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TLC HEALTH NETWORK

Company Details

Name: TLC HEALTH NETWORK
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Inactive
Date of registration: 06 May 1937 (88 years ago)
Date of dissolution: 20 Feb 2018
Entity Number: 38858
ZIP code: 14070
County: Cattaraugus
Place of Formation: New York
Address: ATTN: CHIEF EXECUTIVE OFFICER, 100 MEMORIAL DRIVE, GOWANDA, NY, United States, 14070

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
73V48 Obsolete Non-Manufacturer 2014-04-24 2024-03-11 2023-03-08 No data

Contact Information

POC JEFFREY MORGAN
Phone +1 716-363-7212
Fax +1 716-363-7212
Address 845 RTE 5 AND 20, IRVING, NY, 14081 9706, 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
TLC HEALTH NETWORK TAX DEFERRED ANNUITY PENSION PLAN 2020 160743301 2021-04-20 TLC HEALTH NETWORK 17
Three-digit plan number (PN) 002
Effective date of plan 1964-07-01
Business code 622000
Sponsor’s telephone number 7163637263
Plan sponsor’s address 845 ROUTE 5 AND 20, IRVING, NY, 14081

Signature of

Role Plan administrator
Date 2021-04-20
Name of individual signing TRACIE LUTHER
TLC HEALTH NETWORK EXECUTIVE MANAGEMENT PLAN 2020 160772474 2021-10-11 TLC HEALTH NETWORK 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 622000
Sponsor’s telephone number 7163637263
Plan sponsor’s address 529 CENTRAL AVENUE, DUNKIRK, NY, 14048

Signature of

Role Plan administrator
Date 2021-10-11
Name of individual signing TRACIE L. LUTHER
Role Employer/plan sponsor
Date 2021-10-11
Name of individual signing TRACIE L. LUTHER
TLC HEALTH NETWORK TAX DEFERRED ANNUITY PENSION PLAN 2019 160772474 2020-06-29 TLC HEALTH NETWORK 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1964-07-01
Business code 622000
Sponsor’s telephone number 7169517143
Plan sponsor’s address 845 ROUTE 5 AND 20, IRVING, NY, 14081

Signature of

Role Plan administrator
Date 2020-06-29
Name of individual signing TRACIE LUTHER
TLC HEALTH NETWORK EXECUTIVE MANAGEMENT PLAN 2019 160772474 2020-07-22 TLC HEALTH NETWORK 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 622000
Sponsor’s telephone number 7163661111
Plan sponsor’s address 529 CENTRAL AVENUE, DUNKIRK, NY, 14048

Signature of

Role Plan administrator
Date 2020-07-22
Name of individual signing TRACIE L. LUTHER
Role Employer/plan sponsor
Date 2020-07-22
Name of individual signing TRACIE L. LUTHER
TLC HEALTH NETWORK EXECUTIVE MANAGEMENT PLAN 2018 160772474 2019-09-24 TLC HEALTH NETWORK 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 622000
Sponsor’s telephone number 7169342654
Plan sponsor’s address 845 ROUTES 5 AND 20, IRVING, NY, 14081

Signature of

Role Plan administrator
Date 2019-09-24
Name of individual signing DAWN TURK
Role Employer/plan sponsor
Date 2019-09-24
Name of individual signing DAWN TURK
TLC HEALTH NETWORK TAX DEFERRED ANNUITY PENSION PLAN 2018 160772474 2019-09-24 TLC HEALTH NETWORK 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1964-07-01
Business code 622000
Sponsor’s telephone number 7169517143
Plan sponsor’s address 845 ROUTE 5 AND 20, IRVING, NY, 14081

Signature of

Role Plan administrator
Date 2019-09-24
Name of individual signing DAWN TURK
TLC HEALTH NETWORK TAX DEFERRED ANNUITY PENSION PLAN 2017 160772474 2018-10-12 TLC HEALTH NETWORK 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1964-07-01
Business code 622000
Sponsor’s telephone number 7169517143
Plan sponsor’s address 845 ROUTE 5 AND 20, IRVING, NY, 14081

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing DAWN TURK
TLC HEALTH NETWORK EXECUTIVE MANAGEMENT PLAN 2017 160772474 2018-10-12 TLC HEALTH NETWORK 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 622000
Sponsor’s telephone number 7169342654
Plan sponsor’s address 845 ROUTES 5 AND 20, IRVING, NY, 14081

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing DAWN TURK
Role Employer/plan sponsor
Date 2018-10-12
Name of individual signing DAWN TURK
LAKE SHORE HOSPITAL, INC. EXECUTIVE MANAGEMENT PLAN 2016 160868654 2017-10-16 TLC HEALTH NETWORK 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 622000
Sponsor’s telephone number 7169342654
Plan sponsor’s address 845 ROUTE 5 AND 20, IRVING, NY, 14081

Signature of

Role Plan administrator
Date 2017-10-16
Name of individual signing DAWN TURK
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing DAWN TURK
TLC HEALTH NETWORK TAX DEFERRED ANNUITY PENSION PLAN 2016 160772474 2017-10-16 TLC HEALTH NETWORK 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1964-07-01
Business code 622000
Sponsor’s telephone number 7169517143
Plan sponsor’s address 845 ROUTE 5 AND 20, IRVING, NY, 14081

Signature of

Role Plan administrator
Date 2017-10-16
Name of individual signing DAWN TURK

Agent

Name Role Address
TRI-COUNTY MEMORIAL HOSPITAL Agent 100 MEMORIAL DR., GOWANDA, NY, 14070

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: CHIEF EXECUTIVE OFFICER, 100 MEMORIAL DRIVE, GOWANDA, NY, United States, 14070

History

Start date End date Type Value
2008-11-13 2014-12-18 Address 100 MEMORIAL DRIVE, GOWANDA, NY, 14070, USA (Type of address: Service of Process)
2007-07-11 2008-11-13 Address 100 MEMORIAL DRIVE, GOWANDA, NY, 14070, USA (Type of address: Service of Process)
2001-12-27 2007-07-11 Address 100 MEMORIAL DRIVE, GOWANDA, NY, 14070, USA (Type of address: Service of Process)
1947-12-26 2001-12-27 Name TRI-COUNTY MEMORIAL HOSPITAL
1937-05-06 1947-12-26 Name TOWNSEND HOSPITAL

Filings

Filing Number Date Filed Type Effective Date
180220000940 2018-02-20 CERTIFICATE OF MERGER 2018-02-20
141218000112 2014-12-18 CERTIFICATE OF AMENDMENT 2014-12-18
081113000973 2008-11-13 CERTIFICATE OF AMENDMENT 2008-11-13
070711000310 2007-07-11 CERTIFICATE OF AMENDMENT 2007-07-11
20050201019 2005-02-01 ASSUMED NAME CORP INITIAL FILING 2005-02-01
020110000001 2002-01-10 CERTIFICATE OF AMENDMENT 2002-01-10
011227000010 2001-12-27 CERTIFICATE OF MERGER 2002-01-01
A39745-6 1973-01-05 CERTIFICATE OF AMENDMENT 1973-01-05
40EX-93 1952-05-23 CERTIFICATE OF AMENDMENT 1952-05-23
493Q-43 1947-12-26 CERTIFICATE OF AMENDMENT 1947-12-26

Date of last update: 08 Jan 2025

Sources: New York Secretary of State