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  5. IRONDEQUOIT INTERNAL MEDICINE, LLC

IRONDEQUOIT INTERNAL MEDICINE, LLC

Company Details

Name: IRONDEQUOIT INTERNAL MEDICINE, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Jan 2000 (25 years ago)
Entity Number: 2457399
ZIP code: 14617
County: Monroe
Place of Formation: New York
Address: 485 TITUS AVENUE, STE H, ROCHESTER, NY, United States, 14617

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IRONDEQUOIT INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2023 161577198 2024-06-06 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2024-06-06
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2022 161577198 2023-06-20 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2023-06-20
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2021 161577198 2022-06-21 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2022-06-21
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2020 161577198 2021-06-03 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2021-06-03
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2019 161577198 2020-07-15 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401 K PROFIT SHARING PLAN TRUST 2018 161577198 2019-06-05 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2019-06-05
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401 K PROFIT SHARING PLAN TRUST 2017 161577198 2018-06-22 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2018-06-22
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401 K PROFIT SHARING PLAN TRUST 2016 161577198 2017-07-12 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401 K PROFIT SHARING PLAN TRUST 2015 161577198 2016-07-12 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401 K PROFIT SHARING PLAN TRUST 2014 161577198 2015-06-16 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing LARISA KHISHCHENKO

DOS Process Agent

Name Role Address
IRONDEQUOIT INTERNAL MEDICINE, LLC DOS Process Agent 485 TITUS AVENUE, STE H, ROCHESTER, NY, United States, 14617

History

Start date End date Type Value
2014-01-09 2024-01-08 Address 485 TITUS AVENUE, STE H, ROCHESTER, NY, 14617, USA (Type of address: Service of Process)
2000-01-04 2014-01-09 Address 485 TITUS AVENUE, ROCHESTER, NY, 14617, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240108002512 2024-01-08 BIENNIAL STATEMENT 2024-01-08
200103061239 2020-01-03 BIENNIAL STATEMENT 2020-01-01
180102007392 2018-01-02 BIENNIAL STATEMENT 2018-01-01
160105007021 2016-01-05 BIENNIAL STATEMENT 2016-01-01
140109006010 2014-01-09 BIENNIAL STATEMENT 2014-01-01
120228002007 2012-02-28 BIENNIAL STATEMENT 2012-01-01
100217002552 2010-02-17 BIENNIAL STATEMENT 2010-01-01
080116002347 2008-01-16 BIENNIAL STATEMENT 2008-01-01
060110002189 2006-01-10 BIENNIAL STATEMENT 2006-01-01
031230002209 2003-12-30 BIENNIAL STATEMENT 2004-01-01

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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