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  5. GREEN FUNERAL HOME INC.

GREEN FUNERAL HOME INC.

Company Details

Name: GREEN FUNERAL HOME INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 16 Jun 1960 (65 years ago)
Entity Number: 129696
ZIP code: 13642
County: St. Lawrence
Place of Formation: New York
Address: 103 Rock Island Street, GOUVERNEUR, NY, United States, 13642
Principal Address: 33 Park Street, Gouverneur, NY, United States, 13642

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREEN FUNERAL HOME, INC. 401(K) PLAN 2018 150616879 2019-02-07 GREEN FUNERAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812210
Plan sponsor’s address 33 PARK STREET, GOVERNEUR, NY, 13642

Signature of
Role Plan administrator
Date 2019-02-07
Name of individual signing MICHAEL V. GREEN
GREEN FUNERAL HOME, INC 401(K) PLAN 2017 150616879 2018-11-06 GREEN FUNERAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812210
Sponsor’s telephone number 3152871330
Plan sponsor’s address 33 PARK STREET, GOVERNEUR, NY, 13642

Signature of
Role Plan administrator
Date 2018-11-06
Name of individual signing MICHAEL V. GREEN
GREEN FUNERAL HOME, INC 401(K) PLAN 2016 150616879 2017-11-09 GREEN FUNERAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812210
Sponsor’s telephone number 3152871330
Plan sponsor’s address 33 PARK STREET, GOVERNEUR, NY, 13642

Signature of
Role Plan administrator
Date 2017-11-09
Name of individual signing MICHAEL V. GREEN
GREEN FUNERAL HOME, INC 401(K) PLAN 2015 150616879 2016-11-02 GREEN FUNERAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812210
Sponsor’s telephone number 3152871330
Plan sponsor’s address 33 PARK STREET, GOVERNEUR, NY, 13642

Signature of
Role Plan administrator
Date 2016-11-02
Name of individual signing MICHAEL V. GREEN
GREEN FUNERAL HOME, INC 401(K) PLAN 2014 150616879 2015-09-01 GREEN FUNERAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812210
Sponsor’s telephone number 3152871330
Plan sponsor’s address 33 PARK STREET, GOVERNEUR, NY, 13642

Signature of
Role Plan administrator
Date 2015-09-01
Name of individual signing MICHAEL V. GREEN
GREEN FUNERAL HOME, INC 401(K) PLAN 2013 150616879 2014-12-29 GREEN FUNERAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812210
Sponsor’s telephone number 3152871330
Plan sponsor’s address 33 PARK STREET, GOVERNEUR, NY, 13642

Signature of
Role Plan administrator
Date 2014-11-03
Name of individual signing MICHAEL V. GREEN
GREEN FUNERAL HOME, INC 401(K) PLAN 2012 150616879 2013-09-10 GREEN FUNERAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812210
Sponsor’s telephone number 3152871330
Plan sponsor’s address 33 PARK STREET, GOVERNEUR, NY, 13642

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing MICHAEL V. GREEN
GREEN FUNERAL HOME, INC 401(K) PLAN 2011 150616879 2012-11-30 GREEN FUNERAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812210
Sponsor’s telephone number 3152871330
Plan sponsor’s address 33 PARK STREET, GOVERNEUR, NY, 13642

Plan administrator’s name and address
Administrator’s EIN 150616879
Plan administrator’s name GREEN FUNERAL HOME, INC.
Plan administrator’s address 33 PARK STREET, GOVERNEUR, NY, 13642
Administrator’s telephone number 3152871330

Signature of
Role Plan administrator
Date 2012-11-30
Name of individual signing MICHAEL V. GREEN
GREEN FUNERAL HOME, INC 401(K) PLAN 2010 150616879 2011-10-27 GREEN FUNERAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812210
Sponsor’s telephone number 3152871330
Plan sponsor’s address 33 PARK STREET, GOVERNEUR, NY, 13642

Plan administrator’s name and address
Administrator’s EIN 150616879
Plan administrator’s name GREEN FUNERAL HOME, INC.
Plan administrator’s address 33 PARK STREET, GOVERNEUR, NY, 13642
Administrator’s telephone number 3152871330

Signature of
Role Plan administrator
Date 2011-10-27
Name of individual signing MICHAEL GREEN
GREEN FUNERAL HOME, INC 401(K) PLAN 2009 150616879 2010-08-24 GREEN FUNERAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 812210
Sponsor’s telephone number 3152871330
Plan sponsor’s address 33 PARK STREET, GOVERNEUR, NY, 13642

Plan administrator’s name and address
Administrator’s EIN 150616879
Plan administrator’s name GREEN FUNERAL HOME, INC.
Plan administrator’s address 33 PARK STREET, GOVERNEUR, NY, 13642
Administrator’s telephone number 3152871330

Signature of
Role Plan administrator
Date 2010-08-24
Name of individual signing MICHAEL GREEN

DOS Process Agent

Name Role Address
MICHAEL GREEN DOS Process Agent 103 Rock Island Street, GOUVERNEUR, NY, United States, 13642

Chief Executive Officer

Name Role Address
MICHAEL GREEN Chief Executive Officer 103 ROCK ISLAND STREET, GOUVERNEUR, NY, United States, 13642

History

Start date End date Type Value
1960-06-16 2024-09-05 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1960-06-16 2024-09-05 Address 33 PARK STREET, GOUVERNEUR, NY, 13642, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240905000491 2024-09-05 BIENNIAL STATEMENT 2024-09-05
B572572-2 1987-11-30 ASSUMED NAME CORP INITIAL FILING 1987-11-30
B375606-3 1986-06-30 CERTIFICATE OF AMENDMENT 1986-06-30
220361 1960-06-16 CERTIFICATE OF INCORPORATION 1960-06-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6261147410 2020-05-14 0248 PPP 33 Park Street, Gouverneur, NY, 13642-1022
Loan Status Date 2022-02-02
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 18400
Loan Approval Amount (current) 18400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224780
Servicing Lender Name New York Business Development Corporation
Servicing Lender Address 50 Beaver Street, Albany, NY, 12207-1538
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Gouverneur, SAINT LAWRENCE, NY, 13642-1022
Project Congressional District NY-21
Number of Employees 1
NAICS code 812210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 224780
Originating Lender Name New York Business Development Corporation
Originating Lender Address Albany, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 18593.07
Forgiveness Paid Date 2021-06-10

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Related by address

No related companies by address

Date of last update: 18 Mar 2025

Sources: New York Secretary of State

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