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FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC.

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Company Details

Name: FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 13 Apr 1977 (48 years ago)
Entity Number: 430873
ZIP code: 13077
County: Cortland
Place of Formation: New York
Address: 85 SOUTH WEST STREET, HOMER, NY, United States, 13077

Contact Details

Phone +1 607-753-3797

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 85 SOUTH WEST STREET, HOMER, NY, United States, 13077

Agent

Name Role
REGISTERED AGENT REVOKED Agent

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
3XMX7
UEI Expiration Date:
2020-05-29

Business Information

Doing Business As:
FAMILY HEALTH NETWORK OF CNY
Division Name:
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC.
Activation Date:
2019-05-30
Initial Registration Date:
2004-06-30

National Provider Identifier

NPI Number:
1386397511
Certification Date:
2022-02-03

Authorized Person:

Name:
KIMBERLY OSBORNE
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Fax:
6077536677
Fax:
6076624918

Form 5500 Series

Employer Identification Number (EIN):
161133983
Plan Year:
2012
Number Of Participants:
87
Sponsors Telephone Number:

History

Start date End date Type Value
2014-03-18 2018-04-25 Address 17-29 MAIN STREET, SUITE 302, CORTLAND, NY, 13045, USA (Type of address: Service of Process)
1989-09-13 2014-03-18 Address CENTRAL NEW YORK,INC., P.O. BOX 364, DERUYTER, NY, 13052, USA (Type of address: Service of Process)
1981-12-07 2014-03-18 Address HEALTH DEPARTMENT, CORTLAND COUNTY CT HSE, CORTLAND, NY, 13045, USA (Type of address: Registered Agent)
1979-12-06 1989-09-13 Name CORTLAND COUNTY RURAL HEALTH SERVICES, INC.
1977-04-13 1979-12-06 Name RURAL HEALTH SERVICES DEVELOPMENT ASSOCIATION, INC.

Filings

Filing Number Date Filed Type Effective Date
180425000770 2018-04-25 CERTIFICATE OF CHANGE 2018-04-25
140318000893 2014-03-18 CERTIFICATE OF CHANGE 2014-03-18
20100427008 2010-04-27 ASSUMED NAME CORP INITIAL FILING 2010-04-27
C054239-7 1989-09-13 CERTIFICATE OF AMENDMENT 1989-09-13
A821436-10 1981-12-07 CERTIFICATE OF AMENDMENT 1981-12-07

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
764300.00
Total Face Value Of Loan:
764300.00

Tax Exempt

Employer Identification Number (EIN) :
16-1133983
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:
1961-01
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
764300
Current Approval Amount:
764300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
769618.69

Motor Carrier Census

Carrier Operation:
Intrastate Non-Hazmat
Fax:
(607) 753-6677
Add Date:
2022-08-11
Operation Classification:
Private(Property)
power Units:
1
Drivers:
2
Inspections:
0
FMCSA Link:

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State