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  5. LITTLE FALLS HOSPITAL

LITTLE FALLS HOSPITAL

Company Details

Name: LITTLE FALLS HOSPITAL
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 23 Mar 1894 (131 years ago)
Entity Number: 28134
ZIP code: 13365
County: Herkimer
Place of Formation: New York
Address: 140 BURWELL STREET, LITTLE FALLS, NY, United States, 13365

Contact Details

Phone +1 315-823-5281

Phone +1 315-429-8714

Phone +1 315-858-0040

Phone +1 315-823-4546

Phone +1 518-568-3403

Phone +1 315-822-6348

Phone +1 315-845-6100

Phone +1 315-823-1000

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
KDWDDVHKN899 2025-02-21 140 BURWELL ST, LITTLE FALLS, NY, 13365, 1794, USA 140 BURWELL STREET, LITTLE FALLS, NY, 13365, 1725, USA

Business Information
Congressional District 21
State/Country of Incorporation NY, USA
Activation Date 2024-02-26
Initial Registration Date 2009-07-21
Entity Start Date 1893-01-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111, 621999, 622110
Product and Service Codes Q201, Q301, Q501, Q513, Q514, Q522, Q523, Q527, Q999

Points of Contacts
Electronic Business
Title PRIMARY POC
Name STEPHEN CLARK
Role DIRECTOR OGM
Address ONE ATWELL RD., COOPERSTOWN, NY, 13326, USA
Government Business
Title PRIMARY POC
Name JAMES VIELKKIND
Role VICE PRESIDENT FINANCE
Address 140 BURWELL STREET, LITTLE FALLS, NY, 13365, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
5LC62 Active Non-Manufacturer 2009-07-21 2024-03-10 2029-02-26 2025-02-21

Contact Information
POC JAMES VIELKKIND
Phone +1 315-823-5281
Address 140 BURWELL ST, LITTLE FALLS, NY, 13365 1794, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner
Vendor Certified 2024-02-26
CAGE number 9GBE8
Company Name BASSETT HEALTHCARE NETWORK
CAGE Last Updated 2024-03-10
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LITTLE FALLS HOSPITAL GROUP PLAN 2015 150533578 2016-07-27 LITTLE FALLS HOSPITAL 254
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2003-06-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL ST, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL ST, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 236
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL EMPLOYEE RETIREMENT PLAN 2014 150533578 2015-10-15 LITTLE FALLS HOSPITAL 364
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 102
Retired or separated participants receiving benefits 172
Other retired or separated participants entitled to future benefits 78
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL GROUP PLAN 2014 150533578 2015-07-17 LITTLE FALLS HOSPITAL 184
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2003-06-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL ST, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL ST, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 235
Retired or separated participants receiving benefits 19

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL EMPLOYEE RETIREMENT PLAN 2013 150533578 2014-10-10 LITTLE FALLS HOSPITAL 370
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 108
Retired or separated participants receiving benefits 166
Other retired or separated participants entitled to future benefits 84
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL GROUP PLAN 2013 150533578 2014-07-30 LITTLE FALLS HOSPITAL 189
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2003-06-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL ST, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL ST, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 264
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL GROUP PLAN 2013 150533578 2014-06-05 LITTLE FALLS HOSPITAL 189
Three-digit plan number (PN) 505
Effective date of plan 2003-06-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL ST, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL ST, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 184
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2014-06-04
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL EMPLOYEE RETIREMENT PLAN 2012 150533578 2013-10-11 LITTLE FALLS HOSPITAL 371
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 117
Retired or separated participants receiving benefits 160
Other retired or separated participants entitled to future benefits 87
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL GROUP PLAN 2012 150533578 2013-10-10 LITTLE FALLS HOSPITAL 189
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2003-06-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365

Number of participants as of the end of the plan year
Active participants 189
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL EMPLOYEE RETIREMENT PLAN 2011 150533578 2012-10-15 LITTLE FALLS HOSPITAL 375
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365

Plan administrator’s name and address
Administrator’s EIN 150533578
Plan administrator’s name LITTLE FALLS HOSPITAL
Plan administrator’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Administrator’s telephone number 3158231000

