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LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP

Company Details

Name: LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Inactive
Date of registration: 25 Jun 1997 (27 years ago)
Entity Number: 2156599
County: Blank
Date of dissolution: 01 May 2017
Place of Formation: New York
Address: 214 CORNELIA ST, STE 203, PLATTSBURGH, NY, United States, 12901
Address ZIP Code: 12901

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP PROFIT SHARING PLAN 2011 141757154 2012-11-07 LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5185632404
Plan sponsor’s address 214 CORNELIA STREET, SUITE 203, PLATTSBURGH, NY, 12901

Plan administrator’s name and address

Administrator’s EIN 141757154
Plan administrator’s name LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
Plan administrator’s address 214 CORNELIA STREET, SUITE 203, PLATTSBURGH, NY, 12901
Administrator’s telephone number 5185632404

Signature of

Role Plan administrator
Date 2012-11-07
Name of individual signing JOEL WOLKOWICZ
Role Employer/plan sponsor
Date 2012-11-07
Name of individual signing JOEL WOLKOWICZ
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP PROFIT SHARING PLAN 2011 141757154 2012-09-06 LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5185632404
Plan sponsor’s address 214 CORNELIA STREET, SUITE 203, PLATTSBURGH, NY, 12901

Plan administrator’s name and address

Administrator’s EIN 141757154
Plan administrator’s name LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
Plan administrator’s address 214 CORNELIA STREET, SUITE 203, PLATTSBURGH, NY, 12901
Administrator’s telephone number 5185632404

Signature of

Role Plan administrator
Date 2012-09-06
Name of individual signing JOEL WOLKOWICZ, MD
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP PROFIT SHARING PLAN 2010 141757154 2011-09-21 LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5185632404
Plan sponsor’s address 214 CORNELIA STREET, SUITE 203, PLATTSBURGH, NY, 12901

Plan administrator’s name and address

Administrator’s EIN 141757154
Plan administrator’s name LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
Plan administrator’s address 214 CORNELIA STREET, SUITE 203, PLATTSBURGH, NY, 12901
Administrator’s telephone number 5185632404

Signature of

Role Plan administrator
Date 2011-09-21
Name of individual signing JOEL WOLKOWICZ, MD
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP PROFIT SHARING PLAN 2009 141757154 2010-07-12 LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP 33
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5185632404
Plan sponsor’s address 52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901

Plan administrator’s name and address

Administrator’s EIN 141757154
Plan administrator’s name LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
Plan administrator’s address 52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901
Administrator’s telephone number 5185632404

Signature of

Role Employer/plan sponsor
Date 2010-07-12
Name of individual signing JOEL WOLKOWICZ, MD
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP PROFIT SHARING PLAN 2009 141757154 2010-07-13 LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5185632404
Plan sponsor’s address 52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901

Plan administrator’s name and address

Administrator’s EIN 141757154
Plan administrator’s name LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
Plan administrator’s address 52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901
Administrator’s telephone number 5185632404

Signature of

Role Plan administrator
Date 2010-07-13
Name of individual signing JOEL WOLKOWICZ MD
LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP PROFIT SHARING PLAN 2009 141757154 2010-07-13 LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP 33
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5185632404
Plan sponsor’s address 52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901

Plan administrator’s name and address

Administrator’s EIN 141757154
Plan administrator’s name LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES, LLP
Plan administrator’s address 52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901
Administrator’s telephone number 5185632404

Signature of

Role Employer/plan sponsor
Date 2010-07-13
Name of individual signing JOEL WOLKOWICZ MD

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 214 CORNELIA ST, STE 203, PLATTSBURGH, NY, United States, 12901

History

Start date End date Type Value
2004-09-16 2012-06-07 Address 52 TOM MILLER RD, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)
1997-06-25 2004-09-16 Address 206 CORNELIA STREET, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170501000280 2017-05-01 NOTICE OF WITHDRAWAL 2017-05-01
120607002385 2012-06-07 FIVE YEAR STATEMENT 2012-06-01
070511002013 2007-05-11 FIVE YEAR STATEMENT 2007-06-01
040916000606 2004-09-16 CERTIFICATE OF CONSENT 2004-09-16
040916002184 2004-09-16 FIVE YEAR STATEMENT 2002-06-01
RV-1631729 2002-12-24 REVOCATION OF REGISTRATION 2002-12-24
970917000264 1997-09-17 AFFIDAVIT OF PUBLICATION 1997-09-17
970917000266 1997-09-17 AFFIDAVIT OF PUBLICATION 1997-09-17
970625000187 1997-06-25 NOTICE OF REGISTRATION 1997-06-25

Date of last update: 12 Nov 2024

Sources: New York Secretary of State