Individual Self Insurer Carrier Code Number (Board Assigned W Number)

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Individual Self-Insurer Carrier Code Numbers (Board Assigned W Numbers) WCB Number Organization Name Qualification Date Termination Date W301006 AAA Trucking Corporation 9/1/1971 9/1/1985 W549919 Aardvark Productions Inc 10/1/2006 W338503 ABA Transportation Holding Co. Inc. 11/1/1992 W499073 Abercrombie & Fitch, Inc. 11/1/1993 5/19/1998 W303754 ABEX Corporation 7/23/1975 3/1/1978 W329882 ABF Freight System, Inc. 9/2/1982 W413843 Abraham & Straus, Inc. 8/1/1994 8/25/1995 W302004 ACF Industries, Inc. 7/6/2014 9/1/1970 W440754 ACM Medical Laboratory, Inc. 1/1/2016 W338503 Acme Bus Corp. 1/1/2012 W368005 Acustar, Inc. 5/11/1987 1/1/1993 W570253 Ademco Distribution, Inc. 5/1/1994 4/1/2000 W303879 Adirondack Steel Casting Co. Inc. 1/2/1978 12/7/1983 W503007 Adler-Royal Business Machines Inc. 1/1/1972 5/31/1979 W303002 ADT Company, Inc. 1/1/1984 10/23/1987 W413843 Advertex Communications, Inc 2/1/1999 W683502 Aero Oil Company Inc. 7/1/1973 6/1/1997 W503007 Aero Service Corporation (DEL.) 4/1/1971 6/14/1974 W568078 Agape Parents Fellowship, Inc. 8/1/2013 W372254 Ag-Chem, Inc. 10/1/1991 11/24/2003 W311757 AIL Systems, Inc. 9/1/1989 9/30/1997 W381255 Air Express International USA, Inc. 5/1/2005 5/1/2013 W304133 Airborne Express, Inc. 4/1/1993 12/30/2004 W450134 Alamo Ambulance Service, Inc. 4/1/2006 6/1/2009 W307250 Albany International Corporation 1/1/1995 1/1/2013 W667257 Albany Public Market, Inc. 9/20/1977 1/1/2004 W591127 ALBANY/RENSSELAER COUNTIES/FIRST STREET CENTER 9/1/1978 W308001 Alco Products Inc. (DEL) 1/1/1965 10/1/1968 W309009 Alco Products Inc. (NY) 12/30/1916 12/31/1964 W314009 Alcoa Inc. (nka Arconic, Inc.) 9/30/1914 7/1/2001 W476006 Alcor Envelope Company, Inc. 5/1/1999 6/30/2001 W338503 Alert Coach Lines, Inc. 1/1/2012 W617005 Alexander Smith, Inc. 7/13/1914 10/1/1954 W591374 Alexander's, St. Church 6/1/1976 W309504 Alistar Beverages Corporation 9/1/1992 11/17/1998 W310007 All American Cables & Radio Inc (NY) 8/29/1928 10/1/1962 W591127 All Saints Catholic Church 10/1/2009 W591374 ALL SAINTS CHURCH 6/1/1976 12/31/2011 W591507 All Saints Church of Syracuse, NY 7/1/1973 W334759 AllData, LLC 9/1/2002 9/1/2005 W310502 Alleghany Corp. 5/1/1978 12/31/1978 W312003 Allegheny Ludlum Industires, Inc. 4/30/1947 8/2/1976 W311500 Allegheny Ludlum Industries, Inc. 4/30/1947 8/2/1976 W312250 Allegheny Power Service Corporation 1/1/1991 6/24/1996 W304380 Allens, Inc. 3/1/2007 9/15/2008 W558720 Allied Building Products Corporation 1/1/2005 W413876 Allied Split Corporation 9/1/1980 9/16/1994 W629505 Almy Stores Inc. 8/1/1985 3/19/1987

Transcript of Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Page 1: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

WCB Number Organization NameQualification

Date

Termination

Date

W301006 AAA Trucking Corporation 9/1/1971 9/1/1985

W549919 Aardvark Productions Inc 10/1/2006

W338503 ABA Transportation Holding Co. Inc. 11/1/1992

W499073 Abercrombie & Fitch, Inc. 11/1/1993 5/19/1998

W303754 ABEX Corporation 7/23/1975 3/1/1978

W329882 ABF Freight System, Inc. 9/2/1982

W413843 Abraham & Straus, Inc. 8/1/1994 8/25/1995

W302004 ACF Industries, Inc. 7/6/2014 9/1/1970

W440754 ACM Medical Laboratory, Inc. 1/1/2016

W338503 Acme Bus Corp. 1/1/2012

W368005 Acustar, Inc. 5/11/1987 1/1/1993

W570253 Ademco Distribution, Inc. 5/1/1994 4/1/2000

W303879 Adirondack Steel Casting Co. Inc. 1/2/1978 12/7/1983

W503007 Adler-Royal Business Machines Inc. 1/1/1972 5/31/1979

W303002 ADT Company, Inc. 1/1/1984 10/23/1987

W413843 Advertex Communications, Inc 2/1/1999

W683502 Aero Oil Company Inc. 7/1/1973 6/1/1997

W503007 Aero Service Corporation (DEL.) 4/1/1971 6/14/1974

W568078 Agape Parents Fellowship, Inc. 8/1/2013

W372254 Ag-Chem, Inc. 10/1/1991 11/24/2003

W311757 AIL Systems, Inc. 9/1/1989 9/30/1997

W381255 Air Express International USA, Inc. 5/1/2005 5/1/2013

W304133 Airborne Express, Inc. 4/1/1993 12/30/2004

W450134 Alamo Ambulance Service, Inc. 4/1/2006 6/1/2009

W307250 Albany International Corporation 1/1/1995 1/1/2013

W667257 Albany Public Market, Inc. 9/20/1977 1/1/2004

W591127 ALBANY/RENSSELAER COUNTIES/FIRST STREET CENTER 9/1/1978

W308001 Alco Products Inc. (DEL) 1/1/1965 10/1/1968

W309009 Alco Products Inc. (NY) 12/30/1916 12/31/1964

W314009 Alcoa Inc. (nka Arconic, Inc.) 9/30/1914 7/1/2001

W476006 Alcor Envelope Company, Inc. 5/1/1999 6/30/2001

W338503 Alert Coach Lines, Inc. 1/1/2012

W617005 Alexander Smith, Inc. 7/13/1914 10/1/1954

W591374 Alexander's, St. Church 6/1/1976

W309504 Alistar Beverages Corporation 9/1/1992 11/17/1998

W310007 All American Cables & Radio Inc (NY) 8/29/1928 10/1/1962

W591127 All Saints Catholic Church 10/1/2009

W591374 ALL SAINTS CHURCH 6/1/1976 12/31/2011

W591507 All Saints Church of Syracuse, NY 7/1/1973

W334759 AllData, LLC 9/1/2002 9/1/2005

W310502 Alleghany Corp. 5/1/1978 12/31/1978

W312003 Allegheny Ludlum Industires, Inc. 4/30/1947 8/2/1976

W311500 Allegheny Ludlum Industries, Inc. 4/30/1947 8/2/1976

W312250 Allegheny Power Service Corporation 1/1/1991 6/24/1996

W304380 Allens, Inc. 3/1/2007 9/15/2008

W558720 Allied Building Products Corporation 1/1/2005

W413876 Allied Split Corporation 9/1/1980 9/16/1994

W629505 Almy Stores Inc. 8/1/1985 3/19/1987

Page 2: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W313001 Alpha Portland Cement Co. 6/29/1914 9/1/1957

W591374 ALPHONSUS, ST CHURCH, TUPPER LAKE CEMETERY ASSOCIATION 6/1/1976

W591374 ALPHONSUS, ST. CHURCH, TUPPER LAKE 6/1/1976 12/31/2011

W307508 Al-Tech Specialty Steel Corporation 8/2/1976 7/10/1997

W382501 Amcast Industrial Corp. 1/1/1977 1/31/1985

W315006 American Bakeries, Co. 12/29/1957 1/1/1966

W315501 American Brass Company, L.P. 5/1/1988 9/1/1990

W316004 American Can Co. 7/6/1914 4/1/1983

W318000 American Centurion Life Assurance Company 9/30/2002 9/30/2005

W317002 American Chicle Co. (NJ) 11/1/1929 10/3/1962

W317507 American Cyanamid Company 11/1/1988 7/1/1995

W318000 American Express Bank FSB 9/30/2007 9/30/2013

W319008 American Express Bank Ltd. 9/20/1934 2/29/2008

W318000 American Express Business Finance Corp 9/30/2002 11/30/2004

W318000 American Express Centurion Services Corp 9/30/2002 9/30/2013

W318000 American Express Company 8/11/1914 9/30/2013

W318000 American Express Publishing Corporation 9/30/2002 9/30/2013

W318000 American Express Tax and Business Services Inc. 9/30/2002 9/30/2005

W318000 American Express Travel Related Services 1/1/1983 9/30/2013

W319503 American Freight System Inc. 5/1/1978 9/22/1988

W320006 American Laundry Machinery 5/3/1920 9/1/1960

W321004 American Olean Tile Company Inc. 1/1/1964 1/1/1971

W446256 American Parts System Inc. 1/1/1981 9/12/1985

W322507 American Sales Company, Inc. 1/1/1999 7/1/2003

W323000 American Standard, Inc. 8/12/1939 1/1/1972

W326003 American Sugar Refining Company of New York, The 1/8/1954 1/1/1982

W562250 AmeriMark Building Products Inc. 10/1/1997 12/31/1999

W318000 Ameriprise Financial Sevices, Inc. 9/30/2002 9/30/2005

W318000 Amex Card Services Company 9/30/2007 9/30/2013

W304505 AMOCO Chemical Company 4/1/1999

W305007 Amoco Oil Company (Formerly Whale Oil Company) 4/3/1971 9/1/1971

W328504 AMPCO - Pittsburgh Corporation 6/1/1981 1/1/1986

W326003 Amstar Corporation 12/31/1966 1/1/1982

W327001 Anaconda, Co., The 1/7/1919 12/31/1981

W328009 Ancorp National Services, Inc. (DEL) 1/1/1960 2/10/1973

W591374 ANDREW'S, ST. CHURCH 6/1/1976

W591374 ANDREW'S, ST. CHURCH 6/1/1976

W591374 ANN'S, ST. CHURCH, MOOERS FORKS 6/1/1976

W591507 Annunciation Church 7/1/1973

W591374 ANTHONY'S, ST. CHURCH, WATERTOWN 6/1/1976 12/31/2011

W591374 ANTHONY'S, ST. OF PADUA ORATORY 6/1/1976

W303507 APA Transport Corporation 6/1/1974 11/1/1999

W329007 Arcata Publications Group, Inc. 1/1/1971 1/1/1984

W446256 Arco Publishing, Inc. 1/1/1985 11/27/1998

W683502 Argus Chemical Corporation 7/1/1973 6/9/1989

W476006 Arizona Chemical Company 1/1/1998 2/28/2007

W331755 Armor Kone Elevator, Inc. 5/1/1992 6/1/1995

W331508 Armour & Company (Arizona) 10/1/1982 1/2/1983

W330005 Armour & Company (DEL) 10/31/1962 10/1/1982

Page 3: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W331003 Armour & Company (ILL.) 9/24/1943 10/31/1960

W331508 Armour Food Company 1/2/1983 12/19/1983

W332001 Armstrong World Industries, Inc. 1/1/1959 10/1/1999

W424634 Army Times Publishing Company 10/1/2000 12/1/2000

W361737 Arnold Foods Company, Inc. 12/1/1991 10/1/1997

W332506 Arnot Ogden Medical Center 1/1/1985

W558720 Arzee Acquisition LLC 9/1/2005

W333132 Ascension Health 2/1/2004

W333132 Ascension Health Alliance 2/1/2004

W333199 Aspire of Western New York, Inc. 1/1/2005

W498505 Associated Lerner Shops of America 7/1/1975 1/1/1979

W538003 Associated Products Inc. 11/1/1977 12/19/1982

W334007 Associated Transport Inc. 12/1/1950 4/22/1976

W446256 Associates Commercial Corp. 2/27/1984 10/31/1989

W446256 Associates Financial Services Co., Inc. 1/1/1981 10/31/1989

W446256 Associates Financial Svce Co of NY 1/1/1981 10/31/1989

W325005 AT&T Comm. Of New York, Inc. 7/14/1914 11/19/2005

W325005 AT&T Communications, Inc. 11/19/2005

W325005 AT&T Corporation 7/14/1914 11/19/2005

W325005 AT&T Resource Management Corp. 1/29/1931 11/19/2005

W669006 AT&T Technologies, Inc. 10/14/1966 1/1/1990

W368385 At-A-Glance, Inc. 2/16/1992 12/31/2000

W334502 Atlantic Richfield Co. 1/1/1982 7/1/1986

W568133 Atochem North America Inc. 11/1/1979 6/16/1990

W549919 Atom Entertainment, Inc. 12/31/2006

W347751 Auburn Technology, Inc. 5/15/1995 6/30/2006

W659007 Audlane Lumber Corporation 1/1/1966 6/4/1970

W591374 AUGUSTINE'S, ST. CHURCH 6/1/1976

W591374 AUGUSTINE'S, ST. CHURCH, PERU 6/1/1976

W315501 Aurubis Buffalo, Inc. 5/1/1988 11/8/2012

W651251 Autotronic Products Inc. 1/1/1979 9/1/1982

W334759 Autozone Development Corporation 9/1/2002 9/1/2005

W334759 Autozone Stores, Inc 9/1/2002 9/1/2005

W334759 Autozone Texas, LP 9/1/2002 9/1/2005

W334759 Autozone, Inc 9/1/2002 9/1/2005

W334759 Autozoners, Inc 9/1/2002 9/1/2005

W595755 Aviation Sales & Management Co Inc. 3/24/1987 12/31/1991

W549919 Awesomeness, Inc. 11/10/2008

W667133 Baja Fresh Westlake Village, Inc. 9/15/2005 11/27/2006

W336002 Baker & Williams Inc. 12/1/1957 9/30/1981

W559256 Baker Hall, Inc. 4/1/1992

W559256 Baker Victory Healthcare Center 3/1/2009

W336382 Ball Corporation 1/1/1985

W336382 Ball Metal Beverage Container Corp. 1/1/1996

W336382 Ball Plastic Container Corp. 1/1/1996

W492003 Bargain Harold's USA Inc. 3/1/1986 6/26/1992

W662506 Barmat Construction Corp. 4/30/1978 5/1/1981

W558506 Barnett/Novo International Corp. 5/1/1973 7/14/1978

W591374 BARTHOLOMEW'S, ST. CHURCH OLD FORGE 6/1/1976

W499073 Bath & Body Works Brand Management, Inc. 7/12/2006

Page 4: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W499073 Bath & Body Works Direct, Inc. 1/1/2006

W499073 Bath & Body Works, Inc. 11/1/1993 4/1/2006

W499073 Bath & Body Works, LLC 7/1/2006

W338503 Baumann & Sons Buses Inc. 1/1/2012

W338503 Baumann Bus Company, Inc. 1/1/2014

W340004 Bay Ridge Operations Co., Inc. 12/5/1917 4/1/1981

W647630 Bayway Refining Company 9/15/1995 2/1/1997

W417380 Beacon Network Services, Inc. 6/1/2012

W341002 Beatrice Company 9/6/1987 8/14/1990

W341002 Beatrice Company (1990) 8/14/1990 9/23/1993

W341002 Beatrice Specialty Apparel Co. 10/15/1981 3/12/1985

W499073 beautyAvenues, LLC 2/1/2006

W341259 Beech-Nut Nutrition Corporation 5/1/1994 9/10/1998

W557904 Beechwood, Inc. 1/1/2011 1/1/2012

W440754 Behavioral Health Network, Inc. 1/1/2012

W342000 Bell Telephone Laboratories 2/2/1925 2/15/1975

W446256 Belwyn-Mills Publishing Corp. 2/27/1984 3/22/1985

W342505 Bendix Corporation 10/1/1979 10/1/1983

W372254 Berliner & Marx, Inc 10/1/1983 5/24/1995

W591374 BERNARD'S, ST. CHURCH SARANAC LAKE 6/1/1976

W591374 BERNARD'S, ST. CHURCH, LYON MOUNTAIN 6/1/1976

W549919 BET Services, Inc. 10/1/2006

W558720 Betco Block & Products Corporation 10/1/1993 8/8/1997

W343008 Bethlehem Steel Corporation (1963) 7/1/1963 8/30/1986

W343503 Bethlehem Steel Corporation (1988) 8/30/1988 5/7/2003

W343503 Bethlehem Steel Export Corporation 8/30/1988 5/7/2003

W557904 Beverwyck, Inc. 1/1/2011 1/1/2012

W650065 Beverwyck, Inc. 1/1/2016

W438006 BF Goodrich Co. 7/1/1954 10/1/1982

W335509 BFI of Metro New York, Inc. 1/1/1995 5/1/1997

W344006 Bickford's Inc. 1/1/1957 12/31/1970

W446256 Big A Auto Parts Inc. 1/1/1981 9/12/1985

W344253 Big V Supermarkets, Inc. 2/16/1994 7/14/2002

W548002 Binghamton Movers Inc. 1/1/1971 7/26/1985

W380257 Birds Eye Foods, Inc. (Pinnacle Foods, LLC) 7/1/1982 7/1/2009

W591507 Bishop Grimes JR/SR High School 3/31/2016

W591507 Bishop Ludden Jr./Sr. High School 7/1/1973

W600720 Bishop/Hobson Miller Paper Co. Inc. 7/1/1975 7/1/1977

W335756 BJ's Wholesale Club, Inc. 7/27/1997

W591127 Black Catholic Apostolate, The 7/1/2010

W549919 Black Entertainment Television LLC 10/1/2006

W549919 Black Entertainment Television, LLC 3/31/2008

Blaw-Knox Company (NJ) 6/20/1945 12/31/1952

W346001 Blaw-Knox Company (DEL) 12/31/1952 7/6/1967

W595755 Blazer Truck Lines, Inc. 11/24/1989 2/28/1997

W591374 BLESSED JOHN XXIII NEWMAN CENTER 6/1/1976

W591127 Blessed Sacrament Church 9/1/1978

W591507 Blessed Sacrament Church - Syracuse 7/1/1973

W591507 Blessed Sacrament Church - Vestal 7/1/1973

W591507 Blessed Sacrament Church of Eastwood 7/1/1973

Page 5: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W591192 Blessed Sacrament Roman Catholic Church 7/1/1989

W446256 Blockbuster Music Retail Inc. 7/1/1995 10/26/1998

W446256 Blockbuster Videos Inc. 7/1/1995 10/1/1999

W446256 Bloomcraft Inc. 1/1/1981 9/12/1985

W413843 Bloomingdale's By Mail Ltd. 12/19/1994 7/31/2015

W413843 Bloomingdale's LLC 4/1/2005

W413843 Bloomingdale's, Inc. 8/1/1994

W413843 Bloomingdales, The Outlet Store 6/1/2010

W413843 Bloomingdales.com, LLC 7/31/2015

W449508 Blue Jeans Corp. 3/1/1978 11/20/1981

W413843 Bluemercury, Inc. 8/1/2015

W867386BOCES First Supervisory Dist Suffolk County aka Eastern Suffolk

BOCES7/1/1990 7/1/1994

W347751 Bombardier Capital, Inc. 5/15/1995 6/30/2006

W347751Bombardier Corporation (nka Bombardier Transportation (Global)

