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  5. BETHANY HOUSE, INC.

BETHANY HOUSE, INC.

Company Details

Name: BETHANY HOUSE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 30 Dec 1986 (38 years ago)
Entity Number: 1134081
ZIP code: 14621
County: Monroe
Place of Formation: New York
Address: 1111 JOSEPH AVENUE, ROCHESTER, NY, United States, 14621

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BETHANY HOUSE 401(K) PLAN 2023 112848726 2024-07-01 BETHANY HOUSE 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-05-05
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2024-07-01
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2022 112848726 2023-07-11 BETHANY HOUSE 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2021 112848726 2022-08-16 BETHANY HOUSE 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2022-08-16
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2021 112848726 2022-06-28 BETHANY HOUSE 26
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2020 112848726 2021-08-24 BETHANY HOUSE 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2021-08-24
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2019 112848726 2020-07-01 BETHANY HOUSE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2018 112848726 2019-07-02 BETHANY HOUSE 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2017 112848726 2018-07-10 BETHANY HOUSE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2016 112848726 2017-05-25 BETHANY HOUSE 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVENUE, ROOSEVELT, NY, 11575

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2015 112848726 2016-04-12 BETHANY HOUSE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5163138008
Plan sponsor’s address 102 WHITEHOUSE AVENUE, ROOSEVELT, NY, 11575

Plan administrator’s name and address
Administrator’s EIN 112848726
Plan administrator’s name BETHANY HOUSE
Plan administrator’s address 102 WHITEHOUSE AVENUE, ROOSEVELT, NY, 11575
Administrator’s telephone number 5163138008

Signature of
Role Plan administrator
Date 2016-04-12
Name of individual signing BRIAN KOONMEN
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1111 JOSEPH AVENUE, ROCHESTER, NY, United States, 14621

History

Start date End date Type Value
2000-05-15 2009-07-30 Address 169 ST. BRIDGET'S DRIVE, ROCHESTER, NY, 14605, USA (Type of address: Service of Process)
1986-12-30 2000-05-15 Address 1777 SWEETS CORNERS ROAD, FAIRPORT, NY, 14450, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
090730000175 2009-07-30 CERTIFICATE OF CHANGE 2009-07-30
000515000183 2000-05-15 CERTIFICATE OF AMENDMENT 2000-05-15
B441027-11 1986-12-30 CERTIFICATE OF INCORPORATION 1986-12-30

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
100606151 0215800 1989-08-19 800 WEST CHESTNUT STREET, ROME, NY, 13440
Inspection Type Complaint
Scope Partial
Safety/Health Safety
Close Conference 1989-08-19
Case Closed 1989-08-19

Related Activity
Type Complaint
Activity Nr 72999154
Safety Yes

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
22-2850706 Corporation Unconditional Exemption 1111 JOSEPH AVE, ROCHESTER, NY, 14621-3415 1988-02
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 500,000 to 999,999
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 566763
Income Amount 299282
Form 990 Revenue Amount 299282
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 BETHANY HOUSE INC
EIN 22-2850706
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name BETHANY HOUSE INC
EIN 22-2850706
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name BETHANY HOUSE INC
EIN 22-2850706
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name BETHANY HOUSE INC
EIN 22-2850706
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name BETHANY HOUSE INC
EIN 22-2850706
Tax Period 201612
Filing Type E
Return Type 990
File View File

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THE CORPORATION

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Related by address

No related companies by address

Date of last update: 16 Mar 2025

Sources: New York Secretary of State

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