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  5. ITHACA HEALTH ALLIANCE, INC.

ITHACA HEALTH ALLIANCE, INC.

Company Details

Name: ITHACA HEALTH ALLIANCE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 16 Jul 2001 (24 years ago)
Entity Number: 2660738
ZIP code: 14850
County: Tompkins
Place of Formation: New York
Address: PO BOX 362, ITHACA, NY, United States, 14850

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN FOR EMPLOYEES OF ITHACA HEALTH ALLIANCE, INC. 2023 900192978 2024-09-11 ITHACA HEALTH ALLIANCE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-03-01
Business code 621498
Sponsor’s telephone number 6073311253
Plan sponsor’s address PO BOX 362, ITHACA, NY, 148510362

Signature of
Role Plan administrator
Date 2024-09-11
Name of individual signing NORBERT MCCLOSKEY
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN FOR EMPLOYEES OF ITHACA HEALTH ALLIANCE, INC. 2022 900192978 2023-06-07 ITHACA HEALTH ALLIANCE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-03-01
Business code 621498
Sponsor’s telephone number 6073311253
Plan sponsor’s address PO BOX 362, ITHACA, NY, 148510362

Signature of
Role Plan administrator
Date 2023-06-07
Name of individual signing NORBERT MCCLOSKEY
403(B) THRIFT PLAN OF ITHACA HEALTH ALLIANCE, INC. 2021 900192978 2022-10-21 ITHACA HEALTH ALLIANCE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-03-01
Business code 621498
Sponsor’s telephone number 6073311253
Plan sponsor’s address PO BOX 362, ITHACA, NY, 148510362

Signature of
Role Plan administrator
Date 2022-10-21
Name of individual signing NORBERT MCCLOSKEY
403(B) THRIFT PLAN OF ITHACA HEALTH ALLIANCE, INC. 2020 900192978 2021-07-16 ITHACA HEALTH ALLIANCE, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-03-01
Business code 621498
Sponsor’s telephone number 6073311253
Plan sponsor’s address PO BOX 362, ITHACA, NY, 148510362

Signature of
Role Plan administrator
Date 2021-07-16
Name of individual signing NORBERT MCCLOSKEY
403(B) THRIFT PLAN OF ITHACA HEALTH ALLIANCE, INC. 2019 900192978 2020-10-13 ITHACA HEALTH ALLIANCE, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-03-01
Business code 621498
Sponsor’s telephone number 6073311253
Plan sponsor’s address PO BOX 362, ITHACA, NY, 148510362

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing NORBERT MCCLOSKEY

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent PO BOX 362, ITHACA, NY, United States, 14850

Filings

Filing Number Date Filed Type Effective Date
010716000380 2001-07-16 CERTIFICATE OF INCORPORATION 2001-07-16

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
90-0192978 Corporation Unconditional Exemption PO BOX 362, ITHACA, NY, 14851-0362 2011-03
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 normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 100,000 to 499,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 273029
Income Amount 368557
Form 990 Revenue Amount 368557
National Taxonomy of Exempt Entities Health Care: Ambulatory Health Center, Community Clinic
Sort Name ITHACA HEALTH FUND

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 ITHACA HEALTH ALLIANCE INC
EIN 90-0192978
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name ITHACA HEALTH ALLIANCE INC
EIN 90-0192978
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name ITHACA HEALTH ALLIANCE INC
EIN 90-0192978
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name ITHACA HEALTH ALLIANCE INC
EIN 90-0192978
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name ITHACA HEALTH ALLIANCE INC
EIN 90-0192978
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name ITHACA HEALTH ALLIANCE INC
EIN 90-0192978
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name ITHACA HEALTH ALLIANCE INC
EIN 90-0192978
Tax Period 201612
Filing Type E
Return Type 990EZ
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3139817108 2020-04-11 0248 PPP 521 WEST SENECA STREET PO BOX 362, ITHACA, NY, 14850-4033
Loan Status Date 2020-11-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 36380
Loan Approval Amount (current) 36380
Undisbursed Amount 0
Franchise Name -
Lender Location ID 101339
Servicing Lender Name CFCU Community CU
Servicing Lender Address 1030 Craft Rd, ITHACA, NY, 14850-1016
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address ITHACA, TOMPKINS, NY, 14850-4033
Project Congressional District NY-19
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 101339
Originating Lender Name CFCU Community CU
Originating Lender Address ITHACA, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 36569.38
Forgiveness Paid Date 2020-10-29

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Related by address

No related companies by address

Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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