USA)5/15/1995 6/30/2006

W347886 Bon Secours Charity Health System Medical Group PC 4/1/2017

W347886 Bon Secours Charity Health System, Inc. 4/1/2017

W421754 Bon Secours Charity Health System, Inc. 10/1/1998 5/19/2015

W421754 Bon Secours Community Hospital 10/1/1998 5/19/2015

W347886 Bon Secours Community Hospital Port Jervis 4/1/2017

W421754 Bon Secours Health System, Inc. 3/1/2000

W421754 Bon Secours New York Health System, Inc. 10/1/1998

W558720 Bonsal American, Inc. 1/1/2005

W348007 Borden, Inc. (nka Hexion, Inc.) 1/1/1971 7/1/1997

W349005 Borg-Warner Corp 1/1/1968 1/1/1974

W558506 Boss-Linco Lines Inc. 5/1/1973 7/14/1978

W350003 Boston and Albany Railroad 4/3/1961

W351506 Bradlees, Inc. 7/10/1992 2/6/2001

W591507 Brady Faith Center, Inc. 4/1/1973

W351001 Branch Motor Express Company 10/1/1974 8/1/1983

W591374 BRENDAN'S, ST. CHURCH, KEENE 6/1/1976

W354005 Brewer-Titchener Corp. (NY 1968) 2/26/1968 6/30/1978

W353007 Brewer-Titchener Corp. (NY) 1/22/1918 2/25/1968

W354138 Briggs & Stratton Corporation 4/1/2016

W520852 Broadcort Capital Corp. 2/1/1994 1/9/2006

W380257 Brockport Cold Storage Company,Inc. 2/20/1991 9/30/1991

W354252 Brookdale Family Care Centers. Inc. 9/30/2000

W354252 Brookdale Hospital Center Hegeman Ave Housing Co Inc 11/13/1978

W354252 Brookdale Hospital Center Housing Co., Inc. 11/13/1978

W354252 Brookdale Hospital Medical Center 11/13/1978

W354252 Brookdale Residence Housing Development Fund Corp., Co. 11/13/1978

W354948 Brooklyn Bureau of Community Service 5/1/1996

W326003 Brooklyn Cooperage Co. 7/6/1914 1/1/1982

W356000 Brooklyn Union Gas Co. 7/6/1914 1/1/1945

W488860 Brooklyn Union Gas Company KeySpan Energy Delivery of NY 9/30/2001 7/1/2009

W556500 Brooklyn Union Gas Company, The 7/1/2009

W338503 Brookset Bus Corp. 1/1/2012

W662506 Brook-Vale Equities Inc. 4/30/1978 5/1/1981

W600720 Brown & Bigelow Inc. 1/1/1979 4/4/1980

Page 6: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W600944 Brown Jordan Co. 7/1/1978 12/12/1983

W356943 Browning-Ferris Industries of NY., Inc. 1/1/1983 5/1/1997

W453005 Buffalo Bills Inc. 12/1/1974 6/30/1987

W358006 Buffalo Brake Beam Co 7/26/1919 7/1/1976

W559504 Buffalo China, Inc 7/1/1984 5/17/2011

W386007 Buffalo Containers Inc. 4/1/1970 12/31/1973

W403505 Buffalo Creek RR Company 2/9/1942 10/9/1972

W328504 Buffalo Forge Company 6/1/1981 7/26/1982

W538003 Buffalo Freezer Corp. (NY) 1/1/1971 8/8/1975

W492003 Builders Square, Inc. 8/1/1992 9/1/1997

W591127 Burke Community Service Corporation 3/31/2012

W361000 Burns Bros. 4/9/1919 6/1/1963

W361505 Burns International Sec. Services 7/1/1974 8/14/1982

W361638 Bush Industries, Inc. 1/1/1989

W413132 C.E. Elevator Corp. 8/1/1994 1/1/1997

W499073 Cacique, Inc. 11/1/1993 1/31/1998

W361828 Caldor Corporation, The 12/31/1996 1/22/1999

W519698 Caldor Inc. 8/1/1987 10/28/1989

W361828 Caldor, Inc. (1991) 8/4/1991 10/21/1993

W558720 Callanan Industries, Inc. 10/1/1993

W386007 Calmar Inc. 4/1/1970 1/1/1972

W559504 Camden Wire Company 1/1/1985 4/1/1997

W363006 Canada Dry Corporation 4/1/1972 2/2/1982

W450944 Cancer and Blood Medical Services of New York, P.C. 7/1/2013 12/31/2013

W363253 Canron Fabrication Corp. 11/1/1996 2/23/1998

W591192 Cantalician Center for Learning, Inc. 7/1/1989

W591192 CANTALICIAN CENTER WORKSHOP 7/1/1989

W557904 Capital Region Geriatric Center, Inc. 1/1/2011 1/1/2012

W650065 Capital Region Geriatric Center, Inc. 1/1/2016

W364004 Carborundum Co., The 10/1/1954 12/31/1980

W364251 Career Employment Services, Inc. 7/1/1994 7/1/1994

W364251 Career Horizons Government Services, Inc 7/1/1994 1/1/1998

W364251 Career Horizons, Inc. 7/1/1994 1/1/1998

W364517 Cargill Investor Services, Inc. 6/1/1991 9/1/2005

W364517 Cargill, Inc. 6/1/1991 5/31/2007

W574255 Carhart Photo 8/1/1988 1/1/1995

W364384 Carillon Nursing and Rehabilitation Center, LLC 3/20/2005

W364509 Carolina Freight Carriers Corp. 6/1/1974 12/31/1994

W368757 Carthage Specialty Paperboard, Inc. 4/1/1993 3/1/2014

W364525 Case Paper Co., Inc. 2/16/1996 8/1/1999

W591127 Cathedral of the Immaculate Conception 9/1/1978

W591507 Cathedral of the Immaculate Conception 7/1/1973

W591192 Catholic Academy of the Holy Family 7/1/1989

W591507 CATHOLIC CEMETERIES OF ROME 4/1/1974

W591507Catholic Cemeteries of the Roman Catholic Diocese of Syracuse,

Inc.3/31/2010

W591374 Catholic Charites of the Diocese of Ogdensburg 6/1/1976

W591374 CATHOLIC CHARITIES ABSTINENCE PROGRAM 6/1/1976

W591127 Catholic Charities AIDS Services 8/4/2008

W591127 CATHOLIC CHARITIES DELAWARE-OTSEGO 9/1/1978

Page 7: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W591127 Catholic Charities Disability Services 9/1/1978

W591127 Catholic Charities Housing 9/1/1978

W591507 Catholic Charities of Broome County 7/1/1973

W591192 Catholic Charities of Buffalo, NY Inc. 7/1/1989

W591507 Catholic Charities of Chenango County 7/1/1993

W591127 Catholic Charities of Columbia & Greene Counties 9/1/1978

W591507 Catholic Charities of Cortland County 7/1/1973

W591127 Catholic Charities of Herkimer County 9/1/1978

W591507 Catholic Charities of Onondaga County 7/1/1992

W591507 Catholic Charities of Oswego 7/1/1973

W591127 Catholic Charities of Schoharie County 9/1/1978

W591127 Catholic Charities of the Diocese of Albany 9/1/1978

W591127Catholic Charities of the Diocese of Albany dba Catholic Charities

of Saratoga, Warren & Washington Counties9/1/1978

W591374 CATHOLIC CHARITIES PLATTSBURGH 6/1/1976

W591127 Catholic Charities Senior & Caregiver Support Services 9/1/1978

W591507 CATHOLIC SCHOOL DIOCESE OF SYRACUSE 4/1/1973

W591507 Catholic Schools of Broome County 7/1/1973

W646509 Cayuga Medical Center at Ithaca, Inc. 2/1/1994

W384754 CBR Development Company, Inc. 7/1/1979 6/30/1998

W446256 CBS Broadcasting Inc. 1/1/2001

W446256 CBS Corporate Services, Inc. 9/1/2008

W446256 CBS Corporation 1/1/1981

W446256 CBS Films, Inc. 9/1/2008

W446256 CBS Interactive Media, Inc. 9/1/2008

W446256 CBS Interactive, Inc. 10/2/2008

W446256 CBS News, Inc. 9/1/2008

W446256 CBS Operations Inc. 7/31/1996

W446256 CBS Outdoor Group Inc. 1/1/2001 6/1/2014

W446256 CBS Outdoor, Inc. 1/1/2001 6/1/2014

W446256 CBS Outernet, Inc. 9/1/2008 6/1/2014

W446256 CBS Radio East Inc. 4/13/2001 12/31/2003

W446256 CBS Radio Inc. 1/1/2001 12/31/2003

W446256 CBS Radio Media Corporation 1/1/2001 12/31/2003

W446256 CBS Radio Sales Company 12/30/2005

W446256 CBS Radio Services Inc. 12/30/2005

W446256 CBS Radio Stations Inc. 1/1/2001 12/31/2003

W446256 CBS Radio Technical Services Inc. 1/1/2001 12/31/2004

W446256 CBS Sports Inc. 12/30/2005

W446256 CBS Studios, Inc. 9/1/2008

W446256 CBS/CTS, Inc. 12/30/2005

W591374 CECILIA'S ST.CHURCH 6/1/1976

W434005 CeCorr, Inc. 1/1/1999 12/19/2005

W437750 Cengo Construction Corp. 5/30/1980

W437750 Central Distributors, Inc. 5/30/1980

W364608 Central General Hospital Inc. 10/1/1984 2/17/1988

W361786 Central Hudson Gas & Electric Corp. 1/1/2012

W476006 Central Lewmar, LLC 9/1/2007 12/31/2009

W515506 Central Wholesalers, LLC 5/1/2017

W591192 CEPHAS ATTICA INC 12/1/2007

Page 8: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W364723 Cerock Wire & Cable Group, Inc. 1/1/1983 5/5/1984

W364533 Cerro Conduit Company 5/5/1984 5/29/1987

W364699 Cerro Wire & Cable Corp (1981) 1/1/1981 1/1/1983

W361786 CH Energy Group, Inc. 1/1/2013

W591507 Chadwick Residence, Inc. 7/1/1973

W365134 Champion International Corporation 10/1/1990 6/20/2000

W365258 Champlain Valley Physicians Hospital Medical Center 2/16/1979

W591374 CHANCERY BUILDING 6/1/1976

W365324 Charmer Industries, Inc. 12/1/1994 11/1/1998

W662506 Charro Trucking Corporation 4/30/1978 7/1/1981

W591507 Chenango County Catholic School 4/16/1974

W366009 Chicago Bridge & Iron Co 4/16/1937 12/22/1985

W366504 Chicago Market Enterprises, Inc. 8/1/1981 11/1/1985

W367007 Chicago Pneumatic Tool Company 6/16/1949 9/1/1986

W367130Chicago Pneumatic Tool Company (Atlas Copco North America LLC

)4/1/1990 4/1/1997

W367193 Child and Family Services Foundation 7/1/2014

W367193 Child and Family Services of Erie County, Inc. 7/1/2014

W367254 Children's & Women's Health, Inc. 4/1/1989 4/1/1998

W367254 Children's Hospital of Buffalo 4/1/1983 4/1/1998

W367254 Children's Hospital of Buffalo Foundation 9/20/1990 4/1/1998

W463004 Childs Rest. Div. 4/1/1948 9/15/1950

W591127 Christ our Light Catholic Church 11/17/2009

W591507 Christ Our Light Church 7/1/1973

W591507 Christ the King Retreat House 2/1/1994

W591507 Christopher Community, Inc 4/16/1974

W368005 Chrysler Credit Corporation 10/1/1978 1/1/1993

W368005 Chrysler Credit Corporation 10/1/1978 1/1/1996

W368005 Chrysler Motors Corporation 4/1/1961 12/31/1989

W368005 Chrysler Plastics Products Corp. 10/1/1978 10/29/1981

W368005 Chrysler Realty Corp. 10/1/1978 9/29/1979

W662506 Church Avenue Supermarket Inc. 4/30/1978 5/1/1981

W591374 CHURCH OF ALL SAINTS 6/1/1976

W591127 Church of our Lady of Hope 12/31/2009

W591127 Church of St. Joseph - Stuyvesant 12/31/2009

W591374 CHURCH OF THE ASSUMPTION 6/1/1976

W591507 Church of the Assumption Blessed Virgin Mary 7/1/1973

W591127 CHURCH OF THE ASSUMPTION ST. PAUL 9/1/1978

W591127 Church of the Blessed Sacrament 9/1/1978

W591374 CHURCH OF THE HOLY ANGELS 6/1/1976

W591374 CHURCH OF THE HOLY CROSS 6/1/1976

W591507 Church of the Holy Family, The - Endwell 7/1/1973

W591374 CHURCH OF THE HOLY NAME 6/1/1976

W591127 Church of the Holy Spirit - Gloversville 7/1/2009

W591374 CHURCH OF THE IMMACULATE CONCEPTION 6/1/1976

W591374 CHURCH OF THE SACRED HEART 6/1/1976

W591374 CHURCH OF THE VISITATION, NORFOLK 6/1/1976 5/1/2015

W448757 Circle International Group, Inc. 2/15/1991 12/31/2000

W448757 Circle International, Inc. 2/15/1991 12/31/2000

W372254 Citrus Bowl Inc. 10/15/1981 12/1/1986

Page 9: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W522759 Claims Adjusting & Processing Service Company 1/1/1997 11/30/1999

W558720 Clemente Latham Concrete Corporation 10/1/1993 12/29/1995

W591507 Clerical Fund Society of the Roman Catholic Diocese of Syracuse 3/31/2013

W368500 Clermont Fruit Packers Inc. 10/20/1976 3/23/1982

W369250 Cliffstar Corporation (Cott Corporation) 5/1/2004 8/17/2010

W440754 Clifton Springs Sanitarium Company, The 1/1/2016

W369508 Cluett, Peabody & Company Inc. 4/1/1983 1/1/1987

W421754 Coalition for Care 10/1/1998

W369755 Coles Express, Inc. 8/1/1996 12/31/1996

W370506 Colorcraft Corporation 2/1/1986 12/31/1990

W379507 Colt Industries Operating Corp 9/1/1975 12/20/1985

W417885 Columbia Funds Distributor, Inc. 1/1/2004 8/1/2004

W417885 Columbia Management Advisors, Inc. 4/1/2003 8/1/2004

W370753 Columbia University in the City of New York, Trustees of 7/1/1992

W371009 Commercial Cable Co. of NY 7/22/1914 10/1/1962

W384820 Community Facilities, Inc. 9/1/2001

W650069 Community Hospice Foundation, The 1/1/2016

W650069 Community Hospice, Inc., The 1/1/2016

W591127 Community Maternity Services 9/1/1978

W372007 Comstock-Greenwood Inc. (NY) 10/1/1964 3/1/1969

W372254 ConAgra Foods Refrigerated Foods Co., Inc. 10/1/1981 11/28/2004

W372254 ConAgra Foods, Inc. (nka Conagra Brands, Inc) 10/1/1991 6/1/2005

W372254 ConAgra Grocery Products Company 12/1/1986 12/31/2004

W372387 ConAgra Maple Leaf Milling, Inc. 3/1/1993 2/1/1999

W372502 Condec Corporation 2/1/1974 1/31/1986

W455000 Conrad International Hotels Corp. 9/14/1989 3/20/2001

W373005 Consolidated Edison Company of New York, Inc. 7/8/1914

W374003 Consolidated Freightways Corp of DEL 1/1/1965 10/1/1996

W375257 Container Corp. of America 2/1/1974 9/30/1986

W364251 Contemporary Graphics Group, Inc. 7/1/1994 1/1/1998

W574131 Continental Coffee Products Company 10/1/1993 7/1/1997

W517627 Convention Hotels Inc. 5/1/1978 3/2/1992

W568257 Con-Way Eastern Express, Inc. 1/1/1978 10/1/1990

W375937 Cooper Crouse-Hinds, LLC 1/1/2005 7/1/2008

W375398 Cooper Industries, Inc. (Eaton / Apex) 1/3/1983 1/1/2005

W375937 Cooper Industries, LLC 1/1/2005 7/1/2008

W375398 Cooper Power Systems, Inc. 10/1/1992 1/1/2005

W375937 Cooper Power Systems, LLC 1/1/2005 7/1/2008

W375937 Cooper Tools, Inc. 1/1/2005 7/1/2008

W375919 Cooper Turbocompressor, Inc. 12/1/1990 1/1/2007

W375937 Cooper US, Inc. 1/1/2005 7/1/2008

W375505 Cooper-Jarrett Inc 7/1/1933 1/1/1982

W376008 Cornell University 10/31/1928

W378251 Corning Hospital 7/1/1989 7/1/2009

W378004 Corning Incorporated 10/22/1925 8/15/1998

W517627 Corporate Food Services, Inc. 10/1/1992 3/27/1998

W517627 Corporate Food Services, Inc. 10/1/1992 3/27/1998

W591507 Cortland Chenango Rural Services, Inc. 9/30/2013

W378442 Costco Wholesale Corporation 10/1/1996

Page 10: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W549919 Country Services Inc. 10/1/2006

W517627 Courtyard Management Corporation 4/20/1989

W421754 Covenant Corporation of Suffern, N.Y. 10/1/1998 3/2/2000

W361737 CPC International, Inc. 12/1/1991 10/1/1997

W378632 Crawford Furniture Mfg. Corp. 1/1/1992 1/1/2009

W379259 Crouse Health Hospital, Inc. 2/17/1979

W379002 Crouse Hinds Company 10/14/1925 1/1/1983

W379507 Crucible Materials Corp. 7/1/1983 12/20/1985

W379697 Crucible Materials Corporation 2/1/1989 12/20/1994

W446256 CSTV Networks, Inc. 9/1/2008

W341002 Culligan Dutchess Putman Water Cond 2/1/1977 7/2/1987

W379887 Cummins Emission Solutions, Inc. 3/31/2013

W379887 Cummins Inc. 2/1/1994

W379887 Cummins Mobility Services Inc. 3/31/2013

W379887 Cummins Northeast LLC 1/1/2016

W379887 Cummins Power Generation, Inc. 2/1/1994

W379887 Cummins Power Systems, LLC (Term) 3/31/2013 1/1/2017

W380323 Curtis Niagara, LLC 7/1/2005 11/3/2014

W380380 Curtis Screw Co., Inc. 7/1/1993 7/1/2005

W595755 Custom Food Management Service Inc. 3/1/1977 12/31/1978

W381008 Cyprus Mines Corp 7/1/1969 7/8/1979

W591374 CYRIL'S,ST. CHURCH 6/1/1976

W520852 Dacion Corp. 2/1/1994 8/1/2009

W368005 Daimler Chrysler Corporation 4/1/1961 4/1/1999

W477251 Danskin Inc. 10/1/1981 11/1/1983

W381255 Danzas Corporation 5/1/2005 5/1/2013

W382006 Darling-Delaware Co Inc. 7/20/1963 4/1/1979

W519698 David's Bridal, Inc. 1/1/2004 2/2/2006

W381131 DCH Auto Group (USA), Inc. 9/1/2006 11/1/2014

W381131 DCH Long Island Saturn, LLC 11/1/2008 11/1/2014

W381131 DCH Mamaroneck LLC 11/1/2008 11/1/2014

W381131 DCH Management Services Inc. 9/1/2006 11/1/2014

W381131 DCH Midland LLC 11/1/2008 11/1/2014

W381131 DCH NY Imports, LLC 11/1/2008 11/1/2014

W381131 DCH NY Motors LLC 11/1/2008 11/1/2014

W381131 DCH NY Team Member Services LLC 9/1/2006 11/1/2014

W591127 DE PAUL MANAGEMENT CORP. 1/1/2005

W382634 Dean Foods Vegetable Company 2/1/1995 9/24/1998

W595755 Delavan Industries, Inc. 3/1/1977 12/31/1991

W383004 Delaware & Hudson Railroad Corp. 6/11/1930 7/1/1968

W610505 Delaware County Dairies Inc. 1/1/1978 8/10/1987

W448252 Delhaize America 1/2/2011

W448252 Delhaize America Distribution, LLC 1/4/2015

W448252Delhaize America Shared Services Group Retail Business LLC (nka

Retail Business Services, LLC)3/31/2011 12/13/2016

W448252 Delhaize America Supply Chain Services, Inc. 1/1/2014

W448252 Delhaize America Transportation, LLC 4/15/1990

W384630 Delphi Automotive Systems Human Resources LLC 1/1/2002 10/6/2009

W384630 Delphi Automotive Systems Services, LLC 1/1/2001 10/6/2009

W384630 Delphi Corporation 1/1/1999 10/6/2009

Page 11: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W384754 Denny's Inc. 7/1/1979 6/30/1998

