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  5. MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC.

MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC.

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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 (27 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

DOS Process Agent

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

Unique Entity ID

CAGE Code:
5QQ31
UEI Expiration Date:
2020-06-11

Business Information

Activation Date:
2019-06-12
Initial Registration Date:
2009-10-01

National Provider Identifier

NPI Number:
1255507497
Link:
View on NPI website

Authorized Person:

Name:
MRS. CAROL M PREVOST
Role:
CEO
Phone:
5185234300

Taxonomy:

Selected Taxonomy:
322D00000X - Emotionally Disturbed Childrens' Residential Treatment Facility
Is Primary:
Yes

Contacts:

Phone:
+1 518-523-4300
Fax:
5185235322

Form 5500 Series

Employer Identification Number (EIN):
141810672
Plan Year:
2021
Number Of Participants:
91
Sponsors Telephone Number:
5185234300
File:
View File
Plan Year:
2020
Number Of Participants:
91
Sponsors Telephone Number:
5185234300
File:
View File
Plan Year:
2019
Number Of Participants:
90
Sponsors Telephone Number:
5185234300
File:
View File
Plan Year:
2019
Number Of Participants:
66
Sponsors Telephone Number:
5185234300
File:
View File
Plan Year:
2017
Number Of Participants:
117
Sponsors Telephone Number:
5185234300
File:
View File

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

USAspending Awards / Financial Assistance

Date:
2020-06-11
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-29
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-07
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1012620.00
Total Face Value Of Loan:
1012620.00

Tax Exempt

Employer Identification Number (EIN) :
14-1810672
In Care Of Name:
% CAROL PREVOST
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)
Ruling Date:
1999-11
National Taxonomy Of Exempt Entities:
Human Services: Foster Care
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
107
Initial Approval Amount:
$1,012,620
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,012,620
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,020,110.61
Servicing Lender:
Community Bank, National Association
Use of Proceeds:
Payroll: $1,012,620
Jobs Reported:
107
Initial Approval Amount:
$943,832
Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$943,832
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$952,210.13
Servicing Lender:
Community Bank, National Association
Use of Proceeds:
Payroll: $943,832

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State

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