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BAYOUMI MEDICAL, PLLC

Company Details

Name: BAYOUMI MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 May 2006 (19 years ago) (Companies founded in May 2006)
Entity Number: 3357052
ZIP code: 14569 (Companies in Wyoming, 14569)
County: Wyoming
Place of Formation: New York
Address: 2261 RTE 19 NORTH, WARSAW, NY, United States, 14569

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAYOUMI MEDICAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 205430799 2020-06-16 BAYOUMI MEDICAL PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 5857215795
Plan sponsor’s address 2265 ROUTE 19 NORTH, WARSAW, NY, 14569

Signature of
Role Plan administrator
Date 2020-06-16
Name of individual signing NICOLE THOMPSON
BAYOUMI MEDICAL PLLC 401 K PROFIT SHARING PLAN TRUST 2018 205430799 2019-06-19 BAYOUMI MEDICAL PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 5857215795
Plan sponsor’s address 2265 ROUTE 19 NORTH, WARSAW, NY, 14569

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing AHMED BAYOUMI
BAYOUMI MEDICAL PLLC 401 K PROFIT SHARING PLAN TRUST 2017 205430799 2018-05-25 BAYOUMI MEDICAL PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-09-01
Business code 541990
Sponsor’s telephone number 5857215795
Plan sponsor’s address 2265 ROUTE 19 NORTH, WARSAW, NY, 14569

Signature of
Role Plan administrator
Date 2018-05-25
Name of individual signing REBECCA GATH
BAYOUMI MEDICAL PLLC 401 K PROFIT SHARING PLAN TRUST 2016 205430799 2017-06-05 BAYOUMI MEDICAL PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-09-01
Business code 541990
Sponsor’s telephone number 5857215795
Plan sponsor’s address 2265 ROUTE 19 NORTH, WARSAW, NY, 14569

Signature of
Role Plan administrator
Date 2017-06-05
Name of individual signing AMANDA TREAT
BAYOUMI MEDICAL PLLC 401 K PROFIT SHARING PLAN TRUST 2015 205430799 2016-05-20 BAYOUMI MEDICAL PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-09-01
Business code 541990
Sponsor’s telephone number 5857215795
Plan sponsor’s address 2265 ROUTE 19 NORTH, WARSAW, NY, 14569

Signature of
Role Plan administrator
Date 2016-05-20
Name of individual signing AMANDA TREAT
BAYOUMI MEDICAL PLLC 401 K PROFIT SHARING PLAN TRUST 2014 205430799 2015-06-16 BAYOUMI MEDICAL PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-09-01
Business code 621111
Sponsor’s telephone number 5857215795
Plan sponsor’s address 2265 ROUTE 19 NORTH, WARSAW, NY, 14569

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing AHMED BAYOUMI
BAYOUMI MEDICAL PLLC 401 K PROFIT SHARING PLAN TRUST 2013 205430799 2014-06-10 BAYOUMI MEDICAL PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-09-01
Business code 621111
Sponsor’s telephone number 5857215795
Plan sponsor’s address PO BOX 230, WARSAW, NY, 14569

Signature of
Role Plan administrator
Date 2014-06-10
Name of individual signing AHMED BAYOUMI
BAYOUMI MEDICAL, PLLC 401(K) 2011 205430799 2012-09-05 BAYOUMI MEDICAL, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-09-01
Business code 621111
Sponsor’s telephone number 5857862290
Plan sponsor’s address 2261 STATE ROUTE 19 NORTH, WARSAW, NY, 14569

Plan administrator’s name and address
Administrator’s EIN 205430799
Plan administrator’s name BAYOUMI MEDICAL, PLLC
Plan administrator’s address 2261 STATE ROUTE 19 NORTH, WARSAW, NY, 14569
Administrator’s telephone number 5857862290

Signature of
Role Plan administrator
Date 2012-09-05
Name of individual signing AHMED BAYOUMI

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2261 RTE 19 NORTH, WARSAW, NY, United States, 14569

History

Start date End date Type Value
2006-05-03 2008-06-05 Address 408 NORTH MAIN STREET, WARSAW, NY, 14569, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
100518002559 2010-05-18 BIENNIAL STATEMENT 2010-05-01
080605002690 2008-06-05 BIENNIAL STATEMENT 2008-05-01
060801000058 2006-08-01 CERTIFICATE OF PUBLICATION 2006-08-01
060503000813 2006-05-03 ARTICLES OF ORGANIZATION 2006-05-03

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Date of last update: 09 Nov 2024

Sources: New York Secretary of State

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