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  5. WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE, INC.

WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE, INC.

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Company Details

Name: WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 19 Jul 2016 (9 years ago)
Entity Number: 4979783
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: P.C., 6500 MAIN STREET, SUITE 5, WILLIAMSVILLE, NY, United States, 14221

DOS Process Agent

Name Role Address
C/O MICHAEL A DE FREITAS, ESQ., WILLIAM C. MORAN & ASSOCIATES DOS Process Agent P.C., 6500 MAIN STREET, SUITE 5, WILLIAMSVILLE, NY, United States, 14221

Unique Entity ID

Unique Entity ID:
Y4P6MUM749R1
CAGE Code:
8UWD4
UEI Expiration Date:
2025-12-11

Business Information

URL:
www.wnyicc.org
Activation Date:
2024-12-13
Initial Registration Date:
2021-01-28

Commercial and government entity program

CAGE number:
8UWD4
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-12-13
SAM Expiration:
2025-12-11

Contact Information

POC:
NICOLE KMICINSKI
Corporate URL:
www.wnyicc.org

National Provider Identifier

NPI Number:
1316778152
Certification Date:
2024-08-13
Link:
View on NPI website

Authorized Person:

Name:
NICOLE KMICINSKI
Role:
EXECUTIVE DIRECTOR
Phone:
7164315100

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Phone:
+1 716-431-5100

Filings

Filing Number Date Filed Type Effective Date
160719000918 2016-07-19 CERTIFICATE OF INCORPORATION 2016-07-19

USAspending Awards / Financial Assistance

Date:
2021-08-23
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
SCALING THE WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE NETWORK LEAD ENTITY
Obligated Amount:
291563.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-03-12
Link:
View on USAspending
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:
42275.00
Total Face Value Of Loan:
42275.00

Tax Exempt

Employer Identification Number (EIN) :
81-3431441
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:
2018-07
National Taxonomy Of Exempt Entities:
Health Care: Health Support Services
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:
Download file

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$42,275
Date Approved:
2021-03-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$42,275
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$42,535.6
Servicing Lender:
Evans Bank, National Association
Use of Proceeds:
Payroll: $42,275

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State

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