Number of participants as of the end of the plan year
Active participants 124
Retired or separated participants receiving benefits 160
Other retired or separated participants entitled to future benefits 83
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature
LITTLE FALLS HOSPITAL EMPLOYEE RETIREMENT PLAN 2010 150533578 2012-09-13 LITTLE FALLS HOSPITAL 385
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 3158231000
Plan sponsor’s mailing address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Plan sponsor’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365

Plan administrator’s name and address
Administrator’s EIN 150533578
Plan administrator’s name LITTLE FALLS HOSPITAL
Plan administrator’s address 140 BURWELL STREET, LITTLE FALLS, NY, 13365
Administrator’s telephone number 3158231000

Number of participants as of the end of the plan year
Active participants 130
Retired or separated participants receiving benefits 152
Other retired or separated participants entitled to future benefits 89
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4

Signature of
Role Plan administrator
Date 2012-09-13
Name of individual signing JAMES VIELKIND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
N/A: THE CORP. Agent 140 BURWELL ST., LITTLE FALLS, NY, 13365

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 140 BURWELL STREET, LITTLE FALLS, NY, United States, 13365

Filings

Filing Number Date Filed Type Effective Date
171204000641 2017-12-04 CERTIFICATE OF AMENDMENT 2017-12-04
A61665-2 1973-04-03 CERTIFICATE OF AMENDMENT 1973-04-03
753983-3 1969-05-02 CERTIFICATE OF AMENDMENT 1969-05-02
11EX-136 1951-02-28 CERTIFICATE OF AMENDMENT 1951-02-28
51P-153 1894-03-23 CERTIFICATE OF INCORPORATION 1894-03-23

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
307692798 0215800 2005-07-25 140 BURNWELL STREET, LITTLE FALLS, NY, 13365
Inspection Type Planned
Scope Complete
Safety/Health Health
Close Conference 2005-08-02
Emphasis N: SSTARG04
Case Closed 2006-01-23

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19101030 D04 IIIB1
Issuance Date 2005-11-10
Abatement Due Date 2005-11-18
Current Penalty 900.0
Initial Penalty 1500.0
Nr Instances 1
Nr Exposed 2
Gravity 02
Citation ID 01002
Citaton Type Serious
Standard Cited 19100151 C
Issuance Date 2005-11-10
Abatement Due Date 2005-12-28
Current Penalty 900.0
Initial Penalty 1500.0
Nr Instances 5
Nr Exposed 4
Gravity 02
Citation ID 01003A
Citaton Type Serious
Standard Cited 19100132 A
Issuance Date 2005-11-10
Abatement Due Date 2005-11-28
Current Penalty 900.0
Initial Penalty 1500.0
Nr Instances 4
Nr Exposed 6
Gravity 02
Citation ID 01003B
Citaton Type Serious
Standard Cited 19100132 D01
Issuance Date 2005-11-10
Abatement Due Date 2005-12-28
Nr Instances 4
Nr Exposed 6
Gravity 02
Citation ID 01003C
Citaton Type Serious
Standard Cited 19100133 A01
Issuance Date 2005-11-10
Abatement Due Date 2005-11-28
Nr Instances 4
Nr Exposed 6
Gravity 02
Citation ID 01004A
Citaton Type Serious
Standard Cited 19100146 C05 IIC
Issuance Date 2005-11-10
Abatement Due Date 2005-12-28
Current Penalty 1125.0
Initial Penalty 1875.0
Nr Instances 1
Nr Exposed 3
Gravity 03
Citation ID 01004B
Citaton Type Serious
Standard Cited 19100146 G01
Issuance Date 2005-11-10
Abatement Due Date 2005-12-28
Nr Instances 1
Nr Exposed 3
Gravity 03
Citation ID 01004C
Citaton Type Serious
Standard Cited 19100146 D09
Issuance Date 2005-11-10
Abatement Due Date 2005-12-28
Nr Instances 1
Nr Exposed 3
Gravity 03
Citation ID 02001
Citaton Type Other
Standard Cited 19040029 B01
Issuance Date 2005-11-10
Abatement Due Date 2005-12-13
Nr Instances 12
Nr Exposed 2
Gravity 00
Citation ID 02002
Citaton Type Other
Standard Cited 19040029 B06
Issuance Date 2005-11-10
Abatement Due Date 2005-12-13
Nr Instances 3
Nr Exposed 1
Gravity 00
307693085 0215800 2005-07-25 140 BURNWELL STREET, LITTLE FALLS, NY, 13365
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 2005-08-02
Emphasis N: SSTARG04
Case Closed 2006-01-23

