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UPSTATE COMMUNITY MEDICAL, P.C.

UPSTATE COMMUNITY MEDICAL, P.C.

Company Details

Name:	UPSTATE COMMUNITY MEDICAL, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	17 Nov 2005 (19 years ago)
Entity Number:	3282731
ZIP code:	13215
County:	Onondaga
Place of Formation:	New York
Address:	4900 BROAD ROAD, SUITE 1507, SYRACUSE, NY, United States, 13215

Contact Details

Phone +1 315-492-5305

Phone +1 315-492-5875

Phone +1 315-488-5588

Phone +1 315-464-5774

Phone +1 315-635-1573

Phone +1 315-635-1571

Phone +1 315-492-2520

Phone +1 315-492-5660

Shares Details

Shares issued 200

Share Par Value 1

Type PAR VALUE

Chief Executive Officer

Name	Role	Address
AMY TUCKER, MD	Chief Executive Officer	4900 BROAD ROAD, SYRACUSE, NY, United States, 13215

DOS Process Agent

Name	Role	Address
UPSTATE COMMUNITY MEDICAL, P.C.	DOS Process Agent	4900 BROAD ROAD, SUITE 1507, SYRACUSE, NY, United States, 13215

History

Start date	End date	Type	Value
2024-06-28	2024-06-28	Address	4900 BROAD RD, SYRACUSE, NY, 13215, USA (Type of address: Chief Executive Officer)
2024-06-28	2024-06-28	Address	4900 BROAD ROAD, SYRACUSE, NY, 13215, USA (Type of address: Chief Executive Officer)
2023-06-11	2024-06-28	Shares	Share type: PAR VALUE, Number of shares: 200, Par value: 1
2014-09-09	2024-06-28	Address	4900 BROAD RD, SYRACUSE, NY, 13215, USA (Type of address: Chief Executive Officer)
2013-05-02	2014-09-04	Name	UPSTATE HEALTH PROVIDERS, P.C.
2008-01-03	2014-09-09	Address	4900 BROAD RD, SYRACUSE, NY, 13215, USA (Type of address: Chief Executive Officer)
2005-11-17	2013-05-02	Name	ONONDAGA HILL ACUTE CARE MEDICINE SPECIALIST, P.C.
2005-11-17	2024-06-28	Address	4900 BROAD ROAD, SYRACUSE, NY, 13215, USA (Type of address: Service of Process)
2005-11-17	2023-06-11	Shares	Share type: PAR VALUE, Number of shares: 200, Par value: 1

Filings

Filing Number	Date Filed	Type	Effective Date
240628001388	2024-06-28	BIENNIAL STATEMENT	2024-06-28
140909002069	2014-09-09	BIENNIAL STATEMENT	2013-11-01
140904000592	2014-09-04	CERTIFICATE OF AMENDMENT	2014-09-04
130502000134	2013-05-02	CERTIFICATE OF AMENDMENT	2013-05-02
111205000568	2011-12-05	CERTIFICATE OF AMENDMENT	2011-12-05
091222002257	2009-12-22	BIENNIAL STATEMENT	2009-11-01
080103002768	2008-01-03	BIENNIAL STATEMENT	2007-11-01
051117000913	2005-11-17	CERTIFICATE OF INCORPORATION	2005-11-17

Tax Exempt

EIN

Type of Organization

Exempt Organization Status

Address

Ruling Date

20-3889761

Corporation

Unconditional Exemption

4900 BROAD RD, SYRACUSE, NY, 13215-2265

2015-07

In Care of Name	-
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 normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period	2023-06
Asset	5,000,000 to 9,999,999
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	Jun
Asset Amount	7397282
Income Amount	29188773
Form 990 Revenue Amount	29188773
National Taxonomy of Exempt Entities	Health Care: Community Health Systems
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)

Determination Letter

Final Letter(s)

FinalLetter_20-3889761_UPSTATECOMMUNITYMEDICALPC_12122014_03.tif
FinalLetter_20-3889761_UPSTATECOMMUNITYMEDICALPC_12122014_02.tif
FinalLetter_20-3889761_UPSTATECOMMUNITYMEDICALPC_12122014_01.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name	UPSTATE COMMUNITY MEDICAL PC
EIN	20-3889761
Tax Period	202206
Filing Type	E
Return Type	990
File	View File

Organization Name	UPSTATE COMMUNITY MEDICAL PC
EIN	20-3889761
Tax Period	202006
Filing Type	E
Return Type	990
File	View File

Organization Name	UPSTATE COMMUNITY MEDICAL PC
EIN	20-3889761
Tax Period	201906
Filing Type	E
Return Type	990
File	View File

Organization Name	UPSTATE COMMUNITY MEDICAL PC
EIN	20-3889761
Tax Period	201906
Filing Type	P
Return Type	990T
File	View File

Organization Name	UPSTATE COMMUNITY MEDICAL PC
EIN	20-3889761
Tax Period	201806
Filing Type	E
Return Type	990
File	View File

Organization Name	UPSTATE COMMUNITY MEDICAL PC
EIN	20-3889761
Tax Period	201706
Filing Type	E
Return Type	990
File	View File

Organization Name	UPSTATE COMMUNITY MEDICAL PC
EIN	20-3889761
Tax Period	201606
Filing Type	E
Return Type	990
File	View File

Organization Name	UPSTATE COMMUNITY MEDICAL PC
EIN	20-3889761
Tax Period	201506
Filing Type	P
Return Type	990
File	View File

Date of last update: 29 Mar 2025

Sources: New York Secretary of State