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ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC.

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Company Details

Name: ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 27 Jan 2003 (22 years ago)
Entity Number: 2861793
ZIP code: 12853
County: Warren
Place of Formation: New York
Address: C/O KAREN SMITH, PO BOX 246, NORTH CREEK, NY, United States, 12853

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent C/O KAREN SMITH, PO BOX 246, NORTH CREEK, NY, United States, 12853

National Provider Identifier

NPI Number:
1578550042

Authorized Person:

Name:
MR. HAL G PAYNE
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
5182514207

Form 5500 Series

Employer Identification Number (EIN):
234230007
Plan Year:
2017
Number Of Participants:
97
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
112
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
111
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
119
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
113
Sponsors Telephone Number:

History

Start date End date Type Value
2003-01-27 2018-02-20 Address P.O. BOX 500, SKI BOWL ROAD, NORTH CREEK, NY, 12853, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180220000438 2018-02-20 CERTIFICATE OF CHANGE 2018-02-20
030127000349 2003-01-27 CERTIFICATE OF INCORPORATION 2003-01-27

Tax Exempt

Employer Identification Number (EIN) :
23-4230007
In Care Of Name:
% KAREN SMITH
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:
2003-07
National Taxonomy Of Exempt Entities:
Health Care: Nursing, Convalescent Facilities
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State