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19100022 C
Issuance Date 2005-11-10
Abatement Due Date 2005-12-13
Current Penalty 675.0
Initial Penalty 1125.0
Nr Instances 1
Nr Exposed 2
Gravity 01
Citation ID 01002
Citaton Type Serious
Standard Cited 19100101 B
Issuance Date 2005-11-10
Abatement Due Date 2005-11-16
Current Penalty 675.0
Initial Penalty 1125.0
Nr Instances 1
Nr Exposed 2
Gravity 01
Citation ID 01003A
Citaton Type Serious
Standard Cited 19100147 C01
Issuance Date 2005-11-10
Abatement Due Date 2005-12-28
Current Penalty 900.0
Initial Penalty 1500.0
Nr Instances 1
Nr Exposed 2
Gravity 02
Citation ID 01003B
Citaton Type Serious
Standard Cited 19100147 C04 I
Issuance Date 2005-11-10
Abatement Due Date 2005-12-28
Nr Instances 1
Nr Exposed 3
Gravity 02
Citation ID 01003C
Citaton Type Serious
Standard Cited 19100147 C06 I
Issuance Date 2005-11-10
Abatement Due Date 2005-12-28
Nr Instances 1
Nr Exposed 3
Gravity 02
Citation ID 01003D
Citaton Type Serious
Standard Cited 19100147 C07 I
Issuance Date 2005-11-10
Abatement Due Date 2005-12-28
Nr Instances 1
Nr Exposed 3
Gravity 02
Citation ID 01004A
Citaton Type Serious
Standard Cited 19100213 H04
Issuance Date 2005-11-10
Abatement Due Date 2005-11-28
Current Penalty 900.0
Initial Penalty 1500.0
Nr Instances 1
Nr Exposed 1
Gravity 02
Citation ID 01004B
Citaton Type Serious
Standard Cited 19100213 C01
Issuance Date 2005-11-10
Abatement Due Date 2005-11-28
Nr Instances 1
Nr Exposed 1
Gravity 02
Citation ID 01005
Citaton Type Serious
Standard Cited 19100303 G02 I
Issuance Date 2005-11-10
Abatement Due Date 2005-12-28
Current Penalty 900.0
Initial Penalty 1500.0
Nr Instances 2
Nr Exposed 1
Gravity 02
Citation ID 01006
Citaton Type Serious
Standard Cited 19100305 G01 III
Issuance Date 2005-11-10
Abatement Due Date 2005-11-28
Current Penalty 900.0
Initial Penalty 1500.0
Nr Instances 1
Nr Exposed 2
Gravity 02

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
15-0533578 Corporation Unconditional Exemption 140 BURWELL ST, LITTLE FALLS, NY, 13365-1725 1937-03
In Care of Name % SANDRA MACDONALD
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 47291684
Income Amount 50351760
Form 990 Revenue Amount 50351620
National Taxonomy of Exempt Entities -
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 LITTLE FALLS HOSPITAL
EIN 15-0533578
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name LITTLE FALLS HOSPITAL
EIN 15-0533578
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name LITTLE FALLS HOSPITAL
EIN 15-0533578
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name LITTLE FALLS HOSPITAL
EIN 15-0533578
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name LITTLE FALLS HOSPITAL
EIN 15-0533578
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name LITTLE FALLS HOSPITAL
EIN 15-0533578
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name LITTLE FALLS HOSPITAL
EIN 15-0533578
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name LITTLE FALLS HOSPITAL
EIN 15-0533578
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name LITTLE FALLS HOSPITAL
EIN 15-0533578
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1070027207 2020-04-15 0248 PPP 140 Burwell Street, Little Falls, NY, 13365
Loan Status Date 2021-07-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 3103852
Loan Approval Amount (current) 3103852.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Little Falls, HERKIMER, NY, 13365-0001
Project Congressional District NY-21
Number of Employees 320
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 3138887.77
Forgiveness Paid Date 2021-06-09

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THE CORPORATION

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Related by address

No related companies by address

Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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