Search icon

MAPLEWOOD NURSING HOME, INC.

Company Details

Name: MAPLEWOOD NURSING HOME, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 30 Sep 1982 (43 years ago)
Entity Number: 795905
ZIP code: 14580
County: Monroe
Place of Formation: New York
Address: 100 Daniel Drive, Webster, NY, United States, 14580
Principal Address: 100 DANIEL DRIVE, WEBSTER, NY, United States, 14580

Contact Details

Phone +1 585-872-1800

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAPLEWOOD NURSING HOME, INC. 401(K) RETIREMENT PLAN 2020 161185858 2021-09-10 MAPLEWOOD NURSING HOME, INC. 133
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 623000
Sponsor’s telephone number 5858721800
Plan sponsor’s mailing address 100 DANIEL DR, WEBSTER, NY, 14580
Plan sponsor’s address 100 DANIEL DR, WEBSTER, NY, 14580

Number of participants as of the end of the plan year

Active participants 118
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 18
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 90
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 2021-09-10
Name of individual signing DIANE BAILEY
Valid signature Filed with authorized/valid electronic signature
MAPLEWOOD NURSING HOME, INC. 401(K) RETIREMENT PLAN 2012 161185858 2013-10-14 MAPLEWOOD NURSING HOME, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 623000
Sponsor’s telephone number 5858721800
Plan sponsor’s mailing address 100 DANIEL DRIVE, WEBSTER, NY, 14580
Plan sponsor’s address 100 DANIEL DRIVE, WEBSTER, NY, 14580

Plan administrator’s name and address

Administrator’s EIN 161185858
Plan administrator’s name MAPLEWOOD NURSING HOME, INC.
Plan administrator’s address 100 DANIEL DRIVE, WEBSTER, NY, 14580
Administrator’s telephone number 5858721800

Number of participants as of the end of the plan year

Active participants 103
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
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 80
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 2013-10-14
Name of individual signing GREGORY CHAMBERY
Valid signature Filed with authorized/valid electronic signature
MAPLEWOOD NURSING HOME, INC. 401(K) RETIREMENT PLAN 2011 161185858 2012-10-12 MAPLEWOOD NURSING HOME, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 623000
Sponsor’s telephone number 5858721800
Plan sponsor’s mailing address 100 DANIEL DRIVE, WEBSTER, NY, 14580
Plan sponsor’s address 100 DANIEL DRIVE, WEBSTER, NY, 14580

Plan administrator’s name and address

Administrator’s EIN 161185858
Plan administrator’s name MAPLEWOOD NURSING HOME, INC.
Plan administrator’s address 100 DANIEL DRIVE, WEBSTER, NY, 14580
Administrator’s telephone number 5858721800

Number of participants as of the end of the plan year

Active participants 109
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 10
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 78
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 2012-10-12
Name of individual signing GREGORY CHAMBERY
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
MAPLEWOOD NURSING HOME, INC. DOS Process Agent 100 Daniel Drive, Webster, NY, United States, 14580

Chief Executive Officer

Name Role Address
GREGORY J CHAMBERY Chief Executive Officer 100 DANIEL DR, WEBSTER, NY, United States, 14580

Licenses

Number Type Date Last renew date End date Address Description
0340-23-334208 Alcohol sale 2023-02-17 2023-02-17 2025-03-31 100 DANIEL DR, WEBSTER, New York, 14580 Restaurant

History

Start date End date Type Value
2024-09-23 2025-04-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-09-23 2024-09-23 Address 100 DANIEL DR, WEBSTER, NY, 14580, USA (Type of address: Chief Executive Officer)
2024-09-23 2024-09-23 Address 100 DANIEL DR, WEBSTER, NY, 14580, 2983, USA (Type of address: Chief Executive Officer)
2000-09-12 2024-09-23 Address 100 DANIEL DR, WEBSTER, NY, 14580, 2983, USA (Type of address: Chief Executive Officer)
1998-09-24 2024-09-23 Address 100 DANIEL DR, WEBSTER, NY, 14580, USA (Type of address: Service of Process)
1993-05-18 2000-09-12 Address 100 DANIEL DRIVE, WEBSTER, NY, 14580, 2983, USA (Type of address: Chief Executive Officer)
1982-09-30 1998-09-24 Address 100 DANIEL DRIVE, WEBSTER, NY, 14580, USA (Type of address: Service of Process)
1982-09-30 2024-09-23 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240923003358 2024-09-23 BIENNIAL STATEMENT 2024-09-23
220317001509 2022-03-17 BIENNIAL STATEMENT 2020-09-01
180912006254 2018-09-12 BIENNIAL STATEMENT 2018-09-01
170202007379 2017-02-02 BIENNIAL STATEMENT 2016-09-01
140922006610 2014-09-22 BIENNIAL STATEMENT 2014-09-01
120926002252 2012-09-26 BIENNIAL STATEMENT 2012-09-01
101001003043 2010-10-01 BIENNIAL STATEMENT 2010-09-01
080915002034 2008-09-15 BIENNIAL STATEMENT 2008-09-01
060825002356 2006-08-25 BIENNIAL STATEMENT 2006-09-01
041022002394 2004-10-22 BIENNIAL STATEMENT 2004-09-01

