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  5. THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.

THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.

Company Details

Name: THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 03 Nov 1958 (66 years ago)
Entity Number: 114331
ZIP code: 14810
County: Steuben
Place of Formation: New York
Address: 7571 STATE ROUTE 54, BATH, NY, United States, 14810

Contact Details

Phone +1 607-776-8501

Phone +1 607-776-8500

Phone +1 607-776-8714

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
F5YYVLJ2DUV6 2025-02-18 7571 STATE ROUTE 54, BATH, NY, 14810, 9504, USA 7571 STATE ROUTE 54, BATH, NY, 14810, 9533, USA

Business Information
Doing Business As IRA DAVENPORT MEMORIAL HOSPITAL INC
URL http://www.arnothealth.org/ira-davenport-memorial-hospital
Congressional District 23
State/Country of Incorporation NY, USA
Activation Date 2024-02-21
Initial Registration Date 2005-03-31
Entity Start Date 1958-11-03
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 622110
Product and Service Codes M1DA

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JACQUELINE GILBERT
Role SR ACCOUNTANT
Address 600 ROE AVE, ACCOUNTING DEPT, ELMIRA, NY, 14905, 1629, USA
Government Business
Title PRIMARY POC
Name ELYSE BELLINGER
Role VP FINANCE
Address 600 ROE AVE, ACCOUNTING, ELMIRA, NY, 14905, 1629, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
37VU3 Active Non-Manufacturer 2005-03-31 2024-03-11 2029-02-21 2025-02-18

Contact Information
POC ELYSE BELLINGER
Phone +1 607-737-4507
Fax +1 607-271-7030
Address 7571 STATE ROUTE 54, BATH, NY, 14810 9504, 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
IRA DAVENPORT MEMORIAL HOSPITAL- EMPLOYEE PENSION PLAN 2022 160835446 2024-03-22 IRA DAVENPORT MEMORIAL HOSPITAL, INC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-08-01
Business code 622000
Sponsor’s telephone number 6077374507
Plan sponsor’s address 7571 STATE ROUTE 54, BATH, NY, 148109504

Signature of
Role Plan administrator
Date 2024-03-18
Name of individual signing JOHN MALLIA
IRA DAVENPORT MEMORIAL HOSPITAL INC. - EMPLOYEE PENSION PLAN 2021 160835446 2023-05-15 IRA DAVENPORT MEMORIAL HOSPITAL, INC 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-08-01
Business code 622000
Sponsor’s telephone number 6077378142
Plan sponsor’s address 7571 STATE ROUTE 54, BATH, NY, 148109504

Signature of
Role Plan administrator
Date 2023-05-15
Name of individual signing THERESA REED
Role Employer/plan sponsor
Date 2023-05-15
Name of individual signing THERESA REED
IRA DAVENPORT MEMORIAL HOSPITAL INC. EMPLOYEE PENSION PLAN 2018 160835446 2020-07-15 IRA DAVENPORT MEMORIAL HOSPITAL INC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-08-01
Business code 622000
Sponsor’s telephone number 6077768832
Plan sponsor’s address 7571 STATE ROUTE 54, BATH, NY, 148109504

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing THERESA REED
IRA DAVENPORT MEMORIAL HOSPITAL INC. EMPLOYEE PENSION PLAN 2017 160835446 2019-05-21 IRA DAVENPORT MEMORIAL HOSPITAL, INC 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-08-01
Business code 622000
Sponsor’s telephone number 6077768832
Plan sponsor’s address 7571 STATE ROUTE 54, BATH, NY, 148109504

Signature of
Role Plan administrator
Date 2019-05-21
Name of individual signing THERESA REED
IRA DAVENPORT MEMORIAL HOSPITAL, INC. EMPLOYEE PENSION PLAN 2016 160835446 2018-05-16 IRA DAVENPORT MEMORIAL HOSPITAL, INC. 77
Three-digit plan number (PN) 001
Effective date of plan 1967-08-01
Business code 622000
Sponsor’s telephone number 6077768832
Plan sponsor’s address 7571 STATE ROUTE 54, BATH, NY, 148109504

Signature of
Role Plan administrator
Date 2018-05-16
Name of individual signing THERESA REED
IRA DAVENPORT MEMORIAL HOSPITAL, INC. EMPLOYEE PENSION PLAN 2015 160835446 2017-05-15 IRA DAVENPORT MEMORIAL HOSPITAL, INC. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-08-01
Business code 622000
Sponsor’s telephone number 6077768832
Plan sponsor’s address 7571 STATE ROUTE 54, BATH, NY, 148109504

