 64 HAGER STREET, BUFFALO, NY, 14208
Plan sponsor’s address 64 HAGER STREET, BUFFALO, NY, 14208

Number of participants as of the end of the plan year

Active participants 173

Signature of

Role Plan administrator
Date 2013-08-27
Name of individual signing LAURIE JANKOWSKI
Valid signature Filed with authorized/valid electronic signature
NIAGARA LUTHERAN HOME, INC. HEALTH PLAN 2011 160798517 2012-08-13 NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC. 190
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1983-06-01
Business code 623000
Sponsor’s telephone number 7168864377
Plan sponsor’s mailing address 64 HAGER STREET, BUFFALO, NY, 14208
Plan sponsor’s address 64 HAGER STREET, BUFFALO, NY, 14208

Plan administrator’s name and address

Administrator’s EIN 160798517
Plan administrator’s name NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.
Plan administrator’s address 64 HAGER STREET, BUFFALO, NY, 14208
Administrator’s telephone number 7168864377

Number of participants as of the end of the plan year

Active participants 178

Signature of

Role Plan administrator
Date 2012-08-13
Name of individual signing LAURIE JANKOWSKI
Valid signature Filed with authorized/valid electronic signature
NIAGARA LUTHERAN HOME, INC. HEALTH PLAN 2010 160798517 2011-10-13 NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC. 206
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1983-06-01
Business code 623000
Sponsor’s telephone number 7168864377
Plan sponsor’s mailing address 64 HAGER STREET, BUFFALO, NY, 14208
Plan sponsor’s address 64 HAGER STREET, BUFFALO, NY, 14208

Plan administrator’s name and address

Administrator’s EIN 160798517
Plan administrator’s name NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.
Plan administrator’s address 64 HAGER STREET, BUFFALO, NY, 14208
Administrator’s telephone number 7168864377

Number of participants as of the end of the plan year

Active participants 190

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing LAURIE JANKOWSKI
Valid signature Filed with authorized/valid electronic signature
NIAGARA LUTHERAN HOME, INC. HEALTH PLAN 2009 160798517 2010-09-20 NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC 220
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1983-06-01
Business code 623000
Sponsor’s telephone number 7168864377
Plan sponsor’s mailing address 64 HAGER STREET, BUFFALO, NY, 14208
Plan sponsor’s address 64 HAGER STREET, BUFFALO, NY, 14208

Plan administrator’s name and address

Administrator’s EIN 160798517
Plan administrator’s name NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC
Plan administrator’s address 64 HAGER STREET, BUFFALO, NY, 14208
Administrator’s telephone number 7168864377

Number of participants as of the end of the plan year

Active participants 206
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2010-09-20
Name of individual signing LAURIE JANKOWSKI
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 64 HAGER STREET, BUFFALO, NY, United States, 14208

History

Start date End date Type Value
1996-07-12 2024-05-23 Address 64 HAGER STREET, BUFFALO, NY, 14208, USA (Type of address: Service of Process)
1993-03-08 1996-07-12 Address 64 HAGER STREET, BUFFALO, NY, 14208, USA (Type of address: Service of Process)
1972-04-18 1993-03-08 Address 64 HAGER ST, BUFFALO, NY, 14208, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240523001626 2024-05-22 CERTIFICATE OF DISSOLUTION-CANCELLATION 2024-05-22
20061010062 2006-10-10 ASSUMED NAME CORP INITIAL FILING 2006-10-10
960712000612 1996-07-12 CERTIFICATE OF AMENDMENT 1996-07-12
930308000241 1993-03-08 CERTIFICATE OF AMENDMENT 1993-03-08
982272-9 1972-04-18 CERTIFICATE OF INCORPORATION 1972-04-18

Date of last update: 30 Oct 2024

Sources: New York Secretary of State