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ADIRONDACK INTERVENTIONAL PHYSIATRY, P.C.

Company Details

Name: ADIRONDACK INTERVENTIONAL PHYSIATRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Aug 2004 (20 years ago)
Entity Number: 3088778
County: Clinton
Place of Formation: New York
Address: 64 STAFFORD DRIVE, PLATTSBURGH, NY, United States, 12901
Address ZIP Code: 12901
Principal Address: 4 FEATHER DRIVE, PLATTSBURGH, NY, United States, 12901
Principal Address ZIP Code: 12901

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
CHAMPLAIN SPINE AND PAIN MANAGEMENT RETIREMENT PLAN 2022 510514639 2024-07-15 ADIRONDACK INTERVENTIONAL, PHYSIATRY, P.C. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 5183247246
Plan sponsor’s address 294 TOM MILLER ROAD, PLATTSBURGH, NY, 12901
CHAMPLAIN SPINE AND PAIN MANAGEMENT 401(K) PROFIT SHARING PLAN 2022 510514639 2024-07-15 ADIRONDACK INTERVENTIONAL PHYSIATRY, P.C. 74
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 5183247246
Plan sponsor’s address 294 TOM MILLER ROAD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2024-07-15
Name of individual signing THIERRY BONNABESSE
Role Employer/plan sponsor
Date 2024-07-15
Name of individual signing THIERRY BONNABESSE
CHAMPLAIN SPINE AND PAIN MANAGEMENT 401(K) PROFIT SHARING PLAN 2021 510514639 2023-07-14 ADIRONDACK INTERVENTIONAL PHYSIATRY, P.C. 57
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 5183247246
Plan sponsor’s address 294 TOM MILLER ROAD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2023-07-14
Name of individual signing THIERRY BONNABESSE
Role Employer/plan sponsor
Date 2023-07-14
Name of individual signing THIERRY BONNABESSE
CHAMPLAIN SPINE AND PAIN MANAGEMENT RETIREMENT PLAN 2021 510514639 2023-07-14 ADIRONDACK INTERVENTIONAL , PHYSIATRY, P.C. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 5183247246
Plan sponsor’s address 294 TOM MILLER ROAD, PLATTSBURGH, NY, 12901
CHAMPLAIN SPINE AND PAIN MANAGEMENT RETIREMENT PLAN 2020 510514639 2022-07-14 ADIRONDACK INTERVENTIONAL , PHYSIATRY, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 5183247246
Plan sponsor’s address 294 TOM MILLER ROAD, PLATTSBURGH, NY, 12901
CHAMPLAIN SPINE AND PAIN MANAGEMENT 401(K) PROFIT SHARING PLAN 2020 510514639 2022-07-13 ADIRONDACK INTERVENTIONAL PHYSIATRY, P.C. 54
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 5183247246
Plan sponsor’s address 294 TOM MILLER ROAD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing THIERRY BONNABESSE
Role Employer/plan sponsor
Date 2022-07-13
Name of individual signing THIERRY BONNABESSE
CHAMPLAIN SPINE AND PAIN MANAGEMENT RETIREMENT PLAN 2019 510514639 2021-06-17 ADIRONDACK INTERVENTIONAL , PHYSIATRY, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 5183247246
Plan sponsor’s address 294 TOM MILLER ROAD, PLATTSBURGH, NY, 12901
CHAMPLAIN SPINE AND PAIN MANAGEMENT 401(K) PROFIT SHARING PLAN 2019 510514639 2021-07-15 ADIRONDACK INTERVENTIONAL PHYSIATRY, P.C. 55
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 5183247246
Plan sponsor’s address 294 TOM MILLER ROAD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing THIERRY BONNABESSE
Role Employer/plan sponsor
Date 2021-07-15
Name of individual signing THIERRY BONNABESSE
CHAMPLAIN SPINE AND PAIN MANAGEMENT 401(K) PROFIT SHARING PLAN 2018 510514639 2020-07-15 ADIRONDACK INTERVENTIONAL PHYSIATRY, P.C. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 5183247246
Plan sponsor’s address 294 TOM MILLER ROAD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing THIERRY BONNABESSE
Role Employer/plan sponsor
Date 2020-07-15
Name of individual signing THIERRY BONNABESSE
CHAMPLAIN SPINE AND PAIN MANAGEMENT RETIREMENT PLAN 2018 510514639 2020-07-15 ADIRONDACK INTERVENTIONAL PHYSIATRY, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 5183247246
Plan sponsor’s address 294 TOM MILLER ROAD, PLATTSBURGH, NY, 12901

DOS Process Agent

Name Role Address
C/O THIERRY BONNABESSE DOS Process Agent 64 STAFFORD DRIVE, PLATTSBURGH, NY, United States, 12901

Chief Executive Officer

Name Role Address
THIERRY BONNABESSE Chief Executive Officer 4 FEATHER DRIVE, PLATTSBURGH, NY, United States, 12901

History

Start date End date Type Value
2018-08-01 2020-08-03 Address 64 STAFFORD DRIVE, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)
2017-12-26 2018-08-01 Address 64 STAFFORD DR, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)
2010-09-21 2017-12-26 Address 4 FEATHER DRIVE, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)
2006-09-21 2010-09-21 Address 64 STAFFORD DRIVE, PLATTSBURGH, NY, 12901, USA (Type of address: Principal Executive Office)
2006-09-21 2010-09-21 Address 85 PLAZA BLVD STE 102, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)
2004-08-10 2010-09-21 Address 85 PLAZA BLVD., SUITE 102, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)
2004-08-10 2023-10-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
200803061557 2020-08-03 BIENNIAL STATEMENT 2020-08-01
180801006688 2018-08-01 BIENNIAL STATEMENT 2018-08-01
171226006079 2017-12-26 BIENNIAL STATEMENT 2016-08-01
140818006451 2014-08-18 BIENNIAL STATEMENT 2014-08-01
120822002961 2012-08-22 BIENNIAL STATEMENT 2012-08-01
100921002168 2010-09-21 BIENNIAL STATEMENT 2010-08-01
080820002462 2008-08-20 BIENNIAL STATEMENT 2008-08-01
060921002463 2006-09-21 BIENNIAL STATEMENT 2006-08-01
040810000451 2004-08-10 CERTIFICATE OF INCORPORATION 2004-08-10

Related by officers

THIERRY BONNABESSE

TNS REALTY LLC

Related by address

64 STAFFORD DRIVE, PLATTSBURGH, NY, United States, 12901

TNS REALTY LLC

Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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