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  5. HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.

Company Details

Name: HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 26 May 1988 (37 years ago)
Entity Number: 1265062
ZIP code: 12801
County: Washington
Place of Formation: New York
Address: 68 warren street, p.o. box 2017, GLENS FALLS, NY, United States, 12801

Contact Details

Fax +1 518-891-9631

Phone +1 518-891-9631

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
ETPGWAPFDAY7 2024-01-24 454 GLEN ST, GLENS FALLS, NY, 12801, 2970, USA 454 GLEN ST, GLENS FALLS, NY, 12801, 2970, USA

Business Information
Congressional District 21
State/Country of Incorporation NY, USA
Activation Date 2023-01-26
Initial Registration Date 2023-01-24
Entity Start Date 1988-03-30
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name NICHOLAS GEORGE
Role EXECUTIVE DIRECTOR
Address 454 GLEN STREET, GLENS FALLS, NY, 12801, USA
Government Business
Title PRIMARY POC
Name NICHOLAS GEORGE
Role EXECUTIVE DIRECTOR
Address 454 GLEN STREET, GLENS FALLS, NY, 12801, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 2014 141712904 2015-09-17 HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 813000
Sponsor’s telephone number 5188919631
Plan sponsor’s address P.O. BOX 840, SARANAC LAKE, NY, 12983

Signature of
Role Plan administrator
Date 2015-09-17
Name of individual signing TINA MOODY
Role Employer/plan sponsor
Date 2015-09-17
Name of individual signing TINA MOODY
HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 2013 141712904 2014-07-21 HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 813000
Sponsor’s telephone number 5188919631
Plan sponsor’s address P.O. BOX 840, SARANAC LAKE, NY, 12983

Signature of
Role Plan administrator
Date 2014-07-18
Name of individual signing TINA MOODY
Role Employer/plan sponsor
Date 2014-07-18
Name of individual signing TINA MOODY
HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 2012 141712904 2013-10-15 HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 813000
Sponsor’s telephone number 5188919631
Plan sponsor’s address P.O. BOX 840, SARANAC LAKE, NY, 12983

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing TINA MOODY
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing TINA MOODY
HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 2011 141712904 2012-08-31 HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 813000
Sponsor’s telephone number 5188919631
Plan sponsor’s address P.O. BOX 840, SARANAC LAKE, NY, 12983

Plan administrator’s name and address
Administrator’s EIN 141712904
Plan administrator’s name HIGH PEAKS HOSPICE AND PALLIATIVE C
Plan administrator’s address P.O. BOX 840, SARANAC LAKE, NY, 12983
Administrator’s telephone number 5188919631

Signature of
Role Plan administrator
Date 2012-08-31
Name of individual signing TINA MOODY
Role Employer/plan sponsor
Date 2012-08-31
Name of individual signing TINA MOODY
HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 2010 141712904 2011-10-07 HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 813000
Sponsor’s telephone number 5188919631
Plan sponsor’s address P.O. BOX 840, SARANAC LAKE, NY, 12983

Plan administrator’s name and address
Administrator’s EIN 141712904
Plan administrator’s name HIGH PEAKS HOSPICE AND PALLIATIVE C
Plan administrator’s address P.O. BOX 840, SARANAC LAKE, NY, 12983
Administrator’s telephone number 5188919631

Signature of
Role Plan administrator
Date 2011-10-04
Name of individual signing TINA MOODY
Role Employer/plan sponsor
Date 2011-10-04
Name of individual signing TINA MOODY
HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 2010 141712904 2011-10-07 HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 813000
Sponsor’s telephone number 5188919631
Plan sponsor’s address P.O. BOX 840, SARANAC LAKE, NY, 12983

Plan administrator’s name and address
Administrator’s EIN 141712904
Plan administrator’s name HIGH PEAKS HOSPICE AND PALLIATIVE C
Plan administrator’s address P.O. BOX 840, SARANAC LAKE, NY, 12983
Administrator’s telephone number 5188919631

Signature of
Role Plan administrator
Date 2011-10-04
Name of individual signing TINA MOODY
Role Employer/plan sponsor
Date 2011-10-04
Name of individual signing TINA MOODY
HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 2009 141712904 2010-09-02 HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 813000
Sponsor’s telephone number 5188919631
Plan sponsor’s address P.O. BOX 840, SARANAC LAKE, NY, 12983

