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BETH CADY BURGHARDT, M.D., P.C.

Company Details

Name: BETH CADY BURGHARDT, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Aug 1995 (29 years ago)
Entity Number: 1949696
County: Onondaga
Place of Formation: New York
Address: 5100 W. TAFT RD, STE 4L, LIVERPOOL, NY, United States, 13088
Address ZIP Code: 13088
Principal Address: 5100 W TAFT RD, STE 4L, LIVERPOOL, NY, United States, 13088
Principal Address ZIP Code: 13088

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
BETH CADY BURGHARDT, M.D., P.C. 401(K) PROFIT SHARING PLAN 2023 161486424 2024-10-11 BETH CADY BURGHARDT, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3154522124
Plan sponsor’s address 5100 WEST TAFT ROAD, SUITE 4L, LIVERPOOL, NY, 13088

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing BETH BURGHARDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-10
Name of individual signing BETH BURGHARDT
Valid signature Filed with authorized/valid electronic signature
BETH CADY BURGHARDT, M.D., P.C. PROFIT SHARING PLAN 2023 161486424 2024-10-11 BETH CADY BURGHARDT, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3154522124
Plan sponsor’s address 5100 WEST TAFT ROAD, SUITE 4L, LIVERPOOL, NY, 13088

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing BETH BURGHARDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-10
Name of individual signing BETH BURGHARDT
Valid signature Filed with authorized/valid electronic signature
BETH CADY BURGHARDT, M.D., P.C. 401(K) PROFIT SHARING PLAN 2022 161486424 2023-09-20 BETH CADY BURGHARDT, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3154522124
Plan sponsor’s address 5100 WEST TAFT ROAD, SUITE 4L, LIVERPOOL, NY, 13088

Signature of

Role Plan administrator
Date 2023-09-20
Name of individual signing BETH CADY BURGHARDT MD
Role Employer/plan sponsor
Date 2023-09-20
Name of individual signing BETH CADY BURGHARDT MD
BETH CADY BURGHARDT, M.D., P.C. PROFIT SHARING PLAN 2022 161486424 2023-09-20 BETH CADY BURGHARDT, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3154522124
Plan sponsor’s address 5100 WEST TAFT ROAD, SUITE 4L, LIVERPOOL, NY, 13088

Signature of

Role Plan administrator
Date 2023-09-20
Name of individual signing BETH CADY BURGHARDT MD
Role Employer/plan sponsor
Date 2023-09-20
Name of individual signing BETH CADY BURGHARDT MD
BETH CADY BURGHARDT, M.D., P.C. PROFIT SHARING PLAN 2021 161486424 2022-10-13 BETH CADY BURGHARDT, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3154522124
Plan sponsor’s address 5100 WEST TAFT ROAD, SUITE 4L, LIVERPOOL, NY, 13088

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing BETH BURGHARDT
Role Employer/plan sponsor
Date 2022-10-13
Name of individual signing BETH BURGHARDT
BETH CADY BURGHARDT, M.D., P.C. 401(K) PROFIT SHARING PLAN 2021 161486424 2022-10-13 BETH CADY BURGHARDT, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3154522124
Plan sponsor’s address 5100 WEST TAFT ROAD, SUITE 4L, LIVERPOOL, NY, 13088

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing BETH BURGHARDT
Role Employer/plan sponsor
Date 2022-10-13
Name of individual signing BETH BURGHARDT
BETH CADY BURGHARDT, M.D., P.C. PROFIT SHARING PLAN 2020 161486424 2021-10-13 BETH CADY BURGHARDT, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3154522124
Plan sponsor’s address 5100 WEST TAFT ROAD, SUITE 4L, LIVERPOOL, NY, 13088

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing BETH BURGHARDT
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing BETH BURGHARDT
BETH CADY BURGHARDT, M.D., P.C. 401(K) PROFIT SHARING PLAN 2020 161486424 2021-10-13 BETH CADY BURGHARDT, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3154522124
Plan sponsor’s address 5100 WEST TAFT ROAD, SUITE 4L, LIVERPOOL, NY, 13088

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing BETH BURGHARDT
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing BETH BURGHARDT
BETH CADY BURGHARDT, M.D., P.C. PROFIT SHARING PLAN 2019 161486424 2020-10-14 BETH CADY BURGHARDT, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3154522124
Plan sponsor’s address 5100 WEST TAFT ROAD, SUITE 4L, LIVERPOOL, NY, 13088

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing BETH BURGHARDT
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing BETH BURGHARDT
BETH CADY BURGHARDT, M.D., P.C. 401(K) PROFIT SHARING PLAN 2019 161486424 2020-10-14 BETH CADY BURGHARDT, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3154522124
Plan sponsor’s address 5100 WEST TAFT ROAD, SUITE 4L, LIVERPOOL, NY, 13088

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing BETH BURGHARDT
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing BETH BURGHARDT

Chief Executive Officer

Name Role Address
BETH CADY BURGHARDT MD Chief Executive Officer 5100 W TAFT RD, STE 4L, LIVERPOOL, NY, United States, 13088

DOS Process Agent

Name Role Address
BETH CADY BURGHARDT MD DOS Process Agent 5100 W. TAFT RD, STE 4L, LIVERPOOL, NY, United States, 13088

History

Start date End date Type Value
1997-08-20 2001-08-22 Address 1100 E GENESEE ST, SYRACUSE, NY, 13210, USA (Type of address: Chief Executive Officer)
1997-08-20 2001-08-22 Address 1100 E GENESEE ST, SYRACUSE, NY, 13210, USA (Type of address: Principal Executive Office)
1995-08-22 2001-08-22 Address 1100 EAST GENESEE STREET, SYRACUSE, NY, 13210, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
190802060169 2019-08-02 BIENNIAL STATEMENT 2019-08-01
170814006046 2017-08-14 BIENNIAL STATEMENT 2017-08-01
150826006005 2015-08-26 BIENNIAL STATEMENT 2015-08-01
130923006372 2013-09-23 BIENNIAL STATEMENT 2013-08-01
110826002138 2011-08-26 BIENNIAL STATEMENT 2011-08-01
090812002806 2009-08-12 BIENNIAL STATEMENT 2009-08-01
070823002219 2007-08-23 BIENNIAL STATEMENT 2007-08-01
051027002089 2005-10-27 BIENNIAL STATEMENT 2005-08-01
030806002221 2003-08-06 BIENNIAL STATEMENT 2003-08-01
010822002472 2001-08-22 BIENNIAL STATEMENT 2001-08-01

Date of last update: 13 Nov 2024

Sources: New York Secretary of State