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  5. SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C.

SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C.

Company Details

Name: SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Dec 2003 (21 years ago)
Entity Number: 2990693
ZIP code: 14727
County: Cattaraugus
Place of Formation: New York
Address: 5232 BURT RD Cuba, ny, Cuba, NY, NY, United States, 14727

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 401(K) PLAN 2022 200538865 2023-10-16 SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-04-01
Business code 621111
Sponsor’s telephone number 7163729399
Plan sponsor’s address PO BOX 1208, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing JAMES VAN DE WALL, MD
SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 401(K) PLAN 2022 200538865 2023-10-16 SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-04-01
Business code 621111
Sponsor’s telephone number 7163729399
Plan sponsor’s address PO BOX 1208, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing JAMES VAN DE WALL, MD
SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 401(K) PLAN 2021 200538865 2022-10-11 SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-04-01
Business code 621111
Sponsor’s telephone number 7163729399
Plan sponsor’s address PO BOX 1208, OLEAN, NY, 14760
SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 401(K) PLAN 2020 200538865 2021-07-14 SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-04-01
Business code 621111
Sponsor’s telephone number 7163729399
Plan sponsor’s address PO BOX 1208, OLEAN, NY, 14760
SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 401(K) PLAN 2019 200538865 2020-07-23 SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-04-01
Business code 621111
Sponsor’s telephone number 7163729399
Plan sponsor’s address PO BOX 1208, OLEAN, NY, 14760
SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 401(K) PLAN 2018 200538865 2019-07-24 SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-04-01
Business code 621111
Sponsor’s telephone number 7163729399
Plan sponsor’s address PO BOX 1208, OLEAN, NY, 14760
SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 401(K) PLAN 2017 200538865 2018-03-29 SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-04-01
Business code 621111
Sponsor’s telephone number 7163729399
Plan sponsor’s address PO BOX 1208, OLEAN, NY, 14760
SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 401(K) PLAN 2016 200538865 2017-07-17 SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-04-01
Business code 621111
Sponsor’s telephone number 7163729399
Plan sponsor’s address PO BOX 1208, OLEAN, NY, 14760
SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 401(K) PLAN 2015 200538865 2016-05-18 SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-04-01
Business code 621111
Sponsor’s telephone number 7163729399
Plan sponsor’s address PO BOX 1208, OLEAN, NY, 14760
SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 401(K) PLAN 2014 200538865 2015-03-18 SOUTHERN TIER ARTHRITIS & RHEUMATISM, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-04-01
Business code 621111
Sponsor’s telephone number 7163729399
Plan sponsor’s address PO BOX 1208, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2015-03-18
Name of individual signing JAMES C. VAN DE WALL, MD, TRUSTEE

DOS Process Agent

Name Role Address
JAMES C VANDEWALL DOS Process Agent 5232 BURT RD Cuba, ny, Cuba, NY, NY, United States, 14727

Chief Executive Officer

Name Role Address
JAMES C VANDEWALL, MD Chief Executive Officer 5232 BURT RD CUBA, NY, P.O. BOX 1208, CUBA, NY, NY, United States, 14727

History

Start date End date Type Value
2024-01-25 2024-01-25 Address 415 NORTH 8TH STREET, P.O. BOX 1208, OLEAN, NY, 14760, USA (Type of address: Chief Executive Officer)
2024-01-25 2024-01-25 Address 5232 BURT RD CUBA, NY, P.O. BOX 1208, CUBA, NY, NY, 14727, 9612, USA (Type of address: Chief Executive Officer)
2018-07-31 2024-01-25 Address 415 N 8TH ST, P.O. BOX 1208, OLEAN, NY, 14760, USA (Type of address: Service of Process)
2018-07-31 2024-01-25 Address 415 NORTH 8TH STREET, P.O. BOX 1208, OLEAN, NY, 14760, USA (Type of address: Chief Executive Officer)
2006-01-23 2018-07-31 Address 415 N 8TH ST, OLEAN, NY, 14760, USA (Type of address: Principal Executive Office)
2006-01-23 2018-07-31 Address 415 NORTH 8TH STREET, OLEAN, NY, 14760, USA (Type of address: Chief Executive Officer)
2006-01-23 2018-07-31 Address 415 N 8TH ST, OLEAN, NY, 14760, USA (Type of address: Service of Process)
2003-12-19 2006-01-23 Address 9155 EAST MAIN ST, CUBA, NY, 14727, USA (Type of address: Service of Process)
2003-12-19 2024-01-25 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240125000802 2024-01-25 BIENNIAL STATEMENT 2024-01-25
180731006175 2018-07-31 BIENNIAL STATEMENT 2017-12-01
131227002242 2013-12-27 BIENNIAL STATEMENT 2013-12-01
091230002615 2009-12-30 BIENNIAL STATEMENT 2009-12-01
071219003042 2007-12-19 BIENNIAL STATEMENT 2007-12-01
060123002022 2006-01-23 BIENNIAL STATEMENT 2005-12-01
031219000348 2003-12-19 CERTIFICATE OF INCORPORATION 2003-12-19

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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