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AUBURN RADIOLOGIC ASSOCIATES, P.C.

Company Details

Name: AUBURN RADIOLOGIC ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 10 Jan 1986 (39 years ago)
Date of dissolution: 30 Mar 2010
Entity Number: 1049270
ZIP code: 13021
County: Cayuga
Place of Formation: New York
Address: C/O MICHAEL M. TERSEGNO MD, AUBURN MEMORIAL HOSPITAL, AUBURN, NY, United States, 13021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AUBURN RADIOLOGIC ASSOCIATES, P. C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST 2019 161264542 2020-07-11 AUBURN RADIOLOGIC ASSOCIATES, P. C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 3152240431
Plan sponsor’s address 5604 BUCK POINT ROAD, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2020-07-11
Name of individual signing DANIEL CANNUCCIARI, MD
Role Employer/plan sponsor
Date 2020-07-11
Name of individual signing DANIEL CANNUCCIARI, MD
AUBURN RADIOLOGIC ASSOCIATES, P. C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST 2018 161264542 2019-04-27 AUBURN RADIOLOGIC ASSOCIATES, P. C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 3152240431
Plan sponsor’s address 5604 BUCK POINT ROAD, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2019-04-27
Name of individual signing DANIEL CANNUCCIARI, MD
Role Employer/plan sponsor
Date 2019-04-27
Name of individual signing DANIEL CANNUCCIARI, MD
AUBURN RADIOLOGIC ASSOCIATES, P. C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST 2017 161264542 2018-04-10 AUBURN RADIOLOGIC ASSOCIATES, P. C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 3152240431
Plan sponsor’s address 5604 BUCK POINT ROAD, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2018-04-10
Name of individual signing DANIEL CANNUCCIARI, MD
Role Employer/plan sponsor
Date 2018-04-10
Name of individual signing DANIEL CANNUCCIARI, MD
AUBURN RADIOLOGIC ASSOCIATES, P. C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST 2016 161264542 2017-03-27 AUBURN RADIOLOGIC ASSOCIATES, P. C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 3152552828
Plan sponsor’s address 281 GRANT AVENUE, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2017-03-27
Name of individual signing DANIEL CANNUCCIARI, MD
Role Employer/plan sponsor
Date 2017-03-27
Name of individual signing DANIEL CANNUCCIARI, MD
AUBURN RADIOLOGIC ASSOCIATES, P. C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST 2015 161264542 2016-07-15 AUBURN RADIOLOGIC ASSOCIATES, P. C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 3152552828
Plan sponsor’s address 281 GRANT AVENUE, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2016-07-15
Name of individual signing DANIEL CANNUCCIARI, MD
Role Employer/plan sponsor
Date 2016-07-15
Name of individual signing DANIEL CANNUCCIARI, MD
AUBURN RADIOLOGIC ASSOCIATES, P.C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST 2014 161264542 2015-07-27 AUBURN RADIOLOGIC ASSOCIATES, P. C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 3152552828
Plan sponsor’s address 281 GRANT AVENUE, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2015-07-27
Name of individual signing DANIEL CANNUCCIARI, MD
AUBURN RADIOLOGIC ASSOCIATES, P.C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST 2013 161264542 2014-08-15 AUBURN RADIOLOGIC ASSOCIATES, P. C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 3152552828
Plan sponsor’s address 281 GRANT AVENUE, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2014-08-15
Name of individual signing DANIEL CANNUCCIARI, MD
AUBURN RADIOLOGIC ASSOCIATES, P.C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST 2012 161264542 2013-07-11 AUBURN RADIOLOGIC ASSOCIATES, P. C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 3152552828
Plan sponsor’s address 281 GRANT AVENUE, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing DANIEL CANNUCCIARI, MD
AUBURN RADIOLOGIC ASSOCIATES, P.C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST 2011 161264542 2012-04-21 AUBURN RADIOLOGIC ASSOCIATES, P. C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 3152552828
Plan sponsor’s address 281 GRANT AVENUE, AUBURN, NY, 13021

Plan administrator’s name and address

Administrator’s EIN 161264542
Plan administrator’s name AUBURN RADIOLOGIC ASSOCIATES, P. C.
Plan administrator’s address 281 GRANT AVENUE, AUBURN, NY, 13021
Administrator’s telephone number 3152552828

Signature of

Role Plan administrator
Date 2012-04-21
Name of individual signing DANIEL CANNUCCIARI, MD
AUBURN RADIOLOGIC ASSOCIATES, P.C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN & TRUST 2010 161264542 2011-08-01 AUBURN RADIOLOGIC ASSOCIATES, P. C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 3152552828
Plan sponsor’s address 281 GRANT AVENUE, AUBURN, NY, 13021

Plan administrator’s name and address

Administrator’s EIN 161264542
Plan administrator’s name AUBURN RADIOLOGIC ASSOCIATES, P. C.
Plan administrator’s address 281 GRANT AVENUE, AUBURN, NY, 13021
Administrator’s telephone number 3152552828

Signature of

Role Plan administrator
Date 2011-08-01
Name of individual signing DANIEL CANNUCCIARI, MD

Chief Executive Officer

Name Role Address
MICHAEL M. TERSEGNO MD Chief Executive Officer AUBURN MEMORIAL HOSPITAL, 17 LANSING STREET, AUBURN, NY, United States, 13021

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent C/O MICHAEL M. TERSEGNO MD, AUBURN MEMORIAL HOSPITAL, AUBURN, NY, United States, 13021

History

Start date End date Type Value
1994-01-11 1998-02-04 Address EDWIN T. DAILEY, MD, AUBURN MEMORIAL HOSPITAL, AUBURN, NY, 13021, USA (Type of address: Principal Executive Office)
1993-02-11 1998-02-04 Address AUBURN RADIOLOGIC ASSOC'S PC, AUBURN MEMORIAL HOSPITAL, AUBURN, NY, 13021, USA (Type of address: Chief Executive Officer)
1993-02-11 1994-01-11 Address AUBURN RADIOLOGIC ASSC'S PC, AUBURN MEMORIAL HOSPITAL, AUBURN, NY, 13021, USA (Type of address: Principal Executive Office)
1986-01-10 1998-02-04 Address AUBURN MEMORIAL, HOSPITAL, AUBURN, NY, 13021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
100330000484 2010-03-30 CERTIFICATE OF DISSOLUTION 2010-03-30
080102002114 2008-01-02 BIENNIAL STATEMENT 2008-01-01
060209003349 2006-02-09 BIENNIAL STATEMENT 2006-01-01
040107002379 2004-01-07 BIENNIAL STATEMENT 2004-01-01
011224002133 2001-12-24 BIENNIAL STATEMENT 2002-01-01
000128002296 2000-01-28 BIENNIAL STATEMENT 2000-01-01
980204002707 1998-02-04 BIENNIAL STATEMENT 1998-01-01
940111002830 1994-01-11 BIENNIAL STATEMENT 1994-01-01
930211002080 1993-02-11 BIENNIAL STATEMENT 1993-01-01
B308895-4 1986-01-10 CERTIFICATE OF INCORPORATION 1986-01-10

Date of last update: 15 Nov 2024

Sources: New York Secretary of State