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CHAMPIONS FOR LIFE, INC.

Company Details

Name: CHAMPIONS FOR LIFE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 31 Oct 1983 (41 years ago)
Entity Number: 877713
ZIP code: 13021
County: Cayuga
Place of Formation: New York
Address: P.O. BOX 1228, AUBURN, NY, United States, 13021

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAMPIONS FOR LIFE, INC. EMPLOYEE SAVINGS PLAN AND TRUST 2023 222475001 2025-01-21 CHAMPIONS FOR LIFE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 713900
Sponsor’s telephone number 3152529305
Plan sponsor’s address 453 GRANT AVENUE, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2025-01-21
Name of individual signing MELISSA CARBONARO-GRAVIUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2025-01-21
Name of individual signing MELISSA CARBONARO-GRAVIUS
Valid signature Filed with authorized/valid electronic signature
CHAMPIONS FOR LIFE, INC. EMPLOYEE SAVINGS PLAN AND TRUST 2022 222475001 2023-11-30 CHAMPIONS FOR LIFE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 713900
Sponsor’s telephone number 3152529305
Plan sponsor’s address 453 GRANT AVENUE, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2023-11-30
Name of individual signing MELISSA CARBONARO-GRAVIUS
Role Employer/plan sponsor
Date 2023-11-30
Name of individual signing MELISSA CARBONARO-GRAVIUS
CHAMPIONS FOR LIFE, INC. EMPLOYEE SAVINGS PLAN AND TRUST 2021 222475001 2023-01-17 CHAMPIONS FOR LIFE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 713900
Sponsor’s telephone number 3152529305
Plan sponsor’s address 453 GRANT AVENUE, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2023-01-17
Name of individual signing MELISSA CARBONARO-GRAVIUS
Role Employer/plan sponsor
Date 2023-01-13
Name of individual signing MELISSA CARBONARO-GRAVIUS
CHAMPIONS FOR LIFE, INC. EMPLOYEE SAVINGS PLAN AND TRUST 2020 222475001 2021-11-10 CHAMPIONS FOR LIFE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 713900
Sponsor’s telephone number 3152529305
Plan sponsor’s address 453 GRANT AVENUE, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2021-11-10
Name of individual signing MELISSA CARBONARO-GRAVIUS
Role Employer/plan sponsor
Date 2021-11-10
Name of individual signing MELISSA CARBONARO-GRAVIUS
CHAMPIONS FOR LIFE, INC. EMPLOYEE SAVINGS PLAN AND TRUST 2019 222475001 2020-12-22 CHAMPIONS FOR LIFE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 713900
Sponsor’s telephone number 3152529305
Plan sponsor’s address 453 GRANT AVENUE, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2020-12-16
Name of individual signing MELISSA CARBONARO-GRAVIUS
Role Employer/plan sponsor
Date 2020-12-16
Name of individual signing MELISSA CARBONARO-GRAVIUS
CHAMPIONS FOR LIFE, INC. EMPLOYEE SAVINGS PLAN AND TRUST 2018 222475001 2020-01-18 CHAMPIONS FOR LIFE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 713900
Sponsor’s telephone number 3152529305
Plan sponsor’s address 453 GRANT AVENUE, AUBURN, NY, 13021

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent P.O. BOX 1228, AUBURN, NY, United States, 13021

History

Start date End date Type Value
1983-10-31 2001-01-05 Address P.O. BOX 202, CAYUGA, NY, 13034, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
010105000790 2001-01-05 CERTIFICATE OF AMENDMENT 2001-01-05
B034855-7 1983-10-31 CERTIFICATE OF INCORPORATION 1983-10-31

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
22-2475001 Corporation Unconditional Exemption 453 GRANT AVENUE RD, AUBURN, NY, 13021-8204 2001-04
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 normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-06
Asset 100,000 to 499,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 393081
Income Amount 941087
Form 990 Revenue Amount 854173
National Taxonomy of Exempt Entities M99 Public Safety, Disaster Preparedness & Relief N.E.C Recreation & Sports: Physical Fitness and Community Recreational Facilities
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 CHAMPIONS FOR LIFE INC
EIN 22-2475001
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name CHAMPIONS FOR LIFE INC
EIN 22-2475001
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name CHAMPIONS FOR LIFE INC
EIN 22-2475001
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name CHAMPIONS FOR LIFE INC
EIN 22-2475001
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name CHAMPIONS FOR LIFE INC 453 GRANT AVENUE
EIN 22-2475001
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name CHAMPIONS FOR LIFE INC
EIN 22-2475001
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name CHAMPIONS FOR LIFE INC
EIN 22-2475001
Tax Period 201606
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
2121958609 2021-03-13 0248 PPS 453 Grant Avenue Rd, Auburn, NY, 13021-8204
Loan Status Date 2021-11-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 88972
Loan Approval Amount (current) 88972
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47407
Servicing Lender Name The Lyons National Bank
Servicing Lender Address 35 William St, LYONS, NY, 14489-1544
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Auburn, CAYUGA, NY, 13021-8204
Project Congressional District NY-24
Number of Employees 10
NAICS code 713940
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 47407
Originating Lender Name The Lyons National Bank
Originating Lender Address LYONS, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 89532.65
Forgiveness Paid Date 2021-11-03

Date of last update: 17 Mar 2025

Sources: New York Secretary of State