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  5. CHAUTAUQUA BLIND ASSOCIATION, INC.

CHAUTAUQUA BLIND ASSOCIATION, INC.

Company Details

Name: CHAUTAUQUA BLIND ASSOCIATION, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 14 Oct 1982 (42 years ago)
Entity Number: 798349
ZIP code: 14701
County: Chautauqua
Place of Formation: New York
Address: 406 WEST FOURTH ST., JAMESTOWN, NY, United States, 14701

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAUTAUQUA BLIND ASSOCIATION 401K PLAN 2014 160772744 2015-04-10 CHAUTAUQUA BLIND ASSOCIATION 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 7166646660
Plan sponsor’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813

Plan administrator’s name and address
Administrator’s EIN 160772744
Plan administrator’s name CHAUTAUQUA BLIND ASSOCIATION
Plan administrator’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813
Administrator’s telephone number 7166646660

Signature of
Role Plan administrator
Date 2015-04-10
Name of individual signing LISA GOODELL
CHAUTAUQUA BLIND ASSOCIATION 401K PLAN 2014 160772744 2015-03-06 CHAUTAUQUA BLIND ASSOCIATION 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 7166646660
Plan sponsor’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813

Plan administrator’s name and address
Administrator’s EIN 160772744
Plan administrator’s name CHAUTAUQUA BLIND ASSOCIATION
Plan administrator’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813
Administrator’s telephone number 7166646660

Signature of
Role Plan administrator
Date 2015-03-06
Name of individual signing LISA GOODELL
CHAUTAUQUA BLIND ASSOCIATION 401K PLAN 2013 160772744 2014-04-29 CHAUTAUQUA BLIND ASSOCIATION 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 7166646660
Plan sponsor’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813

Plan administrator’s name and address
Administrator’s EIN 160772744
Plan administrator’s name CHAUTAUQUA BLIND ASSOCIATION
Plan administrator’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813
Administrator’s telephone number 7166646660

Signature of
Role Plan administrator
Date 2014-04-29
Name of individual signing LISA GOODELL
CHAUTAUQUA BLIND ASSOCIATION 401K PLAN 2012 160772744 2013-05-21 CHAUTAUQUA BLIND ASSOCIATION 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 7166646660
Plan sponsor’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813

Plan administrator’s name and address
Administrator’s EIN 160772744
Plan administrator’s name CHAUTAUQUA BLIND ASSOCIATION
Plan administrator’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813
Administrator’s telephone number 7166646660

Signature of
Role Plan administrator
Date 2013-05-21
Name of individual signing LISA GOODELL
CHAUTAUQUA BLIND ASSOCIATION 401K PLAN 2011 160772744 2012-04-03 CHAUTAUQUA BLIND ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 7166646660
Plan sponsor’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813

Plan administrator’s name and address
Administrator’s EIN 160772744
Plan administrator’s name CHAUTAUQUA BLIND ASSOCIATION
Plan administrator’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813
Administrator’s telephone number 7166646660

Signature of
Role Plan administrator
Date 2012-04-03
Name of individual signing LISA GOODELL
CHAUTAUQUA BLIND ASSOCIATION 401K PLAN 2010 160772744 2011-04-12 CHAUTAUQUA BLIND ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 7166646660
Plan sponsor’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813

Plan administrator’s name and address
Administrator’s EIN 160772744
Plan administrator’s name CHAUTAUQUA BLIND ASSOCIATION
Plan administrator’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813
Administrator’s telephone number 7166646660

Signature of
Role Plan administrator
Date 2011-04-12
Name of individual signing LISA GOODELL
CHAUTAUQUA BLIND ASSOCIATION 401K PLAN 2009 160772744 2010-06-24 CHAUTAUQUA BLIND ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 7166646660
Plan sponsor’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813

Plan administrator’s name and address
Administrator’s EIN 160772744
Plan administrator’s name CHAUTAUQUA BLIND ASSOCIATION
Plan administrator’s address 510 W. 5TH STREET, JAMESTOWN, NY, 147014813
Administrator’s telephone number 7166646660

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing LISA GOODELL

Agent

Name Role Address
N/A:THE CORP. Agent 406 WEST FOURTH ST., JAMESTOWN, NY, 14701

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 406 WEST FOURTH ST., JAMESTOWN, NY, United States, 14701

Filings

Filing Number Date Filed Type Effective Date
980923000147 1998-09-23 CERTIFICATE OF MERGER 1998-09-23
A910803-17 1982-10-14 CERTIFICATE OF INCORPORATION 1982-10-14

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
16-0772744 Association Unconditional Exemption 510 W 5TH ST, JAMESTOWN, NY, 14701-4813 1947-01
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 500,000 to 999,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 846937
Income Amount 393001
Form 990 Revenue Amount 384754
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 BLIND ASSOCIATION INC
EIN 16-0772744
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CHAUTAUQUA BLIND ASSOCIATION INC
EIN 16-0772744
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name CHAUTAUQUA BLIND ASSOCIATION INC
EIN 16-0772744
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name CHAUTAUQUA BLIND ASSOCIATION INC
EIN 16-0772744
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name CHAUTAUQUA BLIND ASSOCIATION INC
EIN 16-0772744
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name CHAUTAUQUA BLIND ASSOCIATION INC
EIN 16-0772744
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
2148107300 2020-04-29 0296 PPP 510 W 5th St, Jamestown, NY, 14701-4813
Loan Status Date 2020-12-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 46639
Loan Approval Amount (current) 46639
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 R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Jamestown, CHAUTAUQUA, NY, 14701-4813
Project Congressional District NY-23
Number of Employees 4
NAICS code 624120
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 78723
Originating Lender Name Northwest Bank
Originating Lender Address WARREN, PA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 46890.72
Forgiveness Paid Date 2020-11-19
5989598704 2021-04-03 0296 PPS 510 W 5th St, Jamestown, NY, 14701-4813
Loan Status Date 2021-11-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 48147.5
Loan Approval Amount (current) 48147.5
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 R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Jamestown, CHAUTAUQUA, NY, 14701-4813
Project Congressional District NY-23
Number of Employees 5
NAICS code 624310
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Non-Profit Organization
Originating Lender ID 78723
Originating Lender Name Northwest Bank
Originating Lender Address WARREN, PA
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 48406.05
Forgiveness Paid Date 2021-10-19

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Related by address

No related companies by address

Date of last update: 17 Mar 2025

Sources: New York Secretary of State

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