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JEFFREY A. LIBERMAN, D.O., P.C.

Company Details

Name: JEFFREY A. LIBERMAN, D.O., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Jul 2000 (24 years ago)
Entity Number: 2536513
County: Monroe
Place of Formation: New York
Address: 485 TITUS AVENUE SUITE H, ROCHESTER, NY, United States, 14617
Address ZIP Code: 14617
Principal Address: 485 TITUS AVE SUITE H, ROCHESTER, NY, United States, 14617
Principal Address ZIP Code: 14617

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFFREY A. LIBERMAN, D.O., P.C. 401(K) PLAN 2023 161592911 2024-04-19 JEFFREY A. LIBERMAN, D.O., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5855445368
Plan sponsor’s address 485 TITUS AVE STE H, ROCHESTER, NY, 14617

Signature of

Role Plan administrator
Date 2024-04-14
Name of individual signing JEFFREY LIBERMAN
JEFFREY A. LIBERMAN, D.O., P.C. 401(K) PLAN 2022 161592911 2023-05-08 JEFFREY A. LIBERMAN, D.O., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5855445368
Plan sponsor’s address 485 TITUS AVE STE H, ROCHESTER, NY, 14617

Signature of

Role Plan administrator
Date 2023-04-29
Name of individual signing JEFFREY LIBERMAN
Role Employer/plan sponsor
Date 2023-04-29
Name of individual signing JEFFREY LIBERMAN
JEFFREY A. LIBERMAN, D.O., P.C. 401(K) PLAN 2021 161592911 2022-04-11 JEFFREY A. LIBERMAN, D.O., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5855445368
Plan sponsor’s address 485 TITUS AVE STE H, ROCHESTER, NY, 14617

Signature of

Role Plan administrator
Date 2022-04-10
Name of individual signing JEFFREY LIBERMAN
Role Employer/plan sponsor
Date 2022-04-10
Name of individual signing JEFFREY LIBERMAN
JEFFREY A. LIBERMAN, D.O., P.C. 401(K) PLAN 2020 161592911 2021-03-19 JEFFREY A. LIBERMAN, D.O., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5855445368
Plan sponsor’s address 485 TITUS AVE STE H, ROCHESTER, NY, 14617

Signature of

Role Plan administrator
Date 2021-03-18
Name of individual signing JEFFREY LIBERMAN
JEFFREY A. LIBERMAN, D.O., P.C. 401(K) PLAN 2019 161592911 2020-03-24 JEFFREY A. LIBERMAN, D.O., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5855445368
Plan sponsor’s address 485 TITUS AVE STE H, ROCHESTER, NY, 14617

Signature of

Role Plan administrator
Date 2020-03-23
Name of individual signing JEFFREY LIBERMAN
JEFFREY A. LIBERMAN, D.O., P.C. 401(K) PLAN 2018 161592911 2019-03-28 JEFFREY A. LIBERMAN, D.O., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5855445368
Plan sponsor’s address 485 TITUS AVE STE H, ROCHESTER, NY, 14617

Signature of

Role Plan administrator
Date 2019-03-27
Name of individual signing JEFFREY LIBERMAN
JEFFREY A. LIBERMAN, D.O., P.C. 401(K) PLAN 2017 161592911 2018-01-31 JEFFREY A. LIBERMAN, D.O., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5855445368
Plan sponsor’s address 485 TITUS AVE STE H, ROCHESTER, NY, 14617

Signature of

Role Plan administrator
Date 2018-01-30
Name of individual signing JEFFREY LIBERMAN
JEFFREY A. LIBERMAN, D.O., P.C. 401(K) PLAN 2016 161592911 2017-02-08 JEFFREY A. LIBERMAN, D.O., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5855445368
Plan sponsor’s address 485 TITUS AVE STE H, ROCHESTER, NY, 14617

Signature of

Role Plan administrator
Date 2017-02-08
Name of individual signing JEFFREY LIBERMAN
JEFFREY A. LIBERMAN, D.O., P.C. 401(K) PLAN 2015 161592911 2016-03-02 JEFFREY A. LIBERMAN, D.O., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5855445368
Plan sponsor’s address 485 TITUS AVE STE H, ROCHESTER, NY, 14617

Signature of

Role Plan administrator
Date 2016-03-02
Name of individual signing JEFFREY LIBERMAN
JEFFREY A. LIBERMAN, D.O., P.C. 401(K) PLAN 2014 161592911 2015-02-24 JEFFREY A. LIBERMAN, D.O., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5855445368
Plan sponsor’s address 485 TITUS AVE STE H, ROCHESTER, NY, 14617

Signature of

Role Plan administrator
Date 2015-02-23
Name of individual signing JEFFREY LIBERMAN

DOS Process Agent

Name Role Address
ME DOS Process Agent 485 TITUS AVENUE SUITE H, ROCHESTER, NY, United States, 14617

Chief Executive Officer

Name Role Address
JEFFREY A LIBERMAN, DO Chief Executive Officer 485 TITUS AVE SUITE H, ROCHESTER, NY, United States, 14617

History

Start date End date Type Value
2012-07-31 2016-11-14 Address 485 TITUS AVENUE SUITE H, ROCHESTER, NY, 14617, USA (Type of address: Service of Process)
2002-06-25 2012-07-31 Address 485 TITUS AVE SUITE D, ROCHESTER, NY, 14617, USA (Type of address: Chief Executive Officer)
2002-06-25 2012-07-31 Address 485 TITUS AVE SUITE D, ROCHESTER, NY, 14617, USA (Type of address: Principal Executive Office)
2000-07-28 2012-07-31 Address 485 TITUS AVENUE, ROCHESTER, NY, 14617, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180705007131 2018-07-05 BIENNIAL STATEMENT 2018-07-01
161114006001 2016-11-14 BIENNIAL STATEMENT 2016-07-01
140722006016 2014-07-22 BIENNIAL STATEMENT 2014-07-01
120731006020 2012-07-31 BIENNIAL STATEMENT 2012-07-01
100721002207 2010-07-21 BIENNIAL STATEMENT 2010-07-01
080718003645 2008-07-18 BIENNIAL STATEMENT 2008-07-01
060622002383 2006-06-22 BIENNIAL STATEMENT 2006-07-01
040726002196 2004-07-26 BIENNIAL STATEMENT 2004-07-01
020625002751 2002-06-25 BIENNIAL STATEMENT 2002-07-01
000728000077 2000-07-28 CERTIFICATE OF INCORPORATION 2000-07-28

Date of last update: 11 Nov 2024

Sources: New York Secretary of State