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ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C.

Company Details

Name: ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 10 Oct 1985 (39 years ago)
Date of dissolution: 06 Oct 2022
Entity Number: 1029408
ZIP code: 12983
County: Franklin
Place of Formation: New York
Address: 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, United States, 12983

Shares Details

Shares issued 1000

Share Par Value 1

Type PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2020 141670620 2021-04-19 ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 5188913845
Plan sponsor’s address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983
ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2019 141670620 2021-02-26 ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 5188913845
Plan sponsor’s address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983
ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2018 141670620 2020-01-30 ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 5188913845
Plan sponsor’s address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983
ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2017 141670620 2018-12-10 ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 5188913845
Plan sponsor’s address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983
ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2016 141670620 2017-11-01 ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 5188913845
Plan sponsor’s address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983
ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2015 141670620 2016-11-16 ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 5188913845
Plan sponsor’s address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983
ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2014 141670620 2015-11-20 ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 5188913845
Plan sponsor’s address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983

Signature of

Role Plan administrator
Date 2015-11-20
Name of individual signing ANN D. BECKER
ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2013 141670620 2014-12-01 ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 5188913845
Plan sponsor’s address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983

Signature of

Role Plan administrator
Date 2014-12-01
Name of individual signing ANN D. BECKER
ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2012 141670620 2013-11-11 ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 5188913845
Plan sponsor’s address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983

Signature of

Role Plan administrator
Date 2013-11-11
Name of individual signing ANN D. BECKER
ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2011 141670620 2012-12-07 ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 5188913845
Plan sponsor’s address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983

Plan administrator’s name and address

Administrator’s EIN 141670620
Plan administrator’s name ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, P.C.
Plan administrator’s address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983
Administrator’s telephone number 5188913845

Signature of

Role Plan administrator
Date 2012-12-07
Name of individual signing ANN D. BECKER

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, United States, 12983

Chief Executive Officer

Name Role Address
ELIZABETH K B BUCK Chief Executive Officer 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, United States, 12983

History

Start date End date Type Value
2011-10-25 2022-10-06 Address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983, USA (Type of address: Chief Executive Officer)
2005-11-23 2011-10-25 Address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983, USA (Type of address: Chief Executive Officer)
2003-12-30 2022-10-06 Address 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY, 12983, USA (Type of address: Service of Process)
2003-09-26 2003-12-30 Address 2249 STATE ROUTE 86, STE 3, SARANAC LAKE, NY, 12983, 9619, USA (Type of address: Service of Process)
2003-09-26 2005-11-23 Address 2249 STATE ROUTE 86, STE 3, SARANAC LAKE, NY, 12983, 9619, USA (Type of address: Chief Executive Officer)
2003-09-26 2005-11-23 Address 2249 STATE ROUTE 86, STE 3, SARANAC LAKE, NY, 12983, 9619, USA (Type of address: Principal Executive Office)
2001-10-03 2003-09-26 Address REDFIELD MEDICAL OFFICE BLDG, RDF BOX 410D LAKE COLBY DR, SARANAC LAKE, NY, 12983, 9619, USA (Type of address: Service of Process)
2001-10-03 2003-09-26 Address REDFIELD MEDICAL OFFICE BLDG, RFD BOX 410D LAKE COLBY DR, SARANAC LAKE, NY, 12983, 9619, USA (Type of address: Principal Executive Office)
2001-10-03 2003-09-26 Address REDFIELD MEDICAL OFFICE BLDG, RFD BOX 410D LAKE COLBY DR, SARANAC LAKE, NY, 12983, 9619, USA (Type of address: Chief Executive Officer)
1998-11-18 1998-12-14 Name ADIRONDACK INTERNAL MEDICINE AND PEDIATRICS, P.C.

Filings

Filing Number Date Filed Type Effective Date
221006003459 2022-10-06 CERTIFICATE OF DISSOLUTION-CANCELLATION 2022-10-06
191001060600 2019-10-01 BIENNIAL STATEMENT 2019-10-01
171003006049 2017-10-03 BIENNIAL STATEMENT 2017-10-01
131009006126 2013-10-09 BIENNIAL STATEMENT 2013-10-01
111025002956 2011-10-25 BIENNIAL STATEMENT 2011-10-01
091007002410 2009-10-07 BIENNIAL STATEMENT 2009-10-01
071001002885 2007-10-01 BIENNIAL STATEMENT 2007-10-01
051123002768 2005-11-23 BIENNIAL STATEMENT 2005-10-01
031230000451 2003-12-30 CERTIFICATE OF CHANGE 2003-12-30
030926002621 2003-09-26 BIENNIAL STATEMENT 2003-10-01

Date of last update: 15 Nov 2024

Sources: New York Secretary of State