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FRANCIS R. PELHAM M.D., PLLC

Company Details

Name: FRANCIS R. PELHAM M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Feb 2005 (20 years ago)
Entity Number: 3163097
ZIP code: 10175
County: New York
Place of Formation: New York
Address: 521 FIFTH AVENUE, NEW YORK, NY, United States, 10175

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN 2022 133749136 2023-05-11 FRANCIS R. PELHAM, M.D., PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2023-05-11
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN 2021 133749136 2022-07-14 FRANCIS R. PELHAM, M.D., PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2022-07-14
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN 2020 133749136 2021-09-03 FRANCIS R. PELHAM, M.D., PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2021-09-03
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, M.D., PLLC CASH BALANCE PLAN 2020 133749136 2021-09-23 FRANCIS R. PELHAM, M.D., PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2021-09-23
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN 2020 133749136 2021-09-03 FRANCIS R. PELHAM, M.D., PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2021-09-03
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN 2019 133749136 2020-10-14 FRANCIS R. PELHAM, M.D., PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN 2019 133749136 2020-10-13 FRANCIS R. PELHAM, M.D., PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN 2018 133749136 2019-09-30 FRANCIS R. PELHAM, M.D., PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2019-09-30
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN 2018 133749136 2019-09-30 FRANCIS R. PELHAM, M.D., PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2019-09-30
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN 2017 133749136 2018-10-12 FRANCIS R. PELHAM, M.D., PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 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: 10 Nov 2024

Sources: New York Secretary of State