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FAMILY HEALTH MEDICAL SERVICES, PLLC

Company Details

Name: FAMILY HEALTH MEDICAL SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Aug 2006 (18 years ago) (Companies founded in August 2006)
Entity Number: 3404822
ZIP code: 14701 (Companies in Chautauqua, 14701)
County: Chautauqua
Place of Formation: New York
Address: 103 Allen Street, Jamestown, NY, United States, 14701

Contact Details

Phone +1 716-326-3240

Phone +1 716-483-5000

Phone +1 716-672-3030

Phone +1 716-665-7007

Phone +1 716-934-5100

Phone +1 716-753-7107

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY HEALTH MEDICAL SERVICES 401(K) PROFIT SHARING PLAN 2023 205455871 2024-07-30 FAMILY HEALTH MEDICAL SERVICES 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7163380022
Plan sponsor’s address 103 ALLEN ST., JAMESTOWN, NY, 14701

Signature of
Role Plan administrator
Date 2024-07-30
Name of individual signing ROBERT BERKE
FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS 2017 205455871 2018-07-11 FAMILY HEALTH MEDICAL SERVICES, PLLC 102
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2014-03-01
Business code 621111
Sponsor’s telephone number 7167537107
Plan sponsor’s mailing address PO BOX 168, MAYVILLE, NY, 14757
Plan sponsor’s address PO BOX 168, MAYVILLE, NY, 14757

Number of participants as of the end of the plan year
Active participants 92

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing ROBERT BERKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-11
Name of individual signing ROBERT BERKE
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS 2016 205455871 2017-09-07 FAMILY HEALTH MEDICAL SERVICES, PLLC 107
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2014-03-01
Business code 621111
Sponsor’s telephone number 7167537107
Plan sponsor’s mailing address PO BOX 168, MAYVILLE, NY, 14757
Plan sponsor’s address PO BOX 168, MAYVILLE, NY, 14757

Number of participants as of the end of the plan year
Active participants 104

Signature of
Role Plan administrator
Date 2017-09-07
Name of individual signing ROBERT BERKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-07
Name of individual signing ROBERT BERKE
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS 2015 205455871 2016-08-18 FAMILY HEALTH MEDICAL SERVICES, PLLC 100
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2014-03-01
Business code 621111
Sponsor’s telephone number 7167537107
Plan sponsor’s mailing address PO BOX 168, MAYVILLE, NY, 14757
Plan sponsor’s address PO BOX 168, MAYVILLE, NY, 14757

Number of participants as of the end of the plan year
Active participants 107

Signature of
Role Plan administrator
Date 2016-08-17
Name of individual signing ROBERT BERKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-17
Name of individual signing ROBERT BERKE
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH MEDICAL SERVICES 401 K PROFIT SHARING PLAN TRUST 2015 205455871 2016-06-09 FAMILY HEALTH MEDICAL SERVICES 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7167537107
Plan sponsor’s address 95 E CHAUTAUQUA ST, MAYVILLE, NY, 14757

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing ROBERT BERKE
FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS 2014 205455871 2015-09-28 FAMILY HEALTH MEDICAL SERVICES, PLLC 92
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2014-03-01
Business code 621111
Sponsor’s telephone number 7167537107
Plan sponsor’s mailing address PO BOX 168, MAYVILLE, NY, 14757
Plan sponsor’s address PO BOX 168, MAYVILLE, NY, 14757

Number of participants as of the end of the plan year
Active participants 100

Signature of
Role Plan administrator
Date 2015-09-28
Name of individual signing ROBERT BERKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-28
Name of individual signing ROBERT BERKE
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH MEDICAL SERVICES 401 K PROFIT SHARING PLAN TRUST 2014 205455871 2015-06-11 FAMILY HEALTH MEDICAL SERVICES 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-12-01
Business code 621111
Sponsor’s telephone number 7167537107
Plan sponsor’s address 95 E CHAUTAUQUA ST, MAYVILLE, NY, 14757

Signature of
Role Plan administrator
Date 2015-06-11
Name of individual signing ROBERT BERKE
FAMILY HEALTH MEDICAL SERVICES 401K PROFIT SHARING PLAN 2013 205455871 2014-08-08 FAMILY HEALTH MEDICAL SERVICES, 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-12-01
Business code 621111
Sponsor’s telephone number 7167537107
Plan sponsor’s address 95 EAST CHAUTAUQUA STREET, MAYVILLE, NY, 14757

Signature of
Role Plan administrator
Date 2014-08-08
Name of individual signing STEPHANIE HOOKS
FAMILY HEALTH MEDICAL SERVICES 401K PROFIT SHARING PLAN 2012 205455871 2013-07-02 FAMILY HEALTH MEDICAL SERVICES, 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-12-01
Business code 621111
Sponsor’s telephone number 7167537107
Plan sponsor’s address 95 EAST CHAUTAUQUA STREET, MAYVILLE, NY, 14757

Signature of
Role Plan administrator
Date 2013-07-02
Name of individual signing STEPHANIE HOOKS

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 103 Allen Street, Jamestown, NY, United States, 14701

History

Start date End date Type Value
2006-08-24 2024-03-13 Address 95 EAST CHAUTAUQUA STREET, MAYVILLE, NY, 14757, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240313001617 2024-03-13 BIENNIAL STATEMENT 2024-03-13
160803006510 2016-08-03 BIENNIAL STATEMENT 2016-08-01
140805006559 2014-08-05 BIENNIAL STATEMENT 2014-08-01
120810006394 2012-08-10 BIENNIAL STATEMENT 2012-08-01
100907002549 2010-09-07 BIENNIAL STATEMENT 2010-08-01
080805002256 2008-08-05 BIENNIAL STATEMENT 2008-08-01
061127000296 2006-11-27 CERTIFICATE OF PUBLICATION 2006-11-27
060824000857 2006-08-24 ARTICLES OF ORGANIZATION 2006-08-24

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Related by address

103 Allen Street, Jamestown, NY, United States, 14701

TRIPLE R, LLC

Date of last update: 09 Nov 2024

Sources: New York Secretary of State

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