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  5. HOSPICE OF JEFFERSON COUNTY INC.

HOSPICE OF JEFFERSON COUNTY INC.

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Company Details

Name: HOSPICE OF JEFFERSON COUNTY INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 07 May 1986 (39 years ago)
Entity Number: 1080382
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: PO BOXL 677, WATERTOWN, NY, United States, 13601

Contact Details

Phone +1 315-788-7323

DOS Process Agent

Name Role Address
HOSPICE OF JEFFERSON COUNTY INC. DOS Process Agent PO BOXL 677, WATERTOWN, NY, United States, 13601

National Provider Identifier

NPI Number:
1477190809
Link:
View on NPI website

Authorized Person:

Name:
FRANCES LYN SOURWINE
Role:
DIRECTOR OF FINANCE
Phone:
3157887323

Taxonomy:

Selected Taxonomy:
207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Phone:
+1 315-788-7323
Phone:
+1 315-755-6086
Fax:
3157556092

Form 5500 Series

Employer Identification Number (EIN):
161266041
Plan Year:
2023
Number Of Participants:
59
Sponsors Telephone Number:
3157887323
File:
View File
Plan Year:
2022
Number Of Participants:
60
Sponsors Telephone Number:
3157887323
File:
View File
Plan Year:
2021
Number Of Participants:
59
Sponsors Telephone Number:
3157887323
File:
View File
Plan Year:
2020
Number Of Participants:
87
Sponsors Telephone Number:
3157887323
File:
View File
Plan Year:
2019
Number Of Participants:
78
Sponsors Telephone Number:
3157887323
File:
View File

Filings

Filing Number Date Filed Type Effective Date
B355583-7 1986-05-07 CERTIFICATE OF INCORPORATION 1986-05-07

USAspending Awards / Financial Assistance

Date:
2020-04-13
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
410000.00
Total Face Value Of Loan:
410000.00

Tax Exempt

Employer Identification Number (EIN) :
16-1266041
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1992-06
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
410000
Current Approval Amount:
410000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
414920

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State

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