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FITNESS FORUM PHYSICAL THERAPY, P.C.

Company Details

Name: FITNESS FORUM PHYSICAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Jul 1996 (28 years ago)
Entity Number: 2052428
ZIP code: 13204
County: Onondaga
Place of Formation: New York
Address: 621 HIAWATHA BLVD., SYRACUSE, NY, United States, 13204

Contact Details

Phone +1 315-292-4032

Phone +1 315-859-4011

Phone +1 315-682-0325

Phone +1 315-732-0949

Phone +1 315-245-5286

Phone +1 315-717-0278

Phone +1 315-735-4496

Phone +1 315-266-0010

Phone +1 315-896-4330

Phone +1 315-336-3480

Shares Details

Shares issued 400

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FITNESS FORUM PHYSICAL THERAPY, P.C. 401(K) PLAN 2023 161528692 2024-02-05 FITNESS FORUM PHYSICAL THERAPY, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 713900
Sponsor’s telephone number 3154770888
Plan sponsor’s address 621 HIAWATHA BLVD, SYRACUSE, NY, 13204

Signature of

Role Plan administrator
Date 2024-02-05
Name of individual signing JAMES SMITH
Role Employer/plan sponsor
Date 2024-02-05
Name of individual signing JAMES SMITH
FITNESS FORUM PHYSICAL THERAPY, P.C. 401(K) PLAN 2023 161528692 2024-08-19 FITNESS FORUM PHYSICAL THERAPY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 713900
Sponsor’s telephone number 3154770888
Plan sponsor’s address 621 HIAWATHA BLVD, SYRACUSE, NY, 13204

Signature of

Role Plan administrator
Date 2024-08-19
Name of individual signing JAMES H SMITH
Role Employer/plan sponsor
Date 2024-08-19
Name of individual signing JAMES H SMITH
FITNESS FORUM PHYSICAL THERAPY, P.C. 401(K) PLAN 2022 161528692 2023-04-25 FITNESS FORUM PHYSICAL THERAPY, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 713900
Sponsor’s telephone number 3154770888
Plan sponsor’s address 621 HIAWATHA BLVD, SYRACUSE, NY, 13204

Signature of

Role Plan administrator
Date 2023-04-25
Name of individual signing JAMES H. SMITH
Role Employer/plan sponsor
Date 2023-04-25
Name of individual signing JAMES H. SMITH
FITNESS FORUM PHYSICAL THERAPY, P.C. 401(K) PLAN 2021 161528692 2022-08-04 FITNESS FORUM PHYSICAL THERAPY, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 713900
Sponsor’s telephone number 3154770888
Plan sponsor’s address 621 HIAWATHA BLVD, SYRACUSE, NY, 13204

Signature of

Role Plan administrator
Date 2022-08-03
Name of individual signing JAMES H. SMITH
Role Employer/plan sponsor
Date 2022-08-03
Name of individual signing JAMES H. SMITH
FITNESS FORUM PHYSICAL THERAPY, P.C. 401(K) PLAN 2020 161528692 2021-04-26 FITNESS FORUM PHYSICAL THERAPY, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 713900
Sponsor’s telephone number 3154770888
Plan sponsor’s address 621 HIAWATHA BLVD, SYRACUSE, NY, 13204

Signature of

Role Plan administrator
Date 2021-04-24
Name of individual signing JIM SMITH
Role Employer/plan sponsor
Date 2021-04-24
Name of individual signing JIM SMITH
FITNESS FORUM PHYSICAL THERAPY, P.C. 401(K) PLAN 2019 161528692 2020-07-06 FITNESS FORUM PHYSICAL THERAPY, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 713900
Sponsor’s telephone number 3154770888
Plan sponsor’s address 621 HIAWATHA BLVD, SYRACUSE, NY, 13204

Signature of

Role Plan administrator
Date 2020-06-29
Name of individual signing JIM SMITH
Role Employer/plan sponsor
Date 2020-06-29
Name of individual signing JIM SMITH
FITNESS FORUM PHYSICAL THERAPY, P.C. 401(K) PLAN 2018 161528692 2019-05-23 FITNESS FORUM PHYSICAL THERAPY, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 713900
Sponsor’s telephone number 3154770888
Plan sponsor’s address 373 SPENCER STREET, SUITE 102, SYRACUSE, NY, 13204

Signature of

Role Plan administrator
Date 2019-05-23
Name of individual signing JAMES SMITH
Role Employer/plan sponsor
Date 2019-05-23
Name of individual signing JAMES SMITH

DOS Process Agent

Name Role Address
FITNESS FORUM PHYSICAL THERAPY, P.C. DOS Process Agent 621 HIAWATHA BLVD., SYRACUSE, NY, United States, 13204

Chief Executive Officer

Name Role Address
JIM FISHER Chief Executive Officer 621 HIAWATHA BLVD., SYRACUSE, NY, United States, 13204

History

Start date End date Type Value
2019-08-13 2020-07-13 Address 621 HIAWATHA BLVD., SYRACUSE, NY, 13204, USA (Type of address: Service of Process)
2018-06-01 2019-08-13 Address 373 SPENCER STREET, SUITE 102, SYRACUSE, NY, 13204, USA (Type of address: Chief Executive Officer)
2018-06-01 2019-08-13 Address 373 SPENCER STREET, SUITE 102, SYRACUSE, NY, 13204, USA (Type of address: Service of Process)
2018-06-01 2018-06-04 Shares Share type: NO PAR VALUE, Number of shares: 223, Par value: 0
2018-06-01 2019-08-13 Address 373 SPENCER STREET, SUITE 102, SYRACUSE, NY, 13204, USA (Type of address: Principal Executive Office)
2004-08-02 2018-06-01 Address 231 WALTON ST, STE 200, SYRACUSE, NY, 13202, USA (Type of address: Chief Executive Officer)
2002-07-15 2018-06-01 Address 231 WALTON ST SUITE 200, SYRACUSE, NY, 13202, USA (Type of address: Service of Process)
2002-07-15 2004-08-02 Address 231 WALTON ST SUITE 200, SYRACUSE, NY, 13202, USA (Type of address: Chief Executive Officer)
2002-07-15 2018-06-01 Address 231 WALTON ST SUITE 200, SYRACUSE, NY, 13202, USA (Type of address: Principal Executive Office)
2000-07-13 2002-07-15 Address 222 BRIGE ST., E. SYRACUSE, NY, 13057, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
230124002731 2023-01-24 BIENNIAL STATEMENT 2022-07-01
200713060798 2020-07-13 BIENNIAL STATEMENT 2020-07-01
190813060086 2019-08-13 BIENNIAL STATEMENT 2018-07-01
180604000571 2018-06-04 CERTIFICATE OF CORRECTION 2018-06-04
180601007020 2018-06-01 BIENNIAL STATEMENT 2016-07-01
180601000562 2018-06-01 CERTIFICATE OF AMENDMENT 2018-06-01
140710007177 2014-07-10 BIENNIAL STATEMENT 2014-07-01
120807003139 2012-08-07 BIENNIAL STATEMENT 2012-07-01
100727002527 2010-07-27 BIENNIAL STATEMENT 2010-07-01
090209002067 2009-02-09 BIENNIAL STATEMENT 2008-07-01

Date of last update: 13 Nov 2024

Sources: New York Secretary of State