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  5. SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.

SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.

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Company Details

Name: SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 10 Jun 2004 (21 years ago)
Entity Number: 3064794
ZIP code: 14760
County: Cattaraugus
Place of Formation: New York
Address: ATTENTION PRESIDENT, 500 MAIN STREET, OLEAN, NY, United States, 14760

Contact Details

Phone +1 716-375-6978

Phone +1 716-701-6831

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTENTION PRESIDENT, 500 MAIN STREET, OLEAN, NY, United States, 14760

Unique Entity ID

Unique Entity ID:
DJF7GDYAZNY6
CAGE Code:
347Q3
UEI Expiration Date:
2026-03-10

Business Information

Doing Business As:
UNIVERSAL PRIMARY CARE
Activation Date:
2025-03-11
Initial Registration Date:
2005-01-03

Commercial and government entity program

CAGE number:
347Q3
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-11
CAGE Expiration:
2030-03-11
SAM Expiration:
2026-03-10

Contact Information

POC:
BRETT LAWTON

National Provider Identifier

NPI Number:
1457895765
Link:
View on NPI website

Authorized Person:

Name:
GAIL S MAYEAUX
Role:
CEO
Phone:
7167016831

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Phone:
+1 716-375-7500
Fax:
7168061287

Form 5500 Series

Employer Identification Number (EIN):
200013066
Plan Year:
2019
Number Of Participants:
107
Sponsors Telephone Number:
7163757500
File:
View File
Plan Year:
2018
Number Of Participants:
100
Sponsors Telephone Number:
7163757500
File:
View File
Plan Year:
2017
Number Of Participants:
83
Sponsors Telephone Number:
7163757500
File:
View File
Plan Year:
2016
Number Of Participants:
61
Sponsors Telephone Number:
7167016853
File:
View File
Plan Year:
2015
Number Of Participants:
59
Sponsors Telephone Number:
7163757500
File:
View File

Filings

Filing Number Date Filed Type Effective Date
040610000748 2004-06-10 CERTIFICATE OF INCORPORATION 2004-06-10

USAspending Awards / Financial Assistance

Date:
2023-08-29
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 BRIDGE ACCESS PROGRAM
Obligated Amount:
13661.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-05-18
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
183699.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-09-20
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEALTH CENTER INFRASTRUCTURE SUPPORT
Obligated Amount:
502574.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-08-12
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM
Obligated Amount:
0.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-03-27
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS
Obligated Amount:
1883875.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
20-0013066
In Care Of Name:
% BRETT L LAWTON
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:
2004-06
National Taxonomy Of Exempt Entities:
Health Care: Ambulatory Health Center, Community Clinic
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
98
Initial Approval Amount:
$890,600
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$890,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$895,480
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $890,600

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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