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NORTH COUNTRY PHYSICIANS, P.C.

Company Details

Name: NORTH COUNTRY PHYSICIANS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 09 May 1989 (36 years ago) (Companies founded in May 1989)
Date of dissolution: 15 Sep 2014
Entity Number: 1351258
ZIP code: 13367 (Companies in Jefferson, 13367)
County: Jefferson
Place of Formation: New York
Principal Address: 7785 NORTH STATE ST., LOWVILLE, NY, United States, 13367
Address: 7785 NORTH STATE STREET, LOWVILLE, NY, United States, 13367

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
NORTH COUNTRY PHYSICIANS, P.C. PROFIT SHARING PLAN 2014 161350002 2015-06-10 NORTH COUNTRY PHYSICIANS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3153766134
Plan sponsor’s address 17100 COUNTY ROUTE 155, WATERTOWN, NY, 13601

Signature of

Role Plan administrator
Date 2015-06-10
Name of individual signing ROBERT HARRYMAN, MD
Role Employer/plan sponsor
Date 2015-06-10
Name of individual signing ROBERT HARRYMAN, MD
NORTH COUNTRY PHYSICIANS, P.C. PROFIT SHARING PLAN 2013 161350002 2014-07-28 NORTH COUNTRY PHYSICIANS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3153766134
Plan sponsor’s address 17100 COUNTY ROUTE 155, WATERTOWN, NY, 13601

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing ROBERT HARRYMAN, MD
Role Employer/plan sponsor
Date 2014-07-28
Name of individual signing ROBERT HARRYMAN, MD
NORTH COUNTRY PHYSICIANS, P.C. PROFIT SHARING PLAN 2012 161350002 2013-05-02 NORTH COUNTRY PHYSICIANS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3153766134
Plan sponsor’s address 7785 NORTH STATE STREET, LOWVILLE, NY, 13367

Signature of

Role Plan administrator
Date 2013-05-02
Name of individual signing ROBERT HARRYMAN, MD
Role Employer/plan sponsor
Date 2013-05-02
Name of individual signing ROBERT HARRYMAN, MD
NORTH COUNTRY PHYSICIANS, P.C. PROFIT SHARING PLAN 2011 161350002 2012-10-12 NORTH COUNTRY PHYSICIANS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3153766134
Plan sponsor’s address 7785 NORTH STATE STREET, LOWVILLE, NY, 13367

Plan administrator’s name and address

Administrator’s EIN 161350002
Plan administrator’s name NORTH COUNTRY PHYSICIANS, P.C.
Plan administrator’s address 7785 NORTH STATE STREET, LOWVILLE, NY, 13367
Administrator’s telephone number 3153766134

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing ROBERT HARRYMAN, MD
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing ROBERT HARRYMAN MD
NORTH COUNTRY PHYSICIANS, P.C. PROFIT SHARING PLAN 2010 161350002 2011-03-15 NORTH COUNTRY PHYSICIANS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3153766134
Plan sponsor’s address 7785 NORTH STATE STREET, LOWVILLE, NY, 13367

Plan administrator’s name and address

Administrator’s EIN 161350002
Plan administrator’s name NORTH COUNTRY PHYSICIANS, P.C.
Plan administrator’s address 7785 NORTH STATE STREET, LOWVILLE, NY, 13367
Administrator’s telephone number 3153766134

Signature of

Role Plan administrator
Date 2011-03-15
Name of individual signing ROBERT HARRYMAN, MD
NORTH COUNTRY PHYSICIANS, P.C. PROFIT SHARING PLAN 2009 161350002 2010-09-21 NORTH COUNTRY PHYSICIANS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3153766134
Plan sponsor’s address 7785 NORTH STATE STREET, LOWVILLE, NY, 13367

Plan administrator’s name and address

Administrator’s EIN 161350002
Plan administrator’s name NORTH COUNTRY PHYSICIANS, P.C.
Plan administrator’s address 7785 NORTH STATE STREET, LOWVILLE, NY, 13367
Administrator’s telephone number 3153766134

Signature of

Role Plan administrator
Date 2010-09-21
Name of individual signing ROBERT HARRYMAN, MD

Chief Executive Officer

Name Role Address
DANIEL CAPPON Chief Executive Officer 7785 NORTH STATE ST., LOWVILLE, NY, United States, 13367

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 7785 NORTH STATE STREET, LOWVILLE, NY, United States, 13367

History

Start date End date Type Value
1997-05-15 2001-05-07 Address 14579 COUNTY ROUTE 156, WATERTOWN, NY, 13601, USA (Type of address: Chief Executive Officer)
1992-12-10 1997-05-15 Address 7785 NORTH STATE STREET, LOWVILLE, NY, 13367, USA (Type of address: Chief Executive Officer)
1992-12-10 2001-05-07 Address 7785 NORTH STATE STREET, LOWVILLE, NY, 13367, USA (Type of address: Principal Executive Office)
1989-05-09 1992-12-10 Address 315 HOLCOMB STREET, WATERTOWN, NY, 13601, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140915000207 2014-09-15 CERTIFICATE OF DISSOLUTION 2014-09-15
130516002401 2013-05-16 BIENNIAL STATEMENT 2013-05-01
110525003078 2011-05-25 BIENNIAL STATEMENT 2011-05-01
090417002079 2009-04-17 BIENNIAL STATEMENT 2009-05-01
070521002317 2007-05-21 BIENNIAL STATEMENT 2007-05-01
050620002832 2005-06-20 BIENNIAL STATEMENT 2005-05-01
030514002243 2003-05-14 BIENNIAL STATEMENT 2003-05-01
010507002626 2001-05-07 BIENNIAL STATEMENT 2001-05-01
990510002858 1999-05-10 BIENNIAL STATEMENT 1999-05-01
970515002253 1997-05-15 BIENNIAL STATEMENT 1997-05-01

Date of last update: 14 Nov 2024

Sources: New York Secretary of State