W384820 DePaul Adult Care Communities, Inc. 9/1/2001

W384820 DePaul Community Services, Inc. 9/1/2001

W384820 DePaul Group, Inc. 9/1/2001

W384820 DePaul Properties, Inc. 9/1/2001

W309504 Desormeau Vending Corporation 7/1/1994 11/17/1998

W499917 Detroit Red Wings, Inc. 10/4/1985 11/4/1990

W381255 DHL Airways, Inc. 9/1/1991 5/14/2001

W381255 DHL Express (USA), Inc. 1/15/2001 5/1/2013

W381255 DHL Global Customer Solutions (USA), Inc. 1/15/2001 5/1/2013

W381255 DHL Information Services (Americas), Inc. 1/15/2001 5/13/2013

W381255 DHL Network Operations (USA), Inc. 1/1/2006 5/1/2013

W386007 Diamond Automation Inc. 4/1/1970 1/1/1972

W386007 Diamond International Corp. 4/1/1970 1/1/1983

W386007 Diamond National Corporation 4/1/1970 1/1/1972

W389001 DiGiorgio Corporation 1/1/1972 3/31/1981

W591507 Diocese of Syracuse Saint Thomas Preparatory Seminary Fund, Inc. 3/31/2013

W480008 Direct Winters Transport Ltd. 10/1/1976 1/1/1983

W437008 Distech Systems, Inc. 10/1/2015 1/1/2016

W645501 Distribution System of America, Inc. 1/1/1979 4/1/1998

W389753 Dolgencorp of New York, Inc. 5/15/2001

W558720 Dolomite Products Company, Inc. 1/1/2005

W390389 Dow Chemical Company, The 10/1/1982 12/1/1997

W381255 DPWN Holdings (USA), Inc. 1/15/2001 5/1/2013

W549919 Dreamworks, L.L.C. 12/31/2006

W390504 Dresser Industries Inc. 6/1/1977 11/1/1987

W499040 Drummond Glass Company 5/15/1996 7/1/2009

W480503 Dyno Nobel, Inc. 6/10/1985 7/1/2003

W391007 E. I. du Pont de Nemours and Company 8/10/1914

W391502 Eastern Co. Frazer/Jones Div. 7/1/1984 7/1/1986

W392005 Eastern Express Inc 11/23/1965 5/10/1977

W393003 Eastern Freightways Inc 12/3/1968 4/22/1976

W444004 Eastern Greyhound Lines Company 9/1/1986 3/19/1987

W394001 Eastern Railroad Association 3/13/1925 1/1/1979

W395008 Eastman Kodak Company (NJ) 9/5/1936

W395008 Eastman Kodak Stores Inc. (NY) 6/11/1923 11/2/1968

W395008 Eastman Technology, Inc. 1/1/1986 1/1/1996

W397004 Ebinger Baking Co. 7/3/1936 5/1/1966

W482889 Eczel Corporation 8/1/1985 5/6/1986

W650065 Eddy Licensed Home Care 1/1/2016

W397251 Edison International Inc. 1/5/1981 1/1/1987

W591374 EDMUND'S, ST. CHURCH, ELLENBURG 6/1/1976

W488381 Eggo Company 4/1/1999 4/1/2000

W549919 Elevate Productions Inc. 1/1/2010

W591374 ELIZABETH, ST. CHURCH 6/1/1976

W591374 ELIZABETH,ST. SETON CHURCH 6/1/1976

W568078 Elmwood Health Center, Inc. 3/1/2006

W413876 Elton Leather Company 9/1/1980 9/16/1994

W398531 Emerson Power Transmission Corp. 4/1/1994 7/1/2010

Page 12: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W399000 Empire City Subway Co. 7/6/1914 12/12/1991

W557904 Empire Home Infusion Service, Inc. 1/1/2011 1/1/2012

W650065 Empire Home Infusion Service, Inc. 1/1/2016

W400006 Endicott Johnson Corp 1/1/1923 1/31/1982

W412001 Enjay Chemical Company (DEL) 7/1/1966 1/1/1973

W400253 Entergy Nuclear Operations, Inc. 5/31/2006

W402002 Equitable Life Assur. Society of U.S. 7/12/1916 4/11/1944

W818009 Erie Community College 1/1/1978

W402507 Erie County Medical Center Corporation 3/31/2016

W576508 Erie Liquor Co. Inc. 10/1/1974 11/30/1977

W439756ESCO Turbine Technologies – Syracuse, Inc. (nka Consolidated

Precision Products.)12/1/1993 12/28/2012

W412001 Esso Chemical Company Inc. (DEL) 5/1/1963 1/1/1973

W410005 Esso Standard Oil Co.%Exxon Corp. 1/1/1949 1/1/1960

W410757 Estech Inc. 10/1/1981 10/5/1981

W411508 Evans Products Co 1/1/1979 10/15/1984

W627756 Evolution Fresh, Inc. 9/30/2013

W589501 Excell Partners Inc 5/1/2012

W417380 Excellus Acquisition, Inc. 6/1/2012

W417380 Excellus Health Plan, Inc. 12/31/1998

W417380 Excellus Ventures, Inc. 6/1/2012

W517627 Execustay, LLC 10/6/2000 5/1/2012

W520506 Export Carpenters Inc. 10/1/1977 8/24/1980

W499073 Express, Inc. 11/1/1993 5/1/1998

W499073 Express, LLC (1993) 11/1/1993 7/6/2007

W499073 Express, LLC (2005) 3/31/2005 7/6/2007

W562250 Exterior Systems Inc F/K/A Norandex Inc 7/3/1997 8/31/2007

W412001 Exxon Corp 5/1/1950 7/1/1978

W412001 Exxon Enterprises Inc. 8/1/1970 7/1/1978

W412001 Exxon International Inc. (DEL) 1/1/1952 8/17/1971

W412001 Exxon Research & Engineering Co. 8/1/1970 6/1/1976

W595755 F.J. Boutell Driveaway Co., Inc. 12/31/1991 3/11/1997

W413504 Fabric Leather Corporation 12/16/1975 10/31/1988

W557417 Faconnable USA, Inc. 2/1/2001 2/26/2002

W517627 Fairfield FMC, LLC 10/1/1992

W413629 Falconer Glass Industries Inc 1/1/1981 1/1/1986

W565253 Family Care Services 4/1/2013 4/1/2014

W413665 Family Dollar Services, Inc. 6/1/2014

W413665 Family Dollar Stores of New York, Inc. 6/1/2014

W413665 Family Dollar, Inc. 6/1/2014

W446256 Famous Music Corporation 1/1/1981 12/31/2005

W517627 Farrell's Ice Cream Parlour Restaurants, Inc. 4/20/1989 10/1/1993

W570253 FBX Corporation 5/1/1994 4/1/2000

W413075 FCA US LLC 6/26/1989 12/31/2004

W413751 Fedders Corp 6/17/1980 5/11/1982

W413785 Federal Express Corporation 1/15/1988

W413819 Federal Stamping, Inc. 10/1/1981 6/7/1985

W413843 Federated Corporate Services, Inc. 12/19/1994 1/1/2004

W413694 FedEx Freight, Inc. 7/1/2007

W586259 FedEx Ground Package System, Inc. 12/1/1992

Page 13: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W413868 Felchar Manufacturing Corporation 7/1/2004

W413876 Feuer Leather Corporation 9/1/1980 9/16/1994

W413876 Feuer Purchasing Corporation 2/15/1990 9/16/1994

W413132 FHE Services, Inc. 8/1/1994 1/1/1997

W419006 Fields, J.M. Inc. 4/1/1977 11/1/1978

W417007 Fifth Avenue Coach Lines Inc 2/12/1936 4/30/1962

W389001 Filper Corporation 1/1/1972 11/8/1981

W417000 Finch, Pruyn & Co Inc 7/27/1914 6/30/1963

W417257 Finch, Pruyn & Company, Inc. 7/1/1993 6/18/2007

W380257 Finger Lakes Packaging Co., Inc. 12/16/1986 10/9/1996

W417323 Finger Lakes Regional Health System, Inc. 1/31/2002

W570253 Fire Burglary Instruments, Inc. 5/1/1994 4/1/2000

W417505 First National Supermarkets, Inc. (1977) 1/1/1977 1/9/1987

W417752 First National Supermarkets, Inc. (1989) 4/1/1989 2/23/1997

W417885 FIS Securities, Inc. 4/1/1995 8/30/2002

W417885 Fleet Bank 4/1/1995 11/14/1997

W417885 Fleet Bank, National Association 5/1/1996 9/1/2000

W417885 Fleet Boston, LLC 4/1/1995 12/31/2000

W417885 Fleet Brokerage Securities, Inc. 4/1/1995 3/31/1998

W417885 Fleet Business Credit, LLC 1/4/2003 8/1/2004

W417885 Fleet Capital Corporation 4/1/1995 8/1/2004

W417885 Fleet Clearing Corporation 4/1/1995 10/30/1998

W417885 Fleet Community Development Corporation 1/1/1998 4/27/2001

W417885 Fleet Insurance Services, LLC 5/28/2002 8/1/2004

W417885 Fleet Investment Advisors, Inc. 4/1/1995 4/1/2003

W417885 Fleet Investment Services 4/1/1995 6/7/2002

W417885 Fleet Mortgage Corp. 4/1/1995 6/1/2001

W417885 Fleet National Bank 4/1/1995 8/1/2004

W417885 Fleet Precious Metals, Inc. 4/1/1995 8/1/2004

W417885 Fleet Securities, Inc. 4/1/1995 1/28/1998

W417885 Fleet Securities, Inc. (1998) 2/1/1998 8/1/2004

W417885 Fleet Specialist, Inc. 1/1/2002 8/1/2004

W417885 Fleet Venture Resources, Inc. 4/1/1995 12/31/1995

W417885 FleetBoston Financial Corporation (nka Bank of America) 4/1/1995 8/1/2004

W625008 Fleischmann Distilling Corp. (NY) 4/2/1934 12/31/1977

W418503 Flying J Transportation, LLC 5/1/2002 7/1/2010

W418503 Flying J, Inc. 5/1/2002 7/1/2010

W492508 FM Sales & Distribution, Inc. 1/1/2004

W420004 Food Fair Stores of New York Inc. 8/30/1951 6/25/1967

W419006 Food Fair, Inc. 7/1/1972 11/1/1978

W421002 Ford Motor Company 7/13/1914

W434005 Fort James Operating Company 2/1/2002 12/19/2005

W482889 Fort James Operating Company 4/30/1989 1/31/2002

W591507 Foundation of the Roman Catholic Diocese of Syracuse 7/1/2016

W421754 Frances Schervier Child Day Care & Learning Center 10/1/1998 1/1/2008

W591374 FRANCIS, ST. SOLANUS CHURCH, HARRISVILLE 6/1/1976

W591374 FRANCIS,ST. OF ASSISI CHURCH 6/1/1976

W421754 Franciscan Health Partnership, Inc. 10/1/1998 3/2/2000

W650065 Franciscan Management Services, Inc. 1/1/2016

W433254 Fred Koch Brewery 8/25/1992 4/1/1993

Page 14: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W538003 Freezer Queen Foods Inc. (DEL) 1/1/1971 6/9/1982

W588008 Frontier Communications of New York, Inc. 1/1/1977 10/1/1997

W588008 Frontier Corporation 8/1/1921 10/1/1997

W422380 Fulton Boiler Works, Inc. 11/1/1993

W591127 FULTON COUNTY CFCS 9/1/1978

W422570 Fulton Group N.A., Inc. 7/1/2005

W422570 Fulton Heating Solutions, Inc. 7/1/2005

W422570 Fulton Service Solutions 1/1/2013

W422570 Fulton Steam Solutions 1/1/2013

W422570 Fulton Thermal Corp. 7/1/2005

W520852 Fund Asset Management, Inc. 2/1/1994 1/9/2006

W662506 Funnel Equities Corporation 4/30/1978 5/1/1981

W430003 Furniture Group America Inc. 6/1/1986 8/26/1986

W555502 G & G Sales & Service OG WNY INC. 7/1/1975 6/25/1988

W424006 GAF Corporation 10/31/1939 11/1/1982

W574131 Gaines Pet Foods Corporation 10/1/1993 7/1/1997

W662506 Galley Park Inc. 4/30/1978 5/1/1981

W549919 Game Trailers Corp. 1/1/2008

W446256 Games Productions Inc. 7/1/1995 12/31/2005

W549919 Games Productions Inc. 10/1/2006

W600720 Gamma Packing Corp. 7/1/1975 4/4/1980

W424634 Gannett Co., Inc. (n/k/a TEGNA, Inc.) 10/1/2000 6/29/2015

W424634 Gannett Government Media Corporation 10/1/2000 6/29/2015

W424634 Gannett Satellite Information Network, Inc. 10/1/2000 6/29/2015

W651251 Garlet Inc. 1/1/1979 1/1/1981

W424758 Garlock, Inc. (nka Garlock Sealing Technologies, LLC) 4/26/1976 5/31/2002

W424873 Garrett Corp., The 6/1/1976 1/1/1985

W424949 Gaynor News Co, Inc. 12/31/1978 8/25/1985

W372254 Geldermann, Inc. 10/1/1991 12/13/1994

W425003 General Abrasive Co 1/1/1936 1/1/1970

W426001 General Cable Corporation 4/30/1928 3/1/1971

W427009 General Cigar Company Incorporated 5/17/1918 11/1/1937

W428007 General Crushed Stone Co 2/2/1928 5/1/1976

W429005 General Electric Co 7/6/1914 1/1/1960

W430003 General Mills Inc. 6/1/1937 6/1/1993

W431001 General Motors Investment Management Corporation 6/20/1996

W431001 General Motors, LLC 7/1/2009

W431381 General Nutrition Corporation 9/1/1995 1/31/2010

W431381 General Nutrition Government Services, Inc. 6/1/1997 1/31/2010

W431381 General Nutrition, Inc. 6/1/1997 1/31/2010

W431753 General Signal Corporation 1/1/1990 4/1/1997

W432009 General Telephone Co of Upstate NY 7/12/1937 6/1/1961

W433007 Genesco, Inc. 7/9/1956 7/22/1986

W433254 Genesee Brewing Company, Inc. 8/25/1992 12/15/2000

W433254 Genesee Corporation 8/25/1992 10/10/2001

W433502 Genesee Hospital, The 1/1/1983 10/1/1996

W417380 Genesee Region Home Care Association Inc, 12/1/1995

W417380 Genesee Region Home Care of Ontario County, Inc. 12/1/1995

W417380 Genesee Valley Group Health Association 12/1/1995

W591192 GENESEE WYOMING CATHOLIC CENTRAL SCHOOL 7/1/1989

Page 15: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W417323 Geneva General Hospital 1/31/2002

W433759 Geneva General Hospital 7/1/1993 12/31/1998

W433759 Geneva Nursing Home II, Inc. 9/19/1996 12/31/1998

W417323 Geneva Nursing Home II, Inc. d/b/a Living Center at Geneva-North 1/31/2002

W417323 Geneva Nursing Home, Inc. d/b/a Living Center at Geneva-South 1/31/2002

W433759 Geneva Nursing Home, Inc. d/b/a Living Center at Geneva-South 7/1/1993 12/31/1998

W433759 Geneva Regional Health System, Inc. 7/1/1993 12/31/1998

W591374 GEORGE'S ST. CHURCH 6/1/1976

W434005 Georgia-Pacific Corporation 5/1/1971 12/19/2005

W591192 GERARD PLACE LP 3/26/2004 10/29/2004

W517627 Gladieux Corporation 6/15/1985 10/1/1993

W437008 Gleason Sales (Americas) Corporation 10/1/2003

W437008 Gleason Works, The 1/22/1915

W437503 Glen & Mohawk Milk Assoc Inc 10/1/1975 6/26/1983

W557904 Glen at Hiland Meadows, Inc. 1/1/2011 1/1/2012

W650065 Glen at Hiland Meadows, Inc., The 1/1/2016

W650065 Glen Eddy Inc. 2/11/2016

W557904 Glen Eddy, Inc. 1/1/2011 1/1/2012

W437636 Glens Falls Cement Co., Inc. 7/28/1996 4/16/1999

W413876 Glove Splits Inc. 9/1/1980 3/30/1988

W431001 GM Components Holdings, LLC 7/1/2009

W437750 Golub Corporation 5/30/1980

W437750 Golub Service Stations Inc. 5/30/1980

W421754 Good Samaritan Foundation for Better Health, Inc. 10/1/1998 5/19/2015

W421754 Good Samaritan Hospital of Suffern, N.Y. 10/1/1998 5/19/2015

W347886 Good Samaritan Hospital of Suffern, NY 4/1/2017

W421754 Good Samaritan Services, Inc. 10/1/1998 3/2/2000

W438758 Gould Pumps Inc. (DEL) 7/1/1985 1/1/1988

W438501 Goulds Pumps, Inc. 1/1/1981 7/1/1985

W439004 Grace Line Inc. & Huron Stevedoring 1/5/1956 12/15/1967

W439509 Grand Union Company 8/1/1980 3/4/2001

W645501 Graphic Controls Corp. 1/1/1979 12/30/1986

W440002 Graybar Electric Co. Inc. 2/16/1926 1/1/1984

W440507 Great Atlantic & Pacific Tea Company, Inc. 1/15/1978 10/5/2015

W341002 Great Bear Spring Co. 12/1/1986 7/19/1987

W591507 Greater Utica Area Catholic School, The 3/31/1999

W446256 Greeff Fabrics Inc. 1/1/1981 9/12/1985

W441000 Green Bus Lines Inc. 5/7/1939 7/1/1985

W442008 Green Fuel Economizer Co Inc. 1/1/1967 9/1/1971

W600720 Greene, E. & Co., Inc. 7/1/1975 4/4/1980

W662506 Greenlawn Land Development Corp. 4/30/1978 5/1/1981

W662506 Greenlawn Plaza Corporation 4/30/1978 5/1/1981

W443006 Green-Wood Cemetery 10/29/1928 5/9/1969

W445001 Greif Bros. Corporation 12/27/1940 10/26/1987

W573505 Greyhound Food Management Inc. 4/1/1977 3/30/1981

W444004 Greyhound Lines Inc. 8/1/1976 3/19/1987

W440754 GRHS Foundation, Inc. 1/1/2012

W633754 Griffith Oil, Inc. 7/20/1994 8/3/1998

W386007 Groveton Paper Company 4/1/1970 1/1/1983

Page 16: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W372254 Grower Service Corporation 10/1/1991 11/24/2003

W645501 Grumbacher, M. Inc. 1/1/1979 6/19/1985

W499073 Gryphon Development, Inc. 11/1/1993 10/31/2002

W446256 Guaranteed Parts Company Inc. 1/1/1981 7/31/1982

W591374 GUGGENHEIM CNTR. RELIGIOUS PROGRAMS 6/1/1976

W446256 Gulf & Western Manufacturing Co. 1/1/1981 9/12/1985

W565501 Gull Inc. 3/1/1974 6/30/1992

W446389 Gunlocke Company 9/1/1991 12/29/2002

W446389 Gunlocke Company L.L.C. 12/29/2002 7/1/2010

W446447 H.J. Wilson Company, Inc. 9/1/1994 12/31/2000

W446504 Hall's Motor Transit Co 5/18/1975 9/1/1985

W447007 Hanna Coal & Ore Corp 7/1/1943 12/30/1954

W448005 Hanna Furnace Corp. The (NY) 6/13/1930 7/8/1983

W448252 Hannaford Bros. Co., LLC 4/15/1990

W448633 Harden Furniture, LLC 1/1/1993

W599252 Harding, Williams, Dixie Corp. 7/1/1982 7/1/1984

W549919 Harmonix Music Systems, Inc. 10/1/2006 12/31/2010

W384754 Harold Butler Enterprises #714 Inc. 7/1/1979 6/30/1998

W449003 Harris Structural Steel Co, Inc. 5/18/1921 5/16/1980

W449508 Hart Schaffner & Marx 3/1/1978 9/28/1992

W557904 Hawthorne Ridge, Inc. 1/1/2011 1/1/2012

W650065 Hawthorne Ridge, Inc. 1/1/2016

W568078 Headway of Western New York, Inc. 1/31/2011

W450134 Health Quest Medical Practice, PC 1/1/2008 6/1/2009

W450134 Health Quest Systems, Inc. 4/1/2006 6/1/2009

W450134 HealthServe LLC 4/1/2006 6/1/2009

W450944 HealthStar Network, Inc. dba Stellaris Health Network 10/1/2002 12/31/2013

