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PALMYRA GENERAL MEDICAL PRACTICE, PLLC

Company Details

Name: PALMYRA GENERAL MEDICAL PRACTICE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Sep 2001 (23 years ago) (Companies founded in September 2001)
Entity Number: 2679465
ZIP code: 14522 (Companies in Wayne, 14522)
County: Wayne
Place of Formation: New York
Address: 201 EAST MAIN STREET, PALMYRA, NY, United States, 14522

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALMYRA GENERAL MEDICAL PRACTICE, PLLC 401(K) PLAN 2016 161611446 2017-02-01 PALMYRA GENERAL MEDICAL PRACTICE, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3155978828
Plan sponsor’s address 201 EAST MAIN STREET, PALMYRA, NY, 14522

Signature of
Role Plan administrator
Date 2017-02-01
Name of individual signing VALERIE RIGGS
Role Employer/plan sponsor
Date 2017-02-01
Name of individual signing VALERIE RIGGS
PALMYRA GENERAL MEDICAL PRACTICE PLLC 401(K) PLAN 2015 161611446 2016-06-29 PALMYRA GENERAL MEDICAL PRACTICE PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3155978828
Plan sponsor’s address 201 EAST MAIN STREET, PALMYRA, NY, 14522

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing VALERIE RIGGS
Role Employer/plan sponsor
Date 2016-06-29
Name of individual signing VALERIE RIGGS
PALMYRA GENERAL MEDICAL PRACTICE PLLC 401(K) PLAN 2014 161611446 2015-07-01 PALMYRA GENERAL MEDICAL PRACTICE PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3155978828
Plan sponsor’s address 201 EAST MAIN STREET, PALMYRA, NY, 14522

Signature of
Role Plan administrator
Date 2015-07-01
Name of individual signing VALERIE RIGGS
Role Employer/plan sponsor
Date 2015-07-01
Name of individual signing VALERIE RIGGS
PALMYRA GENERAL MEDICAL PRACTICE PLLC PLAN 2013 161611446 2014-07-13 PALMYRA GENERAL MEDICAL PRACTICE PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3155978828
Plan sponsor’s address 201 EAST MAIN STREET, PALMYRA, NY, 14522

Signature of
Role Plan administrator
Date 2014-04-05
Name of individual signing VALERIE RIGGS
Role Employer/plan sponsor
Date 2014-04-05
Name of individual signing VALERIE RIGGS
PALMYRA GENERAL MEDICAL PRACTICE PLLC PLAN 2012 161611446 2013-08-20 PALMYRA GENERAL MEDICAL PRACTICE PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3155978828
Plan sponsor’s address 201 EAST MAIN STREET, PALMYRA, NY, 14522

Signature of
Role Plan administrator
Date 2013-08-20
Name of individual signing VALERIE RIGGS
Role Employer/plan sponsor
Date 2013-08-20
Name of individual signing VALERIE RIGGS
PALMYRA GENERAL MEDICAL PRACTICE PLLC PLAN 2011 161611446 2012-06-03 PALMYRA GENERAL MEDICAL PRACTICE PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3155978828
Plan sponsor’s address 201 EAST MAIN STREET, PALMYRA, NY, 14522

Plan administrator’s name and address
Administrator’s EIN 161611446
Plan administrator’s name PALMYRA GENERAL MEDICAL PRACTICE PLLC
Plan administrator’s address 201 EAST MAIN STREET, PALMYRA, NY, 14522
Administrator’s telephone number 3155978828

Signature of
Role Plan administrator
Date 2012-06-03
Name of individual signing VALERIE RIGGS
Role Employer/plan sponsor
Date 2012-06-03
Name of individual signing MALCOLM RIGGS
PALMYRA GENERAL MEDICAL PRACTICE PLLC PLAN 2010 161611446 2011-07-24 PALMYRA GENERAL MEDICAL PRACTICE PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3155978828
Plan sponsor’s address 201 EAST MAIN STREET, PALMYRA, NY, 14522

Plan administrator’s name and address
Administrator’s EIN 161611446
Plan administrator’s name PALMYRA GENERAL MEDICAL PRACTICE PLLC
Plan administrator’s address 201 EAST MAIN STREET, PALMYRA, NY, 14522
Administrator’s telephone number 3155978828

Signature of
Role Plan administrator
Date 2011-07-24
Name of individual signing VALERIE RIGGS
Role Employer/plan sponsor
Date 2011-07-24
Name of individual signing MALCOLM RIGGS
PALMYRA GENERAL MEDICAL PRACTICE PLLC PLAN 2009 161611446 2010-07-18 PALMYRA GENERAL MEDICAL PRACTICE PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3155978828
Plan sponsor’s address 201 EAST MAIN STREET, PALMYRA, NY, 14522

Plan administrator’s name and address
Administrator’s EIN 161611446
Plan administrator’s name PALMYRA GENERAL MEDICAL PRACTICE PLLC
Plan administrator’s address 201 EAST MAIN STREET, PALMYRA, NY, 14522
Administrator’s telephone number 3155978828

Signature of
Role Plan administrator
Date 2010-07-16
Name of individual signing VALERIE RIGGS
Role Employer/plan sponsor
Date 2010-07-16
Name of individual signing MALCOLM RIGGS

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 201 EAST MAIN STREET, PALMYRA, NY, United States, 14522

History

Start date End date Type Value
2001-09-11 2011-10-20 Address 201 EAST MAIN STREET PALMYRA, PALMYRA, NY, 14522, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
111020002754 2011-10-20 BIENNIAL STATEMENT 2011-09-01
090909002665 2009-09-09 BIENNIAL STATEMENT 2009-09-01
071115002071 2007-11-15 BIENNIAL STATEMENT 2007-09-01
051017002004 2005-10-17 BIENNIAL STATEMENT 2005-09-01
011130000426 2001-11-30 AFFIDAVIT OF PUBLICATION 2001-11-30
011130000422 2001-11-30 AFFIDAVIT OF PUBLICATION 2001-11-30
010911000242 2001-09-11 ARTICLES OF ORGANIZATION 2001-09-11

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Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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