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  5. ADIRONDACK HEALTH INSTITUTE, INC.

ADIRONDACK HEALTH INSTITUTE, INC.

Company Details

Name: ADIRONDACK HEALTH INSTITUTE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 21 Aug 1987 (38 years ago)
Entity Number: 1196666
ZIP code: 12801
County: Essex
Place of Formation: New York
Address: 101 RIDGE STREET, GLENS FALLS, NY, United States, 12801

Contact Details

Phone +1 518-480-0111

Phone +1 518-761-0300

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
ZCAQQ2NGKVM5 2025-04-19 21 PLATTSBURGH PLZ, PLATTSBURGH, NY, 12901, 2200, USA 100 GLEN ST, SUITE 1A, GLENS FALLS, NY, 12801, USA

Business Information
URL www.ahihealth.org
Division Name N/A
Division Number NA
Congressional District 21
State/Country of Incorporation NY, USA
Activation Date 2024-04-23
Initial Registration Date 2006-03-27
Entity Start Date 1987-08-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ANN PEPE
Address 100 GLEN ST, SUITE 1A, GLENS FALLS, NY, 12801, USA
Title ALTERNATE POC
Name ANN PEPE
Address 101 RIDGE STREET, GLENS FALLS, NY, 12801, USA
Government Business
Title PRIMARY POC
Name SARAH R WRIGHT
Role CHIEF FINANCIAL OFFICER
Address 100 GLEN ST, SUITE 1A, GLENS FALLS, NY, 12801, USA
Title ALTERNATE POC
Name ANN PEPE
Address 101 RIDGE STREET, GLENS FALLS, NY, 12801, USA
Past Performance
Title PRIMARY POC
Name ANN PEPE
Address 9 CAREY RD, QUEENSBURY, NY, 12804, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4CMR6 Active Non-Manufacturer 2006-03-28 2024-04-23 2029-04-23 2025-04-19

Contact Information
POC SARAH R. WRIGHT
Phone +1 518-480-0111
Address 21 PLATTSBURGH PLZ, PLATTSBURGH, NY, 12901 2200, 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
ADIRONDACK HEALTH INSTITUTE, INC. 401(K) PLAN 2023 141698269 2024-06-13 ADIRONDACK HEALTH INSTITUTE, INC. 75
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5184800111
Plan sponsor’s address 100 GLEN STREET, SUITE 1A, GLENS FALLS, NY, 12801

Signature of
Role Plan administrator
Date 2024-06-13
Name of individual signing SARAH WRIGHT
ADIRONDACK HEALTH INSTITUTE, INC. 401(K) PLAN 2022 141698269 2023-07-07 ADIRONDACK HEALTH INSTITUTE, INC. 80
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5184800111
Plan sponsor’s address 100 GLEN STREET, SUITE 1A, GLENS FALLS, NY, 12801

Signature of
Role Plan administrator
Date 2023-07-07
Name of individual signing ERIC BURTON
ADIRONDACK HEALTH INSTITUTE, INC. 401(K) PLAN 2021 141698269 2022-05-16 ADIRONDACK HEALTH INSTITUTE, INC. 77
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5184800111
Plan sponsor’s address 100 GLEN ST, SUITE 1A, GLENS FALLS, NY, 12801

Signature of
Role Plan administrator
Date 2022-05-16
Name of individual signing ERIC BURTON
Role Employer/plan sponsor
Date 2022-05-16
Name of individual signing ERIC BURTON
ADIRONDACK HEALTH INSTITUTE, INC. 401(K) PLAN 2020 141698269 2021-04-02 ADIRONDACK HEALTH INSTITUTE, INC. 80
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5184800111
Plan sponsor’s address 101 RIDGE STREET, GLENS FALLS, NY, 12801

Signature of
Role Plan administrator
Date 2021-04-02
Name of individual signing ERIC BURTON
Role Employer/plan sponsor
Date 2021-04-02
Name of individual signing ERIC BURTON
ADIRONDACK HEALTH INSTITUTE, INC. 401(K) PLAN 2019 141698269 2020-03-23 ADIRONDACK HEALTH INSTITUTE, INC. 90
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5184800111
Plan sponsor’s address 101 RIDGE STREET, GLENS FALLS, NY, 12801

Signature of
Role Plan administrator
Date 2020-03-23
Name of individual signing ERIC BURTON
Role Employer/plan sponsor
Date 2020-03-23
Name of individual signing ERIC BURTON
ADIRONDACK HEALTH INSTITUTE, INC. 401(K) PLAN 2018 141698269 2019-05-14 ADIRONDACK HEALTH INSTITUTE, INC. 89
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5184800111
Plan sponsor’s address 101 RIDGE STREET, GLENS FALLS, NY, 12801

