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  5. HEALTH WORKFORCE NEW YORK, INC.

HEALTH WORKFORCE NEW YORK, INC.

Company Details

Name: HEALTH WORKFORCE NEW YORK, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 22 May 2014 (11 years ago)
Entity Number: 4581102
ZIP code: 13617
County: St. Lawrence
Place of Formation: New York
Address: 1 main street, suite 102, CANTON, NY, United States, 13617

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
LA5BK37WSWP1 2025-03-19 1 MAIN STREET, SUITE 102, CANTON, NY, 13617, 1279, USA 1 MAIN STREET, SUITE 102, CANTON, NY, 13617, 1279, USA

Business Information
Congressional District 21
State/Country of Incorporation NY, USA
Activation Date 2024-03-21
Initial Registration Date 2019-10-16
Entity Start Date 2014-05-22
Fiscal Year End Close Date Sep 30

Service Classifications
NAICS Codes 611420, 611430

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ASHLEIGH MCGOWAN
Address 1 MAIN ST. SUITE 102, CANTON, NY, 13617, USA
Title ALTERNATE POC
Name CHRISTINA M DELORENZO
Role CFO
Address 1 MAIN ST., STE102, CANTON, NY, 13617, USA
Government Business
Title PRIMARY POC
Name ASHLEIGH MCGOWAN
Address 1 MAIN ST. SUITE 102, CANTON, NY, 13617, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALTH WORKFORCE NEW YORK 401(K) PLAN 2023 471088653 2024-10-09 HEALTH WORKFORCE NEW YORK 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 3153797701
Plan sponsor’s address 1 MAIN ST SUITE 102, CANTON, NY, 13617

Signature of
Role Plan administrator
Date 2024-10-09
Name of individual signing CHRIS HORNE
Valid signature Filed with authorized/valid electronic signature
HEALTH WORKFORCE NEW YORK INC 401(K) PROFIT SHARING PLAN & TRUST 2022 471088653 2023-07-03 HEALTH WORKFORCE NEW YORK INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 812990
Sponsor’s telephone number 3153797701
Plan sponsor’s address 1 MAIN STREET SUITE 102, CANTON, NY, 13617

Signature of
Role Plan administrator
Date 2023-07-03
Name of individual signing EDWARD ROJAS
HEALTH WORKFORCE NEW YORK INC 401(K) PROFIT SHARING PLAN & TRUST 2021 471088653 2022-07-07 HEALTH WORKFORCE NEW YORK INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 812990
Sponsor’s telephone number 3153797701
Plan sponsor’s address 1 MAIN STREET SUITE 102, CANTON, NY, 13617

Signature of
Role Plan administrator
Date 2022-07-07
Name of individual signing EDWARD ROJAS
HEALTH WORKFORCE NEW YORK INC 401(K) PROFIT SHARING PLAN & TRUST 2020 471088653 2021-05-21 HEALTH WORKFORCE NEW YORK INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 812990
Sponsor’s telephone number 3153797701
Plan sponsor’s address 9 MAIN STREET, CORTLAND, NY, 13045

Plan administrator’s name and address
Administrator’s EIN 471088653
Plan administrator’s name HEALTH WORKFORCE NEW YORK
Plan administrator’s address 1 MAIN STREET, SUITE 102, CANTON, NY, 13617

Signature of
Role Plan administrator
Date 2021-05-21
Name of individual signing KATIE RAFFERTY
HEALTH WORKFORCE NEW YORK INC 401(K) PROFIT SHARING PLAN & TRUST 2019 471088653 2020-04-30 HEALTH WORKFORCE NEW YORK INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 812990
Sponsor’s telephone number 3153797701
Plan sponsor’s address 9 MAIN STREET, 1ST FLOOR, CORTLAND, NY, 13045

Plan administrator’s name and address
Administrator’s EIN 471088653
Plan administrator’s name HEALTH WORKFORCE NEW YORK, INC
Plan administrator’s address 1 MAIN STREET, SUITE 102, CANTON, NY, 13617

