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CUBA MEMORIAL HOSPITAL, INC.

Company Details

Name: CUBA MEMORIAL HOSPITAL, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 25 Jun 1925 (100 years ago)
Entity Number: 19889
ZIP code: 14727
County: Allegany
Place of Formation: New York
Address: 140 W. MAIN ST., CUBA, NY, United States, 14727

Contact Details

Phone +1 585-968-2000

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
TXV2V41N7CL9 2025-04-09 140 W MAIN ST, CUBA, NY, 14727, 1317, USA 140 W MAIN ST, CUBA, NY, 14727, 1317, USA

Business Information

URL http://www.cubamemorialhospital.com
Congressional District 23
State/Country of Incorporation NY, USA
Activation Date 2024-04-11
Initial Registration Date 2006-02-06
Entity Start Date 1925-04-21
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 622110, 623110

Points of Contacts

Electronic Business
Title PRIMARY POC
Name CINDY PRESTON
Role ACCOUNTANT
Address CUBA MEMORIAL HOSPITAL INC, CUBA, NY, 14727, 1398, USA
Title ALTERNATE POC
Name ANDREW H BOSER
Address CUBA MEMORIAL HOSPITAL INC, 140 W MAIN ST, CUBA, NY, 14727, 1398, USA
Government Business
Title PRIMARY POC
Name CINDY PRESTON
Role ACCOUNTANT
Address CUBA MEMORIAL HOSPITAL INC, CUBA, NY, 14727, 1398, USA
Title ALTERNATE POC
Name ANDREW H BOSER
Address CUBA MEMORIAL HOSPITAL INC, 140 W MAIN ST, CUBA, NY, 14727, 1398, USA
Past Performance
Title PRIMARY POC
Name JOHN T ORMOND
Address CUBA MEMORIAL HOSPITAL INC, 140 W MAIN ST, CUBA, NY, 14727, 1398, USA
Title ALTERNATE POC
Name ANDREW H BOSER
Address CUBA MEMORIAL HOSPITAL INC, 140 W MAIN ST, CUBA, NY, 14727, 1398, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4AH24 Active Non-Manufacturer 2006-02-07 2024-04-11 2029-04-11 2025-04-09

Contact Information

POC CINDY PRESTON
Phone +1 585-365-2922
Fax +1 585-968-1710
Address 140 W MAIN ST, CUBA, NY, 14727 1317, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CUBA MEMORIAL HOSPITAL INC PENSION PLAN AND TRUST 2013 160755761 2015-06-30 CUBA MEMORIAL HOSPITAL INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 622000
Sponsor’s telephone number 5859682000
Plan sponsor’s mailing address 140 WEST MAIN STREET, CUBA, NY, 14727
Plan sponsor’s address 140 WEST MAIN STREET, CUBA, NY, 14727

Number of participants as of the end of the plan year

Active participants 0
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
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2015-06-30
Name of individual signing JOHN ORMOND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-30
Name of individual signing JOHN ORMOND
Valid signature Filed with authorized/valid electronic signature
CUBA MEMORIL HOSPITAL INC PENSION PLAN AND TRUST 2012 160755761 2013-07-25 CUBA MEMORIAL HOSPITAL INC 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 622000
Sponsor’s telephone number 5859682000
Plan sponsor’s mailing address 140 WEST MAIN STREET, CUBA, NY, 14727
Plan sponsor’s address 140 WEST MAIN STREET, CUBA, NY, 14727

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 6
Number of participants with account balances as of the end of the plan year 6

Signature of

Role Plan administrator
Date 2013-07-25
Name of individual signing JOHN ORMOND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-25
Name of individual signing JOHN ORMOND
Valid signature Filed with authorized/valid electronic signature
CUBA MEMORIAL HOSPITAL INC PENSION PLAN AND TRUST 2011 160755761 2012-06-18 CUBA MEMORIAL HOSPITAL INC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 622000
Sponsor’s telephone number 5859682000
Plan sponsor’s mailing address 140 WEST MAIN STREET, CUBA, NY, 14727
Plan sponsor’s address 140 WEST MAIN STREET, CUBA, NY, 14727

Plan administrator’s name and address

Administrator’s EIN 160755761
Plan administrator’s name CUBA MEMORIAL HOSPITAL INC
Plan administrator’s address 140 WEST MAIN STREET, CUBA, NY, 14727
Administrator’s telephone number 5859682000

Number of participants as of the end of the plan year

Active participants 17
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 21
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-06-18
Name of individual signing JOHN ORMOND
Valid signature Filed with authorized/valid electronic signature
CUBA MEMORIAL HOSPITAL INC PENSION PLAN AND TRUST 2010 160755761 2011-04-06 CUBA MEMORIAL HOSPITAL INC 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 622000
Sponsor’s telephone number 5859682000
Plan sponsor’s mailing address 140 WEST MAIN STREET, CUBA, NY, 14727
Plan sponsor’s address 140 WEST MAIN STREET, CUBA, NY, 14727

Plan administrator’s name and address

Administrator’s EIN 160755761
Plan administrator’s name CUBA MEMORIAL HOSPITAL INC
Plan administrator’s address 140 WEST MAIN STREET, CUBA, NY, 14727
Administrator’s telephone number 5859682000

Number of participants as of the end of the plan year

Active participants 18
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Number of participants with account balances as of the end of the plan year 23
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-04-06
Name of individual signing JOHN ORMOND
Valid signature Filed with authorized/valid electronic signature
CUBA MEMORIAL HOSPITAL INC PENSION PLAN AND TRUST 2009 160755761 2010-07-15 CUBA MEMORIAL HOSPITAL INC 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 622000
Sponsor’s telephone number 5859682000
Plan sponsor’s mailing address 140 WEST MAIN ST, CUBA, NY, 14727
Plan sponsor’s address 140 WEST MAIN ST, CUBA, NY, 14727