Signature of
Role Plan administrator
Date 2019-05-14
Name of individual signing ERIC BURTON
Role Employer/plan sponsor
Date 2019-05-14
Name of individual signing ERIC BURTON
ADIRONDACK HEALTH INSTITUTE, INC. 401(K) PLAN 2017 141698269 2018-04-02 ADIRONDACK HEALTH INSTITUTE, INC. 94
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5184800111
Plan sponsor’s address 101 RIDGE STREET, GLENS FALLS, NY, 12801

Signature of
Role Plan administrator
Date 2018-04-02
Name of individual signing ERIC BURTON
Role Employer/plan sponsor
Date 2018-04-02
Name of individual signing ERIC BURTON
ADIRONDACK HEALTH INSTITUTE, INC. 401(K) PLAN 2016 141698269 2017-06-20 ADIRONDACK HEALTH INSTITUTE, INC. 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5184800111
Plan sponsor’s address 101 RIDGE STREET, GLENS FALLS, NY, 12801

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing ERIC BURTON
Role Employer/plan sponsor
Date 2017-06-20
Name of individual signing ERIC BURTON
ADIRONDACK HEALTH INSTITUTE, INC. 401(K) PLAN 2015 141698269 2016-06-13 ADIRONDACK HEALTH INSTITUTE, INC. 49
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5184800111
Plan sponsor’s address 101 RIDGE STREET, GLENS FALLS, NY, 12801

Signature of
Role Plan administrator
Date 2016-06-13
Name of individual signing CATHY HOMKEY
Role Employer/plan sponsor
Date 2016-06-13
Name of individual signing CATHY HOMKEY
ADIRONDACK HEALTH INSTITUTE, INC. 401(K) PLAN 2014 141698269 2015-05-21 ADIRONDACK HEALTH INSTITUTE, INC. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5184800111
Plan sponsor’s address 101 RIDGE STREET, GLENS FALLS, NY, 12801

Signature of
Role Plan administrator
Date 2015-05-21
Name of individual signing CATHY A HOMKEY
Role Employer/plan sponsor
Date 2015-05-21
Name of individual signing CATHY A HOMKEY

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 101 RIDGE STREET, GLENS FALLS, NY, United States, 12801

History

Start date End date Type Value
2011-03-25 2015-02-12 Address 9 CAREY ROAD, QUEENSBURY, NY, 12804, USA (Type of address: Service of Process)
1987-08-21 2011-03-25 Address HEALTH CENTER PLAZA, WARRENSBURG, NY, 12885, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210325000217 2021-03-25 CERTIFICATE OF AMENDMENT 2021-03-25
150212000760 2015-02-12 CERTIFICATE OF CHANGE 2015-02-12
110714000302 2011-07-14 CERTIFICATE OF CHANGE 2011-07-14
110701000796 2011-07-01 CERTIFICATE OF AMENDMENT 2011-07-01
110325000802 2011-03-25 CERTIFICATE OF AMENDMENT 2011-03-25
B536586-11 1987-08-21 CERTIFICATE OF INCORPORATION 1987-08-21

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
14-1698269 Corporation Unconditional Exemption 21 PLATTSBURGH PLZ, PLATTSBURGH, NY, 12901-2200 1989-07
In Care of Name % KAREN ASHLINE MBR
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 30844260
Income Amount 29885096
Form 990 Revenue Amount 29885096
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 ADIRONDACK HEALTH INSTITUTE INC
EIN 14-1698269
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name ADIRONDACK HEALTH INSTITUTE INC
EIN 14-1698269
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name ADIRONDACK HEALTH INSTITUTE INC
EIN 14-1698269
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name ADIRONDACK HEALTH INSTITUTE INC
EIN 14-1698269
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name ADIRONDACK HEALTH INSTITUTE INC
EIN 14-1698269
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name ADIRONDACK HEALTH INSTITUTE INC
EIN 14-1698269
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name ADIRONDACK HEALTH INSTITUTE INC
EIN 14-1698269
Tax Period 201512
Filing Type E
Return Type 990
File View File

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Related by address

101 RIDGE STREET, GLENS FALLS, NY, United States, 12801

ADIRONDACK OBSTETRICS & GYNECOLOGY, P.C. AHI PPS, LLC

Date of last update: 16 Mar 2025

Sources: New York Secretary of State

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