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JASON W. MOORE, OPTOMETRIST, LLC

Company Details

Name: JASON W. MOORE, OPTOMETRIST, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 15 Nov 2004 (20 years ago)
Date of dissolution: 11 Dec 2019
Entity Number: 3126099
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 1924 MONROE AVE, ROCHESTER, NY, United States, 14618

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JASON W MOORE OPTOMETRIST LLC 401(K) PROFIT SHARING PLAN & TRUST 2017 201888440 2019-11-18 JASON W MOORE OPTOMETRIST LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 5852717613
Plan sponsor’s address PO BOX 635, FAIRPORT, NY, 144500635

Signature of

Role Plan administrator
Date 2019-11-18
Name of individual signing JASON MOORE
Role Employer/plan sponsor
Date 2019-11-18
Name of individual signing JASON MOORE
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST 2016 201888440 2017-05-11 JASON W MOORE OPTOMETRIST LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 5852717613
Plan sponsor’s address 1924 MONROE AVE, ROCHESTER, NY, 146181920

Signature of

Role Plan administrator
Date 2017-05-11
Name of individual signing JASON MOORE
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST 2015 201888440 2016-06-06 JASON W MOORE OPTOMETRIST LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 5852717613
Plan sponsor’s address 1924 MONROE AVE, ROCHESTER, NY, 146181920

Signature of

Role Plan administrator
Date 2016-06-06
Name of individual signing JASON MOORE
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST 2014 201888440 2015-06-03 JASON W MOORE OPTOMETRIST LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 5852717613
Plan sponsor’s address 1924 MONROE AVE, ROCHESTER, NY, 146181920

Signature of

Role Plan administrator
Date 2015-06-03
Name of individual signing JASON MOORE
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST 2013 201888440 2014-05-13 JASON W MOORE OPTOMETRIST LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 5852717613
Plan sponsor’s address 1924 MONROE AVE, ROCHESTER, NY, 146181920

Signature of

Role Plan administrator
Date 2014-05-13
Name of individual signing JASON MOORE
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST 2012 201888440 2013-05-17 JASON W MOORE OPTOMETRIST LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 5852717613
Plan sponsor’s address 1924 MONROE AVE, ROCHESTER, NY, 146181920

Signature of

Role Plan administrator
Date 2013-05-17
Name of individual signing JASON W MOORE OPTOMETRIST LLC
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST 2011 201888440 2012-05-21 JASON W MOORE OPTOMETRIST LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 5852717613
Plan sponsor’s address 1966 MONROE AVE, ROCHESTER, NY, 146181920

Plan administrator’s name and address

Administrator’s EIN 201888440
Plan administrator’s name JASON W MOORE OPTOMETRIST LLC
Plan administrator’s address 1966 MONROE AVE, ROCHESTER, NY, 146181920
Administrator’s telephone number 5852717613

Signature of

Role Plan administrator
Date 2012-05-21
Name of individual signing JASON W MOORE OPTOMETRIST LLC
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST 2010 201888440 2012-02-14 JASON W MOORE OPTOMETRIST LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 5852717613
Plan sponsor’s address 1966 MONROE AVENUE, ROCHESTER, NY, 14618

Plan administrator’s name and address

Administrator’s EIN 201888440
Plan administrator’s name JASON W MOORE OPTOMETRIST LLC
Plan administrator’s address 1966 MONROE AVENUE, ROCHESTER, NY, 14618
Administrator’s telephone number 5852717613

Signature of

Role Plan administrator
Date 2012-02-13
Name of individual signing JASON W MOORE OPTOMETRIST LLC
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST 2010 201888440 2012-02-14 JASON W MOORE OPTOMETRIST LLC 6
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 5852717613
Plan sponsor’s address 1966 MONROE AVENUE, ROCHESTER, NY, 14618

Plan administrator’s name and address

Administrator’s EIN 201888440
Plan administrator’s name JASON W MOORE OPTOMETRIST LLC
Plan administrator’s address 1966 MONROE AVENUE, ROCHESTER, NY, 14618
Administrator’s telephone number 5852717613

Signature of

Role Plan administrator
Date 2012-02-14
Name of individual signing JASON W MOORE OPTOMETRIST LLC
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST 2009 201888440 2012-02-14 JASON W MOORE OPTOMETRIST LLC 7
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 5852717613
Plan sponsor’s address 1966 MONROE AVENUE, ROCHESTER, NY, 14618

Plan administrator’s name and address

Administrator’s EIN 201888440
Plan administrator’s name JASON W MOORE OPTOMETRIST LLC
Plan administrator’s address 1966 MONROE AVENUE, ROCHESTER, NY, 14618
Administrator’s telephone number 5852717613

Signature of

Role Plan administrator
Date 2012-02-14
Name of individual signing JASON W MOORE OPTOMETRIST LLC

DOS Process Agent

Name Role Address
JASON W MOORE DOS Process Agent 1924 MONROE AVE, ROCHESTER, NY, United States, 14618

History

Start date End date Type Value
2004-11-15 2012-11-09 Address 1966 MONROE AVENUE, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191211000769 2019-12-11 CERTIFICATE OF DISSOLUTION 2019-12-11
121109002072 2012-11-09 BIENNIAL STATEMENT 2012-11-01
101104002240 2010-11-04 BIENNIAL STATEMENT 2010-11-01
081029002009 2008-10-29 BIENNIAL STATEMENT 2008-11-01
061024002342 2006-10-24 BIENNIAL STATEMENT 2006-11-01
050324000971 2005-03-24 AFFIDAVIT OF PUBLICATION 2005-03-24
050324000969 2005-03-24 AFFIDAVIT OF PUBLICATION 2005-03-24
041115000545 2004-11-15 ARTICLES OF ORGANIZATION 2004-11-15

Date of last update: 28 Nov 2024

Sources: New York Secretary of State