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CHENANGO MEMORIAL HOSPITAL, INC.

Company Details

Name: CHENANGO MEMORIAL HOSPITAL, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 29 Jan 1910 (115 years ago)
Entity Number: 31089
County: Chenango
Place of Formation: New York

Contact Details

Phone +1 607-337-4950

Phone +1 607-337-4660

Phone +1 607-337-4111

Phone +1 607-337-4173

Phone +1 607-337-4218

Phone +1 607-843-9816

Phone +1 607-337-4174

Phone +1 607-337-4368

Phone +1 607-674-4495

Phone +1 607-337-4970

Phone +1 607-335-4111

Phone +1 607-561-2000

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
XHPAWBDD1Y23 2024-08-28 179 N BROAD ST, NORWICH, NY, 13815, 1019, USA 179 N BROAD ST, NORWICH, NY, 13815, 1019, USA

Business Information
URL https://www.nyuhs.org/location-search/uhs-chenango-memorial-hospital
Division Name CHENANGO MEMORIAL HOSPITAL, INC
Congressional District 19
State/Country of Incorporation NY, USA
Activation Date 2023-08-31
Initial Registration Date 2004-06-09
Entity Start Date 1910-01-29
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DRAKE M LAMEN
Role PRESIDENT/CEO
Address CHENANGO MEMORIAL HOSPITAL, INC, 179 NORTH BROAD STREET, NORWICH, NY, 13815, 1019, USA
Title ALTERNATE POC
Name DESIREE AXLEY
Role VP FINANCE & CFO
Address 179 NORTH BROAD STREET, 179 NORTH BROAD STREET, NORWICH, NY, 13815, 1019, USA
Government Business
Title PRIMARY POC
Name DRAKE M LAMEN
Role PRESIDENT/CEO
Address CHENANGO MEMORIAL HOSPITAL, INC, 179 NORTH BROAD STREET, NORWICH, NY, 13815, 1019, USA
Title ALTERNATE POC
Name DESIREE AXLEY
Role VP FINANCE & CFO
Address 179 NORTH BROAD STREET, 179 NORTH BROAD STREET, NORWICH, NY, 13815, 1019, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3WRV0 Obsolete Non-Manufacturer 2004-06-10 2024-08-12 No data 2025-08-08

Contact Information
POC DRAKE M. LAMEN
Phone +1 607-337-4114
Fax +1 607-337-4284
Address 179 N BROAD ST, NORWICH, NY, 13815 1019, 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
CHENANGO MEMORIAL HOSPITAL EMPLOYEES' PENSION PLAN 2023 150532180 2024-10-15 CHENANGO MEMORIAL HOSPITAL 761
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 622000
Sponsor’s telephone number 6073374111
Plan sponsor’s mailing address 179 NORTH BROAD STREET, NORWICH, NY, 138151019
Plan sponsor’s address 179 NORTH BROAD STREET, NORWICH, NY, 138151019

Number of participants as of the end of the plan year
Active participants 107
Retired or separated participants receiving benefits 326
Other retired or separated participants entitled to future benefits 287
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 30

Signature of
Role Plan administrator
Date 2024-10-12
Name of individual signing JENNIFER BAGGERMAN
Valid signature Filed with authorized/valid electronic signature
CHENANGO MEMORIAL HOSPITAL EMPLOYEES' PENSION PLAN 2022 150532180 2023-10-16 CHENANGO MEMORIAL HOSPITAL 770
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 622000
Sponsor’s telephone number 6073374111
Plan sponsor’s mailing address 179 NORTH BROAD STREET, NORWICH, NY, 138151019
Plan sponsor’s address 179 NORTH BROAD STREET, NORWICH, NY, 138151019

Number of participants as of the end of the plan year
Active participants 124
Retired or separated participants receiving benefits 319
Other retired or separated participants entitled to future benefits 284
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 34