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
312459746 0213600 2008-09-02 100 DANIEL DRIVE, WEBSTER, NY, 14580
Inspection Type Planned
Scope Complete
Safety/Health Health
Close Conference 2008-11-03
Emphasis N: NURSING, N: SSTARG08
Case Closed 2009-01-06

Violation Items

Citation ID 01001A
Citaton Type Serious
Standard Cited 19100146 C01
Issuance Date 2008-11-06
Abatement Due Date 2008-12-09
Current Penalty 550.0
Initial Penalty 1125.0
Nr Instances 1
Nr Exposed 3
Gravity 03
Citation ID 01001B
Citaton Type Serious
Standard Cited 19100146 C02
Issuance Date 2008-11-06
Abatement Due Date 2008-12-09
Nr Instances 1
Nr Exposed 3
Gravity 03
Citation ID 01002
Citaton Type Serious
Standard Cited 19100147 C06 I
Issuance Date 2008-11-06
Abatement Due Date 2008-11-24
Current Penalty 500.0
Initial Penalty 900.0
Nr Instances 1
Nr Exposed 3
Gravity 02
Citation ID 01003A
Citaton Type Serious
Standard Cited 19101030 G02 I
Issuance Date 2008-11-06
Abatement Due Date 2008-12-09
Current Penalty 550.0
Initial Penalty 1125.0
Nr Instances 5
Nr Exposed 10
Gravity 03
Citation ID 01003B
Citaton Type Serious
Standard Cited 19101030 H02 IB
Issuance Date 2008-11-06
Abatement Due Date 2008-12-09
Nr Instances 1
Nr Exposed 10
Gravity 03
Citation ID 01004
Citaton Type Other
Standard Cited 19101030 F02 II
Issuance Date 2008-11-06
Abatement Due Date 2008-12-09
Initial Penalty 1125.0
Nr Instances 1
Nr Exposed 10
Gravity 03
Citation ID 02001
Citaton Type Other
Standard Cited 19100147 C04 I
Issuance Date 2008-11-06
Abatement Due Date 2008-11-24
Nr Instances 1
Nr Exposed 3
Gravity 01
Citation ID 02002
Citaton Type Other
Standard Cited 19101030 C01 V
Issuance Date 2008-11-06
Abatement Due Date 2008-12-09
Nr Instances 1
Nr Exposed 3
Gravity 01
304276611 0213600 2001-03-12 100 DANIEL DRIVE, WEBSTER, NY, 14580
Inspection Type Planned
Scope Complete
Safety/Health Health
Close Conference 2001-04-13
Emphasis N: MMTARG, S: NURSING HOMES
Case Closed 2001-05-29

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited 19101030 D02 I
Issuance Date 2001-04-18
Abatement Due Date 2001-05-21
Current Penalty 960.0
Initial Penalty 1375.0
Nr Instances 1
Nr Exposed 10
Gravity 03
Citation ID 02001
Citaton Type Other
Standard Cited 19101020 G01 I
Issuance Date 2001-04-18
Abatement Due Date 2001-05-01
Nr Instances 1
Nr Exposed 145
Gravity 01
Citation ID 02002
Citaton Type Other
Standard Cited 19101020 G01 II
Issuance Date 2001-04-18
Abatement Due Date 2001-05-01
Nr Instances 1
Nr Exposed 145
Gravity 01
Citation ID 02003
Citaton Type Other
Standard Cited 19101020 G01 III
Issuance Date 2001-04-18
Abatement Due Date 2001-05-01
Nr Instances 1
Nr Exposed 145
Gravity 01
304276629 0213600 2001-03-12 100 DANIEL DRIVE, WEBSTER, NY, 14580
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 2001-04-13
Emphasis N: MMTARG, S: NURSING HOMES
Case Closed 2001-05-10

Violation Items

Citation ID 01001
Citaton Type Other
Standard Cited 19100151 C
Issuance Date 2001-04-18
Abatement Due Date 2001-05-21
Nr Instances 1
Nr Exposed 6
Gravity 01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8348767105 2020-04-15 0219 PPP Maplewood Nursing Home, WEBSTER, NY, 14580-2983
Loan Status Date 2021-07-07
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1190216
Loan Approval Amount (current) 1190216
Undisbursed Amount 0
Franchise Name -
Lender Location ID 78723
Servicing Lender Name Northwest Bank
Servicing Lender Address Liberty & Second St, WARREN, PA, 16365
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WEBSTER, MONROE, NY, 14580-2983
Project Congressional District NY-25
Number of Employees 184
NAICS code 623110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 78723
Originating Lender Name Northwest Bank
Originating Lender Address WARREN, PA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1204172.51
Forgiveness Paid Date 2021-06-30

Date of last update: 17 Mar 2025

Sources: New York Secretary of State