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  5. LAKE PLAINS COMMUNITY CARE NETWORK, INC.

LAKE PLAINS COMMUNITY CARE NETWORK, INC.

Company Details

Name: LAKE PLAINS COMMUNITY CARE NETWORK, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 11 Sep 1997 (28 years ago)
Entity Number: 2179313
ZIP code: 14011
County: Wyoming
Place of Formation: New York
Address: 11 EXCHANGE STREET, ATTICA, NY, United States, 14011

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
44Z97 Active Non-Manufacturer 2005-09-20 2024-03-11 2026-02-05 2022-02-03

Contact Information
POC CHARLOTTE CRAWFORD
Phone +1 585-345-6110
Fax +1 585-345-7452
Address 575 E MAIN ST, BATAVIA, NY, 14020 2741, 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
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2023 161536607 2024-09-27 LAKE PLAINS COMMUNITY CARE NETWORK 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 319 W MAIN ST, SUITE 9, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2024-09-27
Name of individual signing COLLEEN KIPFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-27
Name of individual signing GENNA SALEMI
Valid signature Filed with authorized/valid electronic signature
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2022 161536607 2024-05-01 LAKE PLAINS COMMUNITY CARE NETWORK 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 319 W MAIN ST, SUITE 9, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2024-04-30
Name of individual signing COLLEEN KIPFER
Role Employer/plan sponsor
Date 2024-05-01
Name of individual signing GENNA SALEMI
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2021 161536607 2022-12-14 LAKE PLAINS COMMUNITY CARE NETWORK 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 319 W MAIN ST SUITE 9, CHURCHVILLE, NY, 14428

Signature of
Role Plan administrator
Date 2022-12-14
Name of individual signing COLLEEN KIPFER
Role Employer/plan sponsor
Date 2022-12-14
Name of individual signing GENNA SALEMI
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2020 161536607 2021-09-21 LAKE PLAINS COMMUNITY CARE NETWORK 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2021-09-21
Name of individual signing A1557312
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2019 161536607 2020-08-17 LAKE PLAINS COMMUNITY CARE NETWORK 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2020-08-17
Name of individual signing A1557312
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2018 161536607 2019-06-25 LAKE PLAINS COMMUNITY CARE NETWORK 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2019-06-25
Name of individual signing COLLEEN KIPFER
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2017 161536607 2018-07-06 LAKE PLAINS COMMUNITY CARE NETWORK 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing COLLEEN KIPFER
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2016 161536607 2017-07-20 LAKE PLAINS COMMUNITY CARE NETWORK 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing COLLEEN KIPFER
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2015 161536607 2016-10-14 LAKE PLAINS COMMUNITY CARE NETWORK 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing COLLEEN KIPFER
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing PATRICIA HALL
LAKE PLAINS COMMUNITY CARE NETWORK 403(B) SAVINGS PLAN 2014 161536607 2015-07-30 LAKE PLAINS COMMUNITY CARE NETWORK 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 5853456110
Plan sponsor’s address 575 EAST MAIN STREET, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing COLLEEN KIPFER
Role Employer/plan sponsor
Date 2015-07-30
Name of individual signing PATRICIA HALL

DOS Process Agent

Name Role Address
C/O DADD & NELSON P.C. DOS Process Agent 11 EXCHANGE STREET, ATTICA, NY, United States, 14011

Filings

Filing Number Date Filed Type Effective Date
970911000230 1997-09-11 CERTIFICATE OF INCORPORATION 1997-09-11

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
EMW-2010-FF-0010 Department of Homeland Security 97.044 - ASSISTANCE TO FIREFIGHTERS GRANT 2011-07-31 2015-07-30 ASSISTANCE TO FIREFIGHTERS GRANT
Recipient LAKE PLAINS COMMUNITY CARE NETWORK INC
Recipient Name Raw LAKE PLAINS COMMUNITY CARE NETWORK, INC.
Recipient UEI R5W4X4J5LHK4
Recipient DUNS 071540566
Recipient Address 56 HARVESTER AVE., THIRD FLOOR, SUITE 1, BATAVIA, GENESEE, NEW YORK, 14020-3342, UNITED STATES
Obligated Amount 288680.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
16-1536607 Corporation Unconditional Exemption 319 W MAIN ST STE 9, BATAVIA, NY, 14020-1347 1998-02
In Care of Name % CHARLOTTE J CRAWFORD
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, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 850120
Income Amount 441901
Form 990 Revenue Amount 441901
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 LAKE PLAINS COMMUNITY CARE NETWORK INC
EIN 16-1536607
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name LAKE PLAINS COMMUNITY CARE NETWORK INC
EIN 16-1536607
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name LAKE PLAINS COMMUNITY CARE NETWORK INC
EIN 16-1536607
Tax Period 201812
Filing Type P
Return Type 990
File View File
Organization Name LAKE PLAINS COMMUNITY CARE NETWORK INC
EIN 16-1536607
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name LAKE PLAINS COMMUNITY CARE NETWORK INC
EIN 16-1536607
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name LAKE PLAINS COMMUNITY CARE NETWORK INC
EIN 16-1536607
Tax Period 201612
Filing Type P
Return Type 990
File View File
Organization Name LAKE PLAINS COMMUNITY CARE NETWORK INC
EIN 16-1536607
Tax Period 201612
Filing Type P
Return Type 990
File View File
Organization Name LAKE PLAINS COMMUNITY CARE NETWORK INC
EIN 16-1536607
Tax Period 201512
Filing Type P
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1745398306 2021-01-19 0296 PPP 575, BATAVIA, NY, 14020
Loan Status Date 2021-08-13
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 80197.5
Loan Approval Amount (current) 80197.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529471
Servicing Lender Name Itria Ventures LLC
Servicing Lender Address One Penn Plaza, Suite 4530, New York, NY, 10119
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address BATAVIA, GENESEE, NY, 14020
Project Congressional District NY-27
Number of Employees 8
NAICS code 923110
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type 501(c)3 � Non Profit
Originating Lender ID 529471
Originating Lender Name Itria Ventures LLC
Originating Lender Address New York, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 80520.52
Forgiveness Paid Date 2021-07-01

Related by officers

No related officers

Related by address

11 EXCHANGE STREET, ATTICA, NY, United States, 14011

GOURMET GADGETS AND GIFTS, LLC WYOMING COUNTY AGRICULTURAL AND BUSINESS CENTER FOUNDATION, INC. DADD AND NELSON P.C. TX DATA CORPORATION DADD, NELSON, WILKINSON & WUJCIK, PLLC WNW PROPERTIES, LLC

Date of last update: 31 Mar 2025

Sources: New York Secretary of State

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