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing SHERI A. LAMOUREUX
Valid signature Filed with authorized/valid electronic signature
CHENANGO MEMORIAL HOSPITAL EMPLOYEES' PENSION PLAN 2021 150532180 2022-10-14 CHENANGO MEMORIAL HOSPITAL 784
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 622000
Sponsor’s telephone number 6073374111
Plan sponsor’s mailing address 179 NORTH BROAD STREET, NORWICH, NY, 138151019
Plan sponsor’s address 179 NORTH BROAD STREET, NORWICH, NY, 138151019

Number of participants as of the end of the plan year
Active participants 145
Retired or separated participants receiving benefits 311
Other retired or separated participants entitled to future benefits 286
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 28

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing SHERI A. LAMOUREUX
Valid signature Filed with authorized/valid electronic signature
CHENANGO MEMORIAL HOSPITAL EMPLOYEES' PENSION PLAN 2020 150532180 2021-10-14 CHENANGO MEMORIAL HOSPITAL 786
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 622000
Sponsor’s telephone number 6073374111
Plan sponsor’s mailing address 179 NORTH BROAD STREET, NORWICH, NY, 138151019
Plan sponsor’s address 179 NORTH BROAD STREET, NORWICH, NY, 138151019

Number of participants as of the end of the plan year
Active participants 164
Retired or separated participants receiving benefits 297
Other retired or separated participants entitled to future benefits 297
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 26

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing SHERI A. LAMOUREUX
Valid signature Filed with authorized/valid electronic signature
CHENANGO MEMORIAL HOSPITAL EMPLOYEES' PENSION PLAN 2019 150532180 2020-10-15 CHENANGO MEMORIAL HOSPITAL 791
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 622000
Sponsor’s telephone number 6073374111
Plan sponsor’s mailing address 179 NORTH BROAD STREET, NORWICH, NY, 138151019
Plan sponsor’s address 179 NORTH BROAD STREET, NORWICH, NY, 138151019

Number of participants as of the end of the plan year
Active participants 173
Retired or separated participants receiving benefits 282
Other retired or separated participants entitled to future benefits 306
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 25

Signature of
Role Plan administrator
Date 2020-09-10
Name of individual signing SHERI A. LAMOUREUX
Valid signature Filed with authorized/valid electronic signature
CHENANGO MEMORIAL HOSPITAL EMPLOYEES' PENSION PLAN 2018 150532180 2019-10-15 CHENANGO MEMORIAL HOSPITAL 797
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 622000
Sponsor’s telephone number 6073374111
Plan sponsor’s mailing address 179 NORTH BROAD STREET, NORWICH, NY, 138151019
Plan sponsor’s address 179 NORTH BROAD STREET, NORWICH, NY, 138151019

Number of participants as of the end of the plan year
Active participants 206
Retired or separated participants receiving benefits 269
Other retired or separated participants entitled to future benefits 294
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 22
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing SHERI A. LAMOUREUX
Valid signature Filed with authorized/valid electronic signature
GROUP HEALTH INSURANCE PLAN FOR ALL EMPLOYEES OF CHENANGO MEMORIAL HOSPITAL 2010 150532180 2011-06-16 CHENANGO MEMORIAL HOSPITAL, INC. 343
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1943-07-20
Business code 622000
Sponsor’s telephone number 6073374111
Plan sponsor’s mailing address 179 NORTH BROAD STREET, NORWICH, NY, 13815
Plan sponsor’s address 179 NORTH BROAD STREET, NORWICH, NY, 13815

Plan administrator’s name and address
Administrator’s EIN 150532180
Plan administrator’s name CHENANGO MEMORIAL HOSPITAL, INC.
Plan administrator’s address 179 NORTH BROAD STREET, NORWICH, NY, 13815
Administrator’s telephone number 6073374111

Number of participants as of the end of the plan year
Active participants 377
Retired or separated participants receiving benefits 8

