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HOME MEDICAL SUPPLY, INC.

Company Details

Name: HOME MEDICAL SUPPLY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 06 Dec 1993 (31 years ago)
Entity Number: 1777262
ZIP code: 14020
County: Genesee
Place of Formation: New York
Address: 653 E MAIN ST, BATAVIA, NY, United States, 14020

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
HOME MEDICAL SUPPLY, INC. 401(K) PLAN 2023 161449416 2024-05-17 HOME MEDICAL SUPPLY, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 453990
Sponsor’s telephone number 5853439393
Plan sponsor’s address 653 E MAIN ST, BATAVIA, NY, 14020

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-17
Name of individual signing QIAN LIU

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 653 E MAIN ST, BATAVIA, NY, United States, 14020

Chief Executive Officer

Name Role Address
DWAYNE E. WALL Chief Executive Officer 4463 E LAKE RD, LIVONIA, NY, United States, 14487

History

Start date End date Type Value
2024-06-07 2024-06-07 Address 4463 E LAKE RD, LIVONIA, NY, 14487, USA (Type of address: Chief Executive Officer)
2014-01-08 2024-06-07 Address 4463 E LAKE RD, LIVONIA, NY, 14487, USA (Type of address: Chief Executive Officer)
2003-12-04 2014-01-08 Address 8299 SLUSSER RD, BATAVIA, NY, 14020, USA (Type of address: Chief Executive Officer)
2000-01-03 2024-06-07 Address 653 E MAIN ST, BATAVIA, NY, 14020, 2811, USA (Type of address: Service of Process)
2000-01-03 2003-12-04 Address 653 E MAIN ST, BATAVIA, NY, 14020, 2811, USA (Type of address: Chief Executive Officer)
2000-01-03 2003-12-04 Address 653 E MAIN ST, BATAVIA, NY, 14020, 2811, USA (Type of address: Principal Executive Office)
1995-12-19 2000-01-03 Address DWAGNE G WALL, 8299 SLUSSER ROAD, BATAVIA, NY, 14020, 9447, USA (Type of address: Principal Executive Office)
1995-12-19 2000-01-03 Address 8299 SLUSSER ROAD, BATAVIA, NY, 14020, 9447, USA (Type of address: Chief Executive Officer)
1993-12-06 2024-06-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1993-12-06 2000-01-03 Address 8299 SLUSSER ROAD, BATAVIA, NY, 14020, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240607002959 2024-06-07 BIENNIAL STATEMENT 2024-06-07
140108002380 2014-01-08 BIENNIAL STATEMENT 2013-12-01
120109002608 2012-01-09 BIENNIAL STATEMENT 2011-12-01
091216002420 2009-12-16 BIENNIAL STATEMENT 2009-12-01
071219002300 2007-12-19 BIENNIAL STATEMENT 2007-12-01
060119002904 2006-01-19 BIENNIAL STATEMENT 2005-12-01
031204002412 2003-12-04 BIENNIAL STATEMENT 2003-12-01
011126002556 2001-11-26 BIENNIAL STATEMENT 2001-12-01
000103002256 2000-01-03 BIENNIAL STATEMENT 1999-12-01
971205002237 1997-12-05 BIENNIAL STATEMENT 1997-12-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6878657105 2020-04-14 0296 PPP 653 East Main Street, BATAVIA, NY, 14020
Loan Status Date 2021-05-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 57200
Loan Approval Amount (current) 57200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47331
Servicing Lender Name Tompkins Community Bank
Servicing Lender Address 118 East Seneca St, ITHACA, NY, 14850
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BATAVIA, GENESEE, NY, 14020-1000
Project Congressional District NY-24
Number of Employees 5
NAICS code 423450
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 47110
Originating Lender Name Tompkins Bank of Castile, A Branch of
Originating Lender Address Castile, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 57739.09
Forgiveness Paid Date 2021-04-08

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P3323762 HOME MEDICAL SUPPLY, INC - MWZFYB5B2XD3 653 E MAIN ST, BATAVIA, NY, 14020-2811
Capabilities Statement Link -
Phone Number 585-343-9393
Fax Number 585-343-8310
E-mail Address jwall@homedsupply.com
WWW Page www.homedsupply.com
E-Commerce Website -
Contact Person JARROD WALL
County Code (3 digit) 037
Congressional District 24
Metropolitan Statistical Area 6840
CAGE Code 03U00
Year Established 1993
Accepts Government Credit Card Yes
Legal Structure Corporation
Ownership and Self-Certifications -
Business Development Servicing Office BUFFALO DISTRICT OFFICE (SBA office code 0296)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications

HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels

Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS

Primary Yes
Code 622110
NAICS Code's Description General Medical and Surgical Hospitals
Buy Green Yes
Code 561790
NAICS Code's Description Other Services to Buildings and Dwellings
Buy Green Yes
Code 621399
NAICS Code's Description Offices of All Other Miscellaneous Health Practitioners
Buy Green Yes
Code 621610
NAICS Code's Description Home Health Care Services
Buy Green Yes
Code 624120
NAICS Code's Description Services for the Elderly and Persons with Disabilities
Buy Green Yes
Code 624190
NAICS Code's Description Other Individual and Family Services
Buy Green Yes
Code 811490
NAICS Code's Description Other Personal and Household Goods Repair and Maintenance
Buy Green Yes

Export Profile (Trade Mission Online)

Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
2881284 Intrastate Non-Hazmat 2016-04-21 - - 3 4 Private(Property)
Legal Name HOME MEDICAL SUPPLY INC
DBA Name -
Physical Address 653 E MAIN ST, BATAVIA, NY, 14020-2811, US
Mailing Address 653 E MAIN ST, BATAVIA, NY, 14020-2811, US
Phone (585) 343-9393
Fax (585) 343-8310
E-mail DWALL@HOMEDSUPPLY.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Date of last update: 15 Mar 2025

Sources: New York Secretary of State