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PENN YAN MANOR NURSING HOME, INC.

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Company Details

Name: PENN YAN MANOR NURSING HOME, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 13 May 1969 (56 years ago)
Entity Number: 276719
County: Yates
Place of Formation: New York

Contact Details

Phone +1 315-536-2311

Agent

Name Role Address
PENN YAN MANOR NURSING HOME, INC. Agent 655 LIBERTY ST., PENN YAN, NY, 14527

National Provider Identifier

NPI Number:
1760476568
Certification Date:
2024-10-21
Link:
View on NPI website

Authorized Person:

Name:
JESSICA FISH
Role:
FISCAL MANAGER
Phone:
3155362311

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Phone:
+1 315-536-2311
Fax:
3155361033

Form 5500 Series

Employer Identification Number (EIN):
611799794
Plan Year:
2023
Number Of Participants:
78
Sponsors Telephone Number:
3155362311
File:
View File
Plan Year:
2022
Number Of Participants:
74
Sponsors Telephone Number:
3155362311
File:
View File
Plan Year:
2021
Number Of Participants:
72
Sponsors Telephone Number:
3155362311
File:
View File
Plan Year:
2020
Number Of Participants:
68
Sponsors Telephone Number:
3155362311
File:
View File
Plan Year:
2019
Number Of Participants:
75
Sponsors Telephone Number:
3155362311
File:
View File

Filings

Filing Number Date Filed Type Effective Date
C306327-2 2001-08-24 ASSUMED NAME CORP INITIAL FILING 2001-08-24
864550-3 1970-10-21 CERTIFICATE OF AMENDMENT 1970-10-21
818994-9 1970-03-04 CERTIFICATE OF AMENDMENT 1970-03-04
818995-6 1970-03-04 CERTIFICATE OF AMENDMENT 1970-03-04
756371-7 1969-05-13 CERTIFICATE OF INCORPORATION 1969-05-13

USAspending Awards / Financial Assistance

Date:
2020-08-07
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:
150000.00
Total Face Value Of Loan:
150000.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2013-06-06
Type:
FollowUp
Address:
655 NORTH LIBERTY STREET, PENN YAN, NY, 14527
Safety Health:
Health
Scope:
Complete

Inspection Summary

Date:
2012-09-11
Type:
Planned
Address:
655 NORTH LIBERTY STREET, PENN YAN, NY, 14527
Safety Health:
Health
Scope:
Complete

Inspection Summary

Date:
2007-07-12
Type:
Planned
Address:
655 NORTH LIBERTY STREET, PENN YAN, NY, 14527
Safety Health:
Safety
Scope:
Complete
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
2007-07-12
Type:
Planned
Address:
655 NORTH LIBERTY STREET, PENN YAN, NY, 14527
Safety Health:
Health
Scope:
Complete
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
2004-12-21
Type:
Planned
Address:
655 LIBERTY ST., PENN YAN, NY, 14527
Safety Health:
Health
Scope:
Complete
Inspection Link:
View Inspection data on OSHA website

Tax Exempt

Employer Identification Number (EIN) :
16-0967993
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:
1970-02
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-08-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
150000
Current Approval Amount:
150000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
150328.77

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State

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