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NORTHEAST SURGICAL SPECIALISTS, PLLC

Company Details

Name: NORTHEAST SURGICAL SPECIALISTS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Nov 2003 (21 years ago) (Companies founded in November 2003)
Entity Number: 2975964
ZIP code: 12804 (Companies in Warren, 12804)
County: Warren
Place of Formation: New York
Address: 4 FAIRFIELD DRIVE, QUEENSBURY, NY, United States, 12804

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHEAST SURGICAL SPECIALISTS, PLLC CASH BALANCE PLAN 2023 200387393 2024-07-23 NORTHEAST SURGICAL SPECIALISTS, PLLC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of

Role Plan administrator
Date 2024-07-23
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2023 200387393 2024-03-25 NORTHEAST SURGICAL SPECIALISTS, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of

Role Plan administrator
Date 2024-03-25
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC CASH BALANCE PLAN 2022 200387393 2023-07-31 NORTHEAST SURGICAL SPECIALISTS, PLLC 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of

Role Plan administrator
Date 2023-07-31
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2022 200387393 2023-07-20 NORTHEAST SURGICAL SPECIALISTS, PLLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of

Role Plan administrator
Date 2023-07-20
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2021 200387393 2022-08-01 NORTHEAST SURGICAL SPECIALISTS, PLLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2020 200387393 2021-02-27 NORTHEAST SURGICAL SPECIALISTS, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of

Role Plan administrator
Date 2021-02-19
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2019 200387393 2020-06-10 NORTHEAST SURGICAL SPECIALISTS, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of

Role Plan administrator
Date 2020-05-26
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2018 200387393 2019-07-10 NORTHEAST SURGICAL SPECIALISTS, PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of

Role Plan administrator
Date 2019-06-18
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2017 200387393 2018-06-04 NORTHEAST SURGICAL SPECIALISTS, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of

Role Plan administrator
Date 2018-02-17
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2016 200387393 2017-02-18 NORTHEAST SURGICAL SPECIALISTS, PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 12804

Signature of

Role Plan administrator
Date 2017-02-18
Name of individual signing TIMOTHY KELLING

DOS Process Agent

Name Role Address
NORTHEAST SURGICAL SPECIALISTS, PLLC DOS Process Agent 4 FAIRFIELD DRIVE, QUEENSBURY, NY, United States, 12804

History

Start date End date Type Value
2011-07-01 2021-01-22 Address 16 PEARL ST, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)
2003-11-12 2011-07-01 Address 10 RAILROAD PLACE, SARATOGA SPRINGS, NY, 12866, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210611000613 2021-06-11 CERTIFICATE OF PUBLICATION 2021-06-11
210122060030 2021-01-22 BIENNIAL STATEMENT 2019-11-01
110701002238 2011-07-01 BIENNIAL STATEMENT 2009-11-01
071113002049 2007-11-13 BIENNIAL STATEMENT 2007-11-01
051114002066 2005-11-14 BIENNIAL STATEMENT 2005-11-01
031112000305 2003-11-12 ARTICLES OF ORGANIZATION 2003-11-12

Date of last update: 10 Nov 2024

Sources: New York Secretary of State