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  5. SPINE & PAIN CARE, LLC

SPINE & PAIN CARE, LLC

Company Details

Name: SPINE & PAIN CARE, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Apr 2004 (21 years ago)
Entity Number: 3043869
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 2561 LAC DE VILLE BLVD, STE 201, ROCHESTER, NY, United States, 14618

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPINE & PAIN CARE, LLC SAVINGS AND RETIREMENT PLAN 2015 200995527 2016-01-23 SPINE & PAIN CARE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5852711620
Plan sponsor’s address 1882 SOUTH WINTON ROAD, STE 6, CAMBRIDGE PLACE, ROCHESTER, NY, 146183951

Signature of
Role Plan administrator
Date 2016-01-23
Name of individual signing DAVID MOORTHI
SPINE & PAIN CARE, LLC SAVINGS AND RETIREMENT PLAN 2014 200995527 2015-05-29 SPINE & PAIN CARE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5852711620
Plan sponsor’s address 1882 SOUTH WINTON ROAD, STE 6, CAMBRIDGE PLACE, ROCHESTER, NY, 146183951

Signature of
Role Plan administrator
Date 2015-05-29
Name of individual signing DAVID MOORTHI
SPINE & PAIN CARE, LLC SAVINGS AND RETIREMENT PLAN 2013 200995527 2014-03-25 SPINE & PAIN CARE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5852711620
Plan sponsor’s address 1882 SOUTH WINTON ROAD, STE 6, CAMBRIDGE PLACE, ROCHESTER, NY, 146183951

Signature of
Role Plan administrator
Date 2014-03-25
Name of individual signing DAVID MOORTHI
SPINE & PAIN CARE, LLC SAVINGS AND RETIREMENT PLAN 2012 200995527 2013-06-07 SPINE & PAIN CARE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5852711620
Plan sponsor’s address 1882 SOUTH WINTON ROAD, STE 6, CAMBRIDGE PLACE, ROCHESTER, NY, 146183951

Signature of
Role Plan administrator
Date 2013-06-07
Name of individual signing DAVID MOORTHI
SPINE & PAIN CARE, LLC SAVINGS AND RETIREMENT PLAN 2011 200995527 2012-03-05 SPINE & PAIN CARE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5852711620
Plan sponsor’s address 1882 SOUTH WINTON ROAD, STE 6, CAMBRIDGE PLACE, ROCHESTER, NY, 146183951

Plan administrator’s name and address
Administrator’s EIN 200995527
Plan administrator’s name SPINE & PAIN CARE, LLC
Plan administrator’s address 1882 SOUTH WINTON ROAD, STE 6, CAMBRIDGE PLACE, ROCHESTER, NY, 146183951
Administrator’s telephone number 5852711620

Signature of
Role Plan administrator
Date 2012-03-05
Name of individual signing DR. DAVID MOORTHI
Role Employer/plan sponsor
Date 2012-03-05
Name of individual signing DR. DAVID MOORTHI
SPINE & PAIN CARE, LLC SAVINGS AND RETIREMENT PLAN 2010 200995527 2011-05-04 SPINE & PAIN CARE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5852711620
Plan sponsor’s address 1882 SOUTH WINTON ROAD, STE 6, CAMBRIDGE PLACE, ROCHESTER, NY, 146183951

Plan administrator’s name and address
Administrator’s EIN 200995527
Plan administrator’s name SPINE & PAIN CARE, LLC
Plan administrator’s address 1882 SOUTH WINTON ROAD, STE 6, CAMBRIDGE PLACE, ROCHESTER, NY, 146183951
Administrator’s telephone number 5852711620

Signature of
Role Plan administrator
Date 2011-05-04
Name of individual signing DR. DAVID MOORTHI
Role Employer/plan sponsor
Date 2011-05-04
Name of individual signing DR. DAVID MOORTHI

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2561 LAC DE VILLE BLVD, STE 201, ROCHESTER, NY, United States, 14618

Filings

Filing Number Date Filed Type Effective Date
100315002938 2010-03-15 BIENNIAL STATEMENT 2010-04-01
090529000323 2009-05-29 CERTIFICATE OF AMENDMENT 2009-05-29
080310002807 2008-03-10 BIENNIAL STATEMENT 2008-04-01
060413002602 2006-04-13 BIENNIAL STATEMENT 2006-04-01
040720000561 2004-07-20 AFFIDAVIT OF PUBLICATION 2004-07-20
040720000557 2004-07-20 AFFIDAVIT OF PUBLICATION 2004-07-20
040422000520 2004-04-22 ARTICLES OF ORGANIZATION 2004-04-22

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Date of last update: 28 Nov 2024

Sources: New York Secretary of State

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