W446389 Hearth & Home Technologies Inc. 6/30/1994 7/1/2010

W451504 Hellenic Lines Ltd. 7/1/1973 5/31/1980

W499073 Henri Bendel, Inc. 11/1/1993

W591374 HENRY'S, ST. CHURCH 6/1/1976

W446256 Her Majesty Industries Inc. 1/1/1981 9/12/1985

W452007 Hercules, Inc. (nka Ashland Inc.) 7/13/1914 12/1/2008

W557904 Heritage House Nursing Center, Inc. 1/1/2011 1/1/2012

W650065 Heritage House Nursing Center, Inc. 1/1/2016

W452254 Herr Foods Incorporated 8/15/1999 9/1/2014

W452502 Hickey-Freeman Co., Inc. 3/1/1978 4/1/2002

W453252 Highland Community Development Corp. 7/1/1995

W453252 Highland Hospital of Rochester 4/1/1982

W453252 Highland Living Center Inc. 7/1/1995

W454003 Hills Supermarket, Inc. 2/1/1972 12/22/1975

W454508 Hills Supermarkets Inc. 2/1/1972 12/22/1975

W454508 Hills Supermarkets Inc. (DEL) 5/7/1977 11/1/1978

W662506 Hills Trumbull Corporation 4/30/1978 5/1/1981

W454888 Hillside Children's Center 9/1/2005

W454888 Hillside Children's Foundation 9/1/2005

W454888 Hillside Family of Agencies 9/1/2005

W454888 Hillside ICAP 9/1/2005

W454888 Hillside Services Solutions, Inc. 7/1/2008

W454888 Hillside Work Scholarship Connection, Inc. 9/1/2005

Page 17: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W455000 Hilton Inns, LLC (fka Hilton Inns, Inc.) 9/14/1989 1/1/2010

W455000 Hilton Worldwide, Inc. 1/1/1972 12/1/2011

W591127 HISPANIC OUTREACH 9/1/1978

W446389 HNI Corporation 6/30/1994 7/1/2010

W367254 Hodge Parking Inc. 4/1/1984 4/1/1998

W458509 Holiday Corporation 4/27/1997 5/31/1999

W458509 Holiday Inns, Inc. 9/1/1989 4/27/1997

W453757 Hollingsworth & Vose Company 4/1/1989 5/15/2012

W591127 Holy Cross Church - Albany 9/1/1978 10/1/2009

W591507 Holy Cross Church - Dewitt 7/1/1973

W591127 HOLY CROSS CHURCH - ELIZAVILLE 9/1/1978

W591127 HOLY CROSS CHURCH - MORRIS NY 4/4/2011

W591127 HOLY CROSS SCHOOL - ALBANY 9/1/1978 7/1/2009

W591374 HOLY FAMILY CHURCH 6/1/1976

W591507 Holy Family Church - Fairmount 4/16/1974

W591127 Holy Family Church - Stottville 9/1/1978 12/31/2009

W591507 Holy Family Church - Vernon 7/1/1973

W591127 HOLY FAMILY PARISH 12/31/2006

W591127Holy Family Parish of the Roman Catholic Community of Little Falls

Inc3/31/1993

W591127 Holy Infancy Church - Lake Luzerne 9/1/1978 7/1/2009

W591127 Holy Mother and Child 7/1/2009

W591374 HOLY NAME CHURCH 6/1/1976

W591507 Holy Trinity Church - Binghamton 7/1/1973

W591507 Holy Trinity Church - Fulton 9/1/1973

W591127 Holy Trinity Church - Schaghticoke 9/1/1978 9/30/2010

W591507 Holy Trinity Church - Utica 7/1/1973

W650065 Home Aid Service of Eastern NY, Inc. 1/1/2016

W557904 Home Aide Service of Eastern New York, Inc. Inc. 1/1/2011 1/1/2012

W461008 Honeywell Information Systems Inc. 10/1/1970 3/26/1987

W461008 Honeywell Mutual Protection Serv. 4/1/1973 1/1/1975

W461008 Honeywell, Inc.(nka Honeywell International, Inc.) 7/1/1961 4/1/2000

W461008 Honeywell-Measurex Corporation 1/1/1998 3/23/2000

W591192 Hope of Buffalo 7/1/1989

W413876 Horizon Leather Corporation 2/15/1990 9/16/1994

W462576 Hospital For Joint Diseases/Orthopaedic Institute 9/15/1995 1/1/2006

W517627 Host International Inc. 4/1/1983 10/1/1993

W517627 Host Marriott Corporation 5/1/1978 10/1/1993

W517627 Host Services of NY Inc. 4/1/1983 10/1/1993

W466502 Hotel Waldorf Astoria (1954) 10/1/1977 12/10/1980

W466007 Hotel Waldorf Astoria Corp (NY 1953) 1/1/1972 10/1/1977

W455000 Hotel Waldorf-Astoria Corp. (1960) 1/1/1972 12/1/1990

W455000 Hotels Statler Co., Inc. 2/1/1976 12/1/2011

W662381 House2Home, Inc. 8/1/1993 7/31/2002

W488829 Howe & Rusling, Inc. 9/15/1991 9/28/1992

W466882 Huck International, Inc. 9/1/1993 7/1/1999

W549919 Hudson Street Productions, Inc. 12/22/2007

W450134 Hudson Valley Ambulatory Medical Services PLLC 4/1/2006 6/1/2009

W450134 Hudson Valley Critical Care Physicians, PLLC 4/1/2006 6/1/2009

W450134 Hudson Valley Emergency Medicine, PLLC 4/1/2006 6/1/2009

Page 18: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W450134 Hudson Valley Home Care Inc. 7/31/2006 6/1/2009

W450134 Hudson Valley Newborn Physician Services, PLLC 4/1/2006 6/1/2009

W412001 Humble Oil & Refinig Co. (DEL) 1/1/1960 1/1/1973

W433759 Huntington Nursing Home, Inc. 7/1/1993 12/31/1998

W417323 Huntington Nursing Home, Inc. dba Huntington Living Center 1/31/2002

W384820 Huther-Doyle Memorial Institute, Inc. 9/1/2001 10/31/2003

W472005 Hygrade Food Products Corp. 12/26/1929 4/1/1969

W473508 IBM China/Hong Kong Corporation 2/1/1995 12/31/2010

W473508 IBM World Trade Corporation 2/1/1995 12/31/2010

W473508 IBM World Trade Europe/Middle East/Africa Corp. 2/1/1995 12/31/2010

W472500 Ideal Corp. (DEL) 12/1/1973 6/30/1980

W419006 Idealco Incorporated 4/1/1977 11/1/1978

W318000 IDS Life Insurance Company of New York 9/30/2002 9/30/2005

W549919 IFilm Corp. 10/1/2006 8/31/2015

W458509 IHG Management (Maryland), LLC 10/1/2006 9/30/2008

W591507 Immaculate Conception - Fayetteville 4/16/1974

W591127 Immaculate Conception - Haines Falls 9/1/1978 7/1/2009

W591507 Immaculate Conception Church - Pompey 4/16/1974

W591507 Immaculate Conception Church 2 7/1/1973

W591127 Immaculate Conception of Corinth 9/1/1978 7/1/2009

W591192 IMMACULATE CONCEPTION SCHOOL OF ALLEGANY COUNTY 7/1/1989

W591374 IMMACULATE HEART CENTRAL HIGH SCHOOL. 6/1/1976

W591374IMMACULATE HEART CENTRAL PRIMARY & INTERMEDIATE

SCHOOL6/1/1976

W591374 IMMACULATE HEART OF MARY 6/1/1976

W591507 Immaculate Heart of Mary Church - Liverpool 4/16/1974

W591127 IMMACULATE HEART OF MARY PARISH 9/30/2005

W440754 Independent Living For Seniors Inc. 6/1/1997

W499073 Independent Production Services, Inc. 9/26/1997 12/31/2004

W627509 InfoLogix, Inc. 3/4/2011

W473003 Ingersoll-Rand Company 12/30/1927 1/1/1987

W458509 Intercontinental Hotels Group Resources, Inc. 4/30/2004 9/30/2008

W332258 Interface Solutions, Inc. f/k/a Armstrong Industrial Specialties, 1/1/1996 7/1/1999

W473508 International Business Machines Corporation 2/1/1995 12/31/2010

W474001 International Harvester Co 3/17/1966 5/1/1983

W475503 International Imaging Materials, Inc. 5/1/1995 4/1/1998

W476006 International Paper Company 12/28/1923 1/1/2017

W477251 International Playtex Inc. 10/1/1981 12/12/1986

W556005 International Railway Company (NY) 12/28/1921 7/28/1947

W478002 International Terminal Operating Co 1/1/1956 6/15/1987

W417885 Interpay, Inc. 11/1/1998 4/1/2003

W479000 Interstate Brands Corp 1/1/1972 7/1/1984

W480008 Interstate Motor Freight System 7/1/1958 12/1/1983

W562250 InterWrap, Corp 11/1/2016

W499073 Intimate Beauty Corporation 5/18/1995 8/21/2007

W499073 Intimate Brands Service Corporation 5/26/1995 10/31/2002

W499073 Intimate Brands, Inc. 5/16/1995 3/24/2002

W595755 Inventory Locator Service, Inc. 11/24/1989 12/7/1993

W332506 Ira Davenport Memorial Hospital, Inc. 4/1/2011

W481006 Iroquois Gas Corp 7/7/1915 7/15/1974

Page 19: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W470504 J.B. Hunt Transport, Inc. 1/1/1990 8/1/1997

W446256 J.L. Productions Inc. 1/1/1981 12/18/1985

W549919 Jackass World LLC 12/22/2007

W482004 Jamaica Bus Tours Corporation 8/6/1977 7/13/1983

W482004 Jamaica Buses, Inc.* 6/1/1955 7/1/1985

W650065 James A. Eddy Memorial Geriatric Center 1/1/2016

W557904 James A. Eddy Memorial Geriatric Center, Inc. 1/1/2011 1/1/2012

W379440 James River Corp of Nevada 1/1/1983 4/24/1988

W482756 James River II, Inc. 4/24/1988 12/28/1992

W591374 JAMES ST. CHURCH 6/1/1976

W591374 JAMES ST. MINOR CHURCH 6/1/1976

W483002 Jarka Corporation, The (DEL) 3/1/1949 5/4/1954

W483507 Jefferson Smurfit Corporation (U.S.) 4/1/1991 11/1/2004

W485007 Jewel Companies Inc. 10/1/1954 5/23/1981

W486005 Joanna Western Mills Co. 1/20/1966 3/28/1987

W519383 John T Mather Memorial Hospital of Port Jefferson NY Inc 1/1/2004 6/1/2010

W591374 JOHN THE BAPTIST, ST, RCC, PLATTSBURGH 6/1/1976

W591374 JOHN XXIII COLLEGE COMMUNITY 8/9/1999

W591374 JOHN, ST. IN THE WILDERNESS, LAKE CLEAR 6/1/1976

W591374 JOHN, ST. THE BAPIST CHURCH, MADRID 6/1/1976

W591374 JOHN, ST. THE BAPTIST CHURCH 6/1/1976

W591374 JOHN, ST. THE EVANGILIST CHURCH 6/1/1976

W449508 Johnny Carson Apparel Inc. 3/1/1978 1/31/1984

W591374 JOHN'S, ST CHURCH PORT LEYDEN 6/1/1976

W487003 Jones & Laughlin Steel Corp 1/1/1960 1/1/1979

W487250 Jones Motor Co Inc 1/1/1979 11/22/1981

W487383 Jordan Marsh Company 7/1/1985 1/31/1987

W487441 Jordan Marsh Stores Corporation 1/31/1987 4/21/1988

W591374 JOSEPH'S ST. CHURCH 6/1/1976

W591374 JOSEPH'S ST. CHURCH & CEMETERY 6/1/1976

W591374 JOSEPH'S, ST HOME OGDENSBURG 6/1/1976

W591374 JOSEPH'S, ST. CHURCH 6/1/1976

W591374 JOSEPH'S, ST. CHURCH 6/1/1976

W591374 JOSEPH'S, ST. CHURCH DANNEMORA 6/1/1976

W591374 JOSEPH'S, ST. CHURCH SCHROON LAKE 6/1/1976

W591374 JUDE'S ST. CHURCH 6/1/1976

W522502 Kalteux Oil Co., Inc. (DEL.) 6/1/1968 1/1/1982

W413876 Karg Bros. Finishing Corp. 9/1/1980 9/16/1994

W413876 Karg Bros. Inc. 9/1/1980 9/16/1994

W446256 Katzenbazh & Warren Inc. 1/1/1981 9/12/1985

W446256 Kayser-Roth Corporation 1/1/1981 9/12/1985

W446256 Kayser-Roth Industries Inc. 1/1/1981 9/12/1985

W488381 Kellogg Company 4/1/1999 4/1/2000

W488381 Kellogg Sales Company 4/1/1999 4/1/2000

W488258 Kelsey-Hayes Co. Utica Division 4/1/1977 4/1/1987

W683502 Kenite Corporation 7/1/1973 3/31/1975

W488639 Kennecott Corp. 12/31/1980 1/1/1987

W488571 Kentile Floors Inc. 1/1/1987 1/1/1989

W488829 Key Bancshare of New York, Inc. 9/15/1991 6/30/1997

W488829 Key Bank Life Insurance, Ltd. 9/15/1991 6/30/1995

Page 20: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W488829 Key Bank USA, N.A. 9/15/1991 10/1/2004

W488829 Key Financial Services, Inc. 9/15/1991 3/31/1995

W488829 Key Investments Inc. 9/15/1991 5/14/1999

W488829 Key Mortgage Funding, Inc. 9/15/1991 6/1/1992

W488829 Key Services Corporation 9/15/1991 12/14/1998

W488829 Key Trust Company 9/15/1991 12/29/2000

W488829 KeyBank National Association 9/15/1991 6/30/2014

W488829 KeyCorp 9/15/1991 6/30/2014

W488829 KeyCorp Leasing Ltd. 9/15/1991 9/1/1997

W488829 KeyCorp Mortgage, Inc. 6/1/2002 3/31/1995

W488860 KeySpan Corporate Services, LLC 9/30/2001 7/1/2009

W488860 KeySpan Corporation 9/30/2001 7/1/2009

W517569 KeySpan Corporation 5/28/1998 9/30/1999

W556500 KeySpan Corporation 7/1/2009

W488860 KeySpan Electric Services, LLC 9/30/2001 7/1/2009

W488860 KeySpan Energy Development Corporation 9/30/2001 7/1/2009

W556500 KeySpan Energy Development Corporation 7/1/2009

W488860 KeySpan Energy Trading Services, LLC 9/30/2001 7/1/2009

W488860 KeySpan Engineering & Survey, Inc. 9/30/2001 7/1/2009

W556500KeySpan Gas East Corp. dba National Grid fka KeySpan Energy

Delivery Long Island7/1/2009

W488860 KeySpan Gas East Corporation 9/30/2001 7/1/2009

W488860 KeySpan Generation, LLC 9/30/2001 7/1/2009

W488860 KeySpan MHK, Inc. 9/30/2001 7/1/2009

W556500 KeySpan MHK, Inc. 7/1/2009

W488860 KeySpan Utility Services, LLC 9/30/2001 7/1/2009

W488860 KeySpan-Ravenwood, Inc. 9/30/2001 8/26/2008

W489009 Kimberly-Clark Corporation 5/1/1946 12/30/1971

W561757 Kimble Glass, Inc. 1/1/1993 12/31/1993

W489256 King Kullen Grocery Co. Inc. 4/1/1978 4/1/1987

W558720 King Paving Corporation 10/1/1993 12/31/2002

W558720 King Road Materials, Inc. 10/1/1993 12/31/2002

W446256 King World Corporation 1/1/2001

W446256 King World Productions, Inc. 1/1/2001

W489389 Kistner Concrete Products, Inc. 9/30/2003

W677009 Klearfold, LLC 1/1/2003 12/31/2003

W489446 Klein Cutlery, LLC 1/1/2012

W492003 KMart Apparel Fashions Corp. 7/1/1985 1/30/1991

W492003 Kmart Corporation 4/24/1934 3/19/2002

W576508 Knickerbocker Liquors Corporation 10/1/1974 11/30/1977

W576508 Knickerbocker Warehousing Corp. 10/1/1974 11/30/1977

W489884 Knight Transportation, Inc. 5/1/2008 7/1/2011

W491005 Koppers Co Inc. 11/10/1944 5/1/1976

W491500 Krasdale Foods, Inc. 10/1/2000

W499073 L Brands Direct Marketing, Inc. 12/31/2008

W499073 L Brands Direct Media Production, Inc. 8/1/2005

W499073 L Brands Service Company, LLC 11/1/1993

W499073 L Brands Store Design & Contruction, Inc. 11/1/1993

W499073 L Brands, Inc. 11/1/1993

W492508 L. & J.G. Stickley, Inc. 1/1/1994

Page 21: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W499073 La Senza, Inc. 1/1/2010

W662506 Lake Grove Realty Corporation 4/30/1978 5/1/1981

W492755 Landis Plastics, Inc. 4/1/1994 2/5/2006

W499073 Lane Bryant, Inc. 11/1/1993 8/16/2001

W522502 Langie Fuel Service Inc. (NY) 6/1/1968 1/1/1982

W495006 Latouraine-Bickford Food Inc 1/1/1971 3/1/1973

W450944 Lawrence Center for Rehabilitation and Sports Medicine Corp 10/1/2002 12/31/2013

W450944 Lawrence Community Health Services, Inc. 10/1/2002 12/31/2013

W450944 Lawrence Hospital Center 10/1/2002 12/31/2013

W450944 Lawrence Medical Associates, PC 3/1/2009 12/31/2013

W591374 LAWRENCE, ST. CHURCH MASSENA 6/1/1976

W496509 Lawyer's Cooperative Publishing Co. 1/1/1978 1/1/1991

W662506 LBRO Realty Corporation 4/30/1978 5/1/1981

W347751 Learjet, Inc. 5/15/1995 10/19/2003

W517601 Leasametric, Inc. 4/1/1988 6/23/1992

W607501 Lehman Brothers, Inc. 7/1/1993 9/30/2004

W498257 Lenox Hill Hospital 6/1/1979 7/1/2013

W498380 Leprino Foods Company 11/1/1981

W498380 Leprino Transportation Company 2/11/1998 11/3/2002

W499073 Lerner New York, Inc. 11/1/1993 11/27/2002

W498505 Lerner Stores Corporation 7/1/1975 1/1/1979

W499040 Libbey Glass Inc. 10/10/1995 7/1/2009

W561757 Libbey Glass, Inc. 3/24/1987 6/24/1993

W499131 Life Savers, Inc. 1/1/1983 12/31/1984

W417380 Lifetime HealthCare, Inc. 12/1/1995

W417380 Lifetime Pharmacy, LLC 12/31/2009

W499073 Limited Brands Store Operations, Inc 5/16/1995 8/31/2005

W499073 Limited New York, Inc. (1993) 11/1/1993 12/31/2005

W499073 Limited New York, Inc. (2009) 1/1/2009

W499073 Limited Stores LLC 7/1/2006 8/3/2007

W499073 Limited Stores, Inc. 11/1/1993 7/1/2006

W499073 Limited Too, Inc. 11/1/1993 8/24/1999

W499503 Lincoln First Bank N.A. 12/31/1978 7/1/1984

W499503 Lincoln First Banks Inc. 12/31/1978 7/1/1984

W499503 Lincoln First Commercial Corp. 12/31/1978 7/1/1984

W499750 Lipe Rollway Corp 4/1/1981 4/1/1986

W499917 Little Ceasar Enterprises, Inc. 10/4/1985 11/4/1990

W499917 Little Ceasar International, Inc. 10/4/1985 11/4/1990

W503007 Litton Bionetics Inc. 8/1/1982 8/1/1984

W503007 Litton Business Systems Inc. 4/1/1971 8/1/1984

W503007 Litton Business Telephone Systems 8/1/1974 5/23/1984

W503007 Litton Educational Publishing Inc. 4/1/1971 4/4/1981

W503007 Litton Financial Services Corp. 8/1/1974 8/1/1984

W503007 Litton Industrial Products Inc. 4/1/1971 8/1/1984

W503007 Litton Industrial Systems Inc. (DEL) 4/1/1971 8/1/1984

W503007 Litton Industries Inc. Etal 4/1/1971 8/1/1984

W503007 Litton Medical Products Inc. (DEL) 4/1/1971 11/2/1974

W384820 Living Opportunities of DePaul, Inc. 9/1/2001

W509004 Loblaw, Inc. 12/9/1951 5/22/1977

W519698 Loehmann's Inc. 8/1/1987 9/19/1988

Page 22: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W510002 Lone Star Industries Inc. 12/1/1936 4/1/1970

