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  5. SOUTH SHORE SURGERY CENTER, LLC

SOUTH SHORE SURGERY CENTER, LLC

Company Details

Name: SOUTH SHORE SURGERY CENTER, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 25 May 2004 (21 years ago)
Entity Number: 3058244
ZIP code: 11042
County: Suffolk
Place of Formation: New York
Address: Attn: General Counsel, Office of Legal Affairs, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

Contact Details

Phone +1 631-647-5550

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH SHORE SURGERY CENTER 401(K) PLAN 2018 341997077 2019-09-30 SOUTH SHORE SURGERY CENTER, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 621493
Sponsor’s telephone number 6316475550
Plan sponsor’s address 53 BRENTWOOD ROAD, SUITE F, BAY SHORE, NY, 117066943

Signature of
Role Plan administrator
Date 2019-09-30
Name of individual signing CINDY CONDRON
SOUTH SHORE SURGERY CENTER 401(K) PLAN 2017 341997077 2018-07-11 SOUTH SHORE SURGERY CENTER, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 621493
Sponsor’s telephone number 6316475550
Plan sponsor’s address 53 BRENTWOOD RD STE F, BAY SHORE, NY, 117066943

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing CYNTHIA CONDRON
Role Employer/plan sponsor
Date 2018-07-11
Name of individual signing CYNTHIA CONDRON
SOUTH SHORE SURGERY CENTER 401(K) PLAN 2016 341997077 2017-02-16 SOUTH SHORE SURGERY CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 621493
Sponsor’s telephone number 6316475550
Plan sponsor’s address 53 BRENTWOOD RD STE F, BAY SHORE, NY, 117066943

Signature of
Role Plan administrator
Date 2017-02-16
Name of individual signing CYNTHIA CONDRON
Role Employer/plan sponsor
Date 2017-02-16
Name of individual signing CYNTHIA CONDRON
SOUTH SHORE SURGERY CENTER 401(K) PLAN 2015 341997077 2016-03-02 SOUTH SHORE SURGERY CENTER, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 621493
Sponsor’s telephone number 6316475550
Plan sponsor’s address 53 BRENTWOOD RD STE F, BAY SHORE, NY, 117066943

Signature of
Role Plan administrator
Date 2016-03-02
Name of individual signing CYNTHIA CONDRON
Role Employer/plan sponsor
Date 2016-03-02
Name of individual signing CYNTHIA CONDRON
SOUTH SHORE SURGERY CENTER 401(K) PLAN 2014 341997077 2015-06-19 SOUTH SHORE SURGERY CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 621493
Sponsor’s telephone number 6316475550
Plan sponsor’s address 53 BRENTWOOD RD STE F, BAY SHORE, NY, 117066943

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing CYNTHIA CONDRON
Role Employer/plan sponsor
Date 2015-06-19
Name of individual signing CYNTHIA CONDRON
SOUTH SHORE SURGERY CENTER 401(K) PLAN 2013 341997077 2014-05-22 SOUTH SHORE SURGERY CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 621493
Sponsor’s telephone number 6316475550
Plan sponsor’s address 53 BRENTWOOD RD STE F, BAY SHORE, NY, 117066943

Signature of
Role Plan administrator
Date 2014-05-22
Name of individual signing CYNTHIA CONDRON
Role Employer/plan sponsor
Date 2014-05-22
Name of individual signing CYNTHIA CONDRON

DOS Process Agent

Name Role Address
SOUTH SHORE SURGERY CENTER, LLC DOS Process Agent Attn: General Counsel, Office of Legal Affairs, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

History

Start date End date Type Value
2016-02-24 2016-06-27 Address ATTN. DEPUTY GENERAL COUNSEL, 145 COMMUNITY DRIVE, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)
2012-04-13 2016-02-24 Address 53 BRENTWOOD ROAD, SUITE F, BAY SHORE, NY, 11706, USA (Type of address: Service of Process)
2004-05-25 2012-04-13 Address 340 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220510000956 2022-05-10 BIENNIAL STATEMENT 2022-05-01
200820060277 2020-08-20 BIENNIAL STATEMENT 2020-05-01
190116060762 2019-01-16 BIENNIAL STATEMENT 2018-05-01
160627006175 2016-06-27 BIENNIAL STATEMENT 2016-05-01
160224000534 2016-02-24 CERTIFICATE OF AMENDMENT 2016-02-24
150708000724 2015-07-08 CERTIFICATE OF PUBLICATION 2015-07-08
140507006596 2014-05-07 BIENNIAL STATEMENT 2014-05-01
120813002335 2012-08-13 BIENNIAL STATEMENT 2012-05-01
120413000838 2012-04-13 CERTIFICATE OF AMENDMENT 2012-04-13
100604002038 2010-06-04 BIENNIAL STATEMENT 2010-05-01

Related by officers

No related officers

Related by address

Attn: General Counsel, Office of Legal Affairs, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

NORTH SHORE-LIJ VENTURES, LLC NORTHWELL HEALTH MELVILLE ASC VENTURES, LLC

Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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