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  5. CHAMPIONS FOR LIFE, INC.

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 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

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: New York Secretary of State

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