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SPRINGVILLE PEDIATRICS LLP

Company Details

Name: SPRINGVILLE PEDIATRICS LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 16 Oct 2002 (22 years ago)
Entity Number: 2823490
County: Blank
Place of Formation: New York
Address: 25 EAST MAIN STREET, SPRINGVILLE, NY, United States, 14141
Address ZIP Code: 14141

Contact Details

Phone +1 716-592-2832

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN 2023 562298593 2024-08-19 SPRINGVILLE PEDIATRICS, LLP 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7165922832
Plan sponsor’s address 25 EAST MAIN ST., SPRINGVILLE, NY, 14141

Signature of

Role Plan administrator
Date 2024-08-16
Name of individual signing ROBBIN HANSEN
Role Employer/plan sponsor
Date 2024-08-16
Name of individual signing ROBBIN HANSEN
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN 2022 562298593 2023-05-30 SPRINGVILLE PEDIATRICS, LLP 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7165922832
Plan sponsor’s address 25 EAST MAIN ST., SPRINGVILLE, NY, 14141

Signature of

Role Plan administrator
Date 2023-05-25
Name of individual signing ROBBIN HANSEN
Role Employer/plan sponsor
Date 2023-05-25
Name of individual signing ROBBIN HANSEN
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN 2021 562298593 2022-05-11 SPRINGVILLE PEDIATRICS, LLP 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7165922832
Plan sponsor’s address 25 EAST MAIN ST., SPRINGVILLE, NY, 14141

Signature of

Role Plan administrator
Date 2022-05-11
Name of individual signing ROBBIN HANSEN
Role Employer/plan sponsor
Date 2022-05-11
Name of individual signing ROBBIN HANSEN
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN 2020 562298593 2021-07-29 SPRINGVILLE PEDIATRICS, LLP 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7165922832
Plan sponsor’s address 25 EAST MAIN ST., SPRINGVILLE, NY, 14141

Signature of

Role Plan administrator
Date 2021-07-29
Name of individual signing ROBBIN HANSEN
Role Employer/plan sponsor
Date 2021-07-29
Name of individual signing ROBBIN HANSEN
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN 2019 562298593 2020-07-07 SPRINGVILLE PEDIATRICS, LLP 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7165922832
Plan sponsor’s address 25 EAST MAIN ST., SPRINGVILLE, NY, 14141

Signature of

Role Plan administrator
Date 2020-07-07
Name of individual signing ROBBIN HANSEN
Role Employer/plan sponsor
Date 2020-07-07
Name of individual signing ROBBIN HANSEN
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN 2018 562298593 2019-07-08 SPRINGVILLE PEDIATRICS, LLP 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7165922832
Plan sponsor’s address 25 EAST MAIN ST., SPRINGVILLE, NY, 14141

Signature of

Role Plan administrator
Date 2019-07-08
Name of individual signing ROBBIN HANSEN
Role Employer/plan sponsor
Date 2019-07-08
Name of individual signing ROBBIN HANSEN
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN 2017 562298593 2018-05-18 SPRINGVILLE PEDIATRICS, LLP 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7165922832
Plan sponsor’s address 25 EAST MAIN ST., SPRINGVILLE, NY, 14141

Signature of

Role Plan administrator
Date 2018-05-17
Name of individual signing J WILLIAM CANAVAN
Role Employer/plan sponsor
Date 2018-05-17
Name of individual signing J WILLIAM CANAVAN
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN 2016 562298593 2017-05-26 SPRINGVILLE PEDIATRICS, LLP 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7165922832
Plan sponsor’s address 25 EAST MAIN ST., SPRINGVILLE, NY, 14141

Signature of

Role Plan administrator
Date 2017-05-25
Name of individual signing J WILLIAM CANAVAN
Role Employer/plan sponsor
Date 2017-05-25
Name of individual signing J WILLIAM CANAVAN
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN 2015 562298593 2016-06-10 SPRINGVILLE PEDIATRICS, LLP 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7165922832
Plan sponsor’s address 25 EAST MAIN ST., SPRINGVILLE, NY, 14141

Signature of

Role Plan administrator
Date 2016-06-09
Name of individual signing J WILLIAM CANAVAN
Role Employer/plan sponsor
Date 2016-06-09
Name of individual signing J WILLIAM CANAVAN
SPRINGVILLE PEDIATRICS, LLP 401(K) PLAN 2014 562298593 2015-06-11 SPRINGVILLE PEDIATRICS, LLP 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7165922832
Plan sponsor’s address 25 EAST MAIN ST., SPRINGVILLE, NY, 14141

Signature of

Role Plan administrator
Date 2015-06-11
Name of individual signing J WILLIAM CANAVAN
Role Employer/plan sponsor
Date 2015-06-11
Name of individual signing J WILLIAM CANAVAN

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 25 EAST MAIN STREET, SPRINGVILLE, NY, United States, 14141

History

Start date End date Type Value
2002-10-25 2012-03-01 Name SPRINGVILLE PEDIATRICS & ADULT CARE, LLP
2002-10-16 2002-10-25 Name SPRINGFIELD PEDIATRICS & ADULT CARE, LLP

Filings

Filing Number Date Filed Type Effective Date
120829002128 2012-08-29 FIVE YEAR STATEMENT 2012-10-01
120301000534 2012-03-01 CERTIFICATE OF AMENDMENT 2012-03-01
071010002128 2007-10-10 FIVE YEAR STATEMENT 2007-10-01
030520000696 2003-05-20 AFFIDAVIT OF PUBLICATION 2003-05-20
030520000692 2003-05-20 AFFIDAVIT OF PUBLICATION 2003-05-20
021025000652 2002-10-25 CERTIFICATE OF AMENDMENT 2002-10-25
021016000776 2002-10-16 NOTICE OF REGISTRATION 2002-10-16

Date of last update: 23 Oct 2024

Sources: New York Secretary of State