W511505 Long Island Lighting Company 1/1/1995 5/28/1998

W512008 Long Island Railroad Co 8/12/1954 8/14/1967

W419006 Longwood Distributors Inc. 4/1/1977 11/1/1978

W520746 Louis V. Gerstner Jr. Graduate School 4/16/2005

W591507 Lourdes Camp Inc. 7/1/1992

W515506 Lowe's Home Centers, LLC 1/28/2000

W499008 LSI United Holding Corp. 7/1/1938 12/17/1951

W557904 LTC (Eddy), Inc. 1/1/2011 1/1/2012

W579007 LTV Steel Co., Inc. 5/29/1930 5/7/1986

W516132 Lucent Technologies, Inc. (nka Alcatel-Lucent USA, Inc) 7/1/1997 7/1/2001

W595755 M & G Convoy, Inc. 3/1/1977 3/31/1994

W678759 M. Wile & Co., Inc. 3/1/1978 4/1/2002

W517254 Mack Trucks Inc. 1/1/1976 7/1/1983

W413843 Macy's Home Store, LLC 4/1/2005 8/28/2009

W413843 Macy's Backstage, Inc. 8/1/2015

W413843 Macy's Corporate Services, Inc. 1/1/2004

W413843 Macy's East, Inc. 12/19/1994 1/28/2006

W413843 Macy's East, LLC 4/1/2005 8/28/2009

W413843 Macy's Merchandising Corp. 3/10/2009

W413843 Macy's Merchandising Group, Inc. 4/1/2005

W413843 Macy's Retail Holdings, Inc. 8/30/2005

W413843 Macy's Systems and Technology, Inc. 12/19/1994

W413843 Macy's, Inc. 8/1/1994

W413843 Macys.Com, Inc. 1/1/1998 10/31/2015

W413843 Macy's.com, LLC 10/31/2015

W517387 Magna Powertrain USA, Inc. 9/29/2004 10/1/2007

W434005 Mail-Well Envelope Company, Inc. 4/1/1991 2/24/1994

W557904 Marjorie Doyle Rockwell Center, Inc. 1/1/2011 1/1/2012

W650069 Marjorie Doyle Rockwell Center, The 1/1/2006

W341002 Market Forge Company 10/15/1981 1/30/1985

W517585 Marmon Corporation 1/1/1988 7/1/1993

W364756 Marmon Group Inc. 2/24/1976 1/1/1981

W517601 Marmon Industrial Corporation 4/1/1988 1/1/1999

W446256 Marquette Company 1/1/1981 4/27/1982

W517627 Marriott Claims Service Corporation 10/6/2000

W517627 Marriott Educational Services Inc. 11/1/1981 3/27/1998

W517627 Marriott Family Restaurants Inc. 10/1/1978 10/1/1993

W517627 Marriott Fifth Avenue, LLC 10/1/2008

W517627 Marriott Hotel Management Company, LLC 10/1/2008 10/1/2008

W517627 Marriott Hotel Services, Inc. 10/1/1993

W517627 Marriott International Administrative Services, Inc. 1/1/1996

W517627 Marriott International Design & Construction Services, Inc. 10/1/2008

W517627 Marriott International Services, Inc. 7/1/1984 3/27/1998

W517627 Marriott International, Inc. 5/1/1978

W517627 Marriott Laundry Services, Inc. 10/1/1992 3/27/1998

W517627 Marriott Management Services Corp. 6/25/1986 3/27/1998

W517627 Marriott Ownership Resorts, Inc. 10/1/2008 10/1/2011

W448252 Martin's Foods of South Burlington LLC 4/15/1990

W591374 MARTIN'S ST. CHURCH 6/1/1976

Page 23: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W591192 MARY QUEEN OF ANGELS CATHOLIC SCHOOL 7/1/1989

W591192 MARY QUEEN OF ANGELS RC CHURCH 7/1/1989

W591374 MARY'S ST. CHURCH 6/1/1976

W591374 MARY'S ST. CHURCH 6/1/1976

W591374 MARY'S ST. CHURCH 6/1/1976

W591374 MARY'S ST. CHURCH 6/1/1976 12/31/2011

W591374 MARY'S ST. CHURCH 6/1/1976

W591374 MARY'S ST. CHURCH 6/1/1976

W591374 MARY'S ST.CATHEDRAL OGDENSBURG 6/1/1976

W591374 MARY'S, ST CHURCH TICONDEROGA 6/1/1976 12/31/2011

W591374 MARY'S, ST CHURCH WADDINGTON 6/1/1976

W591374 MARY'S, ST NATIVITY CHURCH, CONSTABLEVILLE 6/1/1976

W591374 MARY'S, ST OF THE LAKE CHURCH PLATTSBURGH 6/1/1976

W591374 MARY'S, ST. CHURCH 6/1/1976

W591374 MARY'S, ST. CHURCH LOWVILLE 6/1/1976

W591374 MARY'S, ST. CHURCH, CONSTABLEVILLE 6/1/1976

W591374 MARY'S, ST. CHURCH, COPENHAGEN 6/1/1976

W591374 MARY'S, ST. CHURCH, INDIAN LAKE 6/1/1976

W591374 MARY'S, ST. OF THE FORT 6/1/1976

W517759 Mason & Dixon Lines, Inc. 1/1/1974 2/7/1984

W518005 Mason & Hanger Co. Inc. 5/21/1934 10/28/1939

W476006 Masonite Corporation 1/1/1997 8/31/2001

W519003 Massena Terminal Railroad Co. 9/30/1914 9/11/1987

W499073 Mast Industries, Inc. 11/1/1993

W499073 Mast Logistics Services, Inc.(Limited Logistics Services, Inc.) 11/1/1993

W499073 Mast Technology Services, Inc. 7/6/1999

W519250Materials Liquidation Corporation (formerly known as Materials

Research Corporation)3/1/1992 4/1/1998

W519508 Matlack, Inc. 10/1/1975 10/1/1996

W645501 Matthew Bender & Co., Inc. 1/1/1979 4/1/1998

W448757 Max Gruenhut International, Inc. 2/15/1991 1/1/2001

W519698 May Department Stores Company 2/1/1987 8/30/2005

W519698 May Department Stores International 1/1/2004 8/30/2005

W413843 May Department Stores International, Inc. 8/30/2005 12/31/2006

W519698 May Merchandising Corporation 2/1/1987 1/30/1988

W519714 Mayfair Super Markets, Inc. 2/23/1997 11/4/2000

W600720 McCarthy, J.F. Corp. (NY) 7/1/1975 4/4/1980

W591127 McCloskey Community Service Corporation 6/30/2004

W519888 McCrory Corporation 4/1/1975 1/1/1979

W519946 McDonald's Restaurants of New York, Inc. 5/1/1994 1/1/1999

W520506 McGrath Services Corp. 10/1/1977 4/30/1983

W520506 McGrath, John W. Corp. 10/1/1955 4/29/1983

W420509 McKesson Corporation 5/1/1981 7/1/1997

W520639 McLean Trucking Co. 5/1/1979 2/1/1986

W520696 McWane Inc. dba Kennedy Valve Co 12/1/1988

W520605 Mead Corporation 6/1/1994 1/1/2003

W677009 Mead Corporation 1/1/2003 1/1/2003

W520712 Meadow Brook Dairy Company, Inc. 9/1/1993 11/28/1993

W453252 Meadows At Westfall, Inc. 1/1/2000

W677009 MeadWestvaco Consumer Packaging Group, LLC 1/1/2003 9/30/2010

Page 24: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W677009 MeadWestvaco Corporation (WestRock) 7/6/1914 10/1/2015

W677009 MeadWestvaco Packaging Systems, LLC 1/1/2003 10/1/2015

W417380 MedAmerica Insurance Company of New York 12/31/2009

W417380 MedAmerica, Inc. 6/1/2012

W520746 Memorial Hospital for Cancer & Allied Diseases 4/16/2005

W557904 Memorial Hospital, Albany, NY 1/1/2011 1/1/2012

W650065 Memorial Hospital, Albany, NY 1/1/2016

W520746 Memorial Sloan-Kettering Cancer Center 4/16/2005

W558720 Merchants Metals, Inc. 4/1/2007

W520852 Merrill Lynch & Co., Inc. 2/1/1994 8/1/2009

W520852 Merrill Lynch Business Financial Services, Inc 2/1/1994 8/1/2009

W520852 Merrill Lynch Capital Services, Inc. 2/1/1994 8/1/2009

W520852 Merrill Lynch Fiduciary Services 2/1/1994 1/9/2006

W520852 Merrill Lynch Futures, Inc. 2/1/1994 7/1/2001

W520852 Merrill Lynch Governmant Securities, Inc. 2/1/1994 8/1/2009

W520852 Merrill Lynch Hubbard, Inc. 2/1/1994 8/1/2009

W520852 Merrill Lynch Insurance Group, Inc. 2/1/1994 8/1/2009

W520852 Merrill Lynch Interfunding, Inc. 2/1/1994 1/9/2006

W520852 Merrill Lynch Investment Management, Inc. 2/1/1994 1/9/2006

W520852 Merrill Lynch Life Agency, Inc. 2/1/1994 8/1/2009

W520852 Merrill Lynch Money Markets, Inc. 2/1/1994 8/1/2009

W520852 Merrill Lynch Private Capital, Inc. 2/1/1994 1/9/2006

W520852 Merrill Lynch Professional Clearing Corp. 2/1/1994 8/1/2009

W520852 Merrill Lynch Specialists, Inc. 2/1/1994 1/9/2006

W520852 Merrill Lynch, Pierce, Fenner, & Smith, Inc. 2/1/1994 8/1/2009

W520829 Metropolitan Museum of Art 7/1/1994

W520506 Metropolitan News Company 10/1/1977 4/23/1983

W450134 Mid-Hudson Oncology Physician, PLLC 4/1/2006 6/1/2009

W450134 Mid-Hudson Radiation Therapists, Inc. 4/1/2006 6/1/2009

W520870 Mid-Hudson Valley Staffco, LLC 7/1/2015

W520886 Migay Trucking Corp 12/31/1978 8/25/1985

W415004 Millard Fillmore Hospital (1925) 6/29/1925 6/1/1988

W415509 Millard Fillmore Hospitals (1991) 9/1/1991 4/1/1998

W420509 Millbrook Distribution Services Co. 7/1/1991 7/1/1997

W420509 Millbrook Distributors, Inc. 7/1/1991 7/1/1997

W591374 MISSION PROJECT SERVICE 4/21/2005

W522759 Mobil Business Resources Corporation 1/1/1997 11/30/1999

W522502 Mobil Corp 3/15/1979 1/1/1982

W522759 Mobil Corporation (1997) 1/1/1997 11/30/1999

W522502 Mobil Oil Corp. 6/30/1934 1/1/1982

W524003 Mobil Oil Corporation 6/30/1934 1/1/1982

W522759 Mobil Oil Corporation (1997) 1/1/1997 11/30/1999

W522502 Mobil Pipe Line Co. (DEL) 5/1/1969 1/1/1982

W522502 Mobil Research & Development Corp. 6/1/1972 1/1/1982

W522502 Mobil Sales & Supply Corp. (DEL) 6/1/1972 1/1/1982

W522502 Mobil Shipping & Transportation Co. 6/1/1972 1/1/1982

W522502 Mobil South Inc. (DEL) 6/1/1972 1/1/1982

W386007 Mohawk Containers Inc. 4/1/1970 1/1/1983

W576508 Mohawk Valley Merchandisers Corp. 10/1/1974 11/30/1977

W559009 Monarch Brass & Copper Corp. 11/1/2001 2/8/2002

Page 25: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W683191 Monroe School Transportation, Inc. 12/9/2003 1/1/2008

W591192 MONSIGNOR MARTIN HIGH SCHOOL ATHLETIC ASSOCIATION 7/1/2004

W591127 MONTGOMERY COUNTY CFCS 9/1/1978

W533004 Montgomery Ward & Co. Inc. 8/10/1933 8/15/1987

W438501 Morris Pumps Inc. 4/1/1982 1/1/1984

W534002 Morris, Lew Demolition Co. 4/1/1953 9/18/1973

W535009 Morse Chain Company 1/1/1966 12/31/1967

W535884 Morton International, Inc. 7/1/1989 3/31/1997

W535751 Morton Thiokol Inc. 3/31/1981 7/1/1989

W591507 Most Holy Rosary Church 7/1/1973

W591507 Most Holy Rosary Church (Maine NY) 7/1/1973

W341002 Mother's Cookie Company 10/15/1981 2/8/1985

W535504 Motor Freight Express Inc. 1/1/1973 12/1/1982

W333132 Mount St. Mary's Hospital of Niagara Falls 2/1/2004 7/1/2015

W548002 Moving Services Consultants Inc. 1/1/1971 7/26/1985

W596878 MRC Bearings, Inc. 1/1/1987 1/1/1988

W517627 MRO Roast Beef of Long Island, Inc. 3/15/1979 4/14/1990

W549919 MTV Networks Global Services Inc. 10/1/2006

W446256 MTVi Group, Inc. 12/21/1999 12/31/2005

W424634 Multimedia Entertainment, Inc. 10/1/2000 6/29/2015

W595755 Murray Recon, Inc. 1/1/1985 12/31/1995

W568078 Museum of Disability History 3/1/2006

W677009 MW Custom Papers, LLC 1/1/2003 10/1/2015

W538003 Nabisco, Inc. 4/1/1921 5/1/2001

W539001 Nassau Metals Corporation 1/23/1935 7/1/2001

W540009 National Can Corp. 1/1/1972 1/1/1982

W318000 National Express Company, Inc. 9/30/2002 9/30/2013

W541007 National Food Management Service 1/1/1962 10/27/1972

W541254 National Fuel Gas Company 12/31/1978

W541254 National Fuel Gas Distribution Corp 7/15/1974

W541254 National Fuel Gas Supply Corp. 7/15/1974

W556500National Grid Corporate Services, LLC fka KeySpan Corporate

Services, LLC7/1/2009 11/5/2012

W556500 National Grid Electric Services LLC fka KeySpan Electirc Services LLC 7/1/2009

W556500National Grid Energy Trading Services LLC fka KeySpan Energy

Trading Services LLC7/1/2009

W556500National Grid Engineering & Survey Inc. fka KeySpan Engineering &

Survey Inc.7/1/2009

W556500 National Grid Generation LLC fka KeySpan Generation LLC 7/1/2009

W556500 National Grid USA 1/1/2004

W556500 National Grid USA Service Company, Inc. 7/1/2009

W556500 National Grid Utility Services LLC fka KeySpan Utility Services LLC 7/1/2009 11/5/2012

W542005 National Gypsum Co 1/1/1936 1/1/1971

W627509 National Manufacturing Sales Co. 7/1/2006

W591127 Nativity of Blessed Virgin Mary 9/1/1978 12/31/2009

W549919 Neopets, Inc. 10/1/2006 8/31/2015

W548002 Neptune Furniture Inc. 1/1/1971 7/26/1985

W548002 Neptune Furniture Westbury Corp. 1/1/1971 7/26/1985

Page 26: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W545008 Neptune Meter Co. 8/31/1935 10/1/1972

W548002 Neptune Supermart Inc. 1/1/1971 7/26/1985

W548002 Neptune Thru-Container Corp. 1/1/1971 7/26/1985

W548002 Neptune World Wide Moving Inc 1/1/1971 7/26/1985

W549919 New 38th Floor Productions, Inc. 12/22/2007

W645501 New American Library Co., Inc. 1/1/1979 12/28/1983

W549919 New Country Services, Inc. 12/22/2007

W549919 New Creative Mix, Inc. 12/22/2007

W549257 New Era Cap Co., Inc. 12/1/1993

W549919 New Games Productions, Inc. 12/22/2007

W549919 New International Mix Inc. 12/22/2007

W549919 New Nickelodeon Animation Studios Inc. 12/31/1999

W549919 New Not Before 10AM Productions, Inc. 12/22/2007

W549919 New Open Door Productions, Inc. 12/22/2007

W565253 New Partners, Inc. 10/18/1999

W549919 New Pop Culture Productions, Inc. 12/22/2007

W368005 New Process Gear Corp. 1/1/1980 9/30/1984

W549638 New Process Gear, Inc. 9/29/2004 10/1/2007

W549919 New Remote Productions, Inc. 12/22/2007

W549885 New Venture Gear Inc. 4/1/1990 12/31/2004

W549885 New Venture Gear of New York LLC 1/1/1999 12/31/2004

W549885 New Venture Gear Operating Company 1/1/1999 12/31/2004

W554885 New York & Presbyterian Hospital 12/31/1997 3/31/1999

W549976 New York Black Car Operators Injury Comp. Fund Inc. 1/20/2007

W550008 New York Central Railroad 7/22/1914 3/9/1960

W550271 New York Downtown Hospital 11/27/1997 12/1/2009

W617500 New York Hospital, The Society of the 11/1/1991 12/31/1997

W552509 New York News, Inc. 12/31/1978 3/20/1991

W554192 New York University 9/1/2015

W554000 New York University (1972) 4/1/1972 10/15/1998

W440754 Newark Wayne Community Hospital Foundation, Inc. 1/1/2012

W440754 Newark Wayne Community Hospital, Inc. 10/1/1996

W519888 Newberry, J.J. Co. 4/1/1975 1/1/1979

W554752 Newsday, Inc. 1/1/1977 7/1/1998

W645501 Newsday, Inc. 1/1/1977 4/1/1998

W549752 Newsweek, Inc. 1/1/1982 1/1/1999

W488829 Niagara Asset Corporation 6/1/1992 3/10/1999

W555122 Niagara Falls Memorial Medical Center 4/1/1980 4/30/1999

W557003 Niagara Junction Railway Co. (NY) 10/7/1948 1/11/1971

W556500 Niagara Mohawk Holdings, Inc. 7/1/2009

W556500 Niagara Mohawk Power Corporation 1/1/2004

W556500 Niagara Mohwak Power Corporation dba National Grid 1/1/2004

W557318 Niagara Recycling, Inc. 9/1/1995 5/1/1997

W557169 Niagara Specialty Metals, Inc. 7/1/2001 9/13/2002

W538003 Niagara Trading Company Inc. 11/1/1977 8/26/1978

W549919 Nickelodeon Animation Studios, Inc. 12/22/2007

W446256 Nickelodeon Magazine Inc. 7/1/1995 12/31/2005

W549919 Nickelodeon Magazines Inc. 10/1/2006

W537005 NL Industries Inc. 7/13/1914 8/1/1993

W562250 Norandex Distribution, Inc. 1/1/2007 8/31/2007

Page 27: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W450944 Norcorp Inc. 10/1/2002 12/31/2013

W557417 Nordstrom, Inc. 1/1/1995

W591374 NORTH COUNTRY CATHOLIC,THE 6/1/1976

W591127 North Country Ministry, Inc. 3/1/2008

W440754 North Park Nursing Home, Inc. 1/1/2016

W417380 North Star Home Health Management, Inc. 6/1/2012

W557904 Northeast Health Foundation, Inc. 1/1/2011 1/1/2012

W557904 Northeast Health, Inc. 1/1/2011 1/1/2012

W450134 Northern Dutchess Hospital 4/1/2006 6/1/2009

W450134 Northern Dutchess Residential Healthcare Facility, Inc. 4/1/2006 6/1/2009

W450944 Northern Westchester Hospital Association 10/1/2002 12/31/2013

W450944 Northern Westchester Hospital Center Foundation 10/1/2002 12/31/2013

W450944 Northern Westchester Oncology Management Associates, Inc. 10/1/2002 12/31/2013

