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HUDSON VALLEY HOSPITAL PHYSICIAN, PLLC

Company Details

Name: HUDSON VALLEY HOSPITAL PHYSICIAN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Jun 2003 (21 years ago) (Companies founded in June 2003)
Entity Number: 2916729
ZIP code: 12601 (Companies in Orange, 12601)
County: Orange
Place of Formation: New York
Address: 2649 SOUTH ROAD SUITE 230, POUGHKEEPSIE, NY, United States, 12601

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HUDSON VALLEY HOSPITAL PHYSICIAN PLLC PROFIT SHARING PLAN 2015 611451493 2016-05-24 HUDSON VALLEY HOSPITAL PHYSICIAN PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8453333434
Plan sponsor’s address P.O. BOX 429, MIDDLETOWN, NY, 10940

Signature of
Role Plan administrator
Date 2016-05-24
Name of individual signing DIANE S PINE, MD
HUDSON VALLEY HOSPITAL PHYSICIAN PLLC PROFIT SHARING PLAN 2015 611451493 2016-05-24 HUDSON VALLEY HOSPITAL PHYSICIAN PLLC 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8453333434
Plan sponsor’s address P.O. BOX 429, MIDDLETOWN, NY, 10940

Signature of
Role Plan administrator
Date 2016-05-24
Name of individual signing DIANE S PINE, MD
Role Employer/plan sponsor
Date 2016-05-24
Name of individual signing DIANE S PINE, MD
HUDSON VALLEY HOSPITAL PHYSICIAN 401K PROFIT SHARING PLAN & TRUST 2015 611451493 2017-08-16 HUDSON VALLEY HOSPITAL PHYSICIAN 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8458639576
Plan sponsor’s address PO BOX 429, MIDDLETOWN, NY, 109400429

Signature of
Role Plan administrator
Date 2017-08-16
Name of individual signing DIANE PINE
Role Employer/plan sponsor
Date 2017-08-16
Name of individual signing DIANE PINE
HUDSON VALLEY HOSPITAL PHYSICIAN PLLC PROFIT SHARING PLAN 2014 611451493 2015-07-15 HUDSON VALLEY HOSPITAL PHYSICIAN PLLC 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8453333434
Plan sponsor’s address P.O. BOX 429, MIDDLETOWN, NY, 10940

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing DIANE PINE
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing DIANE PINE
HUDSON VALLEY HOSPITAL PHYSICIAN PLLC PROFIT SHARING PLAN 2013 611451493 2014-10-07 HUDSON VALLEY HOSPITAL PHYSICIAN PLLC 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8453333434
Plan sponsor’s address P.O. BOX 429, MIDDLETOWN, NY, 10940

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing DIANE PINE
Role Employer/plan sponsor
Date 2014-10-07
Name of individual signing DIANE PINE
HUDSON VALLEY HOSPITAL PHYSICIAN PLLC PROFIT SHARING PLAN 2012 611451493 2013-07-24 HUDSON VALLEY HOSPITAL PHYSICIAN PLLC 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8453333434
Plan sponsor’s address P.O. BOX 429, MIDDLETOWN, NY, 10940

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing DIANE PINE
Role Employer/plan sponsor
Date 2013-07-24
Name of individual signing DIANE PINE
HUDSON VALLEY HOSPITAL PHYSICIAN PLLC PROFIT SHARING PLAN 2011 611451493 2012-07-25 HUDSON VALLEY HOSPITAL PHYSICIAN PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8453333434
Plan sponsor’s address P.O. BOX 429, MIDDLETOWN, NY, 10940

Plan administrator’s name and address
Administrator’s EIN 611451493
Plan administrator’s name HUDSON VALLEY HOSPITAL PHYSICIAN PLLC
Plan administrator’s address P.O. BOX 429, MIDDLETOWN, NY, 10940
Administrator’s telephone number 8453333434

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing DIANE PINE
Role Employer/plan sponsor
Date 2012-07-25
Name of individual signing DIANE PINE
HUDSON VALLEY HOSPITAL PHYSICIAN PLLC PROFIT SHARING PLAN 2010 611451493 2011-07-28 HUDSON VALLEY HOSPITAL PHYSICIAN PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8454574230
Plan sponsor’s address 8 BOXWOOD LANE, MONTGOMERY, NY, 12549

Plan administrator’s name and address
Administrator’s EIN 611451493
Plan administrator’s name HUDSON VALLEY HOSPITAL PHYSICIAN PLLC
Plan administrator’s address 8 BOXWOOD LANE, MONTGOMERY, NY, 12549
Administrator’s telephone number 8454574230

Signature of
Role Plan administrator
Date 2011-07-28
Name of individual signing DIANE PINE
Role Employer/plan sponsor
Date 2011-07-28
Name of individual signing DIANE PINE
HUDSON VALLEY HOSPITAL PHYSICIAN PLLC PROFIT SHARING PLAN 2009 611451493 2010-09-28 HUDSON VALLEY HOSPITAL PHYSICIAN PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8453427615
Plan sponsor’s address P.O. BOX 429, MIDDLETOWN, NY, 10940

Plan administrator’s name and address
Administrator’s EIN 611451493
Plan administrator’s name HUDSON VALLEY HOSPITAL PHYSICIAN PLLC
Plan administrator’s address P.O. BOX 429, MIDDLETOWN, NY, 10940
Administrator’s telephone number 8453427615

Signature of
Role Plan administrator
Date 2010-09-28
Name of individual signing DIANE PINE
Role Employer/plan sponsor
Date 2010-09-28
Name of individual signing DIANE PINE

DOS Process Agent

Name Role Address
C/O ISEMAN CUNNINGHAM RIESTER & HYDE LLP DOS Process Agent 2649 SOUTH ROAD SUITE 230, POUGHKEEPSIE, NY, United States, 12601

History

Start date End date Type Value
2008-09-17 2014-02-10 Name HUDSON VALLEY HOSPITAL PHYSICIANS, PLLC
2003-06-09 2008-09-17 Name HUDSON VALLEY HOSPITAL PHYSICIAN, PLLC

Filings

Filing Number Date Filed Type Effective Date
140210000724 2014-02-10 CERTIFICATE OF AMENDMENT 2014-02-10
130621006178 2013-06-21 BIENNIAL STATEMENT 2013-06-01
110627002414 2011-06-27 BIENNIAL STATEMENT 2011-06-01
090622002867 2009-06-22 BIENNIAL STATEMENT 2009-06-01
080917000033 2008-09-17 CERTIFICATE OF AMENDMENT 2008-09-17
070615002031 2007-06-15 BIENNIAL STATEMENT 2007-06-01
050609002634 2005-06-09 BIENNIAL STATEMENT 2005-06-01
040126000540 2004-01-26 AFFIDAVIT OF PUBLICATION 2004-01-26
040112000582 2004-01-12 AFFIDAVIT OF PUBLICATION 2004-01-12
030609000281 2003-06-09 ARTICLES OF ORGANIZATION 2003-06-09

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Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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