Plan administrator’s name and address
Administrator’s EIN 160835446
Plan administrator’s name IRA DAVENPORT MEMORIAL HOSPITAL, INC.
Plan administrator’s address 7571 STATE ROUTE 54, BATH, NY, 148109504
Administrator’s telephone number 6077768832

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing RONALD KINTZ
Role Employer/plan sponsor
Date 2017-05-15
Name of individual signing RONALD KINTZ
IRA DAVEPORT MEMORIAL HOSPITAL, INC. EMPLOYEE PENSION PLAN 2015 160835446 2017-08-18 IRA DAVENPORT MEMORIAL HOSPITAL, INC. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-08-01
Business code 622000
Plan sponsor’s address 7571 STATE ROUTE 54, BATH, NY, 148109504

Signature of
Role Plan administrator
Date 2017-08-18
Name of individual signing THERESA REED
Role Employer/plan sponsor
Date 2017-08-18
Name of individual signing THERESA REED
HEALTH INSURANCE PLAN OF IRA DAVENPORT MEMORIAL HOSPITAL INC. 2013 160835446 2014-04-11 IRA DAVENPORT MEMORIAL HOSPITAL INC. 148
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1966-02-02
Business code 622000
Plan sponsor’s mailing address 7571 STATE ROUTE 54, BATH, NY, 14810
Plan sponsor’s address 7571 STATE ROUTE 54, BATH, NY, 14810

Number of participants as of the end of the plan year
Active participants 140

Signature of
Role Plan administrator
Date 2014-04-11
Name of individual signing THERESA STRONG
Valid signature Filed with authorized/valid electronic signature
DENTAL PLAN IRA DAVENPORT MEMORIAL HOSPITAL 2012 160835446 2014-08-20 IRA DAVENPORT MEMORIAL HOSPITAL 167
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1966-02-02
Business code 622000
Plan sponsor’s mailing address 7571 STATE ROUTE 54, BATH, NY, 14810
Plan sponsor’s address 7571 STATE ROUTE 54, BATH, NY, 14810

Number of participants as of the end of the plan year
Active participants 164

Signature of
Role Plan administrator
Date 2014-08-20
Name of individual signing THERESA STRONG
Valid signature Filed with authorized/valid electronic signature
HEALTH PLAN IRA DAVENPORT MEMORIAL HOSPITAL 2012 160835446 2014-04-11 IRA DAVENPORT MEMORIAL HOSPITAL INC 154
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1966-02-02
Business code 622000
Sponsor’s telephone number 6077768332
Plan sponsor’s mailing address 7571 STATE ROUTE 54, BATH, NY, 14810
Plan sponsor’s address 7571 STATE ROUTE 54, BATH, NY, 14810

Number of participants as of the end of the plan year
Active participants 148

Signature of
Role Plan administrator
Date 2014-04-11
Name of individual signing THERESA STRONG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
N/A: THE CORP. Agent P.O.BOX 350, BATH, NY, 14810

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 7571 STATE ROUTE 54, BATH, NY, United States, 14810

Filings

Filing Number Date Filed Type Effective Date
090921000625 2009-09-21 CERTIFICATE OF AMENDMENT 2009-09-21
980805000174 1998-08-05 CERTIFICATE OF AMENDMENT 1998-08-05
C107075-2 1990-02-12 ASSUMED NAME CORP INITIAL FILING 1990-02-12
A627391-7 1979-12-13 CERTIFICATE OF AMENDMENT 1979-12-13
A96255-2 1973-08-30 CERTIFICATE OF AMENDMENT 1973-08-30
351797 1962-11-14 CERTIFICATE OF AMENDMENT 1962-11-14
129577 1958-11-03 CERTIFICATE OF CONSOLIDATION 1958-11-03

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DO AWARD VA528FY08 2008-09-30 2008-09-30 2008-09-30
Unique Award Key CONT_AWD_VA528FY08_3600_V528A8P5294_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ADULT DAY CARE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q401: NURSING SERVICES

Recipient Details
Recipient THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.
UEI F5YYVLJ2DUV6
Legacy DUNS 073694424
Recipient Address UNITED STATES, 7571 STATE ROUTE 54, BATH, 148109504
No data IDV V528A8P5294 2008-04-01 No data No data
Unique Award Key CONT_IDV_V528A8P5294_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ADULT DAY CARE SERVICES
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q401: NURSING SERVICES

