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SOUTHERN TIER DERMATOLOGY & AESTHETICS PLLC

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Entity Number 3316893

Status Active

NameSOUTHERN TIER DERMATOLOGY & AESTHETICS PLLC

CountyBroome

Date of registration 07 Feb 2006 (19 years ago)

Legal typeDOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

Place of FormationNew York

Address 20 HAWLEY STREET, BINGHAMTON, NY, United States, 13902

Address ZIP code 13902

form 5500

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

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN

2019

204298085

2020-04-02

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC

36

View Page

Three-digit plan number (PN)001
Effective date of plan2008-01-01
Business code621111
Sponsor’s telephone number6077292755
Plan sponsor’s address333 HOOPER RD, ENDWELL, NY, 13760

Signature of

RolePlan administrator
Date2020-04-02
Name of individual signingNANCY LEFTENANT

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN

2019

204298085

2020-04-02

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC

32

View Page

Three-digit plan number (PN)001
Effective date of plan2008-01-01
Business code621111
Sponsor’s telephone number6077292755
Plan sponsor’s address333 HOOPER RD., ENDWELL, NY, 13760

Signature of

RolePlan administrator
Date2020-04-02
Name of individual signingNANCY LEFTENANT

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN

2018

204298085

2019-03-28

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC

45

View Page

Three-digit plan number (PN)001
Effective date of plan2008-01-01
Business code621111
Sponsor’s telephone number6077292777
Plan sponsor’s address333 HOOPER RD, ENDWELL, NY, 13760

Signature of

RolePlan administrator
Date2019-03-28
Name of individual signingNANCY LEFTENANT

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN

2017

204298085

2018-06-21

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC

38

View Page

Three-digit plan number (PN)001
Effective date of plan2008-01-01
Business code621111
Sponsor’s telephone number6077292777
Plan sponsor’s address333 HOOPER RD, ENDWELL, NY, 13760

Signature of

RolePlan administrator
Date2018-06-21
Name of individual signingCOLLEEN CRANDELL-FENKL

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN

2016

204298085

2017-03-23

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC

36

View Page

Three-digit plan number (PN)001
Effective date of plan2008-01-01
Business code621111
Sponsor’s telephone number6077292777
Plan sponsor’s address333 HOOPER RD, ENDWELL, NY, 13760

Signature of

RolePlan administrator
Date2017-03-23
Name of individual signingCOLLEEN CRANDELL-FENKL

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN

2015

204298085

2016-06-07

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC

32

View Page

Three-digit plan number (PN)001
Effective date of plan2008-01-01
Business code621111
Sponsor’s telephone number6077292777
Plan sponsor’s address333 HOOPER RD, ENDWELL, NY, 13760

Signature of

RolePlan administrator
Date2016-06-07
Name of individual signingCOLLEEN CRANDELL-FENKL

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN

2014

204298085

2015-06-19

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC

33

View Page

Three-digit plan number (PN)001
Effective date of plan2008-01-01
Business code621111
Sponsor’s telephone number6077292777
Plan sponsor’s address333 HOOPER RD, ENDWELL, NY, 13760

Signature of

RolePlan administrator
Date2015-06-19
Name of individual signingCOLLEEN CRANDELL-FENKL

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN

2013

204298085

2014-07-07

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC

21

View Page

Three-digit plan number (PN)001
Effective date of plan2008-01-01
Business code621111
Sponsor’s telephone number6077292777
Plan sponsor’s address333 HOOPER RD, ENDWELL, NY, 13760

Signature of

RolePlan administrator
Date2014-07-07
Name of individual signingCOLLEEN CRANDELL-FENKL

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN

2012

204298085

2013-06-25

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC

18

View Page

Three-digit plan number (PN)001
Effective date of plan2008-01-01
Business code621111
Sponsor’s telephone number6077292755
Plan sponsor’s address200 PLAZA DRIVE, VESTAL, NY, 13850

Signature of

RolePlan administrator
Date2013-06-25
Name of individual signingCURT FENKL

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN

2011

204298085

2012-07-24

SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC

17

View Page

Three-digit plan number (PN)001
Effective date of plan2008-01-01
Business code621111
Sponsor’s telephone number6077292755
Plan sponsor’s address200 PLAZA DRIVE, VESTAL, NY, 13850

Plan administrator’s name and address

Administrator’s EIN204298085
Plan administrator’s nameSOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC
Plan administrator’s address200 PLAZA DRIVE, VESTAL, NY, 13850
Administrator’s telephone number6077292755

Signature of

RolePlan administrator
Date2012-07-24
Name of individual signingCURT FENKL

DOS Process Agent

Name Role Address

C/O COUGHLIN & GERHART, LLP

DOS Process Agent

20 HAWLEY STREET, BINGHAMTON, NY, United States, 13902

Filings

Filing Number Date Filed Type Effective Date

060207000209

2006-02-07

ARTICLES OF ORGANIZATION

2006-02-07

Date of last update: 31 Jul 2024

Sources: Companies info , Historical Data , Complaints , Contacts