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PINE BUSH MENTAL HEALTH, LLP

Company Details

Name: PINE BUSH MENTAL HEALTH, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 14 Jan 2000 (25 years ago) (Companies founded in January 2000)
Entity Number: 2461989
ZIP code: 12205 (Companies in Blank, 12205)
County: Blank
Place of Formation: New York
Address: 1A PINE WEST PLAZA, ALBANY, NY, United States, 12205

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PINE BUSH MENTAL HEALTH, LLP PROFIT SHARING/401K PLAN 2022 141610524 2023-07-17 PINE BUSH MENTAL HEALTH, LLP 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 5188621665
Plan sponsor’s address 1A PINE WEST PLZ, ALBANY, NY, 122055557
PINE BUSH MENTAL HEALTH, LLP PROFIT SHARING/401(K) PLAN 2021 141610524 2022-07-19 PINE BUSH MENTAL HEALTH, LLP 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 5188621665
Plan sponsor’s address 1A PINE WEST PLZ, ALBANY, NY, 122055557
PINE BUSH MENTAL HEALTH, LLP PROFIT SHARING/401(K) PLAN 2020 141610524 2021-10-13 PINE BUSH MENTAL HEALTH, LLP 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 5188621665
Plan sponsor’s address 1A PINE WEST PLZ, ALBANY, NY, 122055557

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing SHEILA GRANT
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing SHEILA GRANT
PINE BUSH MENTAL HEALTH, LLP PROFIT SHARING/401(K) PLAN 2019 141610524 2020-10-14 PINE BUSH MENTAL HEALTH, LLP 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 5188621665
Plan sponsor’s address 1A PINE WEST PLZ, ALBANY, NY, 122055557
PINE BUSH MENTAL HEALTH, LLP PROFIT SHARING/401(K) PLAN 2018 141610524 2019-10-15 PINE BUSH MENTAL HEALTH, LLP 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 5188621665
Plan sponsor’s address 1A PINE WEST PLZ, ALBANY, NY, 122055557

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing M. KATHERINE KENNEDY
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing M. KATHERINE KENNEDY
PINE BUSH MENTAL HEALTH, LLP PROFIT SHARING/401(K) PLAN 2017 141610524 2018-09-27 PINE BUSH MENTAL HEALTH, LLP 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 5188621665
Plan sponsor’s address 1A PINE WEST PLAZA, ALBANY, NY, 12205

Signature of

Role Plan administrator
Date 2018-09-27
Name of individual signing M. KATHERINE KENNEDY, PH.D
Role Employer/plan sponsor
Date 2018-09-27
Name of individual signing M. KATHERINE KENNEDY
PINE BUSH MENTAL HEALTH, LLP PROFIT SHARING/401(K) PLAN 2016 141610524 2017-09-13 PINE BUSH MENTAL HEALTH, LLP 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 5188621665
Plan sponsor’s address 1A PINE WEST PLAZA, ALBANY, NY, 12205

Signature of

Role Plan administrator
Date 2017-09-13
Name of individual signing M. KATHERINE KENNEDY, PH.D
PINE BUSH MENTAL HEALTH, LLP PROFIT SHARING/401(K) PLAN 2015 141610524 2016-10-13 PINE BUSH MENTAL HEALTH, LLP 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 5188621665
Plan sponsor’s address 1A PINE WEST PLAZA, ALBANY, NY, 12205

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing M. KATHERINE KENNEDY, PH.D
PINE BUSH MENTAL HEALTH, LLP PROFIT SHARING/401(K) PLAN 2014 141610524 2015-09-28 PINE BUSH MENTAL HEALTH, LLP 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 5188621665
Plan sponsor’s address 1A PINE WEST PLAZA, ALBANY, NY, 12205

Signature of

Role Plan administrator
Date 2015-09-28
Name of individual signing M. KATHERINE KENNEDY, PH.D
Role Employer/plan sponsor
Date 2015-09-28
Name of individual signing M. KATHERINE KENNEDY PH.D.
PINE BUSH MENTAL HEALTH, LLP PROFIT SHARING/401(K) PLAN 2013 141610524 2014-10-03 PINE BUSH MENTAL HEALTH, LLP 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 5188621665
Plan sponsor’s address 1A PINE WEST PLAZA, ALBANY, NY, 12205

Signature of

Role Plan administrator
Date 2014-10-03
Name of individual signing M. KATHERINE KENNEDY, PH.D
Role Employer/plan sponsor
Date 2014-10-03
Name of individual signing M. KATHERINE KENNEDY PH.D.

Agent

Name Role Address
DAVID E. KAPLAN, M.D. Agent 1A PINE WEST PLAZA, ALBANY, NY, 12205

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 1A PINE WEST PLAZA, ALBANY, NY, United States, 12205

Filings

Filing Number Date Filed Type Effective Date
191120002051 2019-11-20 FIVE YEAR STATEMENT 2020-01-01
141117002073 2014-11-17 FIVE YEAR STATEMENT 2015-01-01
091208002049 2009-12-08 FIVE YEAR STATEMENT 2010-01-01
041202002507 2004-12-02 FIVE YEAR STATEMENT 2005-01-01
000327000427 2000-03-27 AFFIDAVIT OF PUBLICATION 2000-03-27
000327000425 2000-03-27 AFFIDAVIT OF PUBLICATION 2000-03-27
000114000646 2000-01-14 NOTICE OF REGISTRATION 2000-01-14

Date of last update: 12 Nov 2024

Sources: New York Secretary of State