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PHYSICIAN ADMINISTRATIVE SERVICES, LLC

Company Details

Name: PHYSICIAN ADMINISTRATIVE SERVICES, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 23 Feb 2001 (24 years ago) (Companies founded in February 2001)
Date of dissolution: 25 Nov 2019
Entity Number: 2609669
ZIP code: 13039 (Companies in Onondaga, 13039)
County: Onondaga
Place of Formation: New York
Address: 6221 STATE RT 31, STE 104, CICERO, NY, United States, 13039

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSICIAN ADMINISTRATIVE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2018 161601271 2019-10-07 PHYSICIAN ADMINISTRATIVE SERVICES, LLC 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3157520143
Plan sponsor’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing LARRY CHARLAMB
PHYSICIAN ADMINISTRATIVE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2017 161601271 2018-10-09 PHYSICIAN ADMINISTRATIVE SERVICES, LLC 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3157520143
Plan sponsor’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing LARRY CHARLAMB
Role Employer/plan sponsor
Date 2018-10-09
Name of individual signing LARRY CHARLAMB
PHYSICIAN ADMINISTRATIVE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2016 161601271 2017-06-13 PHYSICIAN ADMINISTRATIVE SERVICES, LLC 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3157520143
Plan sponsor’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726

Signature of
Role Plan administrator
Date 2017-06-13
Name of individual signing LARRY CHARLAMB
Role Employer/plan sponsor
Date 2017-06-13
Name of individual signing LARRY CHARLAMB
PHYSICIAN ADMINISTRATIVE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2015 161601271 2016-07-19 PHYSICIAN ADMINISTRATIVE SERVICES, LLC 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3157520143
Plan sponsor’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing LARRY CHARLAMB
Role Employer/plan sponsor
Date 2016-07-19
Name of individual signing LARRY CHARLAMB
PHYSICIAN ADMINISTRATIVE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2014 161601271 2015-07-08 PHYSICIAN ADMINISTRATIVE SERVICES, LLC 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3157520143
Plan sponsor’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726

Signature of
Role Plan administrator
Date 2015-06-24
Name of individual signing LARRY CHARLAMB
Role Employer/plan sponsor
Date 2015-07-08
Name of individual signing LARRY CHARLAMB
PHYSICIAN ADMINISTRATIVE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2013 161601271 2014-06-05 PHYSICIAN ADMINISTRATIVE SERVICES, LLC 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3157520143
Plan sponsor’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726

Signature of
Role Plan administrator
Date 2014-06-05
Name of individual signing LARRY CHARLAMB
Role Employer/plan sponsor
Date 2014-06-05
Name of individual signing LARRY CHARLAMB
PHYSICIAN ADMINISTRATIVE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2012 161601271 2013-04-16 PHYSICIAN ADMINISTRATIVE SERVICES, LLC 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3157520143
Plan sponsor’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726

Signature of
Role Plan administrator
Date 2013-04-16
Name of individual signing LARRY CHARLAMB
Role Employer/plan sponsor
Date 2013-04-16
Name of individual signing LARRY CHARLAMB
PHYSICIAN ADMINISTRATIVE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2011 161601271 2012-04-10 PHYSICIAN ADMINISTRATIVE SERVICES, LLC 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3157520143
Plan sponsor’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726

Plan administrator’s name and address
Administrator’s EIN 161601271
Plan administrator’s name PHYSICIAN ADMINISTRATIVE SERVICES, LLC
Plan administrator’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726
Administrator’s telephone number 3157520143

Signature of
Role Plan administrator
Date 2012-04-10
Name of individual signing LARRY CHARLAMB
Role Employer/plan sponsor
Date 2012-04-10
Name of individual signing LARRY CHARLAMB
PHYSICIAN ADMINISTRATIVE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2010 161601271 2011-05-10 PHYSICIAN ADMINISTRATIVE SERVICES, LLC 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3157520143
Plan sponsor’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726

Plan administrator’s name and address
Administrator’s EIN 161601271
Plan administrator’s name PHYSICIAN ADMINISTRATIVE SERVICES, LLC
Plan administrator’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726
Administrator’s telephone number 3157520143

Signature of
Role Plan administrator
Date 2011-05-10
Name of individual signing LARRY CHARLAMB
Role Employer/plan sponsor
Date 2011-05-10
Name of individual signing LARRY CHARLAMB
PHYSICIAN ADMINISTRATIVE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2009 161601271 2010-07-07 PHYSICIAN ADMINISTRATIVE SERVICES, LLC 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3157520143
Plan sponsor’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726

Plan administrator’s name and address
Administrator’s EIN 161601271
Plan administrator’s name PHYSICIAN ADMINISTRATIVE SERVICES, LLC
Plan administrator’s address 6221 STATE ROUTE 31 STE 104, CICERO, NY, 130398726
Administrator’s telephone number 3157520143

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing LARRY S. CHARLAMB MD
Role Employer/plan sponsor
Date 2010-07-07
Name of individual signing LARRY S. CHARLAMB MD

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 6221 STATE RT 31, STE 104, CICERO, NY, United States, 13039

History

Start date End date Type Value
2001-03-21 2003-02-06 Name CNY MEDICAL GROUP MANAGEMENT, LLC
2001-02-23 2001-03-21 Name HINDSIGHT MANAGEMENT SERVICES, LLC
2001-02-23 2009-02-11 Address 4682 CROSSROADS PARK DRIVE, LIVERPOOL, NY, 13088, 3516, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191125001253 2019-11-25 ARTICLES OF DISSOLUTION 2019-11-25
130215006070 2013-02-15 BIENNIAL STATEMENT 2013-02-01
110218002130 2011-02-18 BIENNIAL STATEMENT 2011-02-01
090211002359 2009-02-11 BIENNIAL STATEMENT 2009-02-01
070214002045 2007-02-14 BIENNIAL STATEMENT 2007-02-01
050211002430 2005-02-11 BIENNIAL STATEMENT 2005-02-01
030218002384 2003-02-18 BIENNIAL STATEMENT 2003-02-01
030206000772 2003-02-06 CERTIFICATE OF AMENDMENT 2003-02-06
010502000470 2001-05-02 AFFIDAVIT OF PUBLICATION 2001-05-02
010502000469 2001-05-02 AFFIDAVIT OF PUBLICATION 2001-05-02

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Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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