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  5. ADAPTIVE SPORTS FOUNDATION, INC.

ADAPTIVE SPORTS FOUNDATION, INC.

Company Details

Name: ADAPTIVE SPORTS FOUNDATION, INC.
Jurisdiction: New York
Legal type: FOREIGN NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 19 Jun 2000 (25 years ago)
Entity Number: 2522475
ZIP code: 12496
County: Greene
Place of Formation: New Jersey
Address: C.D. LANE ROAD, WINDHAM, NY, United States, 12496

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
52H68 Obsolete Non-Manufacturer 2008-04-30 2024-03-21 No data 2025-03-19

Contact Information
POC VINCE PASSIONE
Phone +1 518-734-5070
Fax +1 518-734-6740
Address 100 SILVERMAN WAY, WINDHAM, NY, 12496, 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
A.S.F. RETIREMENT PLAN 2023 141823155 2024-03-18 ADAPTIVE SPORTS FOUNDATION, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 711300
Sponsor’s telephone number 5187345070
Plan sponsor’s address P.O. BOX 266, WINDHAM, NY, 12496

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVENUE, SUITE D201, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920

Signature of
Role Plan administrator
Date 2024-03-18
Name of individual signing SETH LARNER
Role Employer/plan sponsor
Date 2024-03-18
Name of individual signing SETH LARNER
A.S.F. RETIREMENT PLAN 2022 141823155 2023-04-14 ADAPTIVE SPORTS FOUNDATION, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 711300
Sponsor’s telephone number 5187345070
Plan sponsor’s address P.O. BOX 266, WINDHAM, NY, 12496

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVENUE, SUITE D201, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920

Signature of
Role Plan administrator
Date 2023-04-14
Name of individual signing SETH LARNER
Role Employer/plan sponsor
Date 2023-04-14
Name of individual signing SETH LARNER
A.S.F. RETIREMENT PLAN 2021 141823155 2022-08-19 ADAPTIVE SPORTS FOUNDATION, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 711300
Sponsor’s telephone number 5187345070
Plan sponsor’s address P.O. BOX 266, WINDHAM, NY, 12496

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVE, SUITE D201, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920

Signature of
Role Plan administrator
Date 2022-08-19
Name of individual signing SETH LARNER
Role Employer/plan sponsor
Date 2022-08-19
Name of individual signing SETH LARNER
A.S.F. RETIREMENT PLAN 2020 141823155 2021-09-15 ADAPTIVE SPORTS FOUNDATION, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 711300
Sponsor’s telephone number 5187345070
Plan sponsor’s address P.O. BOX 266, WINDHAM, NY, 12496

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVENUE, SUITE A2, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920
A.S.F. RETIREMENT PLAN 2019 141823155 2020-07-01 ADAPTIVE SPORTS FOUNDATION, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 711300
Sponsor’s telephone number 5187345070
Plan sponsor’s address P.O. BOX 266, WINDHAM, NY, 12496

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVE, SUITE A2, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920
A.S.F. RETIREMENT PLAN 2018 141823155 2019-07-29 ADAPTIVE SPORTS FOUNDATION, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 711300
Sponsor’s telephone number 5187345070
Plan sponsor’s address P.O. BOX 266, WINDHAM, NY, 12496

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address SUITE A2, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920
A.S.F. RETIREMENT PLAN 2017 141823155 2018-09-11 ADAPTIVE SPORTS FOUNDATION, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 711300
Sponsor’s telephone number 5187345070
Plan sponsor’s address P.O. BOX 266, WINDHAM, NY, 12496

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVENUE, SUITE A2, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920

Agent

Name Role Address
JOHN DRISCOLL Agent DELANEY & DRISCOLL, 300 EAST 42ND STREET, 9TH FL., NEW YORK, NY, 11561

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent C.D. LANE ROAD, WINDHAM, NY, United States, 12496

Filings

Filing Number Date Filed Type Effective Date
000619000571 2000-06-19 APPLICATION OF AUTHORITY 2000-06-19

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2025-03-27 No data 100 SILVERMAN WAY, WINDHAM Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2024-05-08 No data 100 SILVERMAN WAY, WINDHAM Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2022-04-05 No data 100 SILVERMAN WAY, WINDHAM Not Critical Violation Food Service Establishment Inspections New York State Department of Health 12D - Toilet facilities inadequate, inconvenient, dirty, in disrepair, toilet paper missing, not self-closing doors, missing hand wash signs
2018-05-23 No data 100 SILVERMAN WAY, WINDHAM Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2017-10-27 No data 100 SILVERMAN WAY, WINDHAM Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2015-02-19 No data 100 SILVERMAN WAY, WINDHAM Not Critical Violation Food Service Establishment Inspections New York State Department of Health 10B - Non-food contact surfaces and equipment are improperly designed, constructed, installed, maintained (equipment not readily accessible for cleaning, surface not smooth finish)
2014-02-21 No data 100 SILVERMAN WAY, WINDHAM Not Critical Violation Food Service Establishment Inspections New York State Department of Health 8E - Accurate thermometers not available or used to evaluate refrigerated or heated storage temperatures
2013-02-22 No data 100 SILVERMAN WAY, WINDHAM Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
14-1823155 Corporation Unconditional Exemption 100 SILVERMAN WAY, WINDHAM, NY, 12496-0000 2000-06
In Care of Name % CHERISSE YOUNG
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 2023-06
Asset 5,000,000 to 9,999,999
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 Jun
Asset Amount 8604847
Income Amount 3204222
Form 990 Revenue Amount 1727318
National Taxonomy of Exempt Entities M99 Public Safety, Disaster Preparedness & Relief N.E.C Recreation & Sports: Camps
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 ADAPTIVE SPORTS FOUNDATION INC
EIN 14-1823155
Tax Period 202306
Filing Type E
Return Type 990T
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION INC
EIN 14-1823155
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION INC
EIN 14-1823155
Tax Period 202206
Filing Type E
Return Type 990T
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION
EIN 14-1823155
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION
EIN 14-1823155
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION
EIN 14-1823155
Tax Period 202006
Filing Type P
Return Type 990T
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION
EIN 14-1823155
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION
EIN 14-1823155
Tax Period 201906
Filing Type P
Return Type 990T
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION
EIN 14-1823155
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION
EIN 14-1823155
Tax Period 201806
Filing Type P
Return Type 990T
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION INC
EIN 14-1823155
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION INC
EIN 14-1823155
Tax Period 201706
Filing Type E
Return Type 990T
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION INC
EIN 14-1823155
Tax Period 201706
Filing Type P
Return Type 990T
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION INC
EIN 14-1823155
Tax Period 201606
Filing Type E
Return Type 990
File View File
Organization Name ADAPTIVE SPORTS FOUNDATION INC
EIN 14-1823155
Tax Period 201506
Filing Type P
Return Type 990T
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1643368710 2021-03-27 0248 PPS 100 Silverman Way, Windham, NY, 12496
Loan Status Date 2022-05-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 164560
Loan Approval Amount (current) 164560
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Windham, GREENE, NY, 12496
Project Congressional District NY-19
Number of Employees 11
NAICS code 531390
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type 501(c)3 � Non Profit
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 166160.52
Forgiveness Paid Date 2022-04-20

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Related by address

C.D. LANE ROAD, WINDHAM, NY, United States, 12496

SKI WINDHAM REALTY, INC.

Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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