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  5. DELAWARE VALLEY HOSPITAL, INC.

DELAWARE VALLEY HOSPITAL, INC.

Company Details

Name: DELAWARE VALLEY HOSPITAL, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 25 Oct 1948 (76 years ago)
Entity Number: 72398
ZIP code: 13856
County: Delaware
Place of Formation: New York
Address: 1 TITUS PLACE, WALTON, NY, United States, 13856

Contact Details

Phone +1 607-865-2781

Phone +1 607-498-4800

Phone +1 607-865-2400

Phone +1 607-363-2517

Phone +1 607-865-2100

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
VKXYMHMNU655 2024-09-19 1 TITUS PL, WALTON, NY, 13856, 1457, USA 1 TITUS PL, WALTON, NY, 13856, 1457, USA

Business Information
Doing Business As DELAWARE VALLEY HOSPITAL INC
Congressional District 19
State/Country of Incorporation NY, USA
Activation Date 2023-09-22
Initial Registration Date 2013-06-19
Entity Start Date 1948-10-04
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LUCINDA M RIDER
Role CHIEF FINANCIAL OFFICER
Address 1 TITUS PLACE, WALTON, NY, 13856, USA
Title ALTERNATE POC
Name ROLLAND V. BOJO, JR.
Role PRESIDENT/CEO
Address 1 TITUS PLACE, WALTON, NY, 13856, USA
Government Business
Title PRIMARY POC
Name LUCINDA M RIDER
Role CHIEF FINANCIAL OFFICER
Address 1 TITUS PLACE, WALTON, NY, 13856, USA
Title ALTERNATE POC
Name ROLLAND V. BOJO, JR.
Role PRESIDENT/CEO
Address 1 TITUS PLACE, WALTON, NY, 13856, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
6YTL1 Obsolete Non-Manufacturer 2013-09-04 2024-08-14 No data 2025-08-12

Contact Information
POC LUCINDA M. RIDER
Phone +1 607-865-2190
Fax +1 607-865-8990
Address 1 TITUS PL, WALTON, NY, 13856 1457, 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
DELAWARE VALLEY HOSPITAL LIFE INSURANCE 2014 150524324 2015-10-14 DELAWARE VALLEY HOSPITAL 233
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 6078652100
Plan sponsor’s mailing address 1 TITUS PLACE, WALTON, NY, 13856
Plan sponsor’s address 1 TITUS PLACE, WALTON, NY, 13856

Number of participants as of the end of the plan year
Active participants 122
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing MICHAEL MCNALLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-14
Name of individual signing BRIAN KELLER
Valid signature Filed with authorized/valid electronic signature
DELAWARE VALLEY HOSPITAL - DENTAL, VISION AND LIFE INSURANCE 2013 150524324 2014-07-23 DELAWARE VALLEY HOSPITAL 233
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 6078652100
Plan sponsor’s mailing address 1 TITUS PLACE, WALTON, NY, 13856
Plan sponsor’s address 1 TITUS PLACE, WALTON, NY, 13856

Number of participants as of the end of the plan year
Active participants 233

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing LUCINDA RIDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-22
Name of individual signing LUCINDA RIDER
Valid signature Filed with authorized/valid electronic signature
DELAWARE VALLEY HOSPITAL - MEDICAL, DENTAL, VISION AND LIFE INSURANCE 2012 150524324 2013-10-09 DELAWARE VALLEY HOSPITAL, INC. 289
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 6078652190
Plan sponsor’s mailing address 1 TITUS PLACE, WALTON, NY, 13856
Plan sponsor’s address 1 TITUS PLACE, WALTON, NY, 13856

Number of participants as of the end of the plan year
Active participants 289

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing PAUL SUMMERS
Valid signature Filed with authorized/valid electronic signature
DELAWARE VALLEY HOSPITAL - MEDICAL, DENTAL, VISION AND LIFE INSURANCE 2011 150524324 2012-07-27 DELAWARE VALLEY HOSPITAL 281
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2011-01-01
Business code 622000
Sponsor’s telephone number 6078652100
Plan sponsor’s mailing address 1 TITUS PLACE, WALTON, NY, 13856
Plan sponsor’s address 1 TITUS PLACE, WALTON, NY, 13856

Plan administrator’s name and address
Administrator’s EIN 150524324
Plan administrator’s name DELAWARE VALLEY HOSPITAL
Plan administrator’s address 1 TITUS PLACE, WALTON, NY, 13856
Administrator’s telephone number 6078652100

Number of participants as of the end of the plan year
Active participants 281

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing PAUL SUMMERS
Valid signature Filed with authorized/valid electronic signature
DELAWARE VALLEY HOSPITAL - MEDICAL, DENTAL, VISION & LIFE INSURANCE 2010 150524324 2011-10-06 DELAWARE VALLEY HOSPITAL 285
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 6078652100
Plan sponsor’s mailing address 1 TITUS PLACE, WALTON, NY, 13856
Plan sponsor’s address 1 TITUS PLACE, WALTON, NY, 13856

Plan administrator’s name and address
Administrator’s EIN 150524324
Plan administrator’s name DELAWARE VALLEY HOSPITAL
Plan administrator’s address 1 TITUS PLACE, WALTON, NY, 13856
Administrator’s telephone number 6078652100

Number of participants as of the end of the plan year
Active participants 285

Signature of
Role Plan administrator
Date 2011-08-24
Name of individual signing PAUL SUMMERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-06
Name of individual signing DAVID POLGE
Valid signature Filed with authorized/valid electronic signature
DELAWARE VALLEY HOSPITAL - MEDICAL, DENTAL, VISION AND LIFE INSURANCE 2009 150524324 2010-10-13 DELAWARE VALLEY HOSPITAL, INC. 279
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 6078652190
Plan sponsor’s mailing address 1 TITUS PLACE, WALTON, NY, 13856
Plan sponsor’s address 1 TITUS PLACE, WALTON, NY, 13856

Plan administrator’s name and address
Administrator’s EIN 150524324
Plan administrator’s name DELAWARE VALLEY HOSPITAL, INC.
Plan administrator’s address 1 TITUS PLACE, WALTON, NY, 13856
Administrator’s telephone number 6078652190

Number of participants as of the end of the plan year
Active participants 279

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing DAVID POLGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing PAUL SUMMERS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DELAWARE VALLEY HOSPITAL, INC. Agent 1 TITUS PLACE, WALTON, NY

DOS Process Agent

Name Role Address
%DELAWARE VALLEY HOSP., INC. DOS Process Agent 1 TITUS PLACE, WALTON, NY, United States, 13856

Filings

Filing Number Date Filed Type Effective Date
B067900-2 1984-02-09 ASSUMED NAME CORP INITIAL FILING 1984-02-09
A928867-11 1982-12-13 CERTIFICATE OF AMENDMENT 1982-12-13
A102804-2 1973-09-21 CERTIFICATE OF AMENDMENT 1973-09-21
565Q-135 1952-12-08 CERTIFICATE OF AMENDMENT 1952-12-08
536Q-137 1950-11-21 CERTIFICATE OF AMENDMENT 1950-11-21
524Q-101 1950-01-24 CERTIFICATE OF AMENDMENT 1950-01-24
506Q-16 1948-10-25 CERTIFICATE OF INCORPORATION 1948-10-25

Related by officers

No related officers

Related by address

1 TITUS PLACE, WALTON, NY, United States, 13856

CHARLES W. JONES, M.D., P.C.

Date of last update: 17 Nov 2024

Sources: New York Secretary of State

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