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SOUTHERN TIER DERMATOLOGY & AESTHETICS PLLC

Company Details

Name: SOUTHERN TIER DERMATOLOGY & AESTHETICS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Feb 2006 (19 years ago) (Companies founded in February 2006)
Entity Number: 3316893
ZIP code: 13902 (Companies in Broome, 13902)
County: Broome
Place of Formation: New York
Address: 20 HAWLEY STREET, BINGHAMTON, NY, United States, 13902

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 401(K) PLAN 2019 204298085 2020-04-02 SOUTHERN TIER DERMATOLOGY & AESTHETICS, PLLC 36
File View Page
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
File View Page
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
File View Page
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
File View Page
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
File View Page
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
File View Page
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
File View Page
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
File View Page
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
File View Page
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
File View Page
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

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

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Related by address

No related companies by address

Date of last update: 09 Nov 2024

Sources: New York Secretary of State

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