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FRANCIS R. PELHAM M.D., PLLC

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Entity Number 3163097

Status Active

NameFRANCIS R. PELHAM M.D., PLLC

CountyNew York

Date of registration 11 Feb 2005 (20 years ago)

Legal typeDOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

Place of FormationNew York

Address 521 FIFTH AVENUE, NEW YORK, NY, United States, 10175

Address ZIP code

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN

2022

133749136

2023-05-11

FRANCIS R. PELHAM, M.D., PLLC

4

View Page

Three-digit plan number (PN)001
Effective date of plan2005-01-01
Business code621111
Sponsor’s telephone number2127722400
Plan sponsor’s address1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

RolePlan administrator
Date2023-05-11
Name of individual signingFRANCIS PELHAM

FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN

2021

133749136

2022-07-14

FRANCIS R. PELHAM, M.D., PLLC

4

View Page

Three-digit plan number (PN)001
Effective date of plan2005-01-01
Business code621111
Sponsor’s telephone number2127722400
Plan sponsor’s address1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

RolePlan administrator
Date2022-07-14
Name of individual signingFRANCIS PELHAM

FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN

2020

133749136

2021-09-03

FRANCIS R. PELHAM, M.D., PLLC

3

View Page

Three-digit plan number (PN)002
Effective date of plan2015-01-01
Business code621111
Sponsor’s telephone number2127722400
Plan sponsor’s address1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

RolePlan administrator
Date2021-09-03
Name of individual signingFRANCIS PELHAM

FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN

2020

133749136

2021-09-03

FRANCIS R. PELHAM, M.D., PLLC

4

View Page

Three-digit plan number (PN)001
Effective date of plan2005-01-01
Business code621111
Sponsor’s telephone number2127722400
Plan sponsor’s address1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

RolePlan administrator
Date2021-09-03
Name of individual signingFRANCIS PELHAM

FRANCIS R. PELHAM, M.D., PLLC CASH BALANCE PLAN

2020

133749136

2021-09-23

FRANCIS R. PELHAM, M.D., PLLC

3

View Page

Three-digit plan number (PN)002
Effective date of plan2021-01-01
Business code621111
Sponsor’s telephone number2127722400
Plan sponsor’s address1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

RolePlan administrator
Date2021-09-23
Name of individual signingFRANCIS PELHAM

FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN

2019

133749136

2020-10-14

FRANCIS R. PELHAM, M.D., PLLC

3

View Page

Three-digit plan number (PN)002
Effective date of plan2015-01-01
Business code621111
Sponsor’s telephone number2127722400
Plan sponsor’s address1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

RolePlan administrator
Date2020-10-14
Name of individual signingFRANCIS PELHAM

FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN

2019

133749136

2020-10-13

FRANCIS R. PELHAM, M.D., PLLC

4

View Page

Three-digit plan number (PN)001
Effective date of plan2005-01-01
Business code621111
Sponsor’s telephone number2127722400
Plan sponsor’s address1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

RolePlan administrator
Date2020-10-13
Name of individual signingFRANCIS PELHAM

FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN

2018

133749136

2019-09-30

FRANCIS R. PELHAM, M.D., PLLC

3

View Page

Three-digit plan number (PN)002
Effective date of plan2015-01-01
Business code621111
Sponsor’s telephone number2127722400
Plan sponsor’s address1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

RolePlan administrator
Date2019-09-30
Name of individual signingFRANCIS PELHAM

FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN

2018

133749136

2019-09-30

FRANCIS R. PELHAM, M.D., PLLC

4

View Page

Three-digit plan number (PN)001
Effective date of plan2005-01-01
Business code621111
Sponsor’s telephone number2127722400
Plan sponsor’s address1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

RolePlan administrator
Date2019-09-30
Name of individual signingFRANCIS PELHAM

FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN

2017

133749136

2018-10-12

FRANCIS R. PELHAM, M.D., PLLC

3

View Page

Three-digit plan number (PN)002
Effective date of plan2015-01-01
Business code621111
Sponsor’s telephone number2127722400
Plan sponsor’s address1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

DOS Process Agent

Name Role Address

WOLMAN, BABITT & KING, L.L.P

DOS Process Agent

521 FIFTH AVENUE, NEW YORK, NY, United States, 10175

Filings

Filing Number Date Filed Type Effective Date

050211000339

2005-02-11

ARTICLES OF ORGANIZATION

2005-02-11

Date of last update: 31 Jul 2024

Sources: Companies info , Historical Data , Complaints , Contacts