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LAKESIDE HEALTH SYSTEM, INC.

Company Details

Name: LAKESIDE HEALTH SYSTEM, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 05 Jan 1990 (35 years ago)
Entity Number: 1411897
ZIP code: 14420
County: Monroe
Place of Formation: New York
Address: %PRESIDENT, WEST AVENUE, BROCKPORT, NY, United States, 14420

DOS Process Agent

Name Role Address
LAKESIDE MEMORIAL HOSPITAL DOS Process Agent %PRESIDENT, WEST AVENUE, BROCKPORT, NY, United States, 14420

National Provider Identifier

NPI Number:
1679811327

Authorized Person:

Name:
MRS. FLORENCE NDIKUM NDONGWA
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
282NC0060X - Critical Access Hospital
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
161396374
Plan Year:
2009
Number Of Participants:
356
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
C093386-9 1990-01-05 CERTIFICATE OF INCORPORATION 1990-01-05

Tax Exempt

Employer Identification Number (EIN) :
16-1396374
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)
Ruling Date:
1991-07
Deductibility:
Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Date of last update: 16 Mar 2025

Sources: New York Secretary of State