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GREENTREE ANESTHESIA SERVICES, PLLC

Company Details

Name: GREENTREE ANESTHESIA SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Jan 2005 (20 years ago) (Companies founded in January 2005)
Entity Number: 3146386
ZIP code: 13104 (Companies in Onondaga, 13104)
County: Onondaga
Place of Formation: New York
Address: 4432 WINDING CREEK RD, MANLIUS, NY, United States, 13104

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREENTREE ANESTHESIA SERVICES, PLLC 401(K) PLAN 2012 202111342 2013-08-09 GREENTREE ANESTHESIA SERVICES, PLLC 2
Three-digit plan number (PN) 001
Effective date of plan 2005-01-05
Business code 621111
Sponsor’s telephone number 3154724424
Plan sponsor’s address 4432 WINDING CREEK ROAD, MANLIUS, NY, 13104

Signature of
Role Plan administrator
Date 2013-08-09
Name of individual signing VIRGINIA NELSON
Role Employer/plan sponsor
Date 2013-08-09
Name of individual signing VIRGINIA NELSON
GREENTREE ANESTHESIA SERVICES, PLLC 401(K) PLAN 2012 202111342 2013-09-23 GREENTREE ANESTHESIA SERVICES, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-05
Business code 621111
Sponsor’s telephone number 3154724424
Plan sponsor’s address 4432 WINDING CREEK ROAD, MANLIUS, NY, 13104

Signature of
Role Plan administrator
Date 2013-09-23
Name of individual signing VIRGINIA NELSON
Role Employer/plan sponsor
Date 2013-09-23
Name of individual signing VIRGINIA NELSON
GREENTREE ANESTHESIA SERVICES, PLLC 401(K) PLAN 2011 202111342 2012-07-23 GREENTREE ANESTHESIA SERVICES, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-05
Business code 621111
Sponsor’s telephone number 3154724424
Plan sponsor’s address 4432 WINDING CREEK ROAD, MANLIUS, NY, 13104

Plan administrator’s name and address
Administrator’s EIN 202111342
Plan administrator’s name GREENTREE ANESTHESIA SERVICES, PLLC
Plan administrator’s address 4432 WINDING CREEK ROAD, MANLIUS, NY, 13104
Administrator’s telephone number 3154724424

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing VIRGINIA NELSON
Role Employer/plan sponsor
Date 2012-07-23
Name of individual signing VIRGINIA NELSON
GREENTREE ANESTHESIA SERVICES, PLLC 401(K) PLAN 2010 202111342 2011-09-20 GREENTREE ANESTHESIA SERVICES, PLLC 8
Three-digit plan number (PN) 001
Effective date of plan 2005-01-05
Business code 621111
Sponsor’s telephone number 3154724424
Plan sponsor’s address 4432 WINDING CREEK ROAD, MANLIUS, NY, 13104

Plan administrator’s name and address
Administrator’s EIN 202111342
Plan administrator’s name GREENTREE ANESTHESIA SERVICES, PLLC
Plan administrator’s address 4432 WINDING CREEK ROAD, MANLIUS, NY, 13104
Administrator’s telephone number 3154724424

Signature of
Role Plan administrator
Date 2011-09-20
Name of individual signing VIRGINIA NELSON
Role Employer/plan sponsor
Date 2011-09-20
Name of individual signing VIRGINIA NELSON
GREENTREE ANESTHESIA SERVICES, PLLC 401(K) PLAN 2010 202111342 2011-09-20 GREENTREE ANESTHESIA SERVICES, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-05
Business code 621111
Sponsor’s telephone number 3154724424
Plan sponsor’s address 4432 WINDING CREEK ROAD, MANLIUS, NY, 13104

Plan administrator’s name and address
Administrator’s EIN 202111342
Plan administrator’s name GREENTREE ANESTHESIA SERVICES, PLLC
Plan administrator’s address 4432 WINDING CREEK ROAD, MANLIUS, NY, 13104
Administrator’s telephone number 3154724424

Signature of
Role Plan administrator
Date 2011-09-20
Name of individual signing VIRGINIA NELSON
Role Employer/plan sponsor
Date 2011-09-20
Name of individual signing VIRGINIA NELSON
GREENTREE ANESTHESIA SERVICES, PLLC 401(K) PLAN 2010 202111342 2011-07-26 GREENTREE ANESTHESIA SERVICES, PLLC 8
Three-digit plan number (PN) 001
Effective date of plan 2005-01-05
Business code 621111
Sponsor’s telephone number 3154724424
Plan sponsor’s address 4432 WINDING CREEK ROAD, MANLIUS, NY, 13104

Plan administrator’s name and address
Administrator’s EIN 202111342
Plan administrator’s name GREENTREE ANESTHESIA SERVICES, PLLC
Plan administrator’s address 4432 WINDING CREEK ROAD, MANLIUS, NY, 13104
Administrator’s telephone number 3154724424

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing VIRGINIA NELSON, MD
Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing VIRGINIA NELSON, MD
GREENTREE ANESTHESIA SERVICES, PLLC 401(K) PLAN 2009 202111342 2010-07-29 GREENTREE ANESTHESIA SERVICES, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-05
Business code 621111
Sponsor’s telephone number 3154724424
Plan sponsor’s address 4432 WINDING CREEK ROAD, MANLIUS, NY, 13104

Plan administrator’s name and address
Administrator’s EIN 202111342
Plan administrator’s name GREENTREE ANESTHESIA SERVICES, PLLC
Plan administrator’s address 4432 WINDING CREEK ROAD, MANLIUS, NY, 13104
Administrator’s telephone number 3154724424

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing VIRGINIA NELSON
Role Employer/plan sponsor
Date 2010-07-29
Name of individual signing VIRGINIA NELSON

DOS Process Agent

Name Role Address
C/O VIRGINIA A. NELSON, M.D. DOS Process Agent 4432 WINDING CREEK RD, MANLIUS, NY, United States, 13104

History

Start date End date Type Value
2005-01-05 2009-03-16 Address 118 MIDLAKE CIRCLE, EAST SYRACUSE, NY, 13057, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210107060377 2021-01-07 BIENNIAL STATEMENT 2021-01-01
190103060475 2019-01-03 BIENNIAL STATEMENT 2019-01-01
181009002023 2018-10-09 BIENNIAL STATEMENT 2017-01-01
090316003162 2009-03-16 BIENNIAL STATEMENT 2009-01-01
070125002218 2007-01-25 BIENNIAL STATEMENT 2007-01-01
050325000079 2005-03-25 AFFIDAVIT OF PUBLICATION 2005-03-25
050325000077 2005-03-25 AFFIDAVIT OF PUBLICATION 2005-03-25
050105000944 2005-01-05 ARTICLES OF ORGANIZATION 2005-01-05

Related by officers

No related officers

Related by address

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Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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