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  5. FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC.

FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC.

Company Details

Name: FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 29 Aug 1958 (67 years ago)
Entity Number: 113040
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: 120 WASHINGTON ST., STE. 510, WATERTOWN, NY, United States, 13601

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 2020 160597601 2022-02-23 FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 9
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 624100
Sponsor’s telephone number 3157824483
Plan sponsor’s address 531 WASHINGTON ST STE 4124, WATERTOWN, NY, 136014037

Signature of
Role Employer/plan sponsor
Date 2022-02-22
Name of individual signing JENNIFER HUTTEMANN-KALL
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 2020 160597601 2022-02-23 FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 624100
Sponsor’s telephone number 3157824483
Plan sponsor’s address 531 WASHINGTON ST STE 4124, WATERTOWN, NY, 136014037

Signature of
Role Plan administrator
Date 2022-02-23
Name of individual signing JENNIFER HUTTEMANN-KALL
Role Employer/plan sponsor
Date 2022-02-23
Name of individual signing JENNIFER HUTTEMANN-KALL
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 2019 150597601 2020-10-12 FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 624100
Sponsor’s telephone number 3157824483
Plan sponsor’s address 531 WASHINGTON ST, SUITE 4124, WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing PHILLIP KNEELAND
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 2018 150597601 2019-10-14 FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 624100
Sponsor’s telephone number 3157824483
Plan sponsor’s address 200 MULLIN ST STE 102, WATERTOWN, NY, 136013619

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing PHILLIP KNEELAND
EMPLOYEE BENEFIT PLAN FOR EMPLOYEES OF FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC 2009 150597601 2010-10-14 FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 621112
Sponsor’s telephone number 3157824483
Plan sponsor’s address 120 WASHINGTON STREET, SUITE 510, WATERTOWN, NY, 13601

Plan administrator’s name and address
Administrator’s EIN 150597601
Plan administrator’s name FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC
Plan administrator’s address 120 WASHINGTON STREET, SUITE 510, WATERTOWN, NY, 13601
Administrator’s telephone number 3157824483

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing COLLENE ALEXANDER
TAX DEFERRED ANNUITY PLAN OF FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, IN INC 2009 150597601 2010-10-14 FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-06-01
Business code 621112
Sponsor’s telephone number 3157824483
Plan sponsor’s address 120 WASHINGTON ST STE 5, WATERTOWN, NY, 13601

Plan administrator’s name and address
Administrator’s EIN 150597601
Plan administrator’s name FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK, INC.
Plan administrator’s address 120 WASHINGTON ST STE 5, WATERTOWN, NY, 13601
Administrator’s telephone number 3157824483

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing COLLENE ALEXANDER
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing COLLENE ALEXANDER

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 120 WASHINGTON ST., STE. 510, WATERTOWN, NY, United States, 13601

Filings

Filing Number Date Filed Type Effective Date
020904000539 2002-09-04 CERTIFICATE OF AMENDMENT 2002-09-04
B322636-2 1986-02-14 ASSUMED NAME CORP INITIAL FILING 1986-02-14
121322 1958-08-29 CERTIFICATE OF INCORPORATION 1958-08-29

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
15-0597601 Corporation Unconditional Exemption 531 WASHINGTON ST, WATERTOWN, NY, 13601-4084 1960-03
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 100,000 to 499,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 197347
Income Amount 335015
Form 990 Revenue Amount 335015
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK INC
EIN 15-0597601
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK INC
EIN 15-0597601
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK INC
EIN 15-0597601
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK INC
EIN 15-0597601
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK INC
EIN 15-0597601
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK INC
EIN 15-0597601
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK INC
EIN 15-0597601
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name FAMILY COUNSELING SERVICE OF NORTHERN NEW YORK INC
EIN 15-0597601
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3770817110 2020-04-12 0248 PPP 200 MULLIN ST, Suite 102, WATERTOWN, NY, 13601-3618
Loan Status Date 2021-01-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 72967.45
Loan Approval Amount (current) 72967.45
Undisbursed Amount 0
Franchise Name -
Lender Location ID 50344
Servicing Lender Name Watertown Savings Bank
Servicing Lender Address 111 Clinton St, WATERTOWN, NY, 13601-3650
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WATERTOWN, JEFFERSON, NY, 13601-3618
Project Congressional District NY-24
Number of Employees 10
NAICS code 621420
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 50344
Originating Lender Name Watertown Savings Bank
Originating Lender Address WATERTOWN, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 73415.25
Forgiveness Paid Date 2020-12-02

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State

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