Recipient Details
Recipient THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.
UEI F5YYVLJ2DUV6
Legacy DUNS 073694424
Recipient Address UNITED STATES, 7571 STATE ROUTE 54, BATH, 148109504
No data IDV VA528P0559 2009-11-01 No data No data
Unique Award Key CONT_IDV_VA528P0559_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title COLONOSCOPY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q505: GASTROENTEROLOGY SERVICES

Recipient Details
Recipient THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.
UEI F5YYVLJ2DUV6
Legacy DUNS 073694424
Recipient Address UNITED STATES, 7571 STATE ROUTE 54, BATH, 148109533
No data IDV VA528BO0154 2009-05-13 No data No data
Unique Award Key CONT_IDV_VA528BO0154_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title MEDIAL MODEL ADULT DAY CARE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.
UEI F5YYVLJ2DUV6
Legacy DUNS 073694424
Recipient Address UNITED STATES, 7571 STATE ROUTE 54, BATH, 148109504
DO AWARD VA528FY0902 2009-03-31 2009-09-30 2011-09-30
Unique Award Key CONT_AWD_VA528FY0902_3600_VA528BO0154_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title MEDIAL MODEL ADULT DAY CARE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.
UEI F5YYVLJ2DUV6
Legacy DUNS 073694424
Recipient Address UNITED STATES, 7571 STATE ROUTE 54, BATH, 148109504
DO AWARD VA528FY0901 2008-12-31 2008-12-31 2008-12-31
Unique Award Key CONT_AWD_VA528FY0901_3600_V528A8P5294_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ADULT DAY CARE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q401: NURSING SERVICES

Recipient Details
Recipient THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.
UEI F5YYVLJ2DUV6
Legacy DUNS 073694424
Recipient Address UNITED STATES, 7571 STATE ROUTE 54, BATH, 148109504
DO AWARD VA528FY0901 2008-12-31 2009-09-30 2011-09-30
Unique Award Key CONT_AWD_VA528FY0901_3600_VA528BO0154_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title MEDIAL MODEL ADULT DAY CARE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.
UEI F5YYVLJ2DUV6
Legacy DUNS 073694424
Recipient Address UNITED STATES, 7571 STATE ROUTE 54, BATH, 148109504
DO AWARD VA5280C5001 2009-10-01 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_VA5280C5001_3600_VA528BO0154_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title MEDIAL MODEL ADULT DAY CARE. DO - EXPRESS REPORT. ACTIVITY: GEC EXPENDITURES
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.
UEI F5YYVLJ2DUV6
Legacy DUNS 073694424
Recipient Address UNITED STATES, 7571 STATE ROUTE 54, BATH, 148109504
DO AWARD VA5280C5180 2009-10-01 2011-04-30 2011-10-30
Unique Award Key CONT_AWD_VA5280C5180_3600_VA528P0559_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title COLONOSCOPY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q505: GASTROENTEROLOGY SERVICES

Recipient Details
Recipient THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.
UEI F5YYVLJ2DUV6
Legacy DUNS 073694424
Recipient Address UNITED STATES, 7571 STATE ROUTE 54, BATH, 148109533
DO AWARD VA528FY11Q1Q3 2010-10-01 2011-06-30 2011-09-30
Unique Award Key CONT_AWD_VA528FY11Q1Q3_3600_VA528BO0154_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title EXPRESS REORT GEC EXPENDITURES MEDCIAL MODEL ADULT DAY CARE BATH
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.
UEI F5YYVLJ2DUV6
Legacy DUNS 073694424
Recipient Address UNITED STATES, 7571 STATE ROUTE 54, BATH, 148109504

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
310748512 0215800 2007-05-01 7571 STATE ROUTE 54, BATH, NY, 14810
Inspection Type Planned
Scope Complete
Safety/Health Health
Close Conference 2007-06-22
Emphasis N: SSTARG06
Case Closed 2007-08-13

