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ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC.

Company Details

Name: ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 21 Jul 1999 (26 years ago)
Entity Number: 2400541
ZIP code: 13676
County: St. Lawrence
Place of Formation: New York
Address: 44 PIERREPONT AVENUE, POTSDAM, NY, United States, 13676

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
GJHUNDLWWKG3 2025-01-30 6439 STATE HIGHWAY 56, POTSDAM, NY, 13676, 6423, USA 6439 STATE HIGHWAY RT 56, PO BOX 5069, POTSDAM, NY, 13676, USA

Business Information

URL https://www.gethealthyslc.org
Division Name ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC.
Congressional District 21
State/Country of Incorporation NY, USA
Activation Date 2024-02-02
Initial Registration Date 2004-10-25
Entity Start Date 1999-06-22
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name ANNE MARIE SNELL
Role MRS.
Address 6439 STATE HIGHWAY 56, PO BOX 5069, POTSDAM, NY, 13676, 5069, USA
Title ALTERNATE POC
Name TRACY MOODY
Address PO BOX 5069, POTSDAM, NY, 13676, 2200, USA
Government Business
Title PRIMARY POC
Name ANNE MARIE SNELL
Role MRS.
Address 6439 STATE HIGHWAY 56, PO BOX 5069, POTSDAM, NY, 13676, 5069, USA
Title ALTERNATE POC
Name TRACY MOODY
Address PO BOX 5069, 6439 SH 56, POTSDAM, NY, 13676, 5069, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
325B5 Obsolete Non-Manufacturer 2004-10-26 2024-03-09 No data 2025-01-30

Contact Information

POC ANNE MARIE SNELL
Phone +1 315-244-9063
Fax +1 315-261-4728
Address 6439 STATE HIGHWAY 56, POTSDAM, NY, 13676 6423, 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
403(B) THRIFT PLAN FOR EMPLOYEES OF ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC. 2022 161582283 2023-10-02 ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 813000
Sponsor’s telephone number 3152617460
Plan sponsor’s address PO BOX 5069, POTSDAM, NY, 136765069

Signature of

Role Plan administrator
Date 2023-10-02
Name of individual signing TRACY MOODY
403(B) THRIFT PLAN OF ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC. 2021 161582283 2022-08-16 ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 813000
Sponsor’s telephone number 3152617460
Plan sponsor’s address PO BOX 5069, POTSDAM, NY, 136765069

Signature of

Role Plan administrator
Date 2022-08-16
Name of individual signing TRACY MOODY
403(B) THRIFT PLAN OF ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC. 2020 161582283 2021-07-14 ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 813000
Sponsor’s telephone number 3152614760
Plan sponsor’s address PO BOX 5069, POTSDAM, NY, 136765069

Signature of

Role Plan administrator
Date 2021-07-14
Name of individual signing TRACY MOODY
403(B) THRIFT PLAN OF ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC. 2019 161582283 2020-07-15 ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 813000
Sponsor’s telephone number 3152617460
Plan sponsor’s address PO BOX 5069, POTSDAM, NY, 136765069

Signature of

Role Plan administrator
Date 2020-07-15
Name of individual signing TRACY MOODY
403(B) THRIFT PLAN OF ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC. 2018 161582283 2019-07-19 ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 813000
Sponsor’s telephone number 3152617460
Plan sponsor’s address PO BOX 5069, POTSDAM, NY, 136765069

Signature of

Role Plan administrator
Date 2019-07-19
Name of individual signing TRACY MOODY

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 44 PIERREPONT AVENUE, POTSDAM, NY, United States, 13676

History

Start date End date Type Value
1999-07-21 2000-05-30 Address 44 PIERREPONT AVENUE, POTSDAM, NY, 13676, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
000530000048 2000-05-30 CERTIFICATE OF AMENDMENT 2000-05-30
990721000109 1999-07-21 CERTIFICATE OF INCORPORATION 1999-07-21

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD DTSL5508PP0563 2008-03-31 2009-02-28 No data
Unique Award Key CONT_AWD_DTSL5508PP0563_6947_-NONE-_-NONE-
Awarding Agency Department of Transportation
Link View Page

Description

Title WORKSITE WELLNESS PROGRAM.
NAICS Code 541990: ALL OTHER PROFESSIONAL, SCIENTIFIC, AND TECHNICAL SERVICES
Product and Service Codes B599: OTHER SPECIAL STUDIES AND ANALYSES

Recipient Details

Recipient ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC
UEI GJHUNDLWWKG3
Legacy DUNS 112078261
Recipient Address UNITED STATES, 303 MERRITT HALL SUNY POTSDAM, POTSDAM, 136760000

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
Q215F070030 Department of Education 84.215 - FUND FOR THE IMPROVEMENT OF EDUCATION 2009-06-01 2010-05-31 CAROL M. WHITE PHYSICAL EDUCATION PROGRAM
Recipient ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC
Recipient Name Raw ST. LAWRENCE COUNTY HEALTH INITIATIVE INC.
Recipient UEI GJHUNDLWWKG3
Recipient DUNS 112078261
Recipient Address 303 MERRITT HALL SUNY POTSDAM, POTSDAM, NEW YORK, 13676-5069, UNITED STATES
Obligated Amount 1324271.00
Non-Federal Funding 169916.00
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
16-1582283 Corporation Unconditional Exemption PO BOX 5069, POTSDAM, NY, 13676-5069 2000-08
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 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 623968
Income Amount 1281987
Form 990 Revenue Amount 1281987
National Taxonomy of Exempt Entities Health Care: Public Health Program (Includes General Health and Wellness Promotion Services)
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 ST LAWRENCE COUNTY HEALTH INITIATIVE INC
EIN 16-1582283
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name ST LAWRENCE COUNTY HEALTH INITIATIVE INC
EIN 16-1582283
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name ST LAWRENCE COUNTY HEALTH INITIATIVE INC
EIN 16-1582283
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name ST LAWRENCE COUNTY HEALTH INITIATIVE INC
EIN 16-1582283
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name ST LAWRENCE COUNTY HEALTH INITIATIVE INC
EIN 16-1582283
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name ST LAWRENCE COUNTY HEALTH INITIATIVE INC
EIN 16-1582283
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name ST LAWRENCE COUNTY HEALTH INITIATIVE INC
EIN 16-1582283
Tax Period 201512
Filing Type E
Return Type 990
File View File

Date of last update: 31 Mar 2025

Sources: New York Secretary of State