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HURLEY AVENUE FAMILY MEDICINE, PLLC

Company Details

Name: HURLEY AVENUE FAMILY MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Mar 2003 (22 years ago)
Entity Number: 2882166
County: Ulster
Place of Formation: New York
Address: 211 HURLEY AVENUE, KINGSTON, NY, United States, 12401
Address ZIP Code: 12401

Contact Details

Phone +1 845-339-2804

Phone +1 518-943-6101

Phone +1 845-246-2836

Phone +1 845-340-3390

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HURLEY AVENUE FAMILY MEDICINE 401 K PROFIT SHARING PLAN TRUST 2012 562329698 2013-05-29 HURLEY AVENUE FAMILY MEDICINE 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8453382541
Plan sponsor’s address 211 HURLEY AVE, KINGSTON, NY, 124012400

Signature of

Role Plan administrator
Date 2013-05-29
Name of individual signing HURLEY AVENUE FAMILY MEDICINE
HURLEY AVENUE FAMILY MEDICINE 401 K PROFIT SHARING PLAN TRUST 2011 562329698 2012-05-03 HURLEY AVENUE FAMILY MEDICINE 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8453382541
Plan sponsor’s address 211 HURLEY AVE, KINGSTON, NY, 124012400

Plan administrator’s name and address

Administrator’s EIN 562329698
Plan administrator’s name HURLEY AVENUE FAMILY MEDICINE
Plan administrator’s address 211 HURLEY AVE, KINGSTON, NY, 124012400
Administrator’s telephone number 8453382541

Signature of

Role Plan administrator
Date 2012-05-03
Name of individual signing HURLEY AVENUE FAMILY MEDICINE
HURLEY AVENUE FAMILY MEDICINE 401 K PROFIT SHARING PLAN TRUST 2010 562329698 2011-04-27 HURLEY AVENUE FAMILY MEDICINE 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8453382541
Plan sponsor’s address 211 HURLEY AVE, KINGSTON, NY, 12401

Plan administrator’s name and address

Administrator’s EIN 562329698
Plan administrator’s name HURLEY AVENUE FAMILY MEDICINE
Plan administrator’s address 211 HURLEY AVE, KINGSTON, NY, 12401
Administrator’s telephone number 8453382541

Signature of

Role Plan administrator
Date 2011-04-27
Name of individual signing HURLEY AVENUE FAMILY MEDICINE
HURLEY AVENUE FAMILY MEDICINE 2009 562329698 2010-05-26 HURLEY AVENUE FAMILY MEDICINE 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8453382541
Plan sponsor’s address 211 HURLEY AVE, KINGSTON, NY, 12401

Plan administrator’s name and address

Administrator’s EIN 562329698
Plan administrator’s name HURLEY AVENUE FAMILY MEDICINE
Plan administrator’s address 211 HURLEY AVE, KINGSTON, NY, 12401
Administrator’s telephone number 8453382541

Signature of

Role Plan administrator
Date 2010-05-26
Name of individual signing HURLEY AVENUE FAMILY MEDICINE

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 211 HURLEY AVENUE, KINGSTON, NY, United States, 12401

History

Start date End date Type Value
2003-03-14 2003-09-26 Address 451 WASHINGTON AVENUE EXT., SAUGERTIES, NY, 12477, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210303060522 2021-03-03 BIENNIAL STATEMENT 2021-03-01
190312061077 2019-03-12 BIENNIAL STATEMENT 2019-03-01
170308006480 2017-03-08 BIENNIAL STATEMENT 2017-03-01
150303007313 2015-03-03 BIENNIAL STATEMENT 2015-03-01
130313006229 2013-03-13 BIENNIAL STATEMENT 2013-03-01
110509002056 2011-05-09 BIENNIAL STATEMENT 2011-03-01
090302003414 2009-03-02 BIENNIAL STATEMENT 2009-03-01
070309002508 2007-03-09 BIENNIAL STATEMENT 2007-03-01
050426002157 2005-04-26 BIENNIAL STATEMENT 2005-03-01
030926000659 2003-09-26 CERTIFICATE OF CHANGE 2003-09-26

Date of last update: 11 Nov 2024

Sources: New York Secretary of State