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  5. PSYCHIATRY FACULTY PRACTICE, INC.

PSYCHIATRY FACULTY PRACTICE, INC.

Company Details

Name: PSYCHIATRY FACULTY PRACTICE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 31 Dec 2014 (10 years ago)
Entity Number: 4686968
ZIP code: 13210
County: Onondaga
Place of Formation: New York
Address: 713 HARRISON STREET, SYRACUSE, NY, United States, 13210

Contact Details

Phone +1 315-464-3265

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
L7TPBCQHKL28 2024-10-26 713 HARRISON ST, SYRACUSE, NY, 13210, 2305, USA 719 HARRISON ST, SYRACUSE, NY, 13210, USA

Business Information
Doing Business As PSYCHIATRY FACULTY PRACTI
Division Name PSYCHIATRY FACULTY PRACTICE, INC
Division Number PSYCHIATRY
Congressional District 22
State/Country of Incorporation NY, USA
Activation Date 2023-10-31
Initial Registration Date 2021-08-13
Entity Start Date 2014-12-31
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MARY A MIRANDA
Role PRACTICE MANAGER
Address 719 HARRISON ST, SYRACUSE, NY, 13210, USA
Government Business
Title PRIMARY POC
Name MARY MIRANDA
Role PRACTICE MANAGER
Address 719 HARRISON ST, SYRACUSE, NY, 13210, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PSYCHIATRY FACULTY PRACTICE, INC. RETIREMENT PLAN 2023 472657089 2024-09-05 PSYCHIATRY FACULTY PRACTICE, INC. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 3154643105
Plan sponsor’s address 719 HARRISON STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2024-09-05
Name of individual signing ROBERT GREGORY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-05
Name of individual signing ROBERT GREGORY
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRY FACULTY PRACTICE, INC. RETIREMENT PLAN 2022 472657089 2023-05-30 PSYCHIATRY FACULTY PRACTICE, INC. 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 3154643105
Plan sponsor’s address 719 HARRISON STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2023-05-27
Name of individual signing ROBERT GREGORY
Role Employer/plan sponsor
Date 2023-05-27
Name of individual signing ROBERT GREGORY
PSYCHIATRY FACULTY PRACTICE, INC. RETIREMENT PLAN 2021 472657089 2022-05-31 PSYCHIATRY FACULTY PRACTICE, INC. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 3154643105
Plan sponsor’s address 719 HARRISON STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing ROBERT GREGORY
Role Employer/plan sponsor
Date 2022-05-31
Name of individual signing ROBERT GREGORY
PSYCHIATRY FACULTY PRACTICE, INC. RETIREMENT PLAN 2020 472657089 2021-06-02 PSYCHIATRY FACULTY PRACTICE, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 3154643105
Plan sponsor’s address 719 HARRISON STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2021-06-01
Name of individual signing ROBERT GREGORY
Role Employer/plan sponsor
Date 2021-06-01
Name of individual signing ROBERT GREGORY
PSYCHIATRY FACULTY PRACTICE, INC. RETIREMENT PLAN 2019 472657089 2020-06-03 PSYCHIATRY FACULTY PRACTICE, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 3154643105
Plan sponsor’s address 713 HARRISON STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2020-06-02
Name of individual signing ROBERT GREGORY
Role Employer/plan sponsor
Date 2020-06-02
Name of individual signing ROBERT GREGORY
PSYCHIATRY FACULTY PRACTICE, INC. RETIREMENT PLAN 2018 472657089 2019-05-23 PSYCHIATRY FACULTY PRACTICE, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 3154643105
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2019-05-23
Name of individual signing ROBERT GREGORY
Role Employer/plan sponsor
Date 2019-05-23
Name of individual signing ROBERT GREGORY
PSYCHIATRY FACULTY PRACTICE, INC. RETIREMENT PLAN 2017 472657089 2018-06-19 PSYCHIATRY FACULTY PRACTICE, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 3154643105
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing ROBERT GREGORY
Role Employer/plan sponsor
Date 2018-06-19
Name of individual signing ROBERT GREGORY
PSYCHIATRY FACULTY PRACTICE, INC. RETIREMENT PLAN 2016 472657089 2017-05-09 PSYCHIATRY FACULTY PRACTICE, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 3154643105
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2017-05-09
Name of individual signing ROBERT GREGORY
Role Employer/plan sponsor
Date 2017-05-09
Name of individual signing ROBERT GREGORY
PSYCHIATRY FACULTY PRACTICE, INC. RETIREMENT PLAN 2015 472657089 2016-06-07 PSYCHIATRY FACULTY PRACTICE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 3154643105
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2016-06-03
Name of individual signing ROBERT GREGORY
Role Employer/plan sponsor
Date 2016-06-03
Name of individual signing ROBERT GREGORY

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 713 HARRISON STREET, SYRACUSE, NY, United States, 13210

Filings

Filing Number Date Filed Type Effective Date
141231000563 2014-12-31 CERTIFICATE OF INCORPORATION 2014-12-31

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
47-2657089 Corporation Unconditional Exemption 719 HARRISON ST, SYRACUSE, NY, 13210-2695 2016-04
In Care of Name -
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 Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period -
Asset 0
Income 0
Filing Requirement 990 - Not required to file (instrumentalities of states or political subdivisions)
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount -
Income Amount -
Form 990 Revenue Amount -
National Taxonomy of Exempt Entities Mental Health & Crisis Intervention: Mental Health Treatment F31 Psychiatric, Mental Health Hospital
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_47-2657089_PSYCHIATRYFACULTYPRACTICEINC_09162015_02.tif
FinalLetter_47-2657089_PSYCHIATRYFACULTYPRACTICEINC_09162015_01.tif

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THE CORPORATION

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Related by address

No related companies by address

Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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