| Name: | UPSTATE MEDICAL ASSOCIATES, PLLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 03 Nov 1999 (25 years ago) |
| Entity Number: | 2435995 |
| ZIP code: | 12010 |
| County: | Montgomery |
| Place of Formation: | New York |
| Address: | 446B GUY PARK AVE, AMSTERDAM, NY, United States, 12010 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UPSTATE MEDICAL ASSOCIATES, PLLC 401(K) PROFIT SHARING PLAN | 2010 | 141834364 | 2011-10-21 | UPSTATE MEDICAL ASSOCIATES, PLLC | 3 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 141834364 |
| Plan administrator’s name | UPSTATE MEDICAL ASSOCIATES, PLLC |
| Plan administrator’s address | 3090 WEST GLENVILLE ROAD, AMSTERDAM, NY, 12010 |
| Administrator’s telephone number | 5188430500 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-21 |
| Name of individual signing | LATHA RAGHAVAN |
| Role | Employer/plan sponsor |
| Date | 2011-10-21 |
| Name of individual signing | LATHA RAGHAVAN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5188430500 |
| Plan sponsor’s address | 3090 WEST GLENVILLE ROAD, AMSTERDAM, NY, 12010 |
Plan administrator’s name and address
| Administrator’s EIN | 141834364 |
| Plan administrator’s name | UPSTATE MEDICAL ASSOCIATES, PLLC |
| Plan administrator’s address | 3090 WEST GLENVILLE ROAD, AMSTERDAM, NY, 12010 |
| Administrator’s telephone number | 5188430500 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-08 |
| Name of individual signing | LATHA RAGHAVAN |
| Role | Employer/plan sponsor |
| Date | 2010-09-08 |
| Name of individual signing | LATHA RAGHAVAN |
| Name | Role | Address |
|---|---|---|
| DR KRISHNAN RAGHAVAN | Agent | 446B GUY PARK AVE, AMSTERDAM, NY, 12010 |
| Name | Role | Address |
|---|---|---|
| THE LLC | DOS Process Agent | 446B GUY PARK AVE, AMSTERDAM, NY, United States, 12010 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1999-11-03 | 2009-04-27 | Address | 440 9TH AVE. 5TH FLOOR, NEW YORK, NY, 10001, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 090427000110 | 2009-04-27 | CERTIFICATE OF CHANGE | 2009-04-27 |
| 991103000839 | 1999-11-03 | ARTICLES OF ORGANIZATION | 1999-11-03 |
Date of last update: 30 Nov 2024
Sources: New York Secretary of State
