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  5. CHAUTAUQUA HOSPICE AND PALLIATIVE CARE

CHAUTAUQUA HOSPICE AND PALLIATIVE CARE

Company Details

Name: CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 10 Apr 1981 (44 years ago)
Entity Number: 692036
ZIP code: 14750
County: Chautauqua
Place of Formation: New York
Address: 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, United States, 14750

Contact Details

Fax +1 716-338-0033

Phone +1 716-338-0033

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
G7Y9CG1LBKW5 2024-08-20 20 W FAIRMOUNT AVE, LAKEWOOD, NY, 14750, 1702, USA 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA

Business Information
URL http://www.chpc.care
Congressional District 23
State/Country of Incorporation NY, USA
Activation Date 2023-08-23
Initial Registration Date 2008-10-22
Entity Start Date 1993-04-19
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621610
Product and Service Codes Q999

Points of Contacts
Electronic Business
Title PRIMARY POC
Name EMILY MORSE
Role FINANCE MANAGER
Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA
Title ALTERNATE POC
Name RENEE MOULTON
Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA
Government Business
Title PRIMARY POC
Name MICHAEL TESTA
Role PRESIDENT
Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA
Title ALTERNATE POC
Name RENEE MOULTON
Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA
Past Performance
Title PRIMARY POC
Name SHAUNA ANDERSON
Role PRESIDENT
Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA
Title ALTERNATE POC
Name RENEE MOULTON
Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
58AW2 Active Non-Manufacturer 2008-10-23 2024-06-18 2029-06-18 2025-06-14

Contact Information
POC MICHAEL TESTA
Phone +1 716-338-0033
Fax +1 716-338-1575
Address 20 W FAIRMOUNT AVE, LAKEWOOD, NY, 14750 1702, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2023 222432409 2024-05-01 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2022 222432409 2023-04-17 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2021 222432409 2022-04-12 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2020 222432409 2021-04-30 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2019 222432409 2020-05-05 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2018 222432409 2019-04-03 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2017 222432409 2018-05-07 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2016 222432409 2017-05-01 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, United States, 14750

History

Start date End date Type Value
2010-02-12 2016-05-11 Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, USA (Type of address: Service of Process)
1993-02-10 2016-05-11 Name HOSPICE CHAUTAUQUA COUNTY, INC.
1993-02-10 2010-02-12 Address C/O W.C.A. HOSPITAL, FOOTE AVENUE, JAMESTOWN, NY, 14701, USA (Type of address: Service of Process)
1981-04-10 1993-02-10 Name HOSPICE INFORMATIONAL AND REFERRAL SERVICE OF SOUTHWESTERN NEW YORK, INC.
1981-04-10 1993-02-10 Address 715 FALCONER ST, JAMESTOWN, NY, 14701, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160511000686 2016-05-11 CERTIFICATE OF AMENDMENT 2016-05-11
100212000142 2010-02-12 CERTIFICATE OF CHANGE 2010-02-12
930210000185 1993-02-10 CERTIFICATE OF AMENDMENT 1993-02-10
A755738-8 1981-04-10 CERTIFICATE OF INCORPORATION 1981-04-10

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DCA AWARD VA244P0730 2008-10-01 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_VA244P0730_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title HOSPICE SERVICES
NAICS Code 621610: HOME HEALTH CARE SERVICES
Product and Service Codes Q401: NURSING SERVICES

Recipient Details
Recipient CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
UEI G7Y9CG1LBKW5
Legacy DUNS 158863063
Recipient Address UNITED STATES, 4840 W LAKE RD, MAYVILLE, 147579408

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, United States, 14750

AARQUE GPC, INC. OZANOL CORPORATION OZANOL CORPORATION

Date of last update: 16 Nov 2024

Sources: New York Secretary of State

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