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  5. HUDSON HEADWATERS HEALTH NETWORK

HUDSON HEADWATERS HEALTH NETWORK

Company Details

Name: HUDSON HEADWATERS HEALTH NETWORK
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 20 Jul 1981 (43 years ago)
Entity Number: 712104
ZIP code: 12804
County: Warren
Place of Formation: New York
Address: 9 carey road, QUEENSBURY, NY, United States, 12804

Contact Details

Phone +1 518-792-2223

Phone +1 518-585-6708

Phone +1 518-532-7120

Phone +1 518-251-2541

Phone +1 518-792-7841

Phone +1 518-824-8610

Phone +1 518-359-7222

Phone +1 518-824-8181

Phone +1 518-648-5707

Phone +1 518-824-2562

Phone +1 518-298-2691

Phone +1 518-761-6961

Phone +1 518-623-2844

Phone +1 518-623-3918

Phone +1 518-644-9471

Phone +1 518-494-2761

Phone +1 518-824-8630

Phone +1 518-942-7123

Phone +1 518-798-6400

Phone +1 518-824-2580

Phone +1 518-891-3845

Phone +1 518-536-7060

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
DZYNX32HX2Y4 2024-07-12 9 CAREY RD, QUEENSBURY, NY, 12804, 7880, USA 9 CAREY RD, GEORGE PERDUE ADMINISTRATIVE BUILDING, QUEENSBURY, NY, 12804, 7880, USA

Business Information
URL http://www.hhhn.org
Congressional District 21
State/Country of Incorporation NY, USA
Activation Date 2023-07-18
Initial Registration Date 2004-04-19
Entity Start Date 1981-07-15
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LAURA PASCO
Role CHIEF FINANCIAL OFFICER
Address 9 CAREY RD, GEORGE PERDUE ADMINISTRATIVE BUILDING, QUEENSBURY, NY, 12804, USA
Government Business
Title PRIMARY POC
Name CATHLEEN TRAVER
Role VP, PLANNING AND GRANTS
Address 9 CAREY RD, GEORGE PERDUE ADMINISTRATIVE BUILDING, QUEENSBURY, NY, 12804, USA
Past Performance
Title PRIMARY POC
Name EDWARD SHANNON
Address 1 BROAD ST PLAZA, GLENS FALLS, NY, 12801, USA
Title ALTERNATE POC
Name HOWARD NELSON
Address 1 BROAD ST PLAZA, GLENS FALLS, NY, 12801, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3UCK7 Active Non-Manufacturer 2004-04-20 2024-07-15 2029-07-15 2025-07-11

Contact Information
POC CATHLEEN TRAVER
Phone +1 518-761-0300
Address 9 CAREY RD, QUEENSBURY, WARREN, NY, 12804 7880, 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
HUDSON HEADWATERS HEALTH NETWORK LONG TERM DISABILITY PLAN 2013 141628237 2015-01-28 HUDSON HEADWATERS HEALTH NETWORK 428
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5187610300
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEESNBURY, NY, 12804

Number of participants as of the end of the plan year
Active participants 478

Signature of
Role Plan administrator
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK LIFE INSURANCE PLAN 2013 141628237 2015-01-28 HUDSON HEADWATERS HEALTH NETWORK 490
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187610300
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year
Active participants 545

Signature of
Role Plan administrator
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK MEDICAL INSURANCE 2013 141628237 2015-01-28 HUDSON HEADWATERS HEALTH NETWORK 1330
Three-digit plan number (PN) 504
Effective date of plan 2011-09-01
Business code 621111
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year
Active participants 765

Signature of
Role Plan administrator
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK DENTAL INSURANCE 2013 141628237 2015-01-28 HUDSON HEADWATERS HEALTH NETWORK 677
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2005-01-01
Business code 621111
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year
Active participants 773

Signature of
Role Plan administrator
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK LONG TERM CARE PLAN 2013 141628237 2014-07-09 HUDSON HEADWATERS HEALTH NETWORK 104
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5187610300
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year
Active participants 114

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing NANCY SMITH
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK DENTAL INSURANCE 2012 141628237 2014-04-21 HUDSON HEADWATERS HEALTH NETWORK 351
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2005-01-01
Business code 621111
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year
Active participants 677

Signature of
Role Plan administrator
Date 2014-04-21
Name of individual signing NANCY SMITH
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK LIFE INSURANCE PLAN 2012 141628237 2014-04-21 HUDSON HEADWATERS HEALTH NETWORK 429
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187610300
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year
Active participants 490

Signature of
Role Plan administrator
Date 2014-04-21
Name of individual signing NANCY SMITH
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK LONG TERM DISABILITY PLAN 2012 141628237 2014-04-21 HUDSON HEADWATERS HEALTH NETWORK 380
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5187610300
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEESNBURY, NY, 12804

Number of participants as of the end of the plan year
Active participants 428

Signature of
Role Plan administrator
Date 2014-04-21
Name of individual signing NANCY SMITH
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK MEDICAL INSURANCE 2012 141628237 2014-05-07 HUDSON HEADWATERS HEALTH NETWORK 574
Three-digit plan number (PN) 504
Effective date of plan 2011-09-01
Business code 621111
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year
Active participants 1330

Signature of
Role Plan administrator
Date 2014-05-07
Name of individual signing NANCY SMITH
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK DENTAL INSURANCE 2011 141628237 2012-04-03 HUDSON HEADWATERS HEALTH NETWORK 298
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5187610300
Plan sponsor’s mailing address 9 CAREY ROAD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY ROAD, QUEENSBURY, NY, 12804

Plan administrator’s name and address
Administrator’s EIN 141628237
Plan administrator’s name HUDSON HEADWATERS HEALTH NETWORK
Plan administrator’s address 9 CAREY ROAD, QUEENSBURY, NY, 12804
Administrator’s telephone number 5187610300

Number of participants as of the end of the plan year
Active participants 349
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-04-03
Name of individual signing MELISSE ROBINSON
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 9 carey road, QUEENSBURY, NY, United States, 12804

History

Start date End date Type Value
2024-01-03 2024-01-23 Address 9 carey road, QUEENSBURY, NY, 12804, USA (Type of address: Service of Process)
1981-07-20 2024-01-03 Address *, WARRENSBURG, NY, 12885, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240123002861 2024-01-23 CERTIFICATE OF AMENDMENT 2024-01-23
240103000861 2024-01-02 CERTIFICATE OF CHANGE BY ENTITY 2024-01-02
A782984-10 1981-07-20 CERTIFICATE OF INCORPORATION 1981-07-20

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

9 carey road, QUEENSBURY, NY, United States, 12804

HUDSON HEADWATERS HEALTH FOUNDATION, INC. HUDSON HEADWATERS HEALTH MANAGEMENT, INC. HUDSON HEADWATERS HEALTH SERVICES, INC.

Date of last update: 21 Dec 2024

Sources: New York Secretary of State

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