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FAMILY MEDICINE OF TARRYTOWN AND OSSINING, LLP

Company Details

Name: FAMILY MEDICINE OF TARRYTOWN AND OSSINING, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 19 Oct 2004 (20 years ago)
Entity Number: 3115591
ZIP code: 10562
County: Blank
Place of Formation: New York
Address: 30 SOUTH HIGHLAND AVENUE, OSSINING, NY, United States, 10562

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY MEDICINE 401(K) PLAN 2012 201825379 2013-02-27 FAMILY MEDICINE OF TARRYTOWN AND OSSINING 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9142321511
Plan sponsor’s address 22 VALLEY ROAD, KATONAH, NY, 10536

Signature of

Role Plan administrator
Date 2013-02-27
Name of individual signing CHRISTINE WITTNEBEN
FAMILY MEDICINE 401(K) PLAN 2011 201825379 2012-10-12 FAMILY MEDICINE OF TARRYTOWN AND OSSINING 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9142321511
Plan sponsor’s address C/O MARIANNE T. O'TOOLE, CH. 7 TT, 22 VALLEY ROAD, KATONAH, NY, 10536

Plan administrator’s name and address

Administrator’s EIN 201825379
Plan administrator’s name FAMILY MEDICINE OF TARRYTOWN AND OSSINING
Plan administrator’s address C/O MARIANNE T. O'TOOLE, CH. 7 TT, 22 VALLEY ROAD, KATONAH, NY, 10536
Administrator’s telephone number 9142321511

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing MARIANNE T. O'TOOLE, CHAPTER 7 TT
FAMILY MEDICINE 401(K) PLAN 2010 201825379 2011-10-31 FAMILY MEDICINE OF TARRYTOWN AND OSSINING 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9142321511
Plan sponsor’s address C/O MARIANNE T. O'TOOLE, CH. 7 TT, 22 VALLEY ROAD, KATONAH, NY, 10536

Plan administrator’s name and address

Administrator’s EIN 201825379
Plan administrator’s name FAMILY MEDICINE OF TARRYTOWN AND OSSINING
Plan administrator’s address C/O MARIANNE T. O'TOOLE, CH. 7 TT, 22 VALLEY ROAD, KATONAH, NY, 10536
Administrator’s telephone number 9142321511

Signature of

Role Plan administrator
Date 2011-10-31
Name of individual signing MARIANNE T. O'TOOLE, CHAPTER 7 TT
FAMILY MEDICINE 401(K) PLAN 2009 201825379 2010-10-14 FAMILY MEDICINE OF TARRYTOWN AND OSSINING 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9146311535
Plan sponsor’s address 200 SOUTH BROADWAY SUITE A, TARRYTOWN, NY, 105914500

Plan administrator’s name and address

Administrator’s EIN 201825379
Plan administrator’s name FAMILY MEDICINE OF TARRYTOWN AND OSSINING
Plan administrator’s address 200 SOUTH BROADWAY SUITE A, TARRYTOWN, NY, 105914500
Administrator’s telephone number 9146311535

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing NIRVA LINDOR-ANTOINE

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 30 SOUTH HIGHLAND AVENUE, OSSINING, NY, United States, 10562

Filings

Filing Number Date Filed Type Effective Date
050720000185 2005-07-20 AFFIDAVIT OF PUBLICATION 2005-07-20
050720000188 2005-07-20 AFFIDAVIT OF PUBLICATION 2005-07-20
041019000830 2004-10-19 NOTICE OF REGISTRATION 2004-10-19

Date of last update: 28 Nov 2024

Sources: New York Secretary of State