W450944 Northern Westchester Realty Holding Corp 10/1/2002 12/31/2013

W450944 Northern Westchester Surgical Services, PC 1/12/2011 12/31/2013

W651251 Norwalk-Turbo, Inc. 1/1/1979 12/9/1982

W549919 Not Before 10am Productions Inc. 10/1/2006

W591374 NOTRE DAME CHURCH 6/1/1976

W591374 NOTRE DAME CHURCH, OGDENSBURG 6/1/1976

W591192 NOTRE DAME EDUCATIONAL FOUNDATION 7/1/1989

W591507 Notre Dame Jr/Sr High 4/16/1974

W558506 Novo Airfreight Corporation 5/1/1973 7/14/1978

W558506 Novo Corporation 5/1/1973 7/14/1978

W676001 Numanco Inc. 1/1/1986 12/1/1989

W450944 NWHC Auxiliary 10/1/2002 12/31/2013

W450944 NWHC Health Management Services Inc. 10/1/2002 12/31/2013

W450944 NWHC Staff Housing Corp 10/1/2002 12/31/2013

W591127 NYS LABOR RELIGION COALITION 9/1/1978

W537500 NYSARC, Inc. Chautauqua County Chapter 12/1/1994 1/1/2008

W537633NYSARC, Inc. Chautauqua County Chapter dba The Resource

Center1/1/2008

W537880 NYU Hospitals Center 1/1/1998

W562250 O/C Tanks Corporation 9/1/1989 1/1/1995

Oakfield Gypsum Products Corporation 3/31/1928 9/12/1938

W558605 O-AT-KA Milk Products Cooperative, Incorporated 12/1/1995 5/1/2017

W558696 Occidental Chemical Corporation 1/1/1990 12/1/1998

W562250 OCV Fabrics US, Inc. 10/31/2007

W347504 OfficeMax Contract, Inc. 4/1/1995 1/1/2005

W347504 OfficeMax Incorporated 1/1/1984 1/1/2005

W591374 OGDENSBURG CATHOLIC CENTRAOL SCHOOL 6/1/1976

W558720 Oldcastle APG Northeast, Inc. 1/1/2005

W558720 Oldcastle Buildingenvelope, Inc. 1/1/2005

W558720 Oldcastle Precast, Inc. 1/1/2005

W558720 Oldcastle Services, Inc. 1/1/2009

W558720 Oldcastle, Inc. 10/1/1993

W555502 Olean Market Incorporated 9/27/1978 12/28/1980

W559009 Olin Corporation 6/23/1923 7/1/2006

W499917 Olympia Arenas, Inc 10/4/1985 11/4/1990

W446256 On Broadband Networks, LLC 9/1/2008

W559504 Oneida Ltd. 2/1/1979 5/17/2011

Page 28: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W433254 Ontario Foods, Inc. 8/25/1992 7/28/2001

W549919 Open Door Productions Inc. 10/1/2006

W560502 Orange and Rockland Utilities, Inc. 1/1/1979

W560759 Oswego Hospital 4/1/1991

W591507 Our Lady of Good Counsel Church - Endicott 4/16/1974

W591127 Our Lady of Grace Church 9/1/1978

W591507 Our Lady of Lourdes - Utica 7/1/1973

W591507 Our Lady of Lourdes Church - Syracuse 7/1/1973

W591507 Our Lady of Lourdes Church - Windsor 7/1/1973

W591374 OUR LADY OF LOURDES CHURCH, SCHROON LAKE 6/1/1976

W561500 Our Lady of Lourdes Memorial Hospital 7/1/1981

W591127 Our Lady of Mercy Church - Colonie 9/1/1978 11/17/2009

W650065 Our Lady of Mercy Life Center 1/1/2016

W591127 OUR LADY OF MOUNT CARMEL 9/1/1978 4/13/2009

W591507 Our Lady of Peace Church - Syracuse 7/1/1973

W591192OUR LADY OF PEACE ROMAN CATHOLIC PARISH OF SALAMANCA,

NY7/1/1989

W333132 Our Lady of Peace, Inc. 2/1/2004

W591507 Our Lady of Perpetual Help 4/16/1974

W591507 Our Lady of Pompei Church 4/16/1974

W591507 Our Lady of Pompei Church - Syracuse 7/1/1973

W591507 Our Lady of Pompei Church - Syracuse 7/1/1973

W591507 Our Lady of Sorows Church 7/1/1973

W591507 Our Lady of the Rosary 7/1/1973

W591507 Our Lady of the Rosary Church 7/1/1973

W591374 OUR LADY OF THE SACRED HEART CHURCH, WATERTOWN 6/1/1976

W591127 Our Lady of the Snow Church 9/1/2009

W591127 Our Lady of the Snow Parish 9/1/2009

W591374 OUR LADY OF VICTORY CHURCH, PLATTSBURGH 6/1/1976

W559256 Our Lady of Victory Homes of Charity 4/1/1992

W561633 Our Lady of Victory Hospital of Lackawanna 7/1/1991 7/1/2000

W591127 Our Lady Queen of Peace 7/1/2010

W562250 Owens Corning 9/1/1989

W562250 Owens Corning Franchising LLC 1/1/2007

W562250 Owens Corning Insulating Systems, LLC 1/1/2007

W562250 Owens Corning Sales, LLC 1/1/2007

W561757 Owens-Brockway Glass Container, Inc. 1/1/1993

W561757 Owens-Brockway Packaging Inc. 7/1/1989 1/1/1993

W561757 Owens-Illinois General Inc. 3/24/1987 2/19/1993

W561757 Owens-Illinois Glass Container, Inc. 3/24/1987 1/1/1989

W562508 Owens-Illinois Inc. 9/1/1977 3/24/1987

W561757 Owens-Illinois Inc. (1987) 3/24/1987

W563001 P.P.G. Industries, Inc. 5/1/1926 7/1/1985

W517502 P.R. Mallory & Co. Inc. 1/1/1973 2/27/1979

W492003 Pace Membership Warehouse, Inc. 8/1/1992 1/14/1994

W564504 Pacific Intermountain Express Co. 9/1/1973 7/11/1983

W413876 Pan American Tanning Corp. 9/1/1980 9/16/1994

W446256 Paramount Communications Realty Corp. 1/1/1981 10/10/2000

W549919 Paramount Pictures Corp. 12/31/2006

W446256 Paramount Pictures Corporation 1/1/1981 12/31/2005

Page 29: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W446256 Paramount Productions Service Corporation 6/1/1992 10/10/2000

W591127 Parish of Mater Christi 10/1/2009

W591127 Parish of our Lady of Hope 12/31/2009

W591127 PARISH OF OUR LADY OF HOPE - COPAKE FALLS 12/31/2009

W591127 Parish of Our Lady of the Valley 7/1/2009

W591127 Parish of St. Joseph the Worker 7/1/2009

W591127 PARISH OF THE HOLY TRINITY 7/1/2009

W591127 Parish of the Holy Trinity - Hudson 7/1/2009

W591374 Parish of the Visitation and St Raymond, The 5/1/2015

W440754 Park Ridge Child Care Center, Inc. 1/1/2016

W565634 Park Ridge Hospital Inc. 5/1/1982 11/1/1985

W440754 Park Ridge Housing Development Fund Company, Inc. 1/1/2016

W440754 Park Ridge Housing, Inc. 1/1/2016

W565576 Park Ridge Nursing Home Inc. 5/1/1982 11/1/1985

W440754 Park Ridge Nursing Home, Inc. 1/1/2016

W440754 Park Way Commons Housing Development Fund Company, Inc. 1/1/2016

W565501 Parker Hannifin Corporation 3/1/1974

W565501 Parker Hannifin Customer Support, Inc. 10/1/1998 6/30/2008

W440754 Parma Housing Development Fund Corporation 1/1/2016

W440754 Parma Senior Housing Associates, LP 1/1/2016

W440754 Parma Senior Housing, LLC 1/1/2016

W565253 Partners in Care, Inc. 1/1/1994 10/18/1999

W565691 Pathmark Stores, Inc. 2/1/2001 10/6/2015

W634000 Pathmark Stores, Inc. 9/15/1976 5/1/2000

W519698 Patless Shoesource, Inc. 2/1/1987 4/1/1996

W591374 PATRICK'S ST. CHURCH 6/1/1976

W591374 PATRICK'S ST. CHURCH 6/1/1976

W591374 PATRICK'S, ST. CHURCH 6/1/1976

W591374 PATRICK'S, ST. CHURCH ROUSES POINT 6/1/1976

W591374 PATRICK'S, ST. CHURCH WATERTOWN 6/1/1976

W591374 PATRICK'S,ST. CHURCH BRASHER FALLS 6/1/1976

W565758 Patterson Dental Co. 10/1/1981 4/27/1985

W591374 PAUL'S ST. CHURCH 6/1/1976

W591374 PAUL'S ST. CHURCH 6/1/1976

W591374 PAUL'S ST. CHURCH 6/1/1976

W446256 PCI'S Holdings Corporation 7/1/1995 1/1/1996

W420509 PCS Health Systems, Inc. 7/1/1991 11/21/1994

W418503 PDG, Inc. 5/1/2002 7/1/2010

W477251 Pennaco Hosiery Incorporated 10/1/1981 11/1/1982

W566004 Penn-Dixie Industries Inc. 3/1/1964 10/5/1981

W568000 Pennsylvania Railroad 5/3/1916 2/1/1968

W541254 Penn-York Energy Corp. 12/31/1978 7/13/2000

W568078 People Community Housing Development Corporation 3/1/2006

W568078 People Home Health Care Services - Certified, Inc. 3/1/2006

W568078 People Home Health Care Services - Licensed, Inc. 3/1/2006

W568078 People Inc. Finger Lakes 1/1/2013

W568078 People Inc. Foundation 3/1/2006

W568078 People, Inc. 3/1/2006

W591374 PETER AND PAUL, ST. CHURCH 6/1/1976

W591374 PETER'S ST. CHURCH 6/1/1976

Page 30: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W591374 PETER'S ST. CHURCH 6/1/1976

W591374 PETER'S, ST. CHURCH 6/1/1976

W591374 PETER'S, ST. CHURCH LOWVILLE 6/1/1976

W569255 Pfaltzgraff Co. 1/1/1994 10/10/1995

W569255 Pfaltzgraff Outlet Co. 1/1/1994 10/10/1995

W450944 Phelps Child Care Center Inc. 5/21/2003 11/1/2003

W450944 Phelps Memorial Hospital Association 10/1/2002 12/31/2013

W569137 Phelps Memorial Hospital Association 1/1/2014 1/1/2016

W591374 PHILIP & JAMES, ST. CHURCH LISBON 6/1/1976

W591374 PHILIP ST. NERI CHURCH, WESTPORT 6/1/1976

W591374 PHILIP ST. OF JESUS CHURCH 6/1/1976

W557789 Philips Electronics North America Corporation 4/1/1990 9/30/2002

W450134 Physicians Network, PC 4/1/2006 6/1/2009

W570253 Pittway Corporation 5/1/1994 4/1/2000

W634000 Plainbridge, Inc. 10/26/1993 5/1/2000

W570501 Ponderosa Inc. 7/1/1979 7/1/1984

W417885 Poorman-Douglas Corporation 1/1/1998 3/2/2001

W549919 Pop Culture Productions Inc. 10/1/2006

W549919 Pop Toons, Inc. 1/1/2008

W450944 Post Development Corp. 10/1/2002 12/31/2013

W571004 Post Houses, Inc. 4/1/1977 3/30/1981

W548002 Poughkeepsie Movers Incorporated 1/1/1971 12/8/1980

W572507 Powell & Minnock Brick Works 4/1/1973 2/28/1994

W440754 PRCD, Inc. 1/1/2016

W361828 Premier Service Programs, Inc. 8/4/1991 8/1/1992

W446256 Prentice-Hall Inc. 1/1/1985 11/27/1998

W446256 Prentice-Hall International Inc. 1/1/1985 11/27/1998

W446256 Prentice-Hall Media Inc. 1/1/1985 8/25/1985

W446256 Prentice-Hall Professional Software, Inc. 1/1/1985 11/27/1998

W572622 Presbyterian Hospital in the City of New York 4/7/1977 12/31/1997

W572754 Preston Trucking Company 10/1/1975 3/1/1986

W572887 Preston Trucking Company Inc. (1990) 3/1/1990 7/15/1998

W440754 PRH, Inc. 1/1/2016

W437750 Price Chopper Operating Co., Inc. 5/30/1980

W572945 Price Company 6/1/1993 9/3/2001

W591127 PRISON FAMILIES OF ALBANY 9/1/1978

W558092 Procter & Gamble Pharmaceuticals, Inc. 6/8/1982 10/30/2009

W573000 Proctor & Gamble Manufacturing Company 1/7/1929 9/4/1991

W335756 ProFoods Restaurant Supply, LLC 9/1/2004 2/1/2007

W448252 Progressive Distributors Inc. 4/15/1990 1/3/2015

W450134 Putnam Hospital Center 4/1/2006 6/1/2009

W574131 Quaker Oats Company 10/1/1993 7/1/1997

W574255 Qualex, Inc. 8/1/1988 1/1/1995

W511000 Queens Borough Gas & Electric Co. 10/19/1914 3/1/1929

W574388 Queens Borough Public Library 7/1/1995

W417885 Quick & Reilly, Inc. 2/1/1998 8/1/2004

W417885 Quick & Reilly/Fleet Securities, Inc. 2/1/1998 8/1/2004

W574756 Quick Chek Corporation 5/21/2014

W575005 Quinn Freight Lines Inc 3/1/1966 1/1/1978

W517627 Quornden Inc. 4/20/1989 3/27/1998

Page 31: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W388003 R.E. Dietz Company 12/21/1915 7/31/1986

W390256 R.R. Donnelley & Sons Co. 3/1/1982 7/1/2007

W687750 Rabbi Isaac Elchanan Theological Seminary 7/1/2011

W381255 Radix Group International, Inc. 5/1/2005 5/1/2013

W576003 Railway Express Agency 3/25/1929 7/1/1961

W576250 Ralston Purina Company 9/30/1981 10/1/1995

W596258 Ranger Nationwide Inc. 1/1/1984 1/1/1986

W591374 RAPHAEL'S, ST. CHURCH, HEUVELTON 6/1/1976

W576508 Rapid-American Corp. 11/1/1973 1/1/1979

W576755 Raymond Corporation 5/1/1992

W576755 Raymond Transportation Corporation 6/15/2002

W591374 RAYMOND'S, ST. CHURCH NORFOLK 6/1/1976 5/1/2015

W446256 Raymor-Moreddi Incorporated 1/1/1981 10/22/1982

W591374RC COMMUNITY OF BROWNVILLE AND DEXTER ( FORMERLY

IMMACULATE CONC. CH)6/1/1976

W446256 Reality Check Productions Inc. 7/1/1995 12/31/2005

W446256 Regents Publishing Co. Inc. 1/1/1987 11/27/1998

W591374 REGIS, ST. INDIAN MISSION 6/1/1976

W446256 Remote Productions Inc. 7/1/1995 12/31/2005

W549919 Remote Productions Inc. 10/1/2006

W517627 Renaissance Hotel Management Company, LLC 10/1/2008

W517627 Renaissance Hotel Operating Company 10/1/2008

W517627 Residence Inn By Marriott, LLC 10/1/1992

W384820 Resources Management, Inc. 9/1/2001

W443501 Restaura, Inc. 6/1/1988 1/27/1999

W446256 Reston Publishing Co., Inc. 1/1/1985 11/27/1998

W591127 Resurrection Church of Germantown 9/1/1978 1/1/2009

W499073 Retail Brokerage Solutions, Inc. 7/1/2004

W499073 Retail Store Operations, Inc. 1/1/2006

W581003 Revere Copper & Brass Inc. 12/31/1931 12/1/1984

W581003 Revere Copper Products Inc. 6/30/1980 12/1/1984

W574131 Richardson Foods Corporation 10/1/1993 7/1/1997

W584254 Riegal Products Corp. 11/1/1987 4/30/1989

W584502 Riegel Textile Corporation 7/1/1982 10/1/1985

W413876 Riesdorph Tanning Co. Inc. 9/1/1980 4/30/1982

W558720 Ritangela Construction Corp. 10/1/1997 4/30/2001

W517627 Ritz-Carlton Hotel Company, LLC 10/1/2008

W568078 Rivershore, Inc. 1/1/2015

W446256 Riverside Broadcasting Co., Inc. 7/1/1995 7/2/1997

W450134 Riverside Diversified Services, Inc. 4/1/2006 6/1/2009

W450134 Riverside Medical Practice, PLLC 4/1/2006 6/1/2009

W450134 Riverside Physical & Occupational Therapy Speech Path 4/1/2006 6/1/2009

W586002 Roadway Express, Inc. 1/1/1957 7/1/1996

W499073 Roamans, Inc. 11/1/1993 8/1/1994

W586507 Robintech, Inc. 11/1/1977 9/2/1982

W522502 Robison. E. Inc. (NY) 6/1/1969 1/1/1982

W440754 Rochester General Health System 10/1/1996

W440754 Rochester General Hospital 10/1/1996

W440754 Rochester General Hospital Foundation, Inc. 1/1/2012

W440754 Rochester General Hudson Housing, Inc. 1/1/2012

Page 32: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W440754 Rochester General Long Term Care, Inc. 10/1/1996

W587505 Rochester Institute of Technology 11/1/1981

W587448 Rochester Instrument Systems, Inc. 1/1/1999 9/5/2000

W517601 Rochester Instruments Systems, Inc. 4/1/1988 12/31/1998

W440754 Rochester Regional Health 10/1/1996

W440754 Rochester St. Mary’s Residence Facility, The, LLC 1/1/2016

W597629 Rochester St. Mary's Hosp of the Sisters of Charity 7/1/1981 1/1/2000

W589006 Rochester, University of 9/29/1928 7/1/1962

W591002 Rockefeller University 10/25/1928

W321509 Roll International Corporation (nka the Wonderful Copmany) 9/15/1991 12/1/1994

W499750 Rollway Bearing International 4/1/1981 4/1/1986

W591259 Roman Catholic Archdiocese of NY 4/15/1976 9/1/1978

W591127 Roman Catholic Community of All Saints on the Hudson 7/1/2011

W591127 Roman Catholic Diocese of Albany, NY 9/1/1978

W591192 Roman Catholic Diocese of Buffalo 7/1/1989

W591374 Roman Catholic Diocese of Ogdensburg 6/1/1976

W591507 Roman Catholic Diocese of Syracuse 4/16/1974

W591507 Roman Catholic Diocese of Syracuse, NY - Diocesan High Schools 4/16/1974

W446256 Ronkonkoma Wall Paper Corporation 1/1/1981 5/4/1985

W446256 Roosevelt Raceway Inc. 1/1/1981 7/12/1984

W662126 Rosco Tools Incorporated 10/1/1979 8/1/1985

W592133 Rosina Food Products, Inc. 10/1/2006

W592257 Roswell Park Cancer Institute Corporation 1/31/2002

W503007 Royal Business Machines Inc. 8/1/1976 5/31/1979

W595755 RPD Incorporated 1/1/1985 6/15/1987

W593008 Rubel Corp. 12/23/1926 4/10/1931

W594006 Russell Burdsall & Ward Bolt & Nut 9/19/1919 7/1/1971

W503007 Rust Engineering Company 4/1/1971 7/18/1972

W503007 Rust Furnace Company (DEL) 4/1/1971 7/18/1972

W596258 Ryder - PIE Nationwide Inc. 8/1/1973 2/1/1987

W595755 Ryder Airline Services, Inc. 11/24/1989 12/7/1993

W595755 Ryder Automotive Operations, Inc. 12/31/1991 9/30/1997

W595755 Ryder Aviall, Inc. 12/31/1991 12/7/1993

W595755 Ryder Driver Leasing Inc. 1/1/1985 12/31/2003

W595755 Ryder Freight Management, Inc. 1/1/1985 12/31/1986

W595755 Ryder Freight System Inc. 1/1/1985 12/28/1988

W595755 Ryder Integrated Logistics, Inc. 1/1/1985 5/1/2008

W595881 Ryder Integrated Logistics, Inc. 12/1/2014

W595755 Ryder Intl Freight & Custom Service 1/12/1987 5/8/1989

W595755 Ryder Student Transportation Service, Inc. 11/24/1989 9/14/1999

W595755 Ryder System, Inc. 3/1/1977 5/1/2008

W596258 Ryder Transportation Services,Inc. 1/1/1984 1/1/1986

W595755 Ryder Truck Rental Inc. 3/1/1977 5/1/2008

W595881 Ryder Truck Rental, Inc. 12/1/2014

W595881 Ryder Vehicle Sales, LLC 12/1/2014

W595755 Ryder/ATE, Inc. 11/24/1989 9/14/1999

W517627 Rye Amusement Parks Incorporated 11/1/1981 12/31/1982

W595755 S & B Brokerage Corporation 3/24/1987 12/31/1987

W361737 S.B. Thomas, Inc. 12/1/1991 10/1/1997

Page 33: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W591507 Sacred Heart Basilica 7/1/1973

