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I.A. TANGOREN, M.D., PLLC

Company Details

Name: I.A. TANGOREN, M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Apr 2000 (25 years ago) (Companies founded in April 2000)
Entity Number: 2501798
ZIP code: 13224 (Companies in Onondaga, 13224)
County: Onondaga
Place of Formation: New York
Address: 2949 ERIE BLVD EAST, SUITE 110, SYRACUSE, NY, United States, 13224

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
I.A. TANGOREN, M.D., PLLC 401(K) PROFIT SHARING PLAN 2015 161585327 2016-06-03 I.A. TANGOREN, M.D., PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 3154241430
Plan sponsor’s address 2949 ERIE BLVD. EAST, SYRACUSE, NY, 13224
I.A. TANGOREN, M.D., PLLC 401(K) PROFIT SHARING PLAN 2014 161585327 2015-07-29 I.A. TANGOREN, M.D., PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 3154241430
Plan sponsor’s address 2949 ERIE BLVD. EAST, SYRACUSE, NY, 13224

Signature of
Role Plan administrator
Date 2015-07-29
Name of individual signing TRACY BARRETT
I.A. TANGOREN, M.D., PLLC 401(K) PROFIT SHARING PLAN 2013 161585327 2014-10-11 I.A. TANGOREN, M.D., PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 3154241430
Plan sponsor’s address 2949 ERIE BLVD. EAST, SYRACUSE, NY, 13224

Signature of
Role Plan administrator
Date 2014-10-11
Name of individual signing TRACY BARRETT
I.A. TANGOREN, M.D., PLLC 401(K) PSP 2012 161585327 2013-06-05 I.A. TANGOREN, M.D., PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 3154241430
Plan sponsor’s address 2949 ERIE BLVD. EAST, SYRACUSE, NY, 13224

Signature of
Role Plan administrator
Date 2013-06-05
Name of individual signing VALERI R. DEDICH, QKA
I.A. TANGOREN, M.D., PLLC 401(K) PSP 2011 161585327 2012-10-02 I.A. TANGOREN, M.D., PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 3154241430
Plan sponsor’s address 2949 ERIE BLVD. EAST, SYRACUSE, NY, 13224

Plan administrator’s name and address
Administrator’s EIN 161585327
Plan administrator’s name I.A. TANGOREN, M.D., PLLC
Plan administrator’s address 2949 ERIE BLVD. EAST, SYRACUSE, NY, 13224
Administrator’s telephone number 3154241430

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing VALERI R. DEDICH, QKA
I.A. TANGOREN, M.D., PLLC 401(K) PSP 2010 161585327 2011-10-14 I.A. TANGOREN, M.D., PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 3154241430
Plan sponsor’s address 2949 ERIE BLVD. EAST, SYRACUSE, NY, 13224

Plan administrator’s name and address
Administrator’s EIN 161585327
Plan administrator’s name I.A. TANGOREN, M.D., PLLC
Plan administrator’s address 2949 ERIE BLVD. EAST, SYRACUSE, NY, 13224
Administrator’s telephone number 3154241430

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing VALERI R. DEDICH, QKA
I.A. TANGOREN, M.D., PLLC 401(K) PSP 2009 161585327 2010-09-27 I.A. TANGOREN, M.D., PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 3154241430
Plan sponsor’s address 2949 ERIE BLVD. EAST, SYRACUSE, NY, 13224

Plan administrator’s name and address
Administrator’s EIN 161585327
Plan administrator’s name I.A. TANGOREN, M.D., PLLC
Plan administrator’s address 2949 ERIE BLVD. EAST, SYRACUSE, NY, 13224
Administrator’s telephone number 3154241430

Signature of
Role Plan administrator
Date 2010-09-27
Name of individual signing IBRAHIM A. TANGOREN, TRUSTEE

DOS Process Agent

Name Role Address
I.A. TANGOREN, M.D., PLLC DOS Process Agent 2949 ERIE BLVD EAST, SUITE 110, SYRACUSE, NY, United States, 13224

History

Start date End date Type Value
2018-04-09 2024-04-09 Address 2949 ERIE BLVD EAST, SUITE 110, SYRACUSE, NY, 13224, USA (Type of address: Service of Process)
2016-04-04 2018-04-09 Address 2949 ERIE BLVD EAST, SUITE 110, MANLIUS, NY, 13224, USA (Type of address: Service of Process)
2010-04-20 2016-04-04 Address 7839 CAHILL ROAD, MANLIUS, NY, 13104, USA (Type of address: Service of Process)
2008-07-01 2010-04-20 Address 7839 CAHILL ROAD, MANLIVS, NY, 13104, USA (Type of address: Service of Process)
2000-04-21 2008-07-01 Address 403 SALT SPRINGS STREET, FAYETTEVILLE, NY, 13066, 2244, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240409003925 2024-04-09 BIENNIAL STATEMENT 2024-04-09
220427002595 2022-04-27 BIENNIAL STATEMENT 2022-04-01
200406061334 2020-04-06 BIENNIAL STATEMENT 2020-04-01
180409006701 2018-04-09 BIENNIAL STATEMENT 2018-04-01
160404006981 2016-04-04 BIENNIAL STATEMENT 2016-04-01
140428006339 2014-04-28 BIENNIAL STATEMENT 2014-04-01
120711002289 2012-07-11 BIENNIAL STATEMENT 2012-04-01
100420002689 2010-04-20 BIENNIAL STATEMENT 2010-04-01
080701002428 2008-07-01 BIENNIAL STATEMENT 2008-04-01
060523002555 2006-05-23 BIENNIAL STATEMENT 2006-04-01

Related by officers

No related officers

Related by address

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Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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