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  5. PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC

PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC

Company Details

Name: PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Dec 1999 (25 years ago)
Entity Number: 2451568
ZIP code: 14534
County: Monroe
Place of Formation: New York
Address: 21 SUNRISE PARK, PITTSFORD, NY, United States, 14534

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC EES' DEFERRED SAVINGS AND PROFIT SHARING PLAN 2014 010745248 2015-07-24 PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3154625060
Plan sponsor’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing DONOVAN O. HOLDER, MD
Role Employer/plan sponsor
Date 2015-07-24
Name of individual signing DONOVAN O. HOLDER, MD
PAIN TREATMENT MEDICINE OF THE FINGER LAKES EMPLOYEES' DEFERRED SAVINGS AND PROFIT SHARING PLAN 2013 010745248 2014-06-20 PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3154625060
Plan sponsor’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432

Signature of
Role Plan administrator
Date 2014-06-20
Name of individual signing DONOVAN O. HOLDER, MD
Role Employer/plan sponsor
Date 2014-06-20
Name of individual signing DONOVAN O. HOLDER, MD
PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC EMPLOYEES' DEFINED BENEFIT PENSION PLAN 2013 010745248 2014-06-20 PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3154625060
Plan sponsor’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432

Signature of
Role Plan administrator
Date 2014-06-20
Name of individual signing DONOVAN HOLDER
Role Employer/plan sponsor
Date 2014-06-20
Name of individual signing DONOVAN HOLDER
PAIN TREATMENT MEDICINE OF THE FINGER LAKES EMPLOYEES' DEFERRED SAVINGS AND PROFIT SHARING PLAN 2012 010745248 2013-06-05 PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3154625060
Plan sponsor’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432

Signature of
Role Plan administrator
Date 2013-06-05
Name of individual signing DONOVAN HOLDER
Role Employer/plan sponsor
Date 2013-06-05
Name of individual signing DONOVAN HOLDER
PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC EMPLOYEES' DEFINED BENEFIT PENSION PLAN 2012 010745248 2013-06-05 PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3154625060
Plan sponsor’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432

Signature of
Role Plan administrator
Date 2013-06-05
Name of individual signing DONOVAN HOLDER
Role Employer/plan sponsor
Date 2013-06-05
Name of individual signing DONOVAN HOLDER
PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC EMPLOYEES' DEFINED BENEFIT PENSION LAN 2011 010745248 2012-10-10 PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3154625060
Plan sponsor’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432

Plan administrator’s name and address
Administrator’s EIN 010745248
Plan administrator’s name PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC
Plan administrator’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432
Administrator’s telephone number 3154625060

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing DONOVAN HOLDER
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing DONOVAN HOLDER
PAIN TREATMENT MEDICINE OF THE FINGER LAKES EMPLOYEES' DEFERRED SAVINGS AND PROFIT SHARING PLAN 2011 010745248 2012-10-10 PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3154625060
Plan sponsor’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432

Plan administrator’s name and address
Administrator’s EIN 010745248
Plan administrator’s name PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC
Plan administrator’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432
Administrator’s telephone number 3154625060

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing DONOVAN HOLDER
PAIN TREATMENT MEDICINE OF THE FINGER LAKES EMPLOYEES' DEFERRED SAVINGS AND PROFIT SHARING PLAN 2010 010745248 2011-05-13 PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3154625060
Plan sponsor’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432

Plan administrator’s name and address
Administrator’s EIN 010745248
Plan administrator’s name PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC
Plan administrator’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432
Administrator’s telephone number 3154625060

Signature of
Role Plan administrator
Date 2011-05-13
Name of individual signing DONOVAN HOLDER
Role Employer/plan sponsor
Date 2011-05-13
Name of individual signing DONOVAN HOLDER
PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC EMPLOYEES' DEFINED BENEFIT PENSION LAN 2010 010745248 2011-05-13 PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3154625060
Plan sponsor’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432

Plan administrator’s name and address
Administrator’s EIN 010745248
Plan administrator’s name PAIN TREATMENT MEDICINE OF THE FINGER LAKES, PLLC
Plan administrator’s address 200 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432
Administrator’s telephone number 3154625060

Signature of
Role Plan administrator
Date 2011-05-13
Name of individual signing DONOVAN HOLDER
Role Employer/plan sponsor
Date 2011-05-13
Name of individual signing DONOVAN HOLDER
PAIN TREATMENT MEDICINE OF THE FINGER LAKES EMPLOYEES' DEFERRED SAVINGS AND PROFIT SHAR 2009 010745248 2010-10-01 PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3154625060
Plan sponsor’s address 410 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432

Plan administrator’s name and address
Administrator’s EIN 010745248
Plan administrator’s name PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC
Plan administrator’s address 410 CLIFTON SPRINGS PROFESSIONAL PK, CLIFTON SPRINGS, NY, 14432
Administrator’s telephone number 3154625060

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing DONOVAN HOLDER
Role Employer/plan sponsor
Date 2010-10-01
Name of individual signing DONOVAN HOLDER

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 21 SUNRISE PARK, PITTSFORD, NY, United States, 14534

History

Start date End date Type Value
1999-12-20 2004-06-25 Address 27 LANCASHIRE ROAD, PITTSFORD, NY, 14534, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160126006038 2016-01-26 BIENNIAL STATEMENT 2015-12-01
111220002635 2011-12-20 BIENNIAL STATEMENT 2011-12-01
091222002457 2009-12-22 BIENNIAL STATEMENT 2009-12-01
071127002124 2007-11-27 BIENNIAL STATEMENT 2007-12-01
051208002160 2005-12-08 BIENNIAL STATEMENT 2005-12-01
040625000413 2004-06-25 CERTIFICATE OF CHANGE 2004-06-25
000316000093 2000-03-16 AFFIDAVIT OF PUBLICATION 2000-03-16
000316000091 2000-03-16 AFFIDAVIT OF PUBLICATION 2000-03-16
991220000400 1999-12-20 ARTICLES OF ORGANIZATION 1999-12-20

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Date of last update: 29 Nov 2024

Sources: New York Secretary of State

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