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  5. PAIN MANAGEMENT OF UPSTATE NEW YORK, PLLC

PAIN MANAGEMENT OF UPSTATE NEW YORK, PLLC

Company Details

Name: PAIN MANAGEMENT OF UPSTATE NEW YORK, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Nov 2003 (21 years ago)
Entity Number: 2975846
ZIP code: 12534
County: Columbia
Place of Formation: New York
Address: 71 PROSPECT AVE, HUDSON, NY, United States, 12534

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN MANAGEMENT OF UPSTATE NEW YORK CG DB PLAN 2020 562427371 2021-09-30 PAIN MANAGEMENT OF UPSTATE NEW YORK, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5189151073
Plan sponsor’s address 44 CAPRICORN LANE, DELMAR, NY, 12054

Signature of
Role Plan administrator
Date 2021-09-30
Name of individual signing TOMASZ ANDREJUK
PAIN MANAGEMENT OF UPSTATE NEW YORK PLLC 2018 562427371 2019-08-09 PAIN MANAGEMENT OF UPSTATE NEW YORK PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5189151073
Plan sponsor’s address 44 CAPRICORN LANE, DELMAR, NY, 12054
PAIN MANAGEMENT OF UPSTATE NEW YORK PLLC 2017 562427371 2018-10-12 PAIN MANAGEMENT OF UPSTATE NEW YORK PLLC 2
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5189151073
Plan sponsor’s address 44 CAPRICORN LANE, DELMAR, NY, 12054
PAIN MANAGEMENT OF UPSTATE NEW YORK CG DB PLAN 2017 562427371 2018-12-09 PAIN MANAGEMENT OF UPSTATE NEW YORK, PLLC 2
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5189151073
Plan sponsor’s address 44 CAPRICORN LANE, DELMAR, NY, 12054

Signature of
Role Plan administrator
Date 2018-12-09
Name of individual signing TOMASZ ANDREJUK
PAIN MANAGEMENT OF UPSTATE NEW YORK CG DB PLAN 2017 562427371 2018-07-30 PAIN MANAGEMENT OF UPSTATE NEW YORK, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5189151073
Plan sponsor’s address 44 CAPRICORN LANE, DELMAR, NY, 12054

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing TOMASZ ANDREJUK
PAIN MANAGEMENT OF UPSTATE NEW YORK PLLC 2017 562427371 2018-10-12 PAIN MANAGEMENT OF UPSTATE NEW YORK PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5189151073
Plan sponsor’s address 44 CAPRICORN LANE, DELMAR, NY, 12054
PAIN MANAGEMENT OF UPSTATE NEW YORK PLLC 2016 562427371 2017-09-25 PAIN MANAGEMENT OF UPSTATE NEW YORK PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5189151073
Plan sponsor’s address 44 CAPRICORN LANE, DELMAR, NY, 12054
PAIN MANAGEMENT OF UPSTATE NEW YORK CG DB PLAN 2016 562427371 2017-07-28 PAIN MANAGEMENT OF UPSTATE NEW YORK, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5189151073
Plan sponsor’s address 44 CAPRICORN LANE, DELMAR, NY, 12054

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing TOMASZ ANDREJUK
PAIN MANAGEMENT OF UPSTATE NEW YORK CG DB PLAN 2015 562427371 2016-07-22 PAIN MANAGEMENT OF UPSTATE NEW YORK, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5189151073
Plan sponsor’s address 44 CAPRICORN LANE, DELMAR, NY, 12054

Signature of
Role Plan administrator
Date 2016-07-22
Name of individual signing TOMASZ ANDREJUK
PAIN MANAGEMENT OF UPSTATE NEW YORK PLLC 2015 562427371 2016-07-26 PAIN MANAGEMENT OF UPSTATE NEW YORK PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5189151073
Plan sponsor’s address 44 CAPRICORN LANE, DELMAR, NY, 12054

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 71 PROSPECT AVE, HUDSON, NY, United States, 12534

Filings

Filing Number Date Filed Type Effective Date
131219006303 2013-12-19 BIENNIAL STATEMENT 2013-11-01
111219002714 2011-12-19 BIENNIAL STATEMENT 2011-11-01
071113002356 2007-11-13 BIENNIAL STATEMENT 2007-11-01
051103002401 2005-11-03 BIENNIAL STATEMENT 2005-11-01
031112000157 2003-11-12 ARTICLES OF ORGANIZATION 2003-11-12

Related by officers

THE LLC

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Date of last update: 28 Nov 2024

Sources: New York Secretary of State

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