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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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKESIDE HEALTH SYSTEM DEFINED CONTRIBUTION RETIREMENT PLAN 2018 160743068 2019-10-15 LAKESIDE MEMORIAL HOSPITAL, INC. 260
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-07-01
Business code 621900
Sponsor’s telephone number 5853956095
Plan sponsor’s mailing address 156 WEST AVENUE, BROCKPORT, NY, 14420
Plan sponsor’s address 156 WEST AVENUE, BROCKPORT, NY, 14420

Number of participants as of the end of the plan year

Active participants 15
Other retired or separated participants entitled to future benefits 219
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 228
LAKESIDE HEALTH SYSTEM DEFINED CONTRIBUTION RETIREMENT PLAN 2018 160743068 2019-11-12 LAKESIDE MEMORIAL HOSPITAL, INC. 235
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-07-01
Business code 621900
Sponsor’s telephone number 5853956095
Plan sponsor’s mailing address 156 WEST AVENUE, BROCKPORT, NY, 14420
Plan sponsor’s address 156 WEST AVENUE, BROCKPORT, NY, 14420

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
LAKESIDE HEALTH SYSTEM DEFINED CONTRIBUTION RETIREMENT PLAN 2017 160743068 2018-10-15 LAKESIDE MEMORIAL HOSPITAL, INC. 280
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-07-01
Business code 621900
Sponsor’s telephone number 5853956095
Plan sponsor’s mailing address 156 WEST AVENUE, BROCKPORT, NY, 14420
Plan sponsor’s address 156 WEST AVENUE, BROCKPORT, NY, 14420

Number of participants as of the end of the plan year

Active participants 214
Other retired or separated participants entitled to future benefits 45
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 249
LAKESIDE HEALTH SYSTEM DEFINED CONTRIBUTION RETIREMENT PLAN 2016 160743068 2017-10-15 LAKESIDE MEMORIAL HOSPITAL, INC. 295
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-07-01
Business code 621900
Sponsor’s telephone number 5853956095
Plan sponsor’s mailing address 156 WEST AVENUE, BROCKPORT, NY, 14420
Plan sponsor’s address 156 WEST AVENUE, BROCKPORT, NY, 14420

Number of participants as of the end of the plan year

Active participants 240
Other retired or separated participants entitled to future benefits 39
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 269
LAKESIDE HEALTH SYSTEM DEFINED CONTRIBUTION RETIREMENT PLAN 2015 160743068 2016-10-17 LAKESIDE MEMORIAL HOSPITAL, INC. 325
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-07-01
Business code 621900
Sponsor’s telephone number 5853956095
Plan sponsor’s mailing address 156 WEST AVENUE, BROCKPORT, NY, 14420
Plan sponsor’s address 156 WEST AVENUE, BROCKPORT, NY, 14420

Number of participants as of the end of the plan year

Active participants 256
Other retired or separated participants entitled to future benefits 38
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 285
LAKESIDE HEALTH SYSTEM DEFINED CONTRIBUTION RETIREMENT PLAN 2014 160743068 2015-10-14 LAKESIDE MEMORIAL HOSPITAL, INC. 345
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-07-01
Business code 621900
Sponsor’s telephone number 5853956095
Plan sponsor’s mailing address 156 WEST AVENUE, BROCKPORT, NY, 14420
Plan sponsor’s address 156 WEST AVENUE, BROCKPORT, NY, 14420

Number of participants as of the end of the plan year

Active participants 287
Other retired or separated participants entitled to future benefits 37
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 314

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

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
478Q-90 1947-02-06 CERTIFICATE OF AMENDMENT 1947-02-06
397Q-150 1939-03-22 CERTIFICATE OF INCORPORATION 1939-03-22

Date of last update: 22 Dec 2024

Sources: New York Secretary of State