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  5. OTTER CREEK MEDICAL OFFICE, LLP

OTTER CREEK MEDICAL OFFICE, LLP

Company Details

Name: OTTER CREEK MEDICAL OFFICE, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Inactive
Date of registration: 18 Mar 1997 (28 years ago)
Date of dissolution: 05 Oct 2018
Entity Number: 2124191
ZIP code: 13045
County: Blank
Place of Formation: New York
Address: 4343 COSMOS HILL RD, CORTLAND, NY, United States, 13045
Principal Address: 2 ELM STREET, MCGRAW, NY, United States, 13101

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OTTER CREEK MEDICAL OFFICE PROFIT SHARING PLAN 2017 161525074 2018-07-19 OTTER CREEK MEDICAL OFFICE, LLP 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6078367540
Plan sponsor’s address 4343 COSMOS HILL ROAD, CORTLAND, NY, 13045

Signature of
Role Plan administrator
Date 2018-07-19
Name of individual signing M. THERESE MASTRUCCI
OTTER CREEK MEDICAL OFFICE PROFIT SHARING PLAN 2016 161525074 2017-08-15 OTTER CREEK MEDICAL OFFICE, LLP 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6078367540
Plan sponsor’s address 4343 COSMOS HILL ROAD, CORTLAND, NY, 13045

Signature of
Role Plan administrator
Date 2017-08-15
Name of individual signing M. THERESE MASTRUCCI
OTTER CREEK MEDICAL OFFICE PROFIT SHARING PLAN 2015 161525074 2016-08-22 OTTER CREEK MEDICAL OFFICE, LLP 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6078367540
Plan sponsor’s address 2 ELM STREET, MCGRAW, NY, 13101

Signature of
Role Plan administrator
Date 2016-08-21
Name of individual signing M. THERESE MASTRUCCI
OTTER CREEK MEDICAL OFFICE PROFIT SHARING PLAN 2014 161525074 2015-04-30 OTTER CREEK MEDICAL OFFICE, LLP 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6078367540
Plan sponsor’s address 2 ELM STREET, MCGRAW, NY, 13101

Signature of
Role Plan administrator
Date 2015-04-30
Name of individual signing M. THERESE MASTRUCCI
OTTER CREEK MEDICAL OFFICE PROFIT SHARING PLAN 2013 161525074 2014-04-16 OTTER CREEK MEDICAL OFFICE, LLP 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6078367540
Plan sponsor’s address 2 ELM STREET, MCGRAW, NY, 13101

Signature of
Role Plan administrator
Date 2014-04-15
Name of individual signing M. THERESE MASTRUCCI
OTTER CREEK MEDICAL OFFICE PROFIT SHARING PLAN 2012 161525074 2013-06-24 OTTER CREEK MEDICAL OFFICE, LLP 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6078367540
Plan sponsor’s address 2 ELM STREET, MCGRAW, NY, 13101

Signature of
Role Plan administrator
Date 2013-06-22
Name of individual signing M. THERESE MASTRUCCI
OTTER CREEK MEDICAL OFFICE PROFIT SHARING PLAN 2011 161525074 2012-05-23 OTTER CREEK MEDICAL OFFICE, LLP 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6078367540
Plan sponsor’s address 2 ELM STREET, MCGRAW, NY, 13101

Plan administrator’s name and address
Administrator’s EIN 161525074
Plan administrator’s name OTTER CREEK MEDICAL OFFICE, LLP
Plan administrator’s address 2 ELM STREET, MCGRAW, NY, 13101
Administrator’s telephone number 6078367540

Signature of
Role Plan administrator
Date 2012-05-23
Name of individual signing M. THERESE MASTRUCCI
OTTER CREEK MEDICAL OFFICE PROFIT SHARING PLAN 2010 161525074 2011-09-30 OTTER CREEK MEDICAL OFFICE, LLP 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6078367540
Plan sponsor’s address 2 ELM STREET, MCGRAW, NY, 13101

Plan administrator’s name and address
Administrator’s EIN 161525074
Plan administrator’s name OTTER CREEK MEDICAL OFFICE, LLP
Plan administrator’s address 2 ELM STREET, MCGRAW, NY, 13101
Administrator’s telephone number 6078367540

Signature of
Role Plan administrator
Date 2011-09-30
Name of individual signing M. THERESE MASTRUCCI
OTTER CREEK MEDICAL OFFICE PROFIT SHARING PLAN 2009 161525074 2010-08-25 OTTER CREEK MEDICAL OFFICE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6078367540
Plan sponsor’s address 2 ELM STREET, MCGRAW, NY, 13101

Plan administrator’s name and address
Administrator’s EIN 161525074
Plan administrator’s name SAME
Plan administrator’s address 2 ELM STREET, MCGRAW, NY, 13101
Administrator’s telephone number 6078367540

Signature of
Role Plan administrator
Date 2010-08-25
Name of individual signing M. THERESE MASTRUCCI
Role Employer/plan sponsor
Date 2010-08-25
Name of individual signing M. THERESE MASTRUCCI

DOS Process Agent

Name Role Address
C/O M T MASTRUCC DOS Process Agent 4343 COSMOS HILL RD, CORTLAND, NY, United States, 13045

History

Start date End date Type Value
2012-04-26 2017-02-17 Address 2 ELM STREET, MCGRAW, NY, 13101, USA (Type of address: Service of Process)
2002-02-19 2012-04-26 Address 141 GROTON AVE, CORTLAND, NY, 13045, 1907, USA (Type of address: Service of Process)
1997-03-18 2002-02-19 Address 141 GROTON AVENUE, CORTLAND, NY, 13045, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
181005000489 2018-10-05 NOTICE OF WITHDRAWAL 2018-10-05
170217002019 2017-02-17 FIVE YEAR STATEMENT 2017-03-01
120426003004 2012-04-26 FIVE YEAR STATEMENT 2012-03-01
070209002195 2007-02-09 FIVE YEAR STATEMENT 2007-03-01
020219002249 2002-02-19 FIVE YEAR STATEMENT 2002-03-01
970728000777 1997-07-28 AFFIDAVIT OF PUBLICATION 1997-07-28
970728000776 1997-07-28 AFFIDAVIT OF PUBLICATION 1997-07-28
970318000648 1997-03-18 NOTICE OF REGISTRATION 1997-03-18

Related by officers

No related officers

Related by address

4343 COSMOS HILL RD, CORTLAND, NY, United States, 13045

MCGRAW PROPERTIES, LLC

Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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