Signature of
Role Plan administrator
Date 2011-06-14
Name of individual signing KATHERINE DIAZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-16
Name of individual signing DRAKE LAMEN
Valid signature Filed with authorized/valid electronic signature
GROUP HEALTH INSURANCE PLAN FOR ALL EMPLOYEES OF CHENANGO MEMORIAL HOSPITAL 2009 150532180 2010-07-30 CHENANGO MEMORIAL HOSPITAL, INC. 313
Three-digit plan number (PN) 504
Effective date of plan 1943-07-20
Business code 622000
Sponsor’s telephone number 6073374111
Plan sponsor’s mailing address 179 NORTH BROAD STREET, NORWICH, NY, 13815
Plan sponsor’s address 179 NORTH BROAD STREET, NORWICH, NY, 13815

Plan administrator’s name and address
Administrator’s EIN 150532180
Plan administrator’s name CHENANGO MEMORIAL HOSPITAL, INC.
Plan administrator’s address 179 NORTH BROAD STREET, NORWICH, NY, 13815
Administrator’s telephone number 6073374111

Number of participants as of the end of the plan year
Active participants 338
Retired or separated participants receiving benefits 5

Signature of
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing DRAKE LAMEN
Valid signature Filed with authorized/valid electronic signature
GROUP HEALTH INSURANCE PLAN FOR ALL EMPLOYEES OF CHENANGO MEMORIAL HOSPITAL 2009 150532180 2010-07-30 CHENANGO MEMORIAL HOSPITAL, INC. 313
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1943-07-20
Business code 622000
Sponsor’s telephone number 6073374111
Plan sponsor’s mailing address 179 NORTH BROAD STREET, NORWICH, NY, 13815
Plan sponsor’s address 179 NORTH BROAD STREET, NORWICH, NY, 13815

Plan administrator’s name and address
Administrator’s EIN 150532180
Plan administrator’s name CHENANGO MEMORIAL HOSPITAL, INC.
Plan administrator’s address 179 NORTH BROAD STREET, NORWICH, NY, 13815
Administrator’s telephone number 6073374111

Number of participants as of the end of the plan year
Active participants 338
Retired or separated participants receiving benefits 5

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing KATHERINE DIAZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing DRAKE LAMEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHENANGO MEMORIAL HOSPITAL, INC. Agent 179 N. BROAD ST., NORWICH, NY, 13815

Filings

Filing Number Date Filed Type Effective Date
Z177-2 1979-01-09 ASSUMED NAME CORP INITIAL FILING 1979-01-09
A103367-2 1973-09-24 CERTIFICATE OF AMENDMENT 1973-09-24
217745 1960-05-31 CERTIFICATE OF ANNULMENT OF DISSOLUTION AND REINSTATEMENT OF CORPORATE EXISTENCE 1960-05-31
DP-3693 1952-10-15 DISSOLUTION BY PROCLAMATION 1952-10-15
478Q-71 1947-02-04 CERTIFICATE OF AMENDMENT 1947-02-04
307Q-69 1930-12-01 CERTIFICATE OF AMENDMENT 1930-12-01
280Q-13 1928-09-26 CERTIFICATE OF AMENDMENT 1928-09-26
97Q-22 1910-01-29 CERTIFICATE OF INCORPORATION 1910-01-29

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD V528C83043 2007-10-03 2008-09-30 2008-09-30
Unique Award Key CONT_AWD_V528C83043_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title LEASE AGREEMENT FOR BAINBRIDGE CBOC
NAICS Code 531120: LESSORS OF NONRESIDENTIAL BUILDINGS (EXCEPT MINIWAREHOUSES)
Product and Service Codes X199: LEASE-RENT OF MISC BLDGS

Recipient Details
Recipient CHENANGO MEMORIAL HOSPITAL, INC.
UEI XHPAWBDD1Y23
Legacy DUNS 077294395
Recipient Address UNITED STATES, 179 N BROAD ST, NORWICH, 138151019

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 22 Dec 2024

Sources: New York Secretary of State

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