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SUFFOLK VASCULAR ASSOCIATES, PLLC

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Entity Number 2097204

Status Active

NameSUFFOLK VASCULAR ASSOCIATES, PLLC

CountySuffolk

Date of registration 30 Dec 1996 (28 years ago)

Legal typeDOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

Place of FormationNew York

Address 1324 MOTOR PARKWAY, SUITE 101, HAUPPAUGE, NY, United States, 11749

Address ZIP code 11749

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

SUFFOLK VASCULAR ASSOCIATES PLLC PROFIT SHARING PLAN

2023

113350421

2024-07-18

SUFFOLK VASCULAR ASSOCIATES PLLC

27

View Page

Three-digit plan number (PN)002
Effective date of plan2000-01-01
Business code621111
Sponsor’s telephone number6315604055
Plan sponsor’s address1110 HALLOCK AVE., PORT JEFFERSON STATION, NY, 11776

Signature of

RolePlan administrator
Date2024-07-18
Name of individual signingLORI MILTON

SUFFOLK VASCULAR ASSOCIATES PLLC PROFIT SHARING PLAN

2022

113350421

2023-06-05

SUFFOLK VASCULAR ASSOCIATES PLLC

23

View Page

Three-digit plan number (PN)002
Effective date of plan2000-01-01
Business code621111
Sponsor’s telephone number6315604055
Plan sponsor’s address1110 HALLOCK AVE., PORT JEFFERSON STATION, NY, 11776

Signature of

RolePlan administrator
Date2023-06-05
Name of individual signingLORI MILTON

SUFFOLK VASCULAR ASSOCIATES PLLC PROFIT SHARING PLAN

2021

113350421

2022-08-23

SUFFOLK VASCULAR ASSOCIATES PLLC

14

View Page

Three-digit plan number (PN)002
Effective date of plan2000-01-01
Business code621111
Sponsor’s telephone number6315604055
Plan sponsor’s address1110 HALLOCK AVE., PORT JEFFERSON STATION, NY, 11776

Signature of

RolePlan administrator
Date2022-08-23
Name of individual signingLORI MILTON
RoleEmployer/plan sponsor
Date2022-08-23
Name of individual signingLORI MILTON

SUFFOLK VASCULAR ASSOCIATES PLLC PROFIT SHARING PLAN

2020

113350421

2021-03-24

SUFFOLK VASCULAR ASSOCIATES PLLC

15

View Page

Three-digit plan number (PN)002
Effective date of plan2000-01-01
Business code621111
Sponsor’s telephone number6314769100
Plan sponsor’s address1110 HALLOCK AVENUE, PORT JEFFERSON STATION, NY, 11776

Signature of

RolePlan administrator
Date2021-03-24
Name of individual signingROBERT POLLINA

SUFFOLK VASCULAR ASSOCIATES PLLC PROFIT SHARING PLAN

2019

113350421

2020-06-17

SUFFOLK VASCULAR ASSOCIATES PLLC

21

View Page

Three-digit plan number (PN)002
Effective date of plan2000-01-01
Business code621111
Sponsor’s telephone number6314769100
Plan sponsor’s address1110 HALLOCK AVENUE, PORT JEFFERSON STATION, NY, 11776

Signature of

RolePlan administrator
Date2020-06-17
Name of individual signingROBERT POLLINA

SUFFOLK VASCULAR ASSOCIATES PLLC PROFIT SHARING PLAN

2018

113350421

2019-05-13

SUFFOLK VASCULAR ASSOCIATES PLLC

11

View Page

Three-digit plan number (PN)002
Effective date of plan2000-01-01
Business code621111
Sponsor’s telephone number6314769100
Plan sponsor’s address1110 HALLOCK AVENUE, PORT JEFFERSON STATION, NY, 11776

Signature of

RolePlan administrator
Date2019-05-13
Name of individual signingROBERT POLLINA

SUFFOLK VASCULAR ASSOCIATES PLLC PROFIT SHARING PLAN

2017

113350421

2018-03-22

SUFFOLK VASCULAR ASSOCIATES PLLC

8

View Page

Three-digit plan number (PN)002
Effective date of plan2000-01-01
Business code621111
Sponsor’s telephone number6314769100
Plan sponsor’s address1110 HALLOCK AVENUE, PORT JEFFERSON STATION, NY, 11776

Signature of

RolePlan administrator
Date2018-03-22
Name of individual signingROBERT POLLINA

SUFFOLK VASCULAR ASSOCIATES PLLC PROFIT SHARING PLAN

2016

113350421

2017-04-04

SUFFOLK VASCULAR ASSOCIATES PLLC

8

View Page

Three-digit plan number (PN)002
Effective date of plan2000-01-01
Business code621111
Sponsor’s telephone number6314769100
Plan sponsor’s address1110 HALLOCK AVENUE, PORT JEFFERSON STATION, NY, 11776

Signature of

RolePlan administrator
Date2017-04-04
Name of individual signingROBERT POLLINA

SUFFOLK VASCULAR ASSOCIATES PLLC PROFIT SHARING PLAN

2015

113350421

2016-03-28

SUFFOLK VASCULAR ASSOCIATES PLLC

9

View Page

Three-digit plan number (PN)002
Effective date of plan2000-01-01
Business code621111
Sponsor’s telephone number6314769100
Plan sponsor’s address1110 HALLOCK AVENUE, PORT JEFFERSON STATION, NY, 11776

Signature of

RolePlan administrator
Date2016-03-28
Name of individual signingROBERT POLLINA

SUFFOLK VASCULAR ASSOCIATES PLLC PROFIT SHARING PLAN

2014

113350421

2015-03-24

SUFFOLK VASCULAR ASSOCIATES PLLC

7

View Page

Three-digit plan number (PN)002
Effective date of plan2000-01-01
Business code621111
Sponsor’s telephone number6314769100
Plan sponsor’s address1110 HALLOCK AVENUE, PORT JEFFERSON STATION, NY, 11776

Signature of

RolePlan administrator
Date2015-03-24
Name of individual signingROBERT POLLINA

DOS Process Agent

Name Role Address

THE LLC

DOS Process Agent

1324 MOTOR PARKWAY, SUITE 101, HAUPPAUGE, NY, United States, 11749

History

Start date End date Type Value

1996-12-30

2021-05-06

Address

53 VETERANS MEMORIAL HIGHWAY, COMMACK, NY, 11725, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date

210506000255

2021-05-06

CERTIFICATE OF CHANGE

2021-05-06

961230000569

1996-12-30

ARTICLES OF ORGANIZATION

1996-12-30

Date of last update: 31 Jul 2024

Sources: Companies info , Historical Data , Complaints , Contacts