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  5. FORT HUDSON NURSING CENTER, INC.

FORT HUDSON NURSING CENTER, INC.

Company Details

Name: FORT HUDSON NURSING CENTER, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 15 Dec 2003 (21 years ago)
Entity Number: 2988788
ZIP code: 12828
County: Washington
Place of Formation: New York
Address: 28 BROADWAY, FORT EDWARD, NY, United States, 12828

Contact Details

Phone +1 518-747-2811

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
G2QAMWKMMNE3 2025-04-08 319 BROADWAY, FORT EDWARD, NY, 12828, 1221, USA 319 BROADWAY, FORT EDWARD, NY, 12828, 1221, USA

Business Information
Division Name FORT HUDSON HOME CARE, INC.
Congressional District 21
State/Country of Incorporation NY, USA
Activation Date 2024-04-10
Initial Registration Date 2011-07-19
Entity Start Date 2004-07-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 623110

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JOHN COBURN
Role CFO
Address 319 BROADWAY, FORT EDWARD, NY, 12828, 1221, USA
Title ALTERNATE POC
Name ANDREW CRUIKSHANK
Address 319 BROADWAY, FORT EDWARD, NY, 12828, 1221, USA
Government Business
Title PRIMARY POC
Name JOHN COBURN
Address 319 BROADWAY, FORT EDWARD, NY, 12828, 1221, USA
Title ALTERNATE POC
Name ANDREW CRUIKSHANK
Address 319 BROADWAY, FORT EDWARD, NY, 12828, 1221, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
6GA32 Active Non-Manufacturer 2011-07-20 2024-04-10 2029-04-10 2025-04-08

Contact Information
POC JOHN COBURN
Phone +1 518-747-2811
Fax +1 518-747-2740
Address 319 BROADWAY, FORT EDWARD, NY, 12828 1221, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FORT HUDSON NURSING CENTER, INC. PROFIT SHARING 401(K) PLAN 2012 200481583 2013-05-21 FORT HUDSON NURSING CENTER, INC. 88
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 623000
Sponsor’s telephone number 5187472811
Plan sponsor’s address 319 UPPER BROADWAY, FORT EDWARD, NY, 12828

Signature of
Role Plan administrator
Date 2013-05-21
Name of individual signing JOHN COBURN
Role Employer/plan sponsor
Date 2013-05-21
Name of individual signing JOHN COBURN
FORT HUDSON NURSING CENTER, INC. PROFIT SHARING 401(K) PLAN 2011 200481583 2012-05-07 FORT HUDSON NURSING CENTER, INC. 81
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 623000
Sponsor’s telephone number 5187472811
Plan sponsor’s address 319 UPPER BROADWAY, FORT EDWARD, NY, 12828

Plan administrator’s name and address
Administrator’s EIN 200481583
Plan administrator’s name FORT HUDSON NURSING CENTER, INC.
Plan administrator’s address 319 UPPER BROADWAY, FORT EDWARD, NY, 12828
Administrator’s telephone number 5187472811

Signature of
Role Plan administrator
Date 2012-05-07
Name of individual signing JOHN COBURN
Role Employer/plan sponsor
Date 2012-05-07
Name of individual signing JOHN COBURN
FORT HUDSON NURSING CENTER, INC. PROFIT SHARING 401(K) PLAN 2010 200481583 2011-04-04 FORT HUDSON NURSING CENTER, INC. 46
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 623000
Sponsor’s telephone number 5187472811
Plan sponsor’s address 319 UPPER BROADWAY, FORT EDWARD, NY, 12828

Plan administrator’s name and address
Administrator’s EIN 200481583
Plan administrator’s name FORT HUDSON NURSING CENTER, INC.
Plan administrator’s address 319 UPPER BROADWAY, FORT EDWARD, NY, 12828
Administrator’s telephone number 5187472811

Signature of
Role Plan administrator
Date 2011-04-04
Name of individual signing JOHN COBURN
Role Employer/plan sponsor
Date 2011-04-04
Name of individual signing JOHN COBURN
FORT HUDSON NURSING CENTER, INC. PROFIT SHARING 401(K) PLAN 2009 200481583 2010-06-21 FORT HUDSON NURSING CENTER, INC. 45
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 623000
Sponsor’s telephone number 5187472811
Plan sponsor’s address 319 UPPER BROADWAY, FORT EDWARD, NY, 12828

Plan administrator’s name and address
Administrator’s EIN 200481583
Plan administrator’s name FORT HUDSON NURSING CENTER, INC.
Plan administrator’s address 319 UPPER BROADWAY, FORT EDWARD, NY, 12828
Administrator’s telephone number 5187472811

Signature of
Role Plan administrator
Date 2010-06-21
Name of individual signing JOHN COBURN
Role Employer/plan sponsor
Date 2010-06-21
Name of individual signing JOHN COBURN

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 28 BROADWAY, FORT EDWARD, NY, United States, 12828

Filings

Filing Number Date Filed Type Effective Date
031215000488 2003-12-15 CERTIFICATE OF INCORPORATION 2003-12-15

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
No data IDV VA528BO0316 2011-08-01 No data No data
Unique Award Key CONT_IDV_VA528BO0316_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title HHA ALBANY
NAICS Code 621610: HOME HEALTH CARE SERVICES
Product and Service Codes Q401: NURSING SERVICES

Recipient Details
Recipient FORT HUDSON NURSING CENTER, INC.
UEI G2QAMWKMMNE3
Legacy DUNS 162735711
Recipient Address UNITED STATES, 28 BROADWAY, FORT EDWARD, 128281919

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
20-0481583 Corporation Unconditional Exemption 319 BROADWAY, FORT EDWARD, NY, 12828-1221 2004-06
In Care of Name % ANDREW CRUIKSHANK
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 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 17913226
Income Amount 29713005
Form 990 Revenue Amount 29713005
National Taxonomy of Exempt Entities Health Care: Nursing, Convalescent Facilities
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 FORT HUDSON NURSING CENTER INC
EIN 20-0481583
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name FORT HUDSON NURSING CENTER INC
EIN 20-0481583
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name FORT HUDSON NURSING CENTER INC
EIN 20-0481583
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name FORT HUDSON NURSING CENTER INC
EIN 20-0481583
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name FORT HUDSON NURSING CENTER INC
EIN 20-0481583
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name FORT HUDSON NURSING CENTER INC
EIN 20-0481583
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name FORT HUDSON NURSING CENTER INC
EIN 20-0481583
Tax Period 201612
Filing Type P
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4540878602 2021-03-18 0248 PPP 319 Broadway, Fort Edward, NY, 12828-1221
Loan Status Date 2022-02-05
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 3762145
Loan Approval Amount (current) 3762145
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47268
Servicing Lender Name Glens Falls National Bank and Trust Company
Servicing Lender Address 250 Glen St, GLENS FALLS, NY, 12801-3505
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Fort Edward, WASHINGTON, NY, 12828-1221
Project Congressional District NY-21
Number of Employees 462
NAICS code 623110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type 501(c)3 � Non Profit
Originating Lender ID 47268
Originating Lender Name Glens Falls National Bank and Trust Company
Originating Lender Address GLENS FALLS, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 3681364.08
Forgiveness Paid Date 2022-01-10

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Related by address

No related companies by address

Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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