| Name: | UTICA AMBULANCE SERVICE, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Active |
| Date of registration: | 10 May 1973 (52 years ago) |
| Entity Number: | 260997 |
| ZIP code: | 30076 |
| County: | New York |
| Place of Formation: | New York |
| Address: | 205 HEMBREE PARK DR 100, ROSWELL, GA, United States, 30076 |
| Principal Address: | 410 Catherine Street, Utica, NY, United States, 13501 |
Contact Details
Phone +1 315-724-6619
Shares Details
Shares issued 4300
Share Par Value 100
Type PAR VALUE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EYHLDQVJV9J4 | 2024-12-14 | 410 CATHERINE ST, UTICA, NY, 13501, 1211, USA | 410 CATHERINE ST, UTICA, NY, 13501, 1211, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 22 |
| State/Country of Incorporation | NY, USA |
| Activation Date | 2023-12-19 |
| Initial Registration Date | 2020-12-07 |
| Entity Start Date | 1973-05-10 |
| Fiscal Year End Close Date | Dec 20 |
Service Classifications
| NAICS Codes | 621910 |
| Product and Service Codes | V225 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MARIA ZITO |
| Role | BILLING MANAGER |
| Address | 410 CATHERINE ST, UTICA, NY, 13501, 1211, USA |
| Title | ALTERNATE POC |
| Name | BOB JEWELL |
| Role | CHIEF REVENUE INTEGRATION OFFICER |
| Address | 410 CATHERINE ST, UTICA, NY, 13501, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MARIA ZITO |
| Role | BILLING MANAGER |
| Address | 410 CATHERINE ST, UTICA, NY, 13501, 1211, USA |
| Title | ALTERNATE POC |
| Name | BOB JEWELL |
| Role | CHIEF REVENUE INTEGRATION OFFICER |
| Address | 410 CATHERINE ST, UTICA, NY, 13501, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | BOB JEWELL |
| Role | CHIEF REVENUE INTEGRATION OFFICER |
| Address | 410 CATHERINE ST, UTICA, NY, 13501, USA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KUNKEL AMBULANCE 401(K) PROFIT SHARING PLAN | 2013 | 161010156 | 2014-10-15 | UTICA AMBULANCE SERVICE, INC | 50 | |||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2014-10-15 |
| Name of individual signing | KRISTI PONCZAK |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 3155342221 |
| Plan sponsor’s address | 410 CATHERINE STREET, UTICA, NY, 135011211 |
Signature of
| Role | Plan administrator |
| Date | 2013-06-24 |
| Name of individual signing | CATHERINE KUNKEL |
| Role | Employer/plan sponsor |
| Date | 2013-06-24 |
| Name of individual signing | CATHERINE KUNKEL |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 3155342221 |
| Plan sponsor’s address | 410 CATHERINE STREET, UTICA, NY, 135011211 |
Plan administrator’s name and address
| Administrator’s EIN | 161010156 |
| Plan administrator’s name | UTICA AMBULANCE SERVICE, INC |
| Plan administrator’s address | 410 CATHERINE STREET, UTICA, NY, 135011211 |
| Administrator’s telephone number | 3155342221 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-05 |
| Name of individual signing | CATHERINE KUNKEL |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 3157246619 |
| Plan sponsor’s address | 410 CATHERINE STREET, UTICA, NY, 135011211 |
Plan administrator’s name and address
| Administrator’s EIN | 161010156 |
| Plan administrator’s name | UTICA AMBULANCE SERVICE, INC. |
| Plan administrator’s address | 410 CATHERINE STREET, UTICA, NY, 135011211 |
| Administrator’s telephone number | 3157246619 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-27 |
| Name of individual signing | JACK KUNKEL |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 3157246619 |
| Plan sponsor’s address | 410 CATHERINE STREET, UTICA, NY, 135011211 |
Plan administrator’s name and address
| Administrator’s EIN | 161010156 |
| Plan administrator’s name | UTICA AMBULANCE SERVICE, INC. |
| Plan administrator’s address | 410 CATHERINE STREET, UTICA, NY, 135011211 |
| Administrator’s telephone number | 3157246619 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-27 |
| Name of individual signing | JACK KUNKEL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 28 LIBERTY ST., NEW YORK, NY, 10005 |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | DOS Process Agent | 205 HEMBREE PARK DR 100, ROSWELL, GA, United States, 30076 |
| Name | Role | Address |
|---|---|---|
| BRYAN GIBSON | Chief Executive Officer | 23200 N PIMA RD, SUITE 201, SCOTTSDALE, AZ, United States, 85255 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2023-05-01 | 2023-05-01 | Address | 23200 N PIMA RD, SUITE 210, SCOTTSDALE, AZ, 85255, USA (Type of address: Chief Executive Officer) |
| 2023-05-01 | 2023-05-01 | Address | 23200 N PIMA RD, SUITE 201, SCOTTSDALE, AZ, 85255, USA (Type of address: Chief Executive Officer) |
| 2022-07-13 | 2023-05-01 | Address | 23200 N PIMA RD, SUITE 210, SCOTTSDALE, AZ, 85255, USA (Type of address: Chief Executive Officer) |
| 2022-07-13 | 2023-05-01 | Address | 205 HEMBREE PARK DR 100, ROSWELL, GA, 30076, USA (Type of address: Service of Process) |
| 2022-07-13 | 2023-05-01 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2022-07-13 | 2023-05-01 | Address | 28 LIBERTY ST., NEW YORK, NY, 10005, USA (Type of address: Registered Agent) |
| 2022-07-07 | 2022-07-13 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2022-04-05 | 2022-07-07 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2021-05-24 | 2022-07-13 | Address | 205 HEMBREE PARK DR 100, ROSWELL, GA, 30076, USA (Type of address: Service of Process) |
| 2019-05-07 | 2021-05-24 | Address | 205 HEMBREE PARK DR 100, ROSWELL, GA, 30076, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 230501001794 | 2023-05-01 | BIENNIAL STATEMENT | 2023-05-01 |
| 220713002210 | 2022-07-13 | CERTIFICATE OF AMENDMENT | 2022-07-13 |
| 210524060261 | 2021-05-24 | BIENNIAL STATEMENT | 2021-05-01 |
| 190507060264 | 2019-05-07 | BIENNIAL STATEMENT | 2019-05-01 |
| SR-3490 | 2019-01-28 | CERTIFICATE OF CHANGE (BY AGENT) | 2019-01-28 |
| SR-3489 | 2019-01-28 | CERTIFICATE OF CHANGE (BY AGENT) | 2019-01-28 |
| 180108000390 | 2018-01-08 | CERTIFICATE OF CHANGE | 2018-01-08 |
| 170607006621 | 2017-06-07 | BIENNIAL STATEMENT | 2017-05-01 |
| 160712006007 | 2016-07-12 | BIENNIAL STATEMENT | 2015-05-01 |
| 130522006021 | 2013-05-22 | BIENNIAL STATEMENT | 2013-05-01 |
Date of last update: 08 Jan 2025
Sources: New York Secretary of State