Signature of
Role Plan administrator
Date 2020-04-30
Name of individual signing KARIN BLACKBURN
HEALTH WORKFORCE NEW YORK INC 401 K PROFIT SHARING PLAN TRUST 2018 471088653 2019-03-29 HEALTH WORKFORCE NEW YORK INC 6
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 812990
Sponsor’s telephone number 6077561090
Plan sponsor’s address 9 MAIN STREET, 1ST FLOOR, CORTLAND, NY, 13045

Plan administrator’s name and address
Administrator’s EIN 161605584
Plan administrator’s name HEALTH WORKFORCE NEW YORK, INC
Plan administrator’s address 1 MAIN STREET, SUITE 102, CANTON, NY, 13617
Administrator’s telephone number 3153797701

Signature of
Role Plan administrator
Date 2019-03-29
Name of individual signing KATIE RAFFERTY
HEALTH WORKFORCE NEW YORK INC 401 K PROFIT SHARING PLAN TRUST 2018 471088653 2019-05-16 HEALTH WORKFORCE NEW YORK INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 812990
Sponsor’s telephone number 6077561090
Plan sponsor’s address 9 MAIN STREET, 1ST FLOOR, CORTLAND, NY, 13045

Plan administrator’s name and address
Administrator’s EIN 264477125
Plan administrator’s name 401K GENERATION
Plan administrator’s address 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746
Administrator’s telephone number 8669985879

Signature of
Role Plan administrator
Date 2019-05-16
Name of individual signing EDWARD ROJAS

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 1 main street, suite 102, CANTON, NY, United States, 13617

Agent

Name Role Address
richard k. merchant Agent 1 main street, suite 102, CANTON, NY, 13617

History

Start date End date Type Value
2014-05-22 2024-12-18 Address 17-29 MAIN STREET, NCNEIL BUILDING, SUITE 237, CORTLAND, NY, 13045, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241218002586 2024-11-15 CERTIFICATE OF CHANGE BY ENTITY 2024-11-15
140522000093 2014-05-22 CERTIFICATE OF INCORPORATION 2014-05-22

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
47-1088653 Corporation Unconditional Exemption 1 MAIN ST STE 102, CANTON, NY, 13617-1279 2014-12
In Care of Name % RICHARD K MERCHANT
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 receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-09
Asset 500,000 to 999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 746495
Income Amount 1343186
Form 990 Revenue Amount 1342623
National Taxonomy of Exempt Entities Health Care: Professional Societies, Associations
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_47-1088653_HEALTHWORKFORCENEWYORKINC_09222014.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name HEALTH WORKFORCE NEW YORK INC
EIN 47-1088653
Tax Period 202309
Filing Type E
Return Type 990
File View File
Organization Name HEALTH WORKFORCE NEW YORK INC
EIN 47-1088653
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name HEALTH WORKFORCE NEW YORK INC
EIN 47-1088653
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name HEALTH WORKFORCE NEW YORK INC
EIN 47-1088653
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name HEALTH WORKFORCE NEW YORK INC
EIN 47-1088653
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name HEALTH WORKFORCE NEW YORK INC
EIN 47-1088653
Tax Period 201609
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6542777309 2020-04-30 0248 PPP 1 Main Street Suite 102, Canton, NY, 13617
Loan Status Date 2021-02-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 82078
Loan Approval Amount (current) 82078
Undisbursed Amount 0
Franchise Name -
Lender Location ID 50030
Servicing Lender Name The North Country Savings Bank
Servicing Lender Address 127 Main St, CANTON, NY, 13617-1415
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Canton, SAINT LAWRENCE, NY, 13617-0001
Project Congressional District NY-21
Number of Employees 6
NAICS code 624190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 50030
Originating Lender Name The North Country Savings Bank
Originating Lender Address CANTON, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 82626.69
Forgiveness Paid Date 2021-01-07

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Related by address

1 main street, suite 102, CANTON, NY, United States, 13617

BROOKLYN QUEENS LONG ISLAND AREA HEALTH EDUCATION CENTER

Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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