Related Activity
Type Referral
Activity Nr 200886422
Health Yes

Violation Items
Citation ID 01001A
Citaton Type Serious
Standard Cited 19100132 D01
Issuance Date 2007-06-29
Abatement Due Date 2007-07-05
Current Penalty 536.25
Initial Penalty 825.0
Nr Instances 1
Nr Exposed 200
Gravity 01
Citation ID 01001B
Citaton Type Serious
Standard Cited 19100133 A01
Issuance Date 2007-06-29
Abatement Due Date 2007-07-05
Nr Instances 2
Nr Exposed 15
Gravity 01
Citation ID 01002A
Citaton Type Serious
Standard Cited 19101030 C01 IIA
Issuance Date 2007-06-29
Abatement Due Date 2007-07-05
Current Penalty 536.25
Initial Penalty 825.0
Nr Instances 1
Nr Exposed 200
Gravity 01
Citation ID 01002B
Citaton Type Serious
Standard Cited 19101030 F01 IID
Issuance Date 2007-06-29
Abatement Due Date 2007-07-05
Nr Instances 3
Nr Exposed 3
Gravity 01
Citation ID 02001A
Citaton Type Other
Standard Cited 19100134 C01
Issuance Date 2007-06-29
Abatement Due Date 2007-08-01
Nr Instances 1
Nr Exposed 1
Gravity 01
Citation ID 02001B
Citaton Type Other
Standard Cited 19100134 K06
Issuance Date 2007-06-22
Abatement Due Date 2007-06-27
Nr Instances 1
Nr Exposed 30
Gravity 01
Citation ID 02002
Citaton Type Other
Standard Cited 19101020 G01 I
Issuance Date 2007-06-22
Abatement Due Date 2007-06-27
Nr Instances 1
Nr Exposed 200
Gravity 01
310748116 0215800 2007-04-12 7571 STATE ROUTE 54, BATH, NY, 14810
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 2007-06-22
Emphasis N: SSTARG06
Case Closed 2007-08-02

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19100023 C01
Issuance Date 2007-06-29
Abatement Due Date 2007-08-01
Current Penalty 893.75
Initial Penalty 1375.0
Nr Instances 1
Nr Exposed 1
Gravity 03
Citation ID 01002
Citaton Type Serious
Standard Cited 19100151 C
Issuance Date 2007-06-29
Abatement Due Date 2007-07-05
Current Penalty 893.75
Initial Penalty 1375.0
Nr Instances 1
Nr Exposed 1
Gravity 03
Citation ID 01003
Citaton Type Serious
Standard Cited 19100212 A01
Issuance Date 2007-06-29
Abatement Due Date 2007-07-05
Current Penalty 715.0
Initial Penalty 1100.0
Nr Instances 1
Nr Exposed 1
Gravity 02
Citation ID 01004
Citaton Type Serious
Standard Cited 19100242 B
Issuance Date 2007-06-29
Abatement Due Date 2007-07-05
Current Penalty 536.25
Initial Penalty 825.0
Nr Instances 1
Nr Exposed 1
Gravity 01
Citation ID 01005
Citaton Type Serious
Standard Cited 19100253 B04 III
Issuance Date 2007-06-29
Abatement Due Date 2007-07-05
Current Penalty 715.0
Initial Penalty 1100.0
Nr Instances 1
Nr Exposed 1
Gravity 02
Citation ID 02001
Citaton Type Other
Standard Cited 19100147 C04 II
Issuance Date 2007-06-29
Abatement Due Date 2007-08-01
Nr Instances 1
Nr Exposed 2
Gravity 01

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
16-0835446 Corporation Unconditional Exemption 7571 NY-54, BATH, NY, 14810-0000 1959-02
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 15779394
Income Amount 22714037
Form 990 Revenue Amount 22357523
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 IRA DAVENPORT MEMORIAL HOSPITAL INC
EIN 16-0835446
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name IRA DAVENPORT MEMORIAL HOSPITAL INC
EIN 16-0835446
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name IRA DAVENPORT MEMORIAL HOSPITAL INC
EIN 16-0835446
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name IRA DAVENPORT MEMORIAL HOSPITAL INC
EIN 16-0835446
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name IRA DAVENPORT MEMORIAL HOSPITAL INC
EIN 16-0835446
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name IRA DAVENPORT MEMORIAL HOSPITAL INC
EIN 16-0835446
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name IRA DAVENPORT MEMORIAL HOSPITAL INC
EIN 16-0835446
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
4807297304 2020-04-30 0248 PPP 7571 STATE ROUTE 54, BATH, NY, 14810-9504
Loan Status Date 2022-05-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1961000
Loan Approval Amount (current) 1961000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47180
Servicing Lender Name Chemung Canal Trust Company
Servicing Lender Address One Chemung Canal Plz, ELMIRA, NY, 14901-3408
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BATH, STEUBEN, NY, 14810-9504
Project Congressional District NY-23
Number of Employees 255
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 47180
Originating Lender Name Chemung Canal Trust Company
Originating Lender Address ELMIRA, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2001200.5
Forgiveness Paid Date 2022-05-20

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State

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