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  5. STACY P. SALOB, MD, PLLC

STACY P. SALOB, MD, PLLC

Company Details

Name: STACY P. SALOB, MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Mar 2006 (19 years ago)
Entity Number: 3330005
ZIP code: 10065
County: New York
Place of Formation: New York
Address: 115 EAST 61ST ST, STE 7E, NEW YORK, NY, United States, 10065

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STACY P. SALOB, MD, PLLC CASH BALANCE PLAN 2023 743165280 2024-10-05 STACY P. SALOB, MD, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9149677224
Plan sponsor’s address 361 STERLING ROAD, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing STACY SALOB
Valid signature Filed with authorized/valid electronic signature
STACY P. SALOB, MD, PLLC CASH BALANCE PLAN 2022 743165280 2023-10-10 STACY P. SALOB, MD, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9149677224
Plan sponsor’s address 361 STERLING ROAD, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing STACY SALOB
STACY P. SALOB, MD, PLLC CASH BALANCE PLAN 2021 743165280 2022-10-14 STACY P. SALOB, MD, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9149677224
Plan sponsor’s address 361 STERLING ROAD, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing STACY SALOB
STACY P. SALOB, MD, PLLC CASH BALANCE PLAN 2020 743165280 2021-10-05 STACY P. SALOB, MD, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9149677224
Plan sponsor’s address 361 STERLING ROAD, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2021-10-04
Name of individual signing STACY SALOB
STACY P. SALOB, MD, PLLC CASH BALANCE PLAN 2019 743165280 2020-05-01 STACY P. SALOB, MD, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9149677224
Plan sponsor’s address 361 STERLING ROAD, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2020-05-01
Name of individual signing STACY SALOB
STACY P. SALOB, MD, PLLC CASH BALANCE PLAN 2018 743165280 2019-09-12 STACY P. SALOB, MD, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9149677224
Plan sponsor’s address 361 STERLING ROAD, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2019-09-12
Name of individual signing STACY SALOB
Role Employer/plan sponsor
Date 2019-09-12
Name of individual signing STACY SALOB
STACY P. SALOB, MD, PLLC CASH BALANCE PLAN 2017 743165280 2018-04-05 STACY P. SALOB, MD, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9149677224
Plan sponsor’s address 361 STERLING ROAD, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2018-04-05
Name of individual signing STACY SALOB
STACY P. SALOB, MD, PLLC CASH BALANCE PLAN 2016 743165280 2017-08-15 STACY P. SALOB, MD, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9149677224
Plan sponsor’s address 361 STERLING ROAD, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2017-08-15
Name of individual signing STACY SALOB
STACY P. SALOB, MD, PLLC CASH BALANCE PLAN 2015 743165280 2016-08-01 STACY P. SALOB, MD, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9149677224
Plan sponsor’s address 361 STERLING ROAD, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2016-08-01
Name of individual signing STACY SALOB
Role Employer/plan sponsor
Date 2016-08-01
Name of individual signing STACY SALOB
STACY P. SALOB, MD, PLLC CASH BALANCE PLAN 2014 743165280 2015-09-08 STACY P. SALOB, MD, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9149677224
Plan sponsor’s address 361 STERLING ROAD, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2015-09-08
Name of individual signing STACY SALOB

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 115 EAST 61ST ST, STE 7E, NEW YORK, NY, United States, 10065

History

Start date End date Type Value
2012-04-13 2024-02-02 Address 115 EAST 61ST ST, STE 7E, NEW YORK, NY, 10065, USA (Type of address: Service of Process)
2006-03-07 2012-04-13 Address 361 STERLING ROAD, HARRISON, NY, 10528, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240202002751 2024-02-02 BIENNIAL STATEMENT 2024-02-02
200305060600 2020-03-05 BIENNIAL STATEMENT 2020-03-01
180306006181 2018-03-06 BIENNIAL STATEMENT 2018-03-01
160304006496 2016-03-04 BIENNIAL STATEMENT 2016-03-01
140317006063 2014-03-17 BIENNIAL STATEMENT 2014-03-01
120413002043 2012-04-13 BIENNIAL STATEMENT 2012-03-01
100331002268 2010-03-31 BIENNIAL STATEMENT 2010-03-01
080312002592 2008-03-12 BIENNIAL STATEMENT 2008-03-01
060809000018 2006-08-09 CERTIFICATE OF PUBLICATION 2006-08-09
060307000303 2006-03-07 ARTICLES OF ORGANIZATION 2006-03-07

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Date of last update: 27 Nov 2024

Sources: New York Secretary of State

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