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  5. BASSETT HOSPITAL OF SCHOHARIE COUNTY

BASSETT HOSPITAL OF SCHOHARIE COUNTY

Company Details

Name: BASSETT HOSPITAL OF SCHOHARIE COUNTY
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 27 Jun 1994 (31 years ago)
Entity Number: 1832290
ZIP code: 12043
County: Schoharie
Place of Formation: New York
Address: 178 GRANDVIEW DRIVE, COBLESKILL, NY, United States, 12043

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2015 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 259
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Plan sponsor’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 247
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2015 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 268
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Plan sponsor’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 273
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2015 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 279
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Plan sponsor’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 268
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2015 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 284
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Plan sponsor’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 279
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2015 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 278
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Plan sponsor’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 284
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2015 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 0
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Plan sponsor’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DR, COBLESKILL, NY, 120435144
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 278
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2014 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 262
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DRIVE, COBLESKILL, NY, 12043
Plan sponsor’s address 178 GRANDVIEW DRIVE, COBLESKILL, NY, 12043

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DRIVE, COBLESKILL, NY, 12043
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 259
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature
COBLESKILL REGIONAL HOSPITAL EMPLOYEE ASSISTANCE PROGRAM 2013 141772971 2017-04-14 BASSETT HOSPITAL OF SCHOHARIE COUNTY 273
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 5182543270
Plan sponsor’s DBA name COBLESKILL REGIONAL HOSPITAL
Plan sponsor’s mailing address 178 GRANDVIEW DRIVE, COBLESKILL, NY, 12043
Plan sponsor’s address 178 GRANDVIEW DRIVE, COBLESKILL, NY, 12043

Plan administrator’s name and address
Administrator’s EIN 141772971
Plan administrator’s name COBLESKILL REGIONAL HOSPITAL
Plan administrator’s address 178 GRANDVIEW DRIVE, COBESKILL, NY, 12043
Administrator’s telephone number 5182543270

Number of participants as of the end of the plan year
Active participants 262
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing ERIC STEIN
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 178 GRANDVIEW DRIVE, COBLESKILL, NY, United States, 12043

History

Start date End date Type Value
1994-06-27 2017-08-08 Address 30 WALL STREET, NEW YORK, NY, 10005, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170808000606 2017-08-08 CERTIFICATE OF AMENDMENT 2017-08-08
940627000408 1994-06-27 CERTIFICATE OF INCORPORATION 1994-06-27

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
14-1772971 Corporation Unconditional Exemption 41 GRANDVIEW DR, COBLESKILL, NY, 12043-1533 1995-03
In Care of Name % SANDRA MACDONALD
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 60021391
Income Amount 47138919
Form 990 Revenue Amount 47133950
National Taxonomy of Exempt Entities -
Sort Name COBLESKILL REGIONAL HOSPITAL

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 BASSETT HOSPITAL OF SCHOHARIE COUNTY
EIN 14-1772971
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name BASSETT HOSPITAL OF SCHOHARIE COUNTY
EIN 14-1772971
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name BASSETT HOSPITAL OF SCHOHARIE CTY
EIN 14-1772971
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name BASSETT HOSPITAL OF SCHOHARIE CTY
EIN 14-1772971
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name BASSETT HOSPITAL OF SCHOHARIE CTY
EIN 14-1772971
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name BASSETT HOSPITAL OF SCHOHARIE CTY
EIN 14-1772971
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name BASSETT HOSPITAL OF SCHOHARIE COUNTY
EIN 14-1772971
Tax Period 201512
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
1840987210 2020-04-15 0248 PPP 178 Grandview Drive, Cobleskill, NY, 12043
Loan Status Date 2021-08-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2478700
Loan Approval Amount (current) 2478700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Cobleskill, SCHOHARIE, NY, 12043-0001
Project Congressional District NY-21
Number of Employees 180
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2510074.23
Forgiveness Paid Date 2021-07-30

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State

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