W591507 Sacred Heart Basilica - Syracuse 7/1/1973

W591127 SACRED HEART CHURCH 9/1/1978 7/1/2009

W591374 SACRED HEART CHURCH 6/1/1976

W591127 Sacred Heart Church - Berlin 9/1/1978 9/1/2009

W591507 Sacred Heart Church - Cicero 7/1/1973

W591127 Sacred Heart Church - Gloversville 9/1/1978 7/1/2009

W591127 Sacred Heart- Immaculate Conception Church 7/1/2009

W599252 Saga Corporation 7/1/1982 6/25/1986

W599252 Saga Dining Halls Incorporated 7/1/1982 6/27/1983

W517627 Saga Education Food Service, Inc. 6/27/1983 3/27/1998

W517627 Saga Health Care Dietary Mgt. Services, Inc. 6/27/1983 3/27/1998

W557862 Saint-Gobain Abrasives, Inc. 4/1/1992

W557862 Saint-Gobain Advanced Ceramics Corporation 6/1/1996 1/2/2011

W557862 Saint-Gobain Ceramics & Plastics, Inc. 4/1/1992

W557862 Saint-Gobain Performance Plastics Corporation 3/1/1993 12/31/1999

W557862 Saint-Gobain Performance Plastics Corporation (2000) 1/1/2000

W599500 Salada Foods Inc. 1/1/1981 1/1/1986

W600001 Salvation Army 3/23/1931 4/1/1987

W557904 Samaritan Child Care Center Inc. 1/1/2011 1/1/2012

W650065 Samaritan Child Care Center Inc. 1/1/2016

W421754 Samaritan Home Care Services 10/1/1998 5/31/2003

W557904 Samaritan Hospital of Troy, New York 1/1/2011 1/1/2012

W650065 Samaritan Hospital of Troy, NY 1/1/2016

W466759 Samaritan Medical Center 9/11/1990

W600258 Samaritan-Keep Nursing Home, Inc. 10/1/1994

W448252 Sampson Supermarkets Inc. 4/15/1990 12/30/1995

W341002 Sanna Incorporated 10/15/1981 4/24/1984

W503007 Saphier, Lerner, Schindler, Envir. 4/1/1973 5/1/1977

W591127 SARATOGA/WARREN/WASHINGTON COS. CFCS 9/1/1978

W651046 Satellite Agency W.M.M.S. Inc. 4/1/1999 1/21/2002

W600720 Saxon Adhesive Products Inc. 7/1/1975 8/1/1975

W600720 Saxon Business Products Inc. 7/1/1975 4/4/1980

W600720 Saxon Industries Inc. (NY) 7/1/1975 5/10/1982

W591127 SCHENECTADY COUNTY CFCS 9/1/1978

W576508 Schenley Affiliated Brands Corp. 10/1/1974 1/1/1979

W576508 Schenley Industries Incorporated 10/1/1974 1/1/1979

W421754 Schervier Housing Development Fund Corp. 10/1/1998

W421754 Schervier Nutrition Services, Inc. 10/1/1998 1/1/2008

W600894 Schoeller Technical Papers Inc. 1/1/1984 3/21/1986

W591127 SCHOHARIE COUNTY CFCS 9/1/1978

W354252 Schulman & Schachne Institute for Nursing & Rehabil 11/13/1978

W596860 SCI Technology, Inc. ( nka Sanmina Corp) 1/1/1990 12/1/1994

W600944 Scott Graphics Incorporated 7/1/1978 12/4/1978

W600944 Scott Paper Company 7/1/1978 7/1/1996

W601009 Sealright Co Inc. (DEL) 1/1/1965 12/31/1982

W603005 Sears Industries Inc 1/1/1937 3/15/1973

W604003 Sears Roebuck & Company (NY) 8/13/1929 9/1/1986

W380257 Seasonal Employers, Inc. 2/20/1991 7/1/2009

W446256 Selig Manufacturing Company, Inc. 1/1/1981 9/12/1985

Page 34: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W541254 Seneca Resources Corp 12/31/1978 7/1/1995

W557904 Senior Care Connection, Inc. 1/1/2011 1/1/2012

W650065 Senior Care Connection, Inc. dba Eddy Senior Care 1/1/2016

W356976 Sentry Safe, Inc. (fka John D. Brush & Co., Inc.) 7/1/2006 10/1/2016

W517627 Service Systems Corporation 8/14/1987 3/27/1998

W591374 Seton Catholic Central 5/1/1986

W650065 Seton Health at Schuyler Ridge Residential Healthcare 1/1/2016

W333132 Seton Health at Schuyler Ridge Residential Healthcare Corporation 2/1/2004 10/1/2011

W650065 Seton Health Foundation, Inc. 1/1/2016

W650065 Seton Health System 1/1/2016

W333132 Seton Health System, Inc. 2/1/2004 10/1/2011

W492508 Seventh Brook Properties LLC 12/1/2003

W341002 Sexton, John & Co. 10/15/1981 12/5/1983

W446256 Shanhouse, W. Sons, Incorporated 1/1/1981 9/12/1985

W605000 Shattuck, Frank G. Co 1/1/1968 4/1/1976

W602007 Sheffield Farms Company, Inc. 12/23/1914 12/31/1941

W608004 Shell Oil Company (Del) 10/1/1949 4/1/1997

W609002 Shenango Incorporated 10/1/1977 8/30/1982

W328504 Shepard-Niles Crane & Hoist Corp. 1/1/1985 1/1/1986

W610000 Sheraton Corp. of America (DEL) 7/1/1969 11/1/1970

W611503 Sherwin-Williams Automotive Finishes Corp. 1/1/1996 12/31/2009

W611503 Sherwin-Williams Company 11/1/1991

W413868 Shop Vac Corporation 7/1/2004

W610505 Shopwell, Inc. 1/1/1978 10/5/2015

W476006 Shorewood Packaging Corp. 3/26/2004 12/31/2011

W446256 Showtime Marketing, Inc. 9/1/2008

W446256 Showtime Networks, Inc. 7/1/1995

W446256 Showtime Satellite Networks Retail Sales & Marketing Inc. 7/1/1995 10/10/2000

W417380 Sibley Nursing Personnel Service, Inc. 1/1/2006

W612501 Silent Hoist & Crane Co. 1/1/1977 10/18/1984

W613004 Simkins Industries, Inc. 4/1/1965 7/1/1983

W446256 Simmons Casket Corporation 1/1/1981 8/27/1982

W446256 Simmons Juvenile Products Co. Inc. 1/1/1981 9/12/1985

W446256 Simmons U.S.A. Corporation 1/1/1981 9/12/1985

W446256 Simmons Universal Corporation 1/1/1981 9/12/1985

W446256 Simon & Schuster Inc. 1/1/1981

W614002 Sinclair Refining Company 8/31/1920 10/1/1966

W615009 Singer Company 1/19/1949 2/1/1970

W616007 Singer Sewing Machine Co. 7/16/1914 2/1/1970

W616502 Sisters of Charity Hospital of Buffalo, New York 7/1/1979 7/1/1998

W591374 SISTERS OF ST JOSEPH MOTHERHOUSE 6/1/1976

W458509 Six Continents Hotels, Inc. 9/1/1989 9/30/2008

W596878 SKF USA Inc. 1/1/1980

W381255 Sky Courier, Inc. 1/1/2006 5/1/2013

W520746 Sloan Kettering Institute for Cancer Research 4/16/2005

W454888 Snell Farm Children's Center 9/1/2005

W446256 SNI/SI Networks, LLC 9/1/2008

W616882 Snyder Tank Corporation 6/1/1994 6/1/1998

W549919 Social Project, Inc. 11/1/2008

Page 35: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W591127 Society for the Propagation of the Faith 9/1/1998

W417323 Soldiers & Sailors Memorial Hospital of Yates County 1/31/2002

W617757 Sonoco Products Company 11/1/1996 10/1/2003

W413009 South Bay Corp 2/12/1936 4/30/1962

W618003 South Brooklyn Railway Co 7/6/1914 6/1/1940

W549919 South Park Digital Studios, LLC 1/1/2010

W568078 Southeast Community Work Center, Inc 10/1/2016

W380257 Southland Frozen Foods, Inc. 2/20/1991 9/30/1991

W558720 Spancrete Northeast, Inc. 10/1/1993 12/31/1997

W595755 Specialized Transportation Co. Inc. 3/24/1987 6/15/1987

W619753 Spector Freight Systems Inc 8/25/1974 1/1/1978

W619506 Spector Industries Inc 1/1/1978 12/31/1980

W619886 Spector Red Ball Inc. 12/30/1980 5/7/1982

W621007 Sperry Rand Corp. (Remington) 7/1/1955 1/4/1960

W621007 Sperry Rand Corporation Remington Rand Division 7/1/1955 1/31/1962

W622005 Spode, Inc. 7/1/1968 2/4/1972

W446256 SportsLine.Com 12/30/2005 12/31/2006

W517627 Springhill SMC, LLC 4/1/2010

W559009 Squibb, E.R. & Sons, Inc. 1/1/1966 7/1/1967

W596845 St Barnabas Community Health Plan, Inc. 1/1/2003 4/26/2010

W596845 St Barnabas Hospital 1/1/2003

W596845 St Barnabas Nursing Home, Inc. 1/1/2003

W591127 ST JOAN OF ARC CHURCH 9/1/1978

W591127 ST JOAN OF ARC CHURCH OF MENANDS 9/1/1978

W591127 St Luke's Catholic Church 9/1/1978

W591192 ST PETER CLAVER YOUTH PROGRAM INC 7/1/1989

W591192 ST PIUS X R. C. CHURCH 7/1/1989

W591192 ST. ADALBERT'S RESPONSE TO LOVE CENTER INC 7/1/1989

W591507 St. Agatha's Church 7/1/1973

W591374 St. Agnes Church 6/1/1976

W591507 St. Agnes' Church - Brewerton 7/1/1973

W591127 ST. ALPHONSUS GLENS FALLS 9/1/1978 8/1/2010

W591507 St. Ambrose Church - Endicott 7/1/1973

W591127 St. Annas Church - Summit 9/1/1978 6/28/2009

W591507 St. Ann's Church - Manlius 4/16/1974

W591507 St. Ann's Church - Syracuse 7/1/1973

W347886 St. Anthony Community Hospital Warwick NY 4/1/2017

W421754 St. Anthony Community Hospital, Warwick, New York 10/1/1998 5/19/2015

W591507 St. Anthony of Padua Church - Endicott 4/16/1974

W591127 ST. ANTHONY'S CHURCH 9/1/1978

W591507 St. Anthony's Church - Cortland 3/31/1999

W591507 St. Anthony's Church - Syracuse 7/1/1973

W591507 St. Anthonys Church - Utica

W591507 St. Anthonys Church - Utica 7/1/1973

W591374 St. Augustine's Church 5/1/1986

W591507 St. Augustine's Church - Baldwinsville 7/1/1973

W596845 St. Barnabas Community Enterprises, Inc 1/1/2003

W440754 St. Bernard’s Housing Development Fund Company, Inc. 1/1/2016

W591507 St. Bernard's Church 4/16/1974

W591127 St. Bernards Church - Cohoes 9/1/1978 11/6/2009

Page 36: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W440754 St. Bernard's II, Inc. 1/1/2016

W591374 St. Brendan's Church 6/1/1976

W591127 St. Bridgets Church - Copake Falls 9/1/1978 12/31/2009

W591507 St. Brigid - St. Joseph Church 7/1/1973

W591127 St. Casimirs Church - Amsterdam 9/1/1978 5/3/2009

W591127 St. Catherine of Siena, Church & School 9/1/1978 10/1/2009

W591127 St. Catherine's Center for Children 9/1/1978

W591507 St. Cecilia's Church 4/16/1974

W591507 St. Charles Borromeo Church 7/1/1973

W591127 St. Clare's Church 9/1/1978

W591507 St. Cyril & Methodius Slovak RC Church of Binghamton 7/1/1973

W591507 St. Daniel's Church 7/1/1973

W591507 St. Elizabeth Ann Seton Church 7/1/1973

W596852 St. Elizabeth Medical Center 1/1/2012

W591192 ST. ELIZABETH ROMAN CATHOLIC CHURCH 7/1/1989

W421754 St. Frances Schervier Home & Hospital 10/1/1998

W347886 St. Francis Center at the Knolls, Inc. 4/1/2017

W421754 St. Francis Center at the Knolls, Inc. 10/1/1998 5/19/2015

W591507 St. Francis Church 7/1/1973

W591127 St. Francis DeSales - Loudonville 9/1/1978 11/17/2009

W591127 St. Francis DeSales - Troy 9/1/1978 2/2/2009

W591127 St. Francis of Assisi 9/1/1978

W591507 St. Francis Xavier Church 4/16/1974

W591507 St. Helena's Church 7/1/1973

W591507 St. Helena's Church - Sherrill 7/1/1973

W591127 St. Henry's Church 9/1/1978

W591374 ST. HUBERTS CHURCH STAR LAKE 6/1/1976

W591192 ST. HYACINTH'S CHURCH SCHOOL 7/1/1989

W591127 St. Isaac Jogues Parish 12/31/2009

W591507 St. James' Church 7/1/1973

W591127 St. James Church - Fort Plain 9/1/1978 7/1/2010

W591507 St. James' Church - Syracuse 7/1/1973

W591374 ST. JAMES CHURCH, GOUVERNEUR 6/1/1976

W591374 ST. JAMES MAJOR CHURCH 6/1/1976

W591192 ST. JOAN OF ARC R.C. CHURCH 7/1/1989

W597009 St. Joe Minerals Corporation 1/11/1927 9/18/1987

W591374 ST. JOHN BOSCO CHURCH 6/1/1976

W591192 St. John Church 7/1/1973

W591507 St. John the Baptist - Rome 7/1/1973

W591507 St. John the Baptist - Syracuse 4/16/1974

W591127 St. John the Baptist Church - Amsterdam 9/1/1978 2/25/2009

W591127 St. John the Baptist Church - Schenectady 9/1/1978 6/25/2009

W591507 St. John the Evangelist - New Hartford 7/1/1973

W591507 St. John the Evangelist Church - Bainbridge 4/16/1974

W591374 ST. JOHN THE EVANGELIST CHURCH, CLAYTON 6/1/1976

W591127 ST. JOHN THE EVANGELIST SCHOOL 9/1/1978

W591127 St. John Vianney 7/17/2007 12/31/2009

W591507 St. John's Cemetery 7/1/1973

W591374 ST. JOHN'S CHURCH 6/1/1976

W591507 St. John's Church - Camden 7/1/1973

Page 37: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W591507 St. John's Church - North Bay 4/16/1974

W591507 St. John's Church - Utica 7/1/1973

W591507 St. Joseph - St Patrick Church (Utica) 7/1/1973

W591507 St. Joseph Church - Liverpool 7/1/1973

W591192 ST. JOSEPH R.C. CHURCH 7/1/1989

W591127 St. Joseph's Church 9/1/1978 7/1/2009

W591507 St. Joseph's Church - Camillus 7/1/1973

W591127 St. Joseph's Church - Cohoes 9/1/1978 2/25/2009

W591507 St. Joseph's Church - Deposit 7/1/1973

W591507 St. Joseph's Church - Endicott 4/16/1974

W591127 St. Josephs Church - Greenfield Center 9/1/1978

W591507 St. Josephs Church - Lafayette 7/1/1973

W591507 St. Joseph's Church - Oswego 7/1/1973

W591507 St. Joseph's Church - Oxford 7/1/1973

W591127 St. Joseph's Church - Richfield Springs 9/1/1978 7/1/2009

W591127 St. Joseph's Church - West Winfield 9/1/1978 7/1/2009

W591374 ST. JOSEPH'S CHURCH, EVAN MILLS 6/1/1976

W596944 St. Joseph's Health System, Inc. 1/1/2000 1/23/2012

W596944 St. Joseph's Hospital 1/1/2000

W487508 St. Joseph's Hospital Health Center 1/1/1979 12/31/2015

W650065 St. Joseph's Hospital Health Center 1/1/2016

W650065 St. Joseph's Medical, P.C. 1/1/2016

W650065 St. Joseph's Physician Health, P.C. 1/1/2016

W591507 St. Leo's Church - Tully 7/1/1973

W591507 St. Lucy's Church 7/1/1973

W516256 St. Luke's Hospital Center 8/15/1978 11/1/1979

W597256 St. Luke's Memorial Hospital Center 1/1/1991 1/1/2000

W597504 St. Luke's-Roosevelt Hospital Center 11/1/1979 12/29/1983

W597538 St. Luke's-Roosevelt Hospital Center 12/29/1993 12/29/1997

W591507 St. Malachy's Church 7/1/1973

W591127 St. Margaret Mary Church 9/1/1978 10/1/2009

W591507 St. Margaret's Church - Mattydale 7/1/1973

W591507 St. Mark's Church - Utica 7/1/1973

W591507 St. Mary of The Assumption 7/1/1973

W591507 St. Mary of the Assumption - Binghamton 7/1/1973

W591192 ST. MARY R.C. CHURCH 7/1/1989

W591127 St. Mary's Church 9/1/1978

W591192 ST. MARY'S CHURCH 7/1/1989

W591374 ST. Mary's Church 1/1/2017

W591507 St. Mary's Church - Baldwinsville 7/1/1973

W591507 St. Mary's Church - Clinton 7/1/1973

W591507 St. Mary's Church - Cortland 7/1/1973

W591127 St. Mary's Church - Hudson 9/1/1978 7/1/2009

W591507 St. Mary's Church - Kirkwood 4/16/1974

W591507 St. Mary's Church - Oswego 7/1/1973

W591507 St. Mary's Church - Rome 4/16/1974

W591127 St. Marys Church - Schenectady 9/1/1978 6/28/2009

W591127 St. Marys Church - Troy 9/1/1978 6/30/2010

W591507 St. Mary's Church- Baldwinsville 7/1/1973

W591507 St. Mary's Church of Our Lady of Czestochowa 7/1/1973

Page 38: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W591507 St. Mary's Church Rome 7/1/1973

W597561 St. Mary's Healthcare 10/1/1986

W597751 St. Mary's Hospital of Troy 7/1/1981 1/1/1995

W591127 St. Mary's of Mt. Carmel 9/1/1978 7/1/2009

W591507 St. Mary's of the Lake Church 7/1/1973

W591127 ST. MARY'S ROMAN CATHOLIC CHURCH - GALWAY 9/1/1978

W591507 St. Matthew's Church - East Syracuse 7/1/1973

W591507 St. Michael's Church - Syracuse 7/1/1973

W591374 ST. MICHAEL'S ORATORY 6/1/1976

W591507 St. Patrick Church - Jordan 7/1/1973

W591507 St. Patrick's Church 4/16/1974

W591127 St. Patrick's Church - Athens 9/1/1978

W591507 St. Patrick's Church - Binghamton 7/1/1973

W591507 St. Patrick's Church - Syracuse 7/1/1973

W591507 St. Patricks Church - Taberg 4/16/1974

W591127 St. Patrick's Church - Troy 9/1/1978 7/1/2010

W591507 St. Patrick's Church - Truxton 7/1/1973

W591192 ST. PATRICKS CHURCH BELFAST 7/1/1989

W591507 St. Patricks RC Church 7/1/1973

W591507 St. Patrick's School - Oneida 4/16/1974

W591127 St. Paul the Apostle - Troy 9/1/1978 5/31/2009

W591507 St. Paul's Church - Norwich 4/16/1974

W591507 St. Paul's Church - Oswego 4/16/1974

W591507 St. Paul's Church - Rome 7/1/1973

W591507 St. Paul's Church - Whitesboro 7/1/1973

W591127 St. Peter & St. Paul Church 9/1/1978 7/1/2010

W591507 St. Peter's Church 7/1/1973

W591507 St. Peter's Church - Rome 7/1/1973

W591127 St. Peters Church - Troy 9/1/1978 5/31/2009

W591507 St. Peter's Church - Utica 7/1/1973

W650065 St. Peter's Health Partners 1/1/2016

W650069 St. Peter's Health Partners Medical Associates, P.C. 1/1/2016

W650065 St. Peter's Hospital Foundation, Inc. 1/1/2016

W650069 St. Peter's Hospital, Inc. 1/1/2016

W591127 St. Peter's Roman Catholic Church of Delhi 9/1/1978

W610000 St. Regis Paper Company (NY) 8/10/1929 11/1/1952

W591127 St. Rita/Sacred Heart Church - Cohoes 9/1/1978 2/25/2009

W591507 St. Rose of Lima Church 7/1/1973

W591127 St. Stephen's Church 9/1/1978

W591507 St. Stephen's Church 7/1/1973

W591127 St. Teresa of Avila - Albany 9/1/1978 10/1/2009

W591507 St. Thomas Aquinas Fund, Inc. 3/31/2014

W591507 St. Thomas Church Roman Catholic Church - New Hartford 7/1/1973

W591507 St. Thomas More Foundation, Inc. 7/1/1994

W591192 ST. TIMOTHY ROMAN CATHOLIC CHURCH 7/1/1989

W591507 St. Vincent De Paul Church - Syracuse 7/1/1973

W591127 St. Vincent de Paul's Church 9/1/1978

W591374 ST. Vincent DePaul 1/1/2017

W591507 St. Vincent DePaul Church 7/1/1973

W591507 ST. VINCENT DEPAUL FURNITURE & CLOTHING INC. 4/16/1974 12/31/2011

Page 39: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W591192 ST. VINCENT'S RC CHURCH OF NORTH EVANS 7/1/1989

