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TWELVE CORNERS PEDIATRICS, LLP

Company Details

Name: TWELVE CORNERS PEDIATRICS, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 16 Mar 1995 (30 years ago)
Entity Number: 1903797
ZIP code: 14618
County: Blank
Place of Formation: New York
Address: 1815 S. CLINTON AVENUE, BUILDING 300, STE. 310, ROCHESTER, NY, United States, 14618
Principal Address: 1815 S. CLINTON AVENUE, BUIDLING 300, STE. 310, ROCHESTER, NY, United States, 14618

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TWELVE CORNERS PEDIATRICS GROUP 401(K) PLAN 2023 161261094 2024-04-30 TWELVE CORNERS PEDIATRICS, LLP. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854733535
Plan sponsor’s address 1815 SOUTH CLINTON AVENUE, SUITE 310, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2024-04-30
Name of individual signing MATTHEW CARLIN
TWELVE CORNERS PEDIATRICS GROUP 401(K) PLAN 2022 161261094 2023-05-26 TWELVE CORNERS PEDIATRICS, LLP. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854733535
Plan sponsor’s address 1815 SOUTH CLINTON AVENUE, SUITE 310, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2023-05-26
Name of individual signing MATTHEW CARLIN
TWELVE CORNERS PEDIATRICS GROUP 401(K) PLAN 2021 161261094 2022-04-29 TWELVE CORNERS PEDIATRICS, LLP. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854733535
Plan sponsor’s address 1815 SOUTH CLINTON AVENUE, SUITE 310, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2022-04-29
Name of individual signing MATTHEW M CARLIN
TWELVE CORNERS PEDIATRICS GROUP 401(K) PLAN 2020 161261094 2021-06-08 TWELVE CORNERS PEDIATRICS, LLP. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854733535
Plan sponsor’s address 1815 SOUTH CLINTON AVENUE, SUITE 310, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2021-06-08
Name of individual signing MATTHEW CARLIN
TWELVE CORNERS PEDIATRICS GROUP 401(K) PLAN 2019 161261094 2020-05-05 TWELVE CORNERS PEDIATRICS, LLP. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854733535
Plan sponsor’s address 1815 SOUTH CLINTON AVENUE, SUITE 310, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2020-05-05
Name of individual signing MATTHEW CARLIN
TWELVE CORNERS PEDIATRICS GROUP 401(K) PLAN 2018 161261094 2019-05-21 TWELVE CORNERS PEDIATRICS, LLP. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854733535
Plan sponsor’s address 1815 SOUTH CLINTON AVENUE, SUITE 310, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2019-05-21
Name of individual signing MATTHEW CARLIN
TWELVE CORNERS PEDIATRICS GROUP 401(K) PLAN 2017 161261094 2018-05-16 TWELVE CORNERS PEDIATRICS, LLP. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854733535
Plan sponsor’s address 1815 SOUTH CLINTON AVENUE, SUITE 310, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2018-05-16
Name of individual signing MATTHEW M CARLIN

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 1815 S. CLINTON AVENUE, BUILDING 300, STE. 310, ROCHESTER, NY, United States, 14618

History

Start date End date Type Value
1995-03-16 2002-12-12 Address ATTN:DR. MARY BETH ROBINSON MD, 2170 MONROE AVENUE, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200115002038 2020-01-15 FIVE YEAR STATEMENT 2020-03-01
150603002007 2015-06-03 FIVE YEAR STATEMENT 2015-03-01
100311000467 2010-03-11 CERTIFICATE OF CONSENT 2010-03-11
100310002621 2010-03-10 FIVE YEAR STATEMENT 2005-03-01
021212000291 2002-12-12 CERTIFICATE OF AMENDMENT 2002-12-12
RV-1518416 2000-12-27 REVOCATION OF REGISTRATION 2000-12-27
950925000058 1995-09-25 AFFIDAVIT OF PUBLICATION 1995-09-25
950925000056 1995-09-25 AFFIDAVIT OF PUBLICATION 1995-09-25
950316000194 1995-03-16 NOTICE OF REGISTRATION 1995-03-16

Date of last update: 13 Nov 2024

Sources: New York Secretary of State