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  5. INDEPENDENT SUPPORT SERVICES, INC.

INDEPENDENT SUPPORT SERVICES, INC.

Company Details

Name: INDEPENDENT SUPPORT SERVICES, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 23 Oct 2002 (22 years ago)
Entity Number: 2826304
ZIP code: 12701
County: Sullivan
Place of Formation: New York
Address: PO BOX 1320, MONTICELLO, NY, United States, 12701

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
I S S EMPLOYEE BENEFITS PLAN 2020 050535944 2022-06-17 INDEPENDENT SUPPORT SERVICES, INC. 440
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2019-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address 20 CRYSTAL STREET, P.O. BOX 1320, MONTICELLO, NY, 12701
Plan sponsor’s address 20 CRYSTAL STREET, P.O. BOX 1320, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year
Active participants 426
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2022-06-17
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S EMPLOYEE BENEFITS PLAN 2019 050535944 2021-05-10 INDEPENDENT SUPPORT SERVICES, INC. 427
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2019-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O. BOX 1320, MONTICELLO, NY, 12701
Plan sponsor’s address 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year
Active participants 464

Signature of
Role Plan administrator
Date 2021-05-10
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-10
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S VISION PLAN 2018 050535944 2020-04-27 INDEPENDENT SUPPORT SERVICES, INC. 322
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2018-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O BOX 1320, MONTICELLO, NY, 12701
Plan sponsor’s address 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2020-04-27
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S DENTAL PLAN 2018 050535944 2020-04-27 INDEPENDENT SUPPORT SERVICES, INC. 337
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2018-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O. BOX 1320, MONTICELLO, NY, 12701
Plan sponsor’s address 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2020-04-27
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S EMPLOYEE BENEFITS PLAN 2018 050535944 2020-04-21 INDEPENDENT SUPPORT SERVICES, INC. 383
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-05-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O. BOX 1320, MONTICELLO, NY, 12701
Plan sponsor’s address 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2020-04-20
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S VISION PLAN 2017 050535944 2020-04-22 INDEPENDENT SUPPORT SERVICES, INC. 231
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2017-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701
Plan sponsor’s address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year
Active participants 404

Signature of
Role Plan administrator
Date 2020-04-22
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S DENTAL PLAN 2017 050535944 2020-04-22 INDEPENDENT SUPPORT SERVICES, INC. 256
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2017-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701
Plan sponsor’s address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year
Active participants 346

Signature of
Role Plan administrator
Date 2020-04-22
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S DENTAL PLAN 2017 050535944 2019-08-28 INDEPENDENT SUPPORT SERVICES, INC. 256
Three-digit plan number (PN) 502
Effective date of plan 2017-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701
Plan sponsor’s address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2019-08-28
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S EMPLOYEE BENEFITS PLAN 2017 050535944 2019-08-28 INDEPENDENT SUPPORT SERVICES, INC. 298
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701
Plan sponsor’s address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year
Active participants 354

Signature of
Role Plan administrator
Date 2019-08-28
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature
I S S VISION PLAN 2017 050535944 2019-08-28 INDEPENDENT SUPPORT SERVICES, INC. 231
Three-digit plan number (PN) 503
Effective date of plan 2017-11-01
Business code 624100
Sponsor’s telephone number 8457945218
Plan sponsor’s mailing address P.O BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701
Plan sponsor’s address P.O. BOX 1320, 20 CRYSTAL STREET, MONTICELLO, NY, 12701

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2019-08-28
Name of individual signing ALAN KULCHINSKY
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent PO BOX 1320, MONTICELLO, NY, United States, 12701

History

Start date End date Type Value
2002-10-23 2015-12-01 Address 1068 COLD SPRING RD., FORESTBURGH, NY, 12777, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
151201000613 2015-12-01 CERTIFICATE OF CHANGE 2015-12-01
021023000814 2002-10-23 CERTIFICATE OF INCORPORATION 2002-10-23

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
05-0535944 Corporation Unconditional Exemption PO BOX 1320, MONTICELLO, NY, 12701-8320 2003-07
In Care of Name % LAURIE CIRILLO
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 receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
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 31691671
Income Amount 113652573
Form 990 Revenue Amount 113652573
National Taxonomy of Exempt Entities Mental Health & Crisis Intervention: Mental Health Treatment F31 Psychiatric, Mental Health Hospital
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 INDEPENDENT SUPPORT SERVICES INC
EIN 05-0535944
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name INDEPENDENT SUPPORT SERVICES INC
EIN 05-0535944
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name INDEPENDENT SUPPORT SERVICES INC
EIN 05-0535944
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name INDEPENDENT SUPPORT SERVICES INC
EIN 05-0535944
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name INDEPENDENT SUPPORT SERVICES INC
EIN 05-0535944
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name INDEPENDENT SUPPORT SERVICES INC
EIN 05-0535944
Tax Period 201612
Filing Type E
Return Type 990
File View File

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THE CORPORATION

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Related by address

PO BOX 1320, MONTICELLO, NY, United States, 12701

RAYWILL ASSOCIATES LLC

Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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