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  5. DRYDEN FAMILY MEDICINE, PLLC

DRYDEN FAMILY MEDICINE, PLLC

Company Details

Name: DRYDEN FAMILY MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Mar 2005 (20 years ago)
Entity Number: 3172229
ZIP code: 13053
County: Tompkins
Place of Formation: New York
Address: 5 EVERGREEN ROAD, DRYDEN, NY, United States, 13053

Contact Details

Phone +1 607-844-5251

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DRYDEN FAMILY MEDICINE, PLLC 401(K) PLAN 2023 161353203 2024-01-15 DRYDEN FAMILY MEDICINE, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2024-01-14
Name of individual signing HOWARD SILCOFF
DRYDEN FAMILY MEDICINE, PLLC 401(K) PLAN 2022 161353203 2023-03-27 DRYDEN FAMILY MEDICINE, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2023-03-26
Name of individual signing HOWARD SILCOFF
DRYDEN FAMILY MEDICINE, PLLC 401(K) PLAN 2021 161353203 2022-04-19 DRYDEN FAMILY MEDICINE, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2022-04-19
Name of individual signing HOWARD SILCOFF
DRYDEN FAMILY MEDICINE 401(K) PLAN 2020 161353203 2021-07-29 DRYDEN FAMILY MEDICINE 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing HOWARD SILCOFF, MD
DRYDEN FAMILY MEDICINE 401(K) PLAN 2019 161353203 2020-10-09 DRYDEN FAMILY MEDICINE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053
DRYDEN FAMILY MEDICINE 401(K) PLAN 2018 161353203 2019-09-25 DRYDEN FAMILY MEDICINE 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing HOWARD SILCOFF, MD
DRYDEN FAMILY MEDICINE 401(K) PLAN 2017 161353203 2018-09-11 DRYDEN FAMILY MEDICINE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2018-09-11
Name of individual signing HOWARD SILCOFF, MD
DRYDEN FAMILY MEDICINE 401(K) PLAN 2016 161353203 2017-10-11 DRYDEN FAMILY MEDICINE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing WILLIAM KLEPACK, MD
DRYDEN FAMILY MEDICINE 401(K) PLAN 2015 161353203 2016-04-28 DRYDEN FAMILY MEDICINE 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2016-04-28
Name of individual signing WILLIAM KLEPACK, MD
DRYDEN FAMILY MEDICINE 401(K) PLAN 2014 161353203 2015-08-24 DRYDEN FAMILY MEDICINE 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2015-08-24
Name of individual signing WILLIAM KLEPACK, MD
Role Employer/plan sponsor
Date 2015-08-24
Name of individual signing WILLIAM KLEPACK, MD

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 5 EVERGREEN ROAD, DRYDEN, NY, United States, 13053

Filings

Filing Number Date Filed Type Effective Date
110401002909 2011-04-01 BIENNIAL STATEMENT 2011-03-01
070309002542 2007-03-09 BIENNIAL STATEMENT 2007-03-01
050726000127 2005-07-26 AFFIDAVIT OF PUBLICATION 2005-07-26
050726000131 2005-07-26 AFFIDAVIT OF PUBLICATION 2005-07-26
050303001181 2005-03-03 ARTICLES OF ORGANIZATION 2005-03-03

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Related by address

No related companies by address

Date of last update: 28 Nov 2024

Sources: New York Secretary of State

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