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MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC.

Company Details

Name: MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Inactive
Date of registration: 25 Jan 1999 (26 years ago)
Date of dissolution: 04 Aug 2023
Entity Number: 2338490
ZIP code: 12946
County: Essex
Place of Formation: New York
Address: 386 RIVER RD, LAKE PLACID, NY, United States, 12946

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOUNTAIN LAKE CHILDREN'S RESIDENCE INC. 401(K) PLAN 2021 141810672 2022-11-09 MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 91
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-07-01
Business code 611000
Sponsor’s telephone number 5185234300
Plan sponsor’s address 386 RIVER ROAD, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2022-11-09
Name of individual signing SUSAN ROSE-HOCKERT
Role Employer/plan sponsor
Date 2022-11-09
Name of individual signing SUSAN ROSE-HOCKERT
MOUNTAIN LAKE CHILDREN'S RESIDENCE INC. 401(K) PLAN 2020 141810672 2022-01-04 MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 91
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-07-01
Business code 611000
Sponsor’s telephone number 5185234300
Plan sponsor’s address 386 RIVER ROAD, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2022-01-04
Name of individual signing SUSAN ROSE-HOCKERT
MOUNTAIN LAKE CHILDREN'S RESIDENCE INC. 401(K) PLAN 2019 141810672 2020-09-23 MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 90
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-07-01
Business code 611000
Sponsor’s telephone number 5185234300
Plan sponsor’s address 386 RIVER ROAD, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2020-09-23
Name of individual signing SUSAN ROSE-HOCKERT
MOUNTAIN LAKE CHILDREN'S RESIDENCE INC. 403(B) PLAN 2019 141810672 2020-04-22 MOUNTAIN LAKE CHILDREN'S RESIDENCE INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 624100
Sponsor’s telephone number 5185234300
Plan sponsor’s address 386 RIVER ROAD, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2020-04-22
Name of individual signing SUSAN ROSE-HOCKERT
MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 403(B) PLAN 2017 141810672 2018-11-13 MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 624100
Sponsor’s telephone number 5185234300
Plan sponsor’s address 386 RIVER RD, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2018-11-13
Name of individual signing SUSAN HOCKERT
MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 403(B) PLAN 2016 141810672 2018-03-29 MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 624100
Sponsor’s telephone number 5185234300
Plan sponsor’s address 386 RIVER RD, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2018-03-29
Name of individual signing SUSAN HOCKERT
Role Employer/plan sponsor
Date 2018-03-29
Name of individual signing SUSAN HOCKERT
MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 403(B) PLAN 2015 141810672 2017-04-07 MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 624100
Sponsor’s telephone number 5185234300
Plan sponsor’s address 386 RIVER RD, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2017-04-07
Name of individual signing SUSAN HOCKERT
MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 403(B) PLAN 2014 141810672 2016-04-08 MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 90
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 624100
Sponsor’s telephone number 5185234300
Plan sponsor’s address 386 RIVER RD, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2016-04-08
Name of individual signing SUSAN HOCKERT
MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 403(B) PLAN 2014 141810672 2017-04-07 MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 624100
Sponsor’s telephone number 5185234300
Plan sponsor’s address 386 RIVER RD, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2017-04-07
Name of individual signing SUSAN HOCKERT
MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 403(B) PLAN 2013 141810672 2015-01-13 MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 624100
Sponsor’s telephone number 5185234300
Plan sponsor’s address 386 RIVER RD, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2015-01-13
Name of individual signing SUSAN ROSE-HOCKERT

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 386 RIVER RD, LAKE PLACID, NY, United States, 12946

History

Start date End date Type Value
2015-02-27 2020-12-30 Address 386 RIVER ROAD, LAKE PLACID, NY, 12946, USA (Type of address: Service of Process)
2004-12-15 2015-02-27 Address 3390 ROUTE 112, BOX 786, MEDFORD, NY, 11763, USA (Type of address: Service of Process)
1999-01-25 2004-12-15 Address 921 HAWKINS AVENUE, LAKE GROVE, NY, 11755, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201230000176 2020-12-30 CERTIFICATE OF AMENDMENT 2020-12-30
150227000769 2015-02-27 CERTIFICATE OF AMENDMENT 2015-02-27
041215000281 2004-12-15 CERTIFICATE OF AMENDMENT 2004-12-15
990125000605 1999-01-25 CERTIFICATE OF INCORPORATION 1999-01-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6921517007 2020-04-07 0248 PPP 386 River Road, LAKE PLACID, NY, 12946-3213
Loan Status Date 2021-02-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1012620
Loan Approval Amount (current) 1012620
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47029
Servicing Lender Name Community Bank, National Association
Servicing Lender Address 45-49 Court St, CANTON, NY, 13617-1118
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LAKE PLACID, ESSEX, NY, 12946-3213
Project Congressional District NY-21
Number of Employees 107
NAICS code 623220
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 47029
Originating Lender Name Community Bank, National Association
Originating Lender Address CANTON, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1020110.61
Forgiveness Paid Date 2021-01-12
8897808310 2021-01-30 0248 PPS 386 River Rd, Lake Placid, NY, 12946-3213
Loan Status Date 2022-01-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 943832
Loan Approval Amount (current) 943832
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47029
Servicing Lender Name Community Bank, National Association
Servicing Lender Address 45-49 Court St, CANTON, NY, 13617-1118
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lake Placid, ESSEX, NY, 12946-3213
Project Congressional District NY-21
Number of Employees 107
NAICS code 611110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 47029
Originating Lender Name Community Bank, National Association
Originating Lender Address CANTON, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 952210.13
Forgiveness Paid Date 2021-12-23

Date of last update: 31 Mar 2025

Sources: New York Secretary of State