Entity Number 3316893
Status Active
NameSOUTHERN TIER DERMATOLOGY & AESTHETICS PLLC
CountyBroome
Date of registration 07 Feb 2006 (19 years ago) 07 Feb 2006
Legal typeDOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Place of FormationNew York
Address 20 HAWLEY STREET, BINGHAMTON, NY, United States, 13902
Address ZIP code 13902
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN
2019
204298085
2020-04-02
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC
36
Three-digit plan number (PN) | 001 |
Effective date of plan | 2008-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 6077292755 |
Plan sponsor’s address | 333 HOOPER RD, ENDWELL, NY, 13760 |
Signature of
Role | Plan administrator |
Date | 2020-04-02 |
Name of individual signing | NANCY LEFTENANT |
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN
2019
204298085
2020-04-02
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC
32
Three-digit plan number (PN) | 001 |
Effective date of plan | 2008-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 6077292755 |
Plan sponsor’s address | 333 HOOPER RD., ENDWELL, NY, 13760 |
Signature of
Role | Plan administrator |
Date | 2020-04-02 |
Name of individual signing | NANCY LEFTENANT |
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN
2018
204298085
2019-03-28
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC
45
Three-digit plan number (PN) | 001 |
Effective date of plan | 2008-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 6077292777 |
Plan sponsor’s address | 333 HOOPER RD, ENDWELL, NY, 13760 |
Signature of
Role | Plan administrator |
Date | 2019-03-28 |
Name of individual signing | NANCY LEFTENANT |
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN
2017
204298085
2018-06-21
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC
38
Three-digit plan number (PN) | 001 |
Effective date of plan | 2008-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 6077292777 |
Plan sponsor’s address | 333 HOOPER RD, ENDWELL, NY, 13760 |
Signature of
Role | Plan administrator |
Date | 2018-06-21 |
Name of individual signing | COLLEEN CRANDELL-FENKL |
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN
2016
204298085
2017-03-23
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC
36
Three-digit plan number (PN) | 001 |
Effective date of plan | 2008-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 6077292777 |
Plan sponsor’s address | 333 HOOPER RD, ENDWELL, NY, 13760 |
Signature of
Role | Plan administrator |
Date | 2017-03-23 |
Name of individual signing | COLLEEN CRANDELL-FENKL |
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN
2015
204298085
2016-06-07
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC
32
Three-digit plan number (PN) | 001 |
Effective date of plan | 2008-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 6077292777 |
Plan sponsor’s address | 333 HOOPER RD, ENDWELL, NY, 13760 |
Signature of
Role | Plan administrator |
Date | 2016-06-07 |
Name of individual signing | COLLEEN CRANDELL-FENKL |
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN
2014
204298085
2015-06-19
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC
33
Three-digit plan number (PN) | 001 |
Effective date of plan | 2008-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 6077292777 |
Plan sponsor’s address | 333 HOOPER RD, ENDWELL, NY, 13760 |
Signature of
Role | Plan administrator |
Date | 2015-06-19 |
Name of individual signing | COLLEEN CRANDELL-FENKL |
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN
2013
204298085
2014-07-07
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC
21
Three-digit plan number (PN) | 001 |
Effective date of plan | 2008-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 6077292777 |
Plan sponsor’s address | 333 HOOPER RD, ENDWELL, NY, 13760 |
Signature of
Role | Plan administrator |
Date | 2014-07-07 |
Name of individual signing | COLLEEN CRANDELL-FENKL |
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN
2012
204298085
2013-06-25
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC
18
Three-digit plan number (PN) | 001 |
Effective date of plan | 2008-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 6077292755 |
Plan sponsor’s address | 200 PLAZA DRIVE, VESTAL, NY, 13850 |
Signature of
Role | Plan administrator |
Date | 2013-06-25 |
Name of individual signing | CURT FENKL |
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN
2011
204298085
2012-07-24
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC
17
Three-digit plan number (PN) | 001 |
Effective date of plan | 2008-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 6077292755 |
Plan sponsor’s address | 200 PLAZA DRIVE, VESTAL, NY, 13850 |
Plan administrator’s name and address
Administrator’s EIN | 204298085 |
Plan administrator’s name | SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC |
Plan administrator’s address | 200 PLAZA DRIVE, VESTAL, NY, 13850 |
Administrator’s telephone number | 6077292755 |
Signature of
Role | Plan administrator |
Date | 2012-07-24 |
Name of individual signing | CURT FENKL |
C/O COUGHLIN & GERHART, LLP
DOS Process Agent
20 HAWLEY STREET, BINGHAMTON, NY, United States, 13902
060207000209
2006-02-07
ARTICLES OF ORGANIZATION
2006-02-07
Date of last update: 31 Jul 2024
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