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  5. FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC.

FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC.

Company Details

Name: FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 11 Dec 1915 (109 years ago)
Entity Number: 13479
ZIP code: 14702
County: Chautauqua
Place of Formation: New York
Address: 332 EAST FOURTH ST.,PO BOX 457, JAMESTOWN, NY, United States, 14702

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 401(K) RETIREMENT PLAN 2023 166000351 2024-03-25 FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 37
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 624100
Sponsor’s telephone number 7164881971
Plan sponsor’s address 332 EAST 4TH STREET, JAMESTOWN, NY, 14701
FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 401(K) RETIREMENT PLAN 2022 166000351 2023-07-05 FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 37
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 624100
Sponsor’s telephone number 7164881971
Plan sponsor’s address 332 EAST 4TH STREET, JAMESTOWN, NY, 14701
FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 401(K) RETIREMENT PLAN 2021 166000351 2022-03-16 FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 624100
Sponsor’s telephone number 7164881971
Plan sponsor’s address 332 EAST 4TH STREET, JAMESTOWN, NY, 14701
FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 401(K) RETIREMENT PLAN 2020 166000351 2021-09-22 FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 31
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 624100
Sponsor’s telephone number 7164881971
Plan sponsor’s address 332 EAST 4TH STREET, JAMESTOWN, NY, 14701
FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 401(K) RETIREMENT PLAN 2019 166000351 2020-07-14 FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 624100
Sponsor’s telephone number 7164881971
Plan sponsor’s address 332 EAST 4TH STREET, JAMESTOWN, NY, 14701

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing DAVID STEWARD
FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 401(K) RETIREMENT PLAN 2018 166000351 2019-05-30 FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 27
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 624100
Sponsor’s telephone number 7164881971
Plan sponsor’s address 332 EAST 4TH STREET, JAMESTOWN, NY, 14701

Signature of
Role Plan administrator
Date 2019-05-30
Name of individual signing DAVID STEWARD
FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 401(K) RETIREMENT PLAN 2017 166000351 2018-04-25 FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 624100
Sponsor’s telephone number 7164881971
Plan sponsor’s address 332 EAST 4TH STREET, JAMESTOWN, NY, 14701

Signature of
Role Plan administrator
Date 2018-04-25
Name of individual signing DAVID STEWARD
FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 401(K) RETIREMENT PLAN 2016 166000351 2017-08-08 FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 624100
Sponsor’s telephone number 7164881971
Plan sponsor’s address 332 EAST 4TH STREET, JAMESTOWN, NY, 14701

Signature of
Role Plan administrator
Date 2017-08-08
Name of individual signing DAVID STEWARD
FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 401(K) RETIREMENT PLAN 2015 166000351 2016-05-18 FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 624100
Sponsor’s telephone number 7164881971
Plan sponsor’s address 332 EAST 4TH STREET, JAMESTOWN, NY, 14701

Signature of
Role Plan administrator
Date 2016-05-18
Name of individual signing DAVID STEWARD
FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 401(K) RETIREMENT PLAN 2014 166000351 2015-07-15 FAMILY SERVICE OF THE CHAUTAUQUA REGION, INC. 27
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 624100
Sponsor’s telephone number 7164881971
Plan sponsor’s address 332 EAST 4TH STREET, JAMESTOWN, NY, 14701

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing DAVID STEWARD
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing DAVID STEWARD

Agent

Name Role Address
FAMILY SERVICE OF JAMESTOWN, N.Y., INC. Agent 308 E. FIFTH ST., JAMESTOWN, NY, 14701

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 332 EAST FOURTH ST.,PO BOX 457, JAMESTOWN, NY, United States, 14702

History

Start date End date Type Value
1945-06-07 2003-10-07 Name FAMILY SERVICE OF JAMESTOWN, N.Y., INC.
1915-12-11 1945-06-07 Name THE ASSOCIATED CHARITIES OF JAMESTOWN, NEW YORK, INC.

Filings

Filing Number Date Filed Type Effective Date
031007000721 2003-10-07 CERTIFICATE OF AMENDMENT 2003-10-07
B215050-2 1985-04-15 ASSUMED NAME CORP INITIAL FILING 1985-04-15
A28628-3 1973-07-02 CERTIFICATE OF AMENDMENT 1973-07-02
5EX-54 1950-11-30 CERTIFICATE OF AMENDMENT 1950-11-30
453Q-104 1945-06-07 CERTIFICATE OF AMENDMENT 1945-06-07
145Q-66 1915-12-11 CERTIFICATE OF INCORPORATION 1915-12-11

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
16-6000351 Corporation Unconditional Exemption 332 E 4TH ST, JAMESTOWN, NY, 14701-5502 1947-10
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 100,000 to 499,999
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 449338
Income Amount 1020076
Form 990 Revenue Amount 1010889
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 FAMILY SERVICE OF THE CHAUTAUQUA REGION INC
EIN 16-6000351
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name FAMILY SERVICE OF THE CHAUTAUQUA REGION INC
EIN 16-6000351
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name FAMILY SERVICE OF THE CHAUTAUQUA REGION INC
EIN 16-6000351
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name FAMILY SERVICE OF THE CHAUTAUQUA REGION INC
EIN 16-6000351
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name FAMILY SERVICE OF THE CHAUTAUQUA REGION INC
EIN 16-6000351
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name FAMILY SERVICE OF THE CHAUTAUQUA REGION INC
EIN 16-6000351
Tax Period 201612
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
4731108107 2020-07-17 0296 PPP 332 E 4TH ST, JAMESTOWN, NY, 14701-5502
Loan Status Date 2021-06-17
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 214196
Loan Approval Amount (current) 214196
Undisbursed Amount 0
Franchise Name -
Lender Location ID 89165
Servicing Lender Name Lake Shore Savings Bank
Servicing Lender Address 128 E 4th St, DUNKIRK, NY, 14048-2226
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address JAMESTOWN, CHAUTAUQUA, NY, 14701-5502
Project Congressional District NY-23
Number of Employees 30
NAICS code 624190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 89165
Originating Lender Name Lake Shore Savings Bank
Originating Lender Address DUNKIRK, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 216070.21
Forgiveness Paid Date 2021-06-04

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Date of last update: 02 Mar 2025

Sources: New York Secretary of State

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