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  5. CUBA MEMORIAL HOSPITAL, INC.

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

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 22 Dec 2024

Sources: New York Secretary of State

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