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MENDON PEDIATRICS, PLLC

Company Details

Name: MENDON PEDIATRICS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Dec 1998 (26 years ago)
Entity Number: 2329737
County: Monroe
Place of Formation: New York
Address: 30 ASSEMBLY DRIVE STE 101, PO BOX 488, MENDON, NY, United States, 14506
Address ZIP Code: 14506

Contact Details

Phone +1 585-624-4520

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FQ6BRMQBA613 2025-04-18 30 ASSEMBLY DR STE 101, MENDON, NY, 14506, 9608, USA 30 ASSEMBLY DRIVE, SUITE 101, MENDON, NY, 14506, USA

Business Information
Division Name MENDON PEDIATRICS, PLLC
Congressional District 25
State/Country of Incorporation NY, USA
Activation Date 2024-04-25
Initial Registration Date 2024-04-12
Entity Start Date 1999-01-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LISA M EVANS
Role OFFICE MANAGER
Address 30 ASSEMBLY DRIVE, SUITE 101, MENDON, NY, 14506, USA
Government Business
Title PRIMARY POC
Name LISA M EVANS
Role OFFICE MANAGER
Address 30 ASSEMBLY DRIVE, SUITE 101, MENDON, NY, 14506, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MENDON PEDIATRICS, PLLC 401(K) PLAN 2023 161577420 2024-05-29 MENDON PEDIATRICS, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2024-05-28
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2022 161577420 2023-07-03 MENDON PEDIATRICS, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2023-07-02
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2021 161577420 2022-07-31 MENDON PEDIATRICS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2022-07-31
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2020 161577420 2021-07-01 MENDON PEDIATRICS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2021-07-01
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2019 161577420 2020-08-30 MENDON PEDIATRICS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2020-08-30
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2018 161577420 2019-06-29 MENDON PEDIATRICS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2019-06-29
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2017 161577420 2018-09-06 MENDON PEDIATRICS, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2018-09-03
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2016 161577420 2017-07-29 MENDON PEDIATRICS, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2015 161577420 2016-09-29 MENDON PEDIATRICS, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2016-09-29
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2014 161577420 2015-09-22 MENDON PEDIATRICS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2015-09-22
Name of individual signing JENNIFER LESIC

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 30 ASSEMBLY DRIVE STE 101, PO BOX 488, MENDON, NY, United States, 14506

History

Start date End date Type Value
2006-12-05 2010-12-14 Address 30 ASSEMBLY DRIVE_STE 101, PO BOX 488, MENDON, NY, 14506, 0488, USA (Type of address: Service of Process)
2001-01-09 2006-12-05 Address 30 ASSEMBLY DRIVE, SUITE 105, MENDON, NY, 14506, 0488, USA (Type of address: Service of Process)
1998-12-30 2001-01-09 Address 30 ASSEMBLY DRIVE, MENDON, NY, 14506, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
181231006098 2018-12-31 BIENNIAL STATEMENT 2018-12-01
141231006052 2014-12-31 BIENNIAL STATEMENT 2014-12-01
121231006113 2012-12-31 BIENNIAL STATEMENT 2012-12-01
101214002668 2010-12-14 BIENNIAL STATEMENT 2010-12-01
081125002498 2008-11-25 BIENNIAL STATEMENT 2008-12-01
061205002238 2006-12-05 BIENNIAL STATEMENT 2006-12-01
041216002129 2004-12-16 BIENNIAL STATEMENT 2004-12-01
010109002243 2001-01-09 BIENNIAL STATEMENT 2000-12-01
990817000223 1999-08-17 AFFIDAVIT OF PUBLICATION 1999-08-17
990817000221 1999-08-17 AFFIDAVIT OF PUBLICATION 1999-08-17

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Date of last update: 25 Oct 2024

Sources: New York Secretary of State

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