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LAKE PLACID SPORTS MEDICINE, PLLC

Company Details

Name: LAKE PLACID SPORTS MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Mar 2004 (21 years ago) (Companies founded in March 2004)
Entity Number: 3032825
ZIP code: 12946 (Companies in Essex, 12946)
County: Essex
Place of Formation: New York
Address: 29 CHURCH ST, LAKE PLACID, NY, United States, 12946

Contact Details

Phone +1 518-891-4141

Phone +1 518-523-1327

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE PLACID SPORTS MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2023 200983659 2024-09-25 LAKE PLACID SPORTS MEDICINE, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5185241327
Plan sponsor’s address 203 OLD MILITARY ROAD, LAKE PLACID, NY, 12946
LAKE PLACID SPORTS MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2022 200983659 2023-10-11 LAKE PLACID SPORTS MEDICINE, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5185241327
Plan sponsor’s address 203 OLD MILITARY ROAD, LAKE PLACID, NY, 12946
LAKE PLACID SPORTS MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2021 200983659 2022-10-05 LAKE PLACID SPORTS MEDICINE, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5185241327
Plan sponsor’s address 203 OLD MILITARY ROAD, LAKE PLACID, NY, 12946
LAKE PLACID SPORTS MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2020 200983659 2021-07-26 LAKE PLACID SPORTS MEDICINE, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5185241327
Plan sponsor’s address 203 OLD MILITARY ROAD, LAKE PLACID, NY, 12946
LAKE PLACID SPORTS MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2019 200983659 2020-10-15 LAKE PLACID SPORTS MEDICINE, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5185241327
Plan sponsor’s address 203 OLD MILITARY ROAD, LAKE PLACID, NY, 12946
LAKE PLACID SPORTS MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2018 200983659 2019-10-15 LAKE PLACID SPORTS MEDICINE, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5185241327
Plan sponsor’s address 29 CHURCH STREET, P.O. BOX 790, LAKE PLACID, NY, 12946
LAKE PLACID SPORTS MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2017 200983659 2018-10-04 LAKE PLACID SPORTS MEDICINE, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5185241327
Plan sponsor’s address 29 CHURCH STREET, P.O. BOX 790, LAKE PLACID, NY, 12946
LAKE PLACID SPORTS MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2016 200983659 2017-10-13 LAKE PLACID SPORTS MEDICINE, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5185241327
Plan sponsor’s address 29 CHURCH STREET, P.O. BOX 790, LAKE PLACID, NY, 12946
LAKE PLACID SPORTS MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2015 200983659 2016-10-06 LAKE PLACID SPORTS MEDICINE, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5185241327
Plan sponsor’s address 29 CHURCH STREET, P.O. BOX 790, LAKE PLACID, NY, 12946
LAKE PLACID SPORTS MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2014 200983659 2015-10-08 LAKE PLACID SPORTS MEDICINE, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5185241327
Plan sponsor’s address 29 CHURCH STREET, P.O. BOX 790, LAKE PLACID, NY, 12946

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing DANIEL BULLOCK
Role Employer/plan sponsor
Date 2015-10-06
Name of individual signing DANIEL BULLOCK

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 29 CHURCH ST, LAKE PLACID, NY, United States, 12946

History

Start date End date Type Value
2004-03-29 2006-04-27 Address CHURCH STREET, LAKE PLACID, NY, 12946, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140516002295 2014-05-16 BIENNIAL STATEMENT 2014-03-01
120710002224 2012-07-10 BIENNIAL STATEMENT 2012-03-01
100310002376 2010-03-10 BIENNIAL STATEMENT 2010-03-01
080318002299 2008-03-18 BIENNIAL STATEMENT 2008-03-01
060427002102 2006-04-27 BIENNIAL STATEMENT 2006-03-01
041122000280 2004-11-22 AFFIDAVIT OF PUBLICATION 2004-11-22
041122000276 2004-11-22 AFFIDAVIT OF PUBLICATION 2004-11-22
040329000618 2004-03-29 ARTICLES OF ORGANIZATION 2004-03-29

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Related by address

29 CHURCH ST, LAKE PLACID, NY, United States, 12946

BRADFORD A. STEPHENS, M.D., P.C.

Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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