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NORTH COUNTRY SPORTS MEDICINE, PLLC

Company Details

Name: NORTH COUNTRY SPORTS MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Mar 2001 (24 years ago)
Entity Number: 2616000
County: Warren
Place of Formation: New York
Address: 24 PINE STREET, GLENS FALLS, NY, United States, 12801
Address ZIP Code: 12801

Contact Details

Phone +1 518-793-9156

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH COUNTRY SPORTS MEDICINE, P.L.L.C 401(K) RETIREMENT PLAN 2018 141829741 2019-12-26 NORTH COUNTRY SPORTS MEDICINE, PLLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-04-01
Business code 541990
Sponsor’s telephone number 5187939156
Plan sponsor’s address 25 WILLOWBROOK ROAD, SUITE 2, QUEENSBURY, NY, 12804
NORTH COUNTRY SPORTS MEDICINE, P.L.L.C 401(K) RETIREMENT PLAN 2018 141829741 2019-08-23 NORTH COUNTRY SPORTS MEDICINE, PLLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-04-01
Business code 541990
Sponsor’s telephone number 5187939156
Plan sponsor’s address 25 WILLOWBROOK ROAD, SUITE 2, QUEENSBURY, NY, 12804
NORTH COUNTRY SPORTS MEDICINE, P.L.L.C 401(K) RETIREMENT PLAN 2017 141829741 2018-02-17 NORTH COUNTRY SPORTS MEDICINE, PLLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-04-01
Business code 541990
Sponsor’s telephone number 5187939156
Plan sponsor’s address 25 WILLOWBROOK ROAD, SUITE 2, QUEENSBURY, NY, 12804
NORTH COUNTRY SPORTS MEDICINE, P.L.L.C 401(K) RETIREMENT PLAN 2016 141829741 2017-05-05 NORTH COUNTRY SPORTS MEDICINE, PLLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-04-01
Business code 541990
Sponsor’s telephone number 5187939156
Plan sponsor’s address 25 WILLOWBROOK ROAD, SUITE 2, QUEENSBURY, NY, 12804
NORTH COUNTRY SPORTS MEDICINE, P.L.L.C 401(K) RETIREMENT PLAN 2015 141829741 2016-03-14 NORTH COUNTRY SPORTS MEDICINE, PLLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-04-01
Business code 541990
Sponsor’s telephone number 5187939156
Plan sponsor’s address 25 WILLOWBROOK ROAD, SUITE 2, QUEENSBURY, NY, 12804
NORTH COUNTRY SPORTS MEDICINE, P.L.L.C 401(K) RETIREMENT PLAN 2014 141829741 2015-02-27 NORTH COUNTRY SPORTS MEDICINE, PLLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-04-01
Business code 541990
Sponsor’s telephone number 5187939156
Plan sponsor’s address 25 WILLOWBROOK ROAD, SUITE 2, QUEENSBURY, NY, 12804
NORTH COUNTRY SPORTS MEDICINE, P.L.L.C 401(K) RETIREMENT PLAN 2013 141829741 2014-03-25 NORTH COUNTRY SPORTS MEDICINE, PLLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-04-01
Business code 541990
Sponsor’s telephone number 5187939156
Plan sponsor’s address 25 WILLOWBROOK ROAD, SUITE 2, QUEENSBURY, NY, 12804
NORTH COUNTRY SPORTS MEDICINE, P.L.L.C 401(K) RETIREMENT PLAN 2012 141829741 2013-04-17 NORTH COUNTRY SPORTS MEDICINE, PLLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-04-01
Business code 541990
Sponsor’s telephone number 5187939156
Plan sponsor’s address 25 WILLOWBROOK ROAD, SUITE 2, QUEENSBURY, NY, 12804

Signature of
Role Plan administrator
Date 2013-04-17
Name of individual signing LORI M. BALDWIN
Role Employer/plan sponsor
Date 2013-04-17
Name of individual signing LORI M. BALDWIN
NORTH COUNTRY SPORTS MEDICINE, P.L.L.C 401(K) RETIREMENT PLAN 2011 141829741 2012-02-25 NORTH COUNTRY SPORTS MEDICINE, PLLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-04-01
Business code 541990
Sponsor’s telephone number 5187939156
Plan sponsor’s address 25 WILLOWBROOK ROAD, SUITE 2, QUEENSBURY, NY, 12804

Plan administrator’s name and address
Administrator’s EIN 141829741
Plan administrator’s name NORTH COUNTRY SPORTS MEDICINE, PLLC
Plan administrator’s address 25 WILLOWBROOK ROAD, SUITE 2, QUEENSBURY, NY, 12804
Administrator’s telephone number 5187939156

Signature of
Role Plan administrator
Date 2012-02-25
Name of individual signing LORI M. BALDWIN
Role Employer/plan sponsor
Date 2012-02-25
Name of individual signing LORI M. BALDWIN
NORTH COUNTRY SPORTS MEDICINE, P.L.L.C 401(K) RETIREMENT PLAN 2010 141829741 2011-03-08 NORTH COUNTRY SPORTS MEDICINE, PLLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-04-01
Business code 541990
Sponsor’s telephone number 5187939156
Plan sponsor’s address 25 WILLOWBROOK ROAD, SUITE 2, QUEENSBURY, NY, 12804

Plan administrator’s name and address
Administrator’s EIN 141829741
Plan administrator’s name NORTH COUNTRY SPORTS MEDICINE, PLLC
Plan administrator’s address 25 WILLOWBROOK ROAD, SUITE 2, QUEENSBURY, NY, 12804
Administrator’s telephone number 5187939156

Signature of
Role Plan administrator
Date 2011-03-08
Name of individual signing LORI M. BALDWIN
Role Employer/plan sponsor
Date 2011-03-08
Name of individual signing LORI M. BALDWIN

DOS Process Agent

Name Role Address
NORTH COUNTRY SPORTS MEDICINE, PLLC DOS Process Agent 24 PINE STREET, GLENS FALLS, NY, United States, 12801

History

Start date End date Type Value
2005-03-18 2019-03-13 Address 25 WILLOWBROOK RD / SUITE 2, QUEENSBURY, NY, 12804, USA (Type of address: Service of Process)
2001-03-14 2005-03-18 Address 747 UPPER GLEN STREET, QUEENSBURY, NY, 12804, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210308061670 2021-03-08 BIENNIAL STATEMENT 2021-03-01
190313061038 2019-03-13 BIENNIAL STATEMENT 2019-03-01
170302006168 2017-03-02 BIENNIAL STATEMENT 2017-03-01
150316006301 2015-03-16 BIENNIAL STATEMENT 2015-03-01
130308006564 2013-03-08 BIENNIAL STATEMENT 2013-03-01
110401002594 2011-04-01 BIENNIAL STATEMENT 2011-03-01
090305002690 2009-03-05 BIENNIAL STATEMENT 2009-03-01
070306002205 2007-03-06 BIENNIAL STATEMENT 2007-03-01
050318002513 2005-03-18 BIENNIAL STATEMENT 2005-03-01
030218002396 2003-02-18 BIENNIAL STATEMENT 2003-03-01

Related by officers

No related officers

Related by address

24 PINE STREET, GLENS FALLS, NY, United States, 12801

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Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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