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  5. LUCIE CAPEK, M.D., PLLC

LUCIE CAPEK, M.D., PLLC

Company Details

Name: LUCIE CAPEK, M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 May 2000 (24 years ago)
Entity Number: 2515346
ZIP code: 12047
County: Schenectady
Place of Formation: New York
Address: 1003 Loudon Road, STE 101, COHOES, NY, United States, 12047

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LUCIE CAPEK, M.D., PLLC 401(K) PROFIT SHARING PLAN TRUST 2023 141822941 2024-07-02 LUCIE CAPEK, M.D., PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187861700
Plan sponsor’s address 1003 LOUDON ROAD, SUITE 101, COHOES, NY, 12047

Signature of
Role Plan administrator
Date 2024-07-02
Name of individual signing LUCIE CAPEK, M.D.
LUCIE CAPEK, M.D., PLLC 401(K) PROFIT SHARING PLAN TRUST 2022 141822941 2023-06-30 LUCIE CAPEK, M.D., PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187861700
Plan sponsor’s address 1003 LOUDON ROAD, SUITE 101, COHOES, NY, 12047

Signature of
Role Plan administrator
Date 2023-06-30
Name of individual signing LUCIE CAPEK, M.D.
LUCIE CAPEK, M.D., PLLC 401(K) PROFIT SHARING PLAN TRUST 2021 141822941 2022-10-05 LUCIE CAPEK, M.D., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187861700
Plan sponsor’s address 1003 LOUDON ROAD, SUITE 101, COHOES, NY, 12047

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing LUCIE CAPEK
Role Employer/plan sponsor
Date 2022-10-04
Name of individual signing LUCIE CAPEK
LUCIE CAPEK, M.D., PLLC 401(K) PROFIT SHARING PLAN TRUST 2020 141822941 2021-06-03 LUCIE CAPEK, M.D., PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187861700
Plan sponsor’s address 713 TROY SCHENECTADY RD, SUITE 308, LATHAM, NY, 121102490

Signature of
Role Plan administrator
Date 2021-06-03
Name of individual signing LUCIE CAPEK
Role Employer/plan sponsor
Date 2021-06-03
Name of individual signing LUCIE CAPEK
LUCIE CAPEK, M.D., PLLC 401(K) PROFIT SHARING PLAN TRUST 2019 141822941 2020-04-06 LUCIE CAPEK, M.D., PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187861700
Plan sponsor’s address 713 TROY SCHENECTADY RD, SUITE 308, LATHAM, NY, 121102490

Signature of
Role Plan administrator
Date 2020-04-04
Name of individual signing LUCIE CAPEK
Role Employer/plan sponsor
Date 2020-04-04
Name of individual signing LUCIE CAPEK
LUCIE CAPEK, M.D., PLLC 401(K) PROFIT SHARING PLAN TRUST 2018 141822941 2019-07-19 LUCIE CAPEK, M.D., PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187861700
Plan sponsor’s address 713 TROY SCHENECTADY RD, SUITE 308, LATHAM, NY, 121102490

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing LUCIE CAPEK
Role Employer/plan sponsor
Date 2019-07-18
Name of individual signing LUCIE CAPEK
LUCIE CAPEK M D PLLC 401 K PROFIT SHARING PLAN TRUST 2017 141822941 2018-07-05 LUCIE CAPEK M D PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187861700
Plan sponsor’s address 713 TROY SCHENECTADY RD STE 30, LATHAM, NY, 121102490

Signature of
Role Plan administrator
Date 2018-07-05
Name of individual signing LUCIE CAPEK
LUCIE CAPEK M D PLLC 401 K PROFIT SHARING PLAN TRUST 2016 141822941 2017-07-28 LUCIE CAPEK M D PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187861700
Plan sponsor’s address 713 TROY SCHENECTADY RD STE 30, LATHAM, NY, 121102490

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing LUCIE CAPEK
LUCIE CAPEK M D PLLC 401 K PROFIT SHARING PLAN TRUST 2015 141822941 2016-07-12 LUCIE CAPEK M D PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187861700
Plan sponsor’s address 713 TROY SCHENECTADY RD STE 30, LATHAM, NY, 121102490

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing LUCIE CAPEK
LUCIE CAPEK M D PLLC 401 K PROFIT SHARING PLAN TRUST 2014 141822941 2015-07-29 LUCIE CAPEK M D PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187861700
Plan sponsor’s address 713 TROY SCHENECTADY RD STE 30, LATHAM, NY, 121102490

Signature of
Role Plan administrator
Date 2015-07-29
Name of individual signing LUCIE CAPEK

DOS Process Agent

Name Role Address
LUCIE CAPEK, M.D., PLLC DOS Process Agent 1003 Loudon Road, STE 101, COHOES, NY, United States, 12047

History

Start date End date Type Value
2002-04-30 2006-05-25 Address 1072 TROY-SCHENECTADY RD, STE 303, LATHAM, NY, 12110, USA (Type of address: Service of Process)
2000-05-30 2002-04-30 Address 624 MCCLELLAN STREET SUITE 203, SCHENECTADY, NY, 12304, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230201000866 2023-02-01 BIENNIAL STATEMENT 2022-05-01
150129006244 2015-01-29 BIENNIAL STATEMENT 2014-05-01
120509006573 2012-05-09 BIENNIAL STATEMENT 2012-05-01
100609003090 2010-06-09 BIENNIAL STATEMENT 2010-05-01
080516002628 2008-05-16 BIENNIAL STATEMENT 2008-05-01
060525002034 2006-05-25 BIENNIAL STATEMENT 2006-05-01
040506002078 2004-05-06 BIENNIAL STATEMENT 2004-05-01
020430002171 2002-04-30 BIENNIAL STATEMENT 2002-05-01
000831000066 2000-08-31 AFFIDAVIT OF PUBLICATION 2000-08-31
000831000064 2000-08-31 AFFIDAVIT OF PUBLICATION 2000-08-31

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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