Plan administrator’s name and address
Administrator’s EIN 141712904
Plan administrator’s name HIGH PEAKS HOSPICE AND PALLIATIVE C
Plan administrator’s address P.O. BOX 840, SARANAC LAKE, NY, 12983
Administrator’s telephone number 5188919631

Signature of
Role Plan administrator
Date 2010-09-02
Name of individual signing TINA MOODY
Role Employer/plan sponsor
Date 2010-09-02
Name of individual signing TINA MOODY
HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 2009 141712904 2010-09-02 HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 813000
Sponsor’s telephone number 5188919631
Plan sponsor’s address P.O. BOX 840, SARANAC LAKE, NY, 12983

Plan administrator’s name and address
Administrator’s EIN 141712904
Plan administrator’s name HIGH PEAKS HOSPICE AND PALLIATIVE C
Plan administrator’s address P.O. BOX 840, SARANAC LAKE, NY, 12983
Administrator’s telephone number 5188919631

Signature of
Role Plan administrator
Date 2010-09-02
Name of individual signing TINA MOODY
Role Employer/plan sponsor
Date 2010-09-02
Name of individual signing TINA MOODY

DOS Process Agent

Name Role Address
fitzgerald morris baker firth, p.c. DOS Process Agent 68 warren street, p.o. box 2017, GLENS FALLS, NY, United States, 12801

History

Start date End date Type Value
2007-11-16 2024-02-29 Address POST OFFICE BOX 840, SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)
2001-10-23 2007-11-16 Address PO BOX 840, SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)
1996-12-19 2001-10-23 Address P.O. BOX 840, TRUDEAU ROAD, SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)
1995-03-30 1996-12-19 Address PO BOX 131, SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)
1988-05-26 1995-03-30 Address P.O. BOX 850, SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240229003989 2024-02-29 CERTIFICATE OF CHANGE BY ENTITY 2024-02-29
110912000295 2011-09-12 CERTIFICATE OF CHANGE 2011-09-12
071116000860 2007-11-16 CERTIFICATE OF AMENDMENT 2007-11-16
011023000478 2001-10-23 CERTIFICATE OF AMENDMENT 2001-10-23
961219000625 1996-12-19 CERTIFICATE OF AMENDMENT 1996-12-19
950330000043 1995-03-30 CERTIFICATE OF CHANGE 1995-03-30
B644989-14 1988-05-26 CERTIFICATE OF INCORPORATION 1988-05-26

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
14-1712904 Corporation Unconditional Exemption 1247 DIX AVE, HUDSON FALLS, NY, 12839-9618 1992-11
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 1,000,000 to 4,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 3478510
Income Amount 4899329
Form 990 Revenue Amount 4857193
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 HIGH PEAKS HOSPICE AND PALLIATIVE CARE INC
EIN 14-1712904
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name HIGH PEAKS HOSPICE AND PALLIATIVE CARE INC
EIN 14-1712904
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name HIGH PEAKS HOSPICE AND PALLIATIVE CARE INC
EIN 14-1712904
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name HIGH PEAKS HOSPICE AND PALLIATIVE CARE INC
EIN 14-1712904
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name HIGH PEAKS HOSPICE AND PALLIATIVE CARE INC
EIN 14-1712904
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name HIGH PEAKS HOSPICE AND PALLIATIVE CARE INC
EIN 14-1712904
Tax Period 201612
Filing Type P
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1187747106 2020-04-10 0248 PPP 454 GLEN ST, GLENS FALLS, NY, 12801-2925
Loan Status Date 2021-03-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 522510
Loan Approval Amount (current) 522510
Undisbursed Amount 0
Franchise Name -
Lender Location ID 120225
Servicing Lender Name Adirondack Bank
Servicing Lender Address 185 Genesee St, UTICA, NY, 13501-2102
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address GLENS FALLS, WARREN, NY, 12801-2925
Project Congressional District NY-21
Number of Employees 52
NAICS code 623312
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 120225
Originating Lender Name Adirondack Bank
Originating Lender Address UTICA, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 525918.62
Forgiveness Paid Date 2021-02-12

Related by officers

No related officers

Related by address

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State

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