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  5. CHENANGO HEALTH NETWORK, INC.

CHENANGO HEALTH NETWORK, INC.

Company Details

Name: CHENANGO HEALTH NETWORK, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 03 May 1996 (29 years ago)
Entity Number: 2026475
ZIP code: 13815
County: Chenango
Place of Formation: New York
Address: 19 eaton avenue, NORWICH, NY, United States, 13815

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
CXS1MU9NUL77 2025-04-14 19 EATON AVE, NORWICH, NY, 13815, 1759, USA 19 EATON AVE, NORWICH, NY, 13815, 1759, USA

Business Information
Congressional District 19
State/Country of Incorporation NY, USA
Activation Date 2024-04-18
Initial Registration Date 2011-09-27
Entity Start Date 1995-12-19
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 813311

Points of Contacts
Electronic Business
Title PRIMARY POC
Name KIMBERLY LORRAINE
Role EXECUTIVE DIRECTOR
Address 19 EATON AVE., NORWICH, NY, 13815, 1778, USA
Government Business
Title PRIMARY POC
Name KIMBERLY LORRAINE
Address 19 EATON AVE, NORWICH, NY, 13815, 1778, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHENANGO HEALTH NETWORK, INC. 401K PROFIT SHARING PLAN TRUST 2023 521987010 2024-06-13 CHENANGO HEALTH NETWORK, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 6073374171
Plan sponsor’s address 19 EATON AVE, NORWICH, NY, 13815

Signature of
Role Plan administrator
Date 2024-06-13
Name of individual signing KIMBERLY LORRAINE
CHENANGO HEALTH NETWORK, INC. 401K PROFIT SHARING PLAN TRUST 2022 521987010 2023-06-08 CHENANGO HEALTH NETWORK, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 6073374171
Plan sponsor’s address 19 EATON AVE, NORWICH, NY, 13815

Signature of
Role Plan administrator
Date 2023-06-08
Name of individual signing KIMBERLY LORRAINE
CHENANGO HEALTH NETWORK, INC. 401K PROFIT SHARING PLAN TRUST 2021 521987010 2022-07-26 CHENANGO HEALTH NETWORK, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 6073374171
Plan sponsor’s address 24 CONKEY AVE, NORWICH, NY, 13815

Signature of
Role Plan administrator
Date 2022-07-26
Name of individual signing KIMBERLY LORRAINE
CHENANGO HEALTH NETWORK, INC. 401K PROFIT SHARING PLAN TRUST 2020 521987010 2021-09-17 CHENANGO HEALTH NETWORK, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 6073374310
Plan sponsor’s address 24 CONKEY AVE, NORWICH, NY, 13815

Signature of
Role Plan administrator
Date 2021-09-17
Name of individual signing TINA BAKER
CHENANGO HEALTH NETWORK INC 401(K) PROFIT SHARING PLAN & TRUST 2019 521987010 2020-07-30 CHENANGO HEALTH NETWORK INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 6073374128
Plan sponsor’s address 24 CONKEY AVE, NORWICH, NY, 138151774

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing TINA BAKER
CHENANGO HEALTH NETWORK INC 401 K PROFIT SHARING PLAN TRUST 2018 521987010 2019-07-31 CHENANGO HEALTH NETWORK INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 6073374128
Plan sponsor’s address 24 CONKEY AVE, NORWICH, NY, 138151774

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing THERESA DAVIS
CHENANGO HEALTH NETWORK INC 401 K PROFIT SHARING PLAN TRUST 2017 521987010 2018-07-27 CHENANGO HEALTH NETWORK INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 6073374128
Plan sponsor’s address 24 CONKEY AVE, NORWICH, NY, 138151774

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing THERESA DAVIS
CHENANGO HEALTH NETWORK INC 401 K PROFIT SHARING PLAN TRUST 2016 521987010 2017-07-27 CHENANGO HEALTH NETWORK INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 6073374128
Plan sponsor’s address 24 CONKEY AVE, NORWICH, NY, 138151774

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing THERESA DAVIS
CHENANGO HEALTH NETWORK INC 401 K PROFIT SHARING PLAN TRUST 2015 521987010 2016-07-29 CHENANGO HEALTH NETWORK INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 6073374128
Plan sponsor’s address 24 CONKEY AVE, NORWICH, NY, 138151774

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing THERESA DAVIS
CHENANGO HEALTH NETWORK INC 401 K PROFIT SHARING PLAN TRUST 2014 521987010 2015-07-27 CHENANGO HEALTH NETWORK INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541990
Sponsor’s telephone number 6073374128
Plan sponsor’s address 24 CONKEY AVE, NORWICH, NY, 138151774

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing TINA BAKER

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 19 eaton avenue, NORWICH, NY, United States, 13815

History

Start date End date Type Value
1996-05-03 2024-04-18 Address 179 NORTH BROAD STREET, NORWICH, NY, 13815, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240418000928 2024-04-17 CERTIFICATE OF CHANGE BY ENTITY 2024-04-17
960503000644 1996-05-03 CERTIFICATE OF INCORPORATION 1996-05-03

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
52-1987010 Corporation Unconditional Exemption 19 EATON AVENUE, NORWICH, NY, 13815-1759 1996-11
In Care of Name -
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 Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 500,000 to 999,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 767705
Income Amount 767114
Form 990 Revenue Amount 767114
National Taxonomy of Exempt Entities Health Care: Health - General and Rehabilitative N.E.C.
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 CHENANGO HEALTH NETWORK INC
EIN 52-1987010
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name CHENANGO HEALTH NETWORK INC
EIN 52-1987010
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CHENANGO HEALTH NETWORK INC
EIN 52-1987010
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name CHENANGO HEALTH NETWORK INC
EIN 52-1987010
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name CHENANGO HEALTH NETWORK INC
EIN 52-1987010
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name CHENANGO HEALTH NETWORK INC
EIN 52-1987010
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name CHENANGO HEALTH NETWORK INC
EIN 52-1987010
Tax Period 201612
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
4220678003 2020-06-25 0248 PPP 24 Conkey Ave, Norwich, NY, 13815-1668
Loan Status Date 2022-04-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 115800
Loan Approval Amount (current) 115800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224780
Servicing Lender Name New York Business Development Corporation
Servicing Lender Address 50 Beaver Street, Albany, NY, 12207-1538
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Norwich, CHENANGO, NY, 13815-1668
Project Congressional District NY-19
Number of Employees 11
NAICS code 923120
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 224780
Originating Lender Name New York Business Development Corporation
Originating Lender Address Albany, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 116977.04
Forgiveness Paid Date 2021-07-07

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Related by address

No related companies by address

Date of last update: 14 Mar 2025

Sources: New York Secretary of State

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