| Name: | MAPLEWOOD NURSING HOME, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Active |
| Date of registration: | 30 Sep 1982 (42 years ago) |
| Entity Number: | 795905 |
| ZIP code: | 14580 |
| County: | Monroe |
| Place of Formation: | New York |
| Address: | 100 Daniel Drive, Webster, NY, United States, 14580 |
| Principal Address: | 100 DANIEL DRIVE, WEBSTER, NY, United States, 14580 |
Contact Details
Phone +1 585-872-1800
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAPLEWOOD NURSING HOME, INC. 401(K) RETIREMENT PLAN | 2020 | 161185858 | 2021-09-10 | MAPLEWOOD NURSING HOME, INC. | 133 | |||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||
| Active participants | 118 |
| Retired or separated participants receiving benefits | 1 |
| Other retired or separated participants entitled to future benefits | 18 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 90 |
| 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 | 2021-09-10 |
| Name of individual signing | DIANE BAILEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1985-09-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 5858721800 |
| Plan sponsor’s mailing address | 100 DANIEL DRIVE, WEBSTER, NY, 14580 |
| Plan sponsor’s address | 100 DANIEL DRIVE, WEBSTER, NY, 14580 |
Plan administrator’s name and address
| Administrator’s EIN | 161185858 |
| Plan administrator’s name | MAPLEWOOD NURSING HOME, INC. |
| Plan administrator’s address | 100 DANIEL DRIVE, WEBSTER, NY, 14580 |
| Administrator’s telephone number | 5858721800 |
Number of participants as of the end of the plan year
| Active participants | 103 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 6 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 80 |
| 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 | 2013-10-14 |
| Name of individual signing | GREGORY CHAMBERY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1985-09-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 5858721800 |
| Plan sponsor’s mailing address | 100 DANIEL DRIVE, WEBSTER, NY, 14580 |
| Plan sponsor’s address | 100 DANIEL DRIVE, WEBSTER, NY, 14580 |
Plan administrator’s name and address
| Administrator’s EIN | 161185858 |
| Plan administrator’s name | MAPLEWOOD NURSING HOME, INC. |
| Plan administrator’s address | 100 DANIEL DRIVE, WEBSTER, NY, 14580 |
| Administrator’s telephone number | 5858721800 |
Number of participants as of the end of the plan year
| Active participants | 109 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 10 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 78 |
| 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 | 2012-10-12 |
| Name of individual signing | GREGORY CHAMBERY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MAPLEWOOD NURSING HOME, INC. | DOS Process Agent | 100 Daniel Drive, Webster, NY, United States, 14580 |
| Name | Role | Address |
|---|---|---|
| GREGORY J CHAMBERY | Chief Executive Officer | 100 DANIEL DR, WEBSTER, NY, United States, 14580 |
| Number | Type | Date | Last renew date | End date | Address | Description |
|---|---|---|---|---|---|---|
| 0340-23-334208 | Alcohol sale | 2023-02-17 | 2023-02-17 | 2025-03-31 | 100 DANIEL DR, WEBSTER, New York, 14580 | Restaurant |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2024-09-23 | 2024-09-23 | Address | 100 DANIEL DR, WEBSTER, NY, 14580, USA (Type of address: Chief Executive Officer) |
| 2024-09-23 | 2024-09-23 | Address | 100 DANIEL DR, WEBSTER, NY, 14580, 2983, USA (Type of address: Chief Executive Officer) |
| 2000-09-12 | 2024-09-23 | Address | 100 DANIEL DR, WEBSTER, NY, 14580, 2983, USA (Type of address: Chief Executive Officer) |
| 1998-09-24 | 2024-09-23 | Address | 100 DANIEL DR, WEBSTER, NY, 14580, USA (Type of address: Service of Process) |
| 1993-05-18 | 2000-09-12 | Address | 100 DANIEL DRIVE, WEBSTER, NY, 14580, 2983, USA (Type of address: Chief Executive Officer) |
| 1982-09-30 | 2024-09-23 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 1982-09-30 | 1998-09-24 | Address | 100 DANIEL DRIVE, WEBSTER, NY, 14580, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 240923003358 | 2024-09-23 | BIENNIAL STATEMENT | 2024-09-23 |
| 220317001509 | 2022-03-17 | BIENNIAL STATEMENT | 2020-09-01 |
| 180912006254 | 2018-09-12 | BIENNIAL STATEMENT | 2018-09-01 |
| 170202007379 | 2017-02-02 | BIENNIAL STATEMENT | 2016-09-01 |
| 140922006610 | 2014-09-22 | BIENNIAL STATEMENT | 2014-09-01 |
| 120926002252 | 2012-09-26 | BIENNIAL STATEMENT | 2012-09-01 |
| 101001003043 | 2010-10-01 | BIENNIAL STATEMENT | 2010-09-01 |
| 080915002034 | 2008-09-15 | BIENNIAL STATEMENT | 2008-09-01 |
| 060825002356 | 2006-08-25 | BIENNIAL STATEMENT | 2006-09-01 |
| 041022002394 | 2004-10-22 | BIENNIAL STATEMENT | 2004-09-01 |
Date of last update: 16 Nov 2024
Sources: New York Secretary of State