Plan administrator’s name and address

Administrator’s EIN 160755761
Plan administrator’s name CUBA MEMORIAL HOSPITAL INC
Plan administrator’s address 140 WEST MAIN ST, CUBA, NY, 14727
Administrator’s telephone number 5859682000

Number of participants as of the end of the plan year

Active participants 20
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 25
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-07-13
Name of individual signing JOHN ORMOND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CUBA MEMORIAL HOSPITAL, INC. Agent 140 W. MAIN ST., CUBA, NY, 14727

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 140 W. MAIN ST., CUBA, NY, United States, 14727

History

Start date End date Type Value
1972-10-11 1982-07-12 Address 140 W. MAIN ST., CUBA, NY, 14727, USA (Type of address: Registered Agent)

Filings

Filing Number Date Filed Type Effective Date
C180097-2 1991-08-19 ASSUMED NAME CORP INITIAL FILING 1991-08-19
A884900-9 1982-07-12 CERTIFICATE OF AMENDMENT 1982-07-12
A20309-3 1972-10-11 CERTIFICATE OF AMENDMENT 1972-10-11
6EX-232 1951-01-05 CERTIFICATE OF AMENDMENT 1951-01-05
395Q-83 1938-12-27 CERTIFICATE OF AMENDMENT 1938-12-27
241Q-121 1925-06-25 CERTIFICATE OF INCORPORATION 1925-06-25

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
NY-15932 Appalachian Regional Commission 23.002 - APPALACHIAN AREA DEVELOPMENT 2008-06-01 2009-05-31 DENTAL CARE
Recipient CUBA MEMORIAL HOSPITAL INC
Recipient Name Raw CUBA MEMORIAL HOSPITAL, INC.
Recipient UEI TXV2V41N7CL9
Recipient DUNS 030224919
Recipient Address 140 W MAIN ST, 0, CUBA, ALLEGANY, NEW YORK, 14727-1317
Obligated Amount 75804.00
Non-Federal Funding 76946.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
302973326 0213600 1999-11-03 140 WEST MAIN STREET, CUBA, NY, 14727
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 1999-11-03
Emphasis N: SILICA, S: CONSTRUCTION, S: SILICA
Case Closed 1999-12-21

Related Activity

Type Complaint
Activity Nr 202823589
Health Yes

Violation Items

Citation ID 01001A
Citaton Type Serious
Standard Cited 19100023 C01
Issuance Date 1999-11-10
Abatement Due Date 1999-11-27
Current Penalty 630.0
Initial Penalty 900.0
Nr Instances 1
Nr Exposed 4
Gravity 02
Citation ID 01001B
Citaton Type Serious
Standard Cited 19100024 H
Issuance Date 1999-11-10
Abatement Due Date 1999-11-27
Nr Instances 1
Nr Exposed 4
Gravity 02
Citation ID 01002A
Citaton Type Serious
Standard Cited 19100134 C02 II
Issuance Date 1999-11-10
Abatement Due Date 1999-12-13
Current Penalty 470.0
Initial Penalty 675.0
Nr Instances 1
Nr Exposed 4
Gravity 01
Citation ID 01002B
Citaton Type Serious
Standard Cited 19100134 E01
Issuance Date 1999-11-10
Abatement Due Date 1999-12-13
Nr Instances 1
Nr Exposed 4
Gravity 01
Citation ID 02001A
Citaton Type Other
Standard Cited 19101200 E01 II
Issuance Date 1999-11-10
Abatement Due Date 1999-12-13
Nr Instances 1
Nr Exposed 4
Gravity 01
Citation ID 02001B
Citaton Type Other
Standard Cited 19101200 E02 I
Issuance Date 1999-11-10
Abatement Due Date 1999-12-13
Nr Instances 1
Nr Exposed 50
Gravity 01

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
16-0755761 Corporation Unconditional Exemption 140 W MAIN ST, CUBA, NY, 14727-1317 1942-05
In Care of Name % JOHN ORMOND
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 10,000,000 to 49,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 11773233
Income Amount 9532946
Form 990 Revenue Amount 9526956
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 CUBA MEMORIAL HOSPITAL INC
EIN 16-0755761
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name CUBA MEMORIAL HOSPITAL INC
EIN 16-0755761
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CUBA MEMORIAL HOSPITAL INC
EIN 16-0755761
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name CUBA MEMORIAL HOSPITAL INC
EIN 16-0755761
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name CUBA MEMORIAL HOSPITAL INC
EIN 16-0755761
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name CUBA MEMORIAL HOSPITAL INC
EIN 16-0755761
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name CUBA MEMORIAL HOSPITAL INC
EIN 16-0755761
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name CUBA MEMORIAL HOSPITAL INC
EIN 16-0755761
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
9299887408 2020-05-20 0296 PPP 140 West Main Street, CUBA, NY, 14727-1317
Loan Status Date 2021-06-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1000000
Loan Approval Amount (current) 1000000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 50167
Servicing Lender Name Five Star Bank
Servicing Lender Address 55 N Main St, WARSAW, NY, 14569-1325
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CUBA, ALLEGANY, NY, 14727-1317
Project Congressional District NY-23
Number of Employees 103
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 50167
Originating Lender Name Five Star Bank
Originating Lender Address WARSAW, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1008638.89
Forgiveness Paid Date 2021-05-07

Date of last update: 19 Mar 2025

Sources: New York Secretary of State