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SOUTHERN TIER PULMONARY & CRITICAL CARE MEDICINE, LLC

Company Details

Name: SOUTHERN TIER PULMONARY & CRITICAL CARE MEDICINE, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 May 2006 (19 years ago) (Companies founded in May 2006)
Entity Number: 3363364
ZIP code: 13790 (Companies in Broome, 13790)
County: Broome
Place of Formation: New York
Address: 52 HARRISON STREET / SUITE 1, JOHNSON CITY, NY, United States, 13790

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN TIER PULMONARY 401(K) RETIREMENT PLAN 2023 205020595 2024-07-18 SOUTHERN TIER PULMONARY & CRITICAL CARE MEDICINE, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6077298845
Plan sponsor’s address 52 HARRISON STREET, SUITE 1, JOHNSON CITY, NY, 137902120

Signature of
Role Plan administrator
Date 2024-07-18
Name of individual signing MUHAMMAD ALI
Role Employer/plan sponsor
Date 2024-07-18
Name of individual signing MUHAMMAD ALI
SOUTHERN TIER PULMONARY CASH BALANCE PLAN 2023 205020595 2024-07-11 SOUTHERN TIER PULMONARY & CRITICAL CARE MEDICINE, LLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6077298845
Plan sponsor’s address 52 HARRISON STREET, SUITE 1, JOHNSON CITY, NY, 137902120

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing MUHAMMAD ALI
Role Employer/plan sponsor
Date 2024-07-10
Name of individual signing MUHAMMAD ALI
SOUTHERN TIER PULMONARY 401(K) RETIREMENT PLAN 2022 205020595 2023-06-29 SOUTHERN TIER PULMONARY & CRITICAL CARE MEDICINE, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6077298845
Plan sponsor’s address 52 HARRISON STREET, SUITE 1, JOHNSON CITY, NY, 137902120

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing MUHAMMAD ALI
Role Employer/plan sponsor
Date 2023-06-28
Name of individual signing MUHAMMAD ALI
SOUTHERN TIER PULMONARY CASH BALANCE PLAN 2022 205020595 2023-05-23 SOUTHERN TIER PULMONARY & CRITICAL CARE MEDICINE, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6077298845
Plan sponsor’s address 52 HARRISON STREET, SUITE 1, JOHNSON CITY, NY, 137902120

Signature of
Role Plan administrator
Date 2023-05-23
Name of individual signing MUHAMMAD ALI
Role Employer/plan sponsor
Date 2023-05-23
Name of individual signing MUHAMMAD ALI
SOUTHERN TIER PULMONARY CASH BALANCE PLAN 2021 205020595 2022-07-13 SOUTHERN TIER PULMONARY & CRITICAL CARE MEDICINE, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6077298845
Plan sponsor’s address 52 HARRISON STREET, SUITE 1, JOHNSON CITY, NY, 137902120

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing SHANNON HUFF
Role Employer/plan sponsor
Date 2022-07-12
Name of individual signing SHANNON HUFF
SOUTHERN TIER PULMONARY 401(K) RETIREMENT PLAN 2021 205020595 2022-07-14 SOUTHERN TIER PULMONARY & CRITICAL CARE MEDICINE, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6077298845
Plan sponsor’s address 52 HARRISON STREET, SUITE 1, JOHNSON CITY, NY, 137902120

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing MUHAMMAD ALI
Role Employer/plan sponsor
Date 2022-07-13
Name of individual signing MUHAMMAD ALI
SOUTHERN TIER PULMONARY CASH BALANCE PLAN 2020 205020595 2021-09-24 SOUTHERN TIER PULMONARY & CRITICAL CARE MEDICINE, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6077298845
Plan sponsor’s address 52 HARRISON STREET, SUITE 1, JOHNSON CITY, NY, 137902120

Signature of
Role Plan administrator
Date 2021-09-22
Name of individual signing MUHAMMAD ALI
Role Employer/plan sponsor
Date 2021-09-22
Name of individual signing MUHAMMAD ALI
SOUTHERN TIER PULMONARY 401(K) RETIREMENT PLAN 2020 205020595 2021-05-28 SOUTHERN TIER PULMONARY & CRITICAL CARE MEDICINE, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6077298845
Plan sponsor’s address 52 HARRISON STREET, SUITE 1, JOHNSON CITY, NY, 137902120

Signature of
Role Plan administrator
Date 2021-05-26
Name of individual signing MUHAMMAD IMRAN ALI
Role Employer/plan sponsor
Date 2021-05-26
Name of individual signing MUHAMMAD IMRAN ALI
SOUTHERN TIER PULMONARY CASH BALANCE PLAN 2019 205020595 2020-05-21 SOUTHERN TIER PULMONARY & CRITICAL CARE MEDICINE, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6077298845
Plan sponsor’s address 52 HARRISON STREET, SUITE 1, JOHNSON CITY, NY, 137902120

Signature of
Role Plan administrator
Date 2020-05-21
Name of individual signing MUHAMMAD IMRAN ALI
Role Employer/plan sponsor
Date 2020-05-21
Name of individual signing MUHAMMAD IMRAN ALI
SOUTHERN TIER PULMONARY 401(K) RETIREMENT PLAN 2019 205020595 2020-06-25 SOUTHERN TIER PULMONARY & CRITICAL CARE MEDICINE, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6077298845
Plan sponsor’s address 52 HARRISON STREET, SUITE 1, JOHNSON CITY, NY, 137902120

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing SHANNON HUFF
Role Employer/plan sponsor
Date 2020-06-23
Name of individual signing SHANNON HUFF

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 52 HARRISON STREET / SUITE 1, JOHNSON CITY, NY, United States, 13790

History

Start date End date Type Value
2006-05-17 2010-06-18 Address 450 PLAZA DRIVE, VESTAL, NY, 13850, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200512060243 2020-05-12 BIENNIAL STATEMENT 2020-05-01
180507006133 2018-05-07 BIENNIAL STATEMENT 2018-05-01
160519006234 2016-05-19 BIENNIAL STATEMENT 2016-05-01
140520006050 2014-05-20 BIENNIAL STATEMENT 2014-05-01
120625002614 2012-06-25 BIENNIAL STATEMENT 2012-05-01
100618003031 2010-06-18 BIENNIAL STATEMENT 2010-05-01
080512002173 2008-05-12 BIENNIAL STATEMENT 2008-05-01
060517000178 2006-05-17 ARTICLES OF ORGANIZATION 2006-05-17

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Date of last update: 09 Nov 2024

Sources: New York Secretary of State

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