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  5. CHAUTAUQUA HOSPICE AND PALLIATIVE CARE

CHAUTAUQUA HOSPICE AND PALLIATIVE CARE

Company Details

Name: CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 10 Apr 1981 (44 years ago)
Entity Number: 692036
ZIP code: 14750
County: Chautauqua
Place of Formation: New York
Address: 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, United States, 14750

Contact Details

Fax +1 716-338-0033

Phone +1 716-338-0033

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
G7Y9CG1LBKW5 2024-08-20 20 W FAIRMOUNT AVE, LAKEWOOD, NY, 14750, 1702, USA 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA

Business Information
URL http://www.chpc.care
Congressional District 23
State/Country of Incorporation NY, USA
Activation Date 2023-08-23
Initial Registration Date 2008-10-22
Entity Start Date 1993-04-19
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621610
Product and Service Codes Q999

Points of Contacts
Electronic Business
Title PRIMARY POC
Name EMILY MORSE
Role FINANCE MANAGER
Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA
Title ALTERNATE POC
Name RENEE MOULTON
Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA
Government Business
Title PRIMARY POC
Name MICHAEL TESTA
Role PRESIDENT
Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA
Title ALTERNATE POC
Name RENEE MOULTON
Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA
Past Performance
Title PRIMARY POC
Name SHAUNA ANDERSON
Role PRESIDENT
Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA
Title ALTERNATE POC
Name RENEE MOULTON
Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
58AW2 Active Non-Manufacturer 2008-10-23 2024-06-18 2029-06-18 2025-06-14

Contact Information
POC MICHAEL TESTA
Phone +1 716-338-0033
Fax +1 716-338-1575
Address 20 W FAIRMOUNT AVE, LAKEWOOD, NY, 14750 1702, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2023 222432409 2024-05-01 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2022 222432409 2023-04-17 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2021 222432409 2022-04-12 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2020 222432409 2021-04-30 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2019 222432409 2020-05-05 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2018 222432409 2019-04-03 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2017 222432409 2018-05-07 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN 2016 222432409 2017-05-01 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621399
Sponsor’s telephone number 7163380033
Plan sponsor’s address 20 W. FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, United States, 14750

History

Start date End date Type Value
2010-02-12 2016-05-11 Address 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, USA (Type of address: Service of Process)
1993-02-10 2016-05-11 Name HOSPICE CHAUTAUQUA COUNTY, INC.
1993-02-10 2010-02-12 Address C/O W.C.A. HOSPITAL, FOOTE AVENUE, JAMESTOWN, NY, 14701, USA (Type of address: Service of Process)
1981-04-10 1993-02-10 Name HOSPICE INFORMATIONAL AND REFERRAL SERVICE OF SOUTHWESTERN NEW YORK, INC.
1981-04-10 1993-02-10 Address 715 FALCONER ST, JAMESTOWN, NY, 14701, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160511000686 2016-05-11 CERTIFICATE OF AMENDMENT 2016-05-11
100212000142 2010-02-12 CERTIFICATE OF CHANGE 2010-02-12
930210000185 1993-02-10 CERTIFICATE OF AMENDMENT 1993-02-10
A755738-8 1981-04-10 CERTIFICATE OF INCORPORATION 1981-04-10

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DCA AWARD VA244P0730 2008-10-01 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_VA244P0730_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title HOSPICE SERVICES
NAICS Code 621610: HOME HEALTH CARE SERVICES
Product and Service Codes Q401: NURSING SERVICES

Recipient Details
Recipient CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
UEI G7Y9CG1LBKW5
Legacy DUNS 158863063
Recipient Address UNITED STATES, 4840 W LAKE RD, MAYVILLE, 147579408

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
22-2432409 Corporation Unconditional Exemption 20 W FAIRMOUNT AVE, LAKEWOOD, NY, 14750-1702 1983-08
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 5,000,000 to 9,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 5753598
Income Amount 6240348
Form 990 Revenue Amount 4960496
National Taxonomy of Exempt Entities -
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)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
EIN 22-2432409
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
EIN 22-2432409
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
EIN 22-2432409
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
EIN 22-2432409
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
EIN 22-2432409
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
EIN 22-2432409
Tax Period 201612
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
2606937104 2020-04-11 0296 PPP 20 W. Fairmount Avenue, LAKEWOOD, NY, 14750-1702
Loan Status Date 2021-06-25
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 539630
Loan Approval Amount (current) 539630
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Unanswered
Project Address LAKEWOOD, CHAUTAUQUA, NY, 14750-1702
Project Congressional District NY-23
Number of Employees 65
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 545425.48
Forgiveness Paid Date 2021-05-20

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Related by address

20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, United States, 14750

AARQUE GPC, INC. OZANOL CORPORATION OZANOL CORPORATION

Date of last update: 17 Mar 2025

Sources: New York Secretary of State

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