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LAKESIDE MEMORIAL HOSPITAL, INC.

Company Details

Name: LAKESIDE MEMORIAL HOSPITAL, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 22 Mar 1939 (86 years ago)
Entity Number: 40342
ZIP code: 14420
County: Monroe
Place of Formation: New York
Address: 156 WEST AVENUE, BROCKPORT, NY, United States, 14420

Agent

Name Role Address
N/A: THE CORP. Agent 156 WEST AVE., BROCKPORT, NY, 14420

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 156 WEST AVENUE, BROCKPORT, NY, United States, 14420

National Provider Identifier

NPI Number:
1740504141

Authorized Person:

Name:
MS. STACEY SSHARE
Role:
BILLER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
160743068
Plan Year:
2018
Number Of Participants:
260
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
235
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
280
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
295
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
325
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
960109000501 1996-01-09 CERTIFICATE OF AMENDMENT 1996-01-09
A989248-2 1983-06-13 ASSUMED NAME CORP INITIAL FILING 1983-06-13
A164673-2 1974-06-24 CERTIFICATE OF AMENDMENT 1974-06-24
357293 1962-12-21 CERTIFICATE OF AMENDMENT 1962-12-21
28EX-254 1951-12-03 CERTIFICATE OF AMENDMENT 1951-12-03

OSHA's Inspections within Industry

Inspection Summary

Date:
2006-05-19
Type:
Prog Related
Address:
156 WEST AVENUE, BROCKPORT, NY, 14420
Safety Health:
Safety
Scope:
Partial

Inspection Summary

Date:
2006-05-04
Type:
Prog Related
Address:
156 WEST AVENUE, BROCKPORT, NY, 14420
Safety Health:
Health
Scope:
Complete

Tax Exempt

Employer Identification Number (EIN) :
16-0743068
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:
1949-01
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Date of last update: 19 Mar 2025

Sources: New York Secretary of State