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WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE, INC.

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

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
Y4P6MUM749R1 2024-12-11 742 DELAWARE AVE, BUFFALO, NY, 14209, 2202, USA 742 DELAWARE AVE, BUFFALO, NY, 14209, 2202, USA

Business Information

URL www.wnyicc.org
Congressional District 26
State/Country of Incorporation NY, USA
Activation Date 2023-12-14
Initial Registration Date 2021-01-28
Entity Start Date 2016-07-16
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name NICOLE KMICINSKI
Role EXECUTIVE DIRECTOR
Address 742 DELAWARE AVE, BUFFALO, NY, 14209, USA
Government Business
Title PRIMARY POC
Name NICOLE KMICINSKI
Role EXECUTIVE DIRECTOR
Address 742 DELAWARE AVE, BUFFALO, NY, 14209, USA
Past Performance Information not Available

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

Filings

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

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
81-3431441 Corporation Unconditional Exemption 742 DELAWARE AVE, BUFFALO, NY, 14209-2202 2018-07
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 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 2023-12
Asset 25,000 to 99,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 25976
Income Amount 530054
Form 990 Revenue Amount 530054
National Taxonomy of Exempt Entities Health Care: Health Support Services
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_81-3431441_WESTERNNEWYORKINTEGRATEDCARECOLLABORATIVEINC_02022018.tif

Form 990-N (e-Postcard)

Organization Name WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE INC
EIN 81-3431441
Tax Year 2017
Beginning of tax period 2017-01-01
End of tax period 2017-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 742 DELAWARE AVE, BUFFALO, NY, 14209, US
Principal Officer's Address 742 DELAWARE AVE, BUFFALO, NY, 14209, US
Organization Name WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE INC
EIN 81-3431441
Tax Year 2016
Beginning of tax period 2016-07-19
End of tax period 2016-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 742 DELAWARE AVE, BUFFALO, NY, 14209, US
Principal Officer's Address 742 DELAWARE AVE, BUFFALO, NY, 14209, US

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE INC
EIN 81-3431441
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE INC
EIN 81-3431441
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE INC
EIN 81-3431441
Tax Period 201912
Filing Type E
Return Type 990EZ
File View File
Organization Name WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE INC
EIN 81-3431441
Tax Period 201812
Filing Type E
Return Type 990EZ
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9532058508 2021-03-12 0296 PPS 742 Delaware Ave, Buffalo, NY, 14209-2202
Loan Status Date 2021-12-25
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 42275
Loan Approval Amount (current) 42275
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46027
Servicing Lender Name Evans Bank, National Association
Servicing Lender Address 8599 Erie Rd, ANGOLA, NY, 14006
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Buffalo, ERIE, NY, 14209-2202
Project Congressional District NY-26
Number of Employees 3
NAICS code 624190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 46027
Originating Lender Name Evans Bank, National Association
Originating Lender Address ANGOLA, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 42535.6
Forgiveness Paid Date 2021-10-27

Date of last update: 24 Mar 2025

Sources: New York Secretary of State