W591192 ST. VINCENT'S RC CHURCH SOCIETY 7/1/1989

W591127 St. Williams Church 9/1/1978 2/25/2009

W625008 Standard Brands, Inc. 12/13/1929 12/31/1982

W600720 Standard Packing Corporation 7/1/1975 12/31/1978

W626758 Standard Products Company 10/1/1984 6/1/2010

W627004 Standard T. Chemical Co. 5/1/1963 11/10/1982

W627509 Stanley Access Technologies LLC 5/30/2006

W627509 Stanley Black & Decker, Inc. 4/18/1994

W627509 Stanley Bostitch, Inc. 4/18/1994 7/1/1999

W627509 Stanley Convergent Security Solutions, Inc. 1/16/2007

W367193 Stanley G. Falk School 7/1/2014

W627509 Stanley Home Automation Inc. 4/18/1994 7/1/1998

W627509 Stanley Magic-Door, Inc. 10/23/1995 12/31/1997

W627509 Stanley Mechanic Tools, Inc. 4/18/1994 12/31/1997

W627509 Stanley Security Solutions, Inc. 2/23/2003

W627509 Stanley Storage Systems, Inc. 4/18/1994 12/31/1997

W627509 Stanley Supply & Services, Inc. 7/1/2009

W413876 Star Leather Company Incorporated 9/1/1980 10/31/1984

W628002 Star Supermarkets Inc 1/1/1960 12/4/1982

W627756 Starbucks Corporation 10/1/2002

W629133 Staten Island University Hospital 10/1/1990 2/1/1992

W522759 Station Operators Inc. 1/1/1997 11/30/1999

W538003 Stella D'Oro Biscuit Co., Inc. 1/4/1994 5/1/2001

W591374 STEPHEN'S, ST. CHURCH, CROGHAN 6/1/1976

W413843 Stern's Department Stores, Inc. 8/1/1994 7/20/2001

W630750 Stewart's Marketing Corp. 1/1/1992 1/1/2001

W630883 Stewart's Processing Corp. 1/1/1992 1/1/2001

W630503 Stewart's Shops Corp. 1/1/1992

W454888 Stillwater Children's Center, Inc 7/9/2015

W629505 Stop & Shop Companies, Inc. 8/1/1980 7/1/2003

W503007 Stouffer Management Food Service 1/1/1972 3/5/1973

W503007 Stouffer Restaurant & Inn Corp. 4/1/1971 3/5/1973

W633507 Stroehmann Bakeries, Inc. 1/1/1990 1/2/1996

W499073 Structure, Inc. 11/1/1993 1/1/2002

W549919 Studio 3 Partners LLC 4/15/2008 12/31/2010

W633754 Sugar Creek Corporation (nka Superior Plus US Holdings) 7/20/1994 8/3/1998

W633754 Sugar Creek Stores, Inc. 7/20/1994 8/3/1998

W595755 Summit Industries, Inc. 12/31/1991 1/1/1994

W591127 Sunnyside Day Care Center 9/1/1986

W557904 Sunnyview Hospital and Rehabilitation Center 1/1/2011 1/1/2012

W650069 Sunnyview Hospital and Rehabilitation Center 1/1/2016

W557904 Sunnyview Hospital and Rehabilitation Center Foundation, Inc. 1/1/2011 1/1/2012

W634000 Supermarkets General Holdings Corporation 9/15/1976 5/1/2000

W417885 Suretrade, Inc. 2/1/1998 4/4/2001

W636005 Surface Transit, Inc 6/21/1949 4/30/1962

W503007 Sweda International Incorporated 8/1/1976 8/1/1984

W638191 Swift & Co. 10/1/1981 4/1/1985

W638225 Swift Leasing Co., LLC 12/31/2005

W638225 Swift Transportation Co. of Arizona, LLC 12/31/2005

Page 40: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W638225 Swift Transportation Co., LLC 12/31/2005

W638225 Swift Transportation Services, LLC 12/31/2005

W638506 Sybron Corp. 1/1/1975 1/1/1984

W638639 SYDA Foundation 2/1/1990 5/1/1995

W446256 Symons Corporation 1/1/1981 9/8/1983

W422570 Synex Controls 1/1/2013

W499040 Syracuse China Company 10/10/1995 7/1/2009

W548002 Syracuse Movers Incorporated 1/1/1971 7/26/1985

W639504 Syracuse University 6/30/1979

W639504 Syracuse University Press, Inc. 6/30/1979 7/1/2010

W639504 Syracuse University Theatre Corp. 6/30/1979 7/1/1984

W646004 Szelagowski, A. & Son, Inc. 12/21/1960 7/1/1974

W458004 T Hogan & Sons, Inc. 9/24/1919 9/26/1968

W519722 T. Marzetti Company 2/1/1995 12/31/2009

W555502 T.A. Buscaglia, Inc. 7/1/1975 11/1/2000

W382253 Target Corporate Services, Inc. 1/1/2011

W382253 Target Corporation 6/1/1996

W382253 Target Enterprise, Inc. 2/1/2015

W382253 Target General Merchandise, Inc. 1/1/2011

W382253 Target Sourcing Services Corporation 2/1/1999 5/25/2010

W476006 Taussig's Graphic Supply, Inc. 1/1/1998 1/31/2000

W633507 Taystee Baking Company, Inc. 1/1/1990 12/16/1995

W627756 Teavana Corporation 11/11/2013

W651046 Terrific Services / E.S. Inc. 4/1/1999 1/21/2002

W642757 Tessy Plastics Corp. 6/1/2013

W643001 Textron, Inc. 3/4/1956 6/28/1964

W667133 THD Coffee CO., Inc. 9/15/2005 9/30/2006

W667133 THD Group 9/15/2005 9/30/2006

W391007 The Chemours Company FC, LLC 2/1/2015 7/1/2015

W591192THE FOUNDATION OF THE ROMAN CATHOLIC DIOCESE OF

BUFFALO9/30/2006

W446256 The Late Show, Inc. 4/1/2015

W650065 The Northeast Health Foundation, Inc. 1/1/2016

W591127 THE PARISH OF ST. JOHN THE EVANGELIST AND ST. JOSEPH 3/31/2007

W591374 THERESE, ST. CHURCH NEWCOMB 6/1/1976

W591374 THOMAS MORE ST. CAMPUS PARISH 6/1/1976

W644009 Thompson-Starrett Co, Inc. 2/1/1929 4/24/1935

W446256 Thonet Industries Incorporated 1/1/1981 9/12/1985

W558720 Tilcon New York Inc. 10/1/1997

W645758 Time-DC, Inc. 10/1/1980 5/1/1982

W645501 Times Mirror Company, The 1/1/1979 4/1/1998

W645501 Times Mirror Magazines, Inc. 1/1/1979 4/1/1998

W476006 TIN, Inc. 4/1/2012 1/1/2013

W646004 Tobin Packing Co., Inc. (DEL) 6/24/1960 7/1/1974

W591507 Toomey Residential & Community Services Corp 3/31/2011

W555502 Tops Markets, Inc. 7/1/1975 7/1/2003

W555502 Tops, Inc 7/1/1975 11/1/2000

W647630 Tosco Corporation 9/15/1995 2/1/1997

W458509 Town Park Hotel Corporation 4/27/1997 4/30/2004

W517601 Trans Union Credit Information Company 4/1/1988 1/1/1999

Page 41: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W648752 TransAmerica Airlines Inc. 8/4/1977 4/1/1987

W648000 TransAmerican Freight Lines Inc. 5/1/1957 10/10/1975

W591507 Transfiguration Church - Rome 7/1/1973

W591507 Transfiguration Church - Syracuse 7/1/1973

W591127 Transfiguration Parish 9/30/2010

W318000 Travel Impressions, Ltd. 9/30/2007 9/30/2013

W557417 Treasure & Bond, LLC 6/15/2011 9/2/2013

W650006 Trico Products Corporation 1/9/1922 10/31/1995

W591374 TRINITY CATHOLIC SCHOOL, MASSENA 6/1/1976

W650065 Trinity Health Corporation 1/1/2016

W341002 Tropicana Products Sales Inc. 12/1/1986 4/8/1988

W595755 Truckstops Corp. of America 3/1/1977 4/2/1984

W591507 Trust for Father Champlins Guardian Angels Society 3/31/2013

W650501 Turbodyne Corp 1/1/1973 1/4/1981

W595755 U. S. Packing & Shipping Company 3/24/1987 12/31/1987

W651046 U.S. Management W.C. Inc. 4/1/1999 1/21/2002

W650980 UCO Electronics, Inc. 11/18/1982 1/1/1986

W651079 UCO Optics Inc. 11/15/1982 7/1/1983

W558720 Ulster Paving Company, Inc. 10/1/1993 8/8/1997

W629257 Unifrax Corporation 1/1/1987 10/30/1996

W651160 Unifrax I LLC 10/30/1996

W596845 Union Community Health Center, Inc 1/1/2003 8/15/2006

W651251 Union Corp The 1/1/1979 11/15/1982

W651632 Union KOL-FLO Corp 11/15/1982 1/29/1985

W652002 Union News Company 4/19/1921 12/31/1959

W434005 Unisource Worldwide, Inc. 4/1/2001 11/3/2002

W653000 United Air Lines Inc. 1/1/1972 3/31/2013

W653506 United Airlines Inc. 4/1/2013

W654008 United Brands Co. 11/10/1919 11/1/1972

W655500 United Hospital Medical Center 10/1/1996 4/25/2000

W440754 United Memorial Medical Center 1/1/2016

W656003 United States Gypsum Co. 6/6/1924 2/1/1963

W659007 United States Steel 6/27/1925 5/15/2002

W659007 United States Steel Corporation 1/1/1953 5/15/2002

W662001 United States Trucking Corp. 3/8/1920 1/1/1984

W662027 United Structures, Inc. 7/1/2001 1/26/2004

W591127 UNITED TENANTS OF ALBANY 9/1/1978

W386007 Unites States Playing Card Co. 4/1/1970 3/30/1979

W440754 Unity Aging Services, Inc. 1/1/2016

W440754 Unity Health System 1/1/2016

W440754 Unity Health System Foundation 1/1/2016

W440754 Unity Hospital of Rochester, The 1/1/2016

W440754 Unity Housing Development Fund Corporation 1/1/2016

W440754 Unity Senior Housing Associates, LP 1/1/2016

W440754 Unity Senior Housing Corp 1/1/2016

W589501 University of Rochester 7/1/1979

W662068 Upstate Niagara Cooperative Inc. 4/8/1991

W417380 Upstate Professional Liability Corporation 6/1/2012

W627756 Urban Coffee Opportunities, LLC 10/1/2002 10/21/2010

W424634 USA Weekend, Inc. 10/1/2000 12/30/2002

Page 42: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W640387 USF Holland Inc. (USF Holland LLC) 2/1/1996 3/1/2006

W577506 USF Red Star Inc. 11/1/1993 5/6/2005

W659007 USX Corporation 1/1/1966 7/3/2001

W591507 Utica-Rome Catholic Charities 7/1/1973

W541254 Utility Constructors,Inc 9/1/1991 5/24/1995

W450134 Vassar Brothers Hospital 4/1/2006 6/1/2009

W553002 Verizon New York Inc. 7/6/1914 12/31/2008

W662126 Vermont American Corporation 10/1/1979 8/1/1985

W549919 Viacom 18 US, Inc. 12/22/2007

W549919 Viacom Global Services Inc. 10/1/2006

W549919 Viacom Inc. 10/1/2006

W446256 Viacom International Inc. 1/1/1995 7/31/1996

W549919 Viacom International Services Inc. 10/1/2006

W446256 Viacom MGS Services Inc. 7/1/1995 12/31/1996

W446256 Viacom Services, Inc. 1/1/2001 12/31/2004

W499073 Victoria's Secret Catalogue, Inc. 11/1/1993 5/1/1998

W499073 Victoria's Secret Direct Brand Management, LLC 2/3/2007

W499073 Victoria's Secret Direct New York, LLC (1993) 11/1/1993 12/31/2006

W499073 Victoria's Secret Direct New York, LLC (2010) 1/1/2010

W499073 Victoria's Secret Stores Brand Management, Inc. 6/1/2005

W499073 Victoria's Secret Stores LLC 7/21/2005

W499073 Victoria's Secret Stores, Inc. 11/1/1993 7/21/2005

W347886 Villa Frances at the Knolls, Inc. 4/1/2017

W421754 Villa Frances at the Knolls, Inc. 10/1/1998 5/19/2015

W650065 Villa Mary Immaculate 1/1/2016

W650069Villa Mary Immaculate dba St. Peter's Nursing & Rehabilitation

Center1/1/2016

W591374 VINCENT de PAUL ST. CHURCH 6/1/1976

W591374 VINCENT ST. OF PAUL'S CHURCH 6/1/1976

W565253 Visiting Nurse Service of New York 1/1/1994

W565253 Visiting Nurse Service of New York Home Care 1/1/1994

W565253 Visiting Nurse Service of New York Hospice Care 5/1/2003

W555502 VIX, Inc. 7/1/1984 6/25/1988

W565253 VNS CHOICE 10/1/2001

W565253 VNS Choice Community Care 9/1/2003

W565253 VNS Continuing Care Development Corporation 10/1/2001 4/1/2003

W565253 VNS Group Health Home Care 10/1/2000 7/23/2008

W591374 WADHAMS HALL SEMINARY COLLEGE 6/1/1976

W662506 Waldbaum Inc. 4/30/1978 5/1/1981

W440507 Waldbaum Inc. (1988) 2/1/1989

W492003 Walden Book Company, Inc. 7/1/1985 2/1/1995

W663009 Wallach's, Inc. 3/1/1978 11/30/1991

W663504 Wal-Mart Associates, Inc. 11/1/2009

W342505 Warner & Swasey Company 10/1/1980 10/1/1983

W899003 Warner-Lambert Company 10/3/1962 7/7/1988

W398259 Washington Mills Electro Minerals Corporation 5/1/1987

W591374 WATERTOWN CATECHETICAL BOARD 6/1/1976

W612501 WEA Enterprises Co. Inc. 4/1/1977 10/18/1984

W548002 Webster Rental Corporation 1/1/1971 7/26/1985

W665509 Wegmans Food Markets, Inc. 4/30/1996

Page 43: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W376008 Weill Cornell Medical College of Cornell University 10/31/1928

W667257 Weis Markets, Inc. 9/20/1977 1/1/2004

W666002 Welbilt Corporation 6/1/1955 4/20/1969

W667000 Welbilt Corporation (MICH) 7/19/1969 10/8/1975

W667133 Wendy's International, LLC 9/15/2005

W667133 Wendy's Old Fashioned Hamburgers of New York, LLC 9/15/2005

W667133 Wendy's Restaurants of New York, LLC 6/6/2011

W668008 Westchester Street Transportation 12/17/1956 4/30/1962

W503007 Western Geophycical Co. of America 1/1/1972 8/1/1984

W673008 Western Union Data Service Co. Inc. 9/1/1970 12/2/1979

W674006 Western Union Realty Corp. (DEL) 9/1/1970 8/5/1975

W675003 Western Union Telegraph Co., The 8/31/1914 3/1/1985

W676001 Westinghouse Broadcasting & Cable 1/1/1986 12/1/1989

W676001 Westinghouse Electric Corp 1/17/1939 1/1/1998

W677009 Westvaco Corporation 7/6/1914 12/31/2002

W645501 WETM-TV Incorporated 2/24/1981 6/19/1986

W677504 Weyerhaeuser Company 1/1/1978 8/23/2009

W677504 Weyerhaeuser NR Company 1/1/2009 8/23/2009

W520852 WFC Air, Inc. 2/1/1994 8/1/2009

W514004 WH Loomis Talc Corp. (NY) 12/31/1929 1/1/1954

W678254 White Castle System, Inc. 3/1/1992

W450944 White Plains Foundation Inc. 10/1/2002 12/31/2013

W450944 White Plains Hospital Medical Center 10/1/2002 12/31/2013

W521009 White Rose Food Corp. 1/1/1972 6/27/1986

W389506 White Rose Frozen Foods, Inc. 8/1/1992 4/1/1998

W389506 White Rose Inc. 6/27/1986 1/1/2009

W449508 Wicks & Greenman Inc. 3/1/1978 8/1/1982

W625008 Wile, Julius Sons & Co., Inc. 1/1/1978 10/15/1982

W620009 William Spencer & Son Corp. 10/17/1931 11/1/1971

W681506 Wilson & Company Inc. (DEL) 1972 1/31/1973 6/1/1975

W555502 Wilson Farms Inc. 7/1/1984 11/1/2000

W682009 Wilson-Sinclair Co. 4/1/1970 1/31/1973

W384820 Winship Community Residences, Inc. 9/1/2001

W421754 Winslow Therapeutic Riding Center, Inc. 10/1/1998 3/2/2000

Witco Corporation (nka LANXESS Solutions US, Inc.) 7/1/1973 6/1/1997

W683502 Witco Inter-American Corporation 7/1/1973 12/31/1979

W683502 Witco International Sales Corp. 7/1/1973 9/24/1989

W683502 Witco Investment Corporation 1/19/1983 6/9/1989

W683502 Witgo Oil and Gas Corporation 1/19/1983 12/1/1987

W446256 WNYT Inc. 7/1/1995 9/30/1996

W499073 Womanco Service Corporation 5/26/1995 10/31/2002

W367254 Women's & Children's Hlth Research Foundation 4/1/1984 4/1/1998

W367254 Women's & Children's Services Corp. 4/1/1985 4/1/1998

W450134 Women's Health Physician of the Hudson Valley, PLLC 4/1/2006 6/1/2009

W440754 Woodland Village, Inc. 1/1/2016

W576508 World T & I Corporation 10/1/1974 1/1/1979

W684005 Worthington CEI, Inc. 1/1/1972 1/1/1974

W686000 Worthington Corp. (DEL 1967) 11/27/1967 10/1/1972

W685002 Worthington Corporation (DEL 1937) 3/20/1937 11/27/1967

W687008 Worthington Turbine International 4/1/1970 1/1/1973

Page 44: Individual Self Insurer Carrier Code Number (Board Assigned W Number)

Individual Self-Insurer Carrier Code Numbers

(Board Assigned W Numbers)

W662258 WPIX Inc. 12/31/1978 7/1/1991

W662381 WSTM-TV Incorporated 2/24/1981 6/19/1986

W687503 Xerox Corporation 4/1/1976 1/1/1998

W549919 Xfire, Inc. 10/1/2006 8/2/2010

W446389 XLM Company 6/30/1994 5/31/1998

W688006 Yellow Transportation, Inc. 1/1/1970 10/1/2008

W687750 Yeshiva University 7/1/2011

W687750 Yeshiva University High Schools 7/1/2011

W364517 Youngs, Inc. 4/4/1991 6/1/1991

W420509 Zee Services, Inc. 7/1/1994 7/1/1997