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COUNTRYSIDE VETERINARY PRACTICE, P.C.

Company Details

Name: COUNTRYSIDE VETERINARY PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Jan 2007 (18 years ago)
Entity Number: 3461490
ZIP code: 12804
County: Warren
Place of Formation: New York
Address: 270 QUEENSBURY AVENUE, QUEENSBURY, NY, United States, 12804
Principal Address: 270 QUEENSBURY AVE, QUEENSBURY, NY, United States, 12804

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COUNTRYSIDE VETERINARY PRACTICE, P.C. 401(K) PROFIT SHARING PLAN 2023 208337692 2024-07-31 COUNTRYSIDE VETERINARY PRACTICE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541940
Sponsor’s telephone number 5187937083
Plan sponsor’s address 14 STONEWALL DRIVE, QUEENSBURY, NY, 128047610

Signature of

Role Plan administrator
Date 2024-06-28
Name of individual signing JAMES KELLER
COUNTRYSIDE VETERINARY PRACTICE, P.C. 401(K) PROFIT SHARING PLAN 2022 208337692 2023-06-08 COUNTRYSIDE VETERINARY PRACTICE, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541940
Sponsor’s telephone number 5187937083
Plan sponsor’s address 14 STONEWALL DRIVE, QUEENSBURY, NY, 128047610

Signature of

Role Plan administrator
Date 2023-04-14
Name of individual signing JAMES KELLER
COUNTRYSIDE VETERINARY PRACTICE, P.C. 401(K) PROFIT SHARING PLAN 2021 208337692 2022-05-04 COUNTRYSIDE VETERINARY PRACTICE, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541940
Sponsor’s telephone number 5187937083
Plan sponsor’s address 454 QUEENSBURY AVENUE, QUEENSBURY, NY, 128047610

Signature of

Role Plan administrator
Date 2022-04-20
Name of individual signing JAMES KELLER
COUNTRYSIDE VETERINARY PRACTICE, P.C. 401(K) PROFIT SHARING PLAN 2020 208337692 2021-07-15 COUNTRYSIDE VETERINARY PRACTICE, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541940
Sponsor’s telephone number 5187937083
Plan sponsor’s address 454 QUEENSBURY AVENUE, QUEENSBURY, NY, 128047610

Signature of

Role Plan administrator
Date 2021-04-15
Name of individual signing JAMES KELLER
COUNTRYSIDE VETERINARY PRACTICE, P.C. 401(K) PROFIT SHARING PLAN 2019 208337692 2020-07-09 COUNTRYSIDE VETERINARY PRACTICE, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541940
Sponsor’s telephone number 5187937083
Plan sponsor’s address 454 QUEENSBURY AVENUE, QUEENSBURY, NY, 128047610

Signature of

Role Plan administrator
Date 2020-06-02
Name of individual signing JAMES KELLER
COUNTRYSIDE VETERINARY PRACTICE, P.C. 401(K) PROFIT SHARING PLAN 2018 208337692 2019-06-20 COUNTRYSIDE VETERINARY PRACTICE, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541940
Sponsor’s telephone number 5187937083
Plan sponsor’s address 454 COUNTY LINE ROAD, HUDSON FALLS, NY, 12839

Signature of

Role Plan administrator
Date 2019-05-23
Name of individual signing JAMES KELLER
COUNTRYSIDE VETERINARY PRACTICE, P.C. 401(K) PROFIT SHARING PLAN 2017 208337692 2018-07-16 COUNTRYSIDE VETERINARY PRACTICE, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541940
Sponsor’s telephone number 5187937083
Plan sponsor’s address 454 COUNTY LINE ROAD, HUDSON FALLS, NY, 12839

Signature of

Role Plan administrator
Date 2018-01-29
Name of individual signing JAMES KELLER
COUNTRYSIDE VETERINARY PRACTICE, P.C. 401(K) PROFIT SHARING PLAN 2016 208337692 2017-02-27 COUNTRYSIDE VETERINARY PRACTICE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541940
Sponsor’s telephone number 5187937083
Plan sponsor’s address 270 QUEENSBURY AVENUE, QUEENSBURY, NY, 12804

Signature of

Role Plan administrator
Date 2017-02-17
Name of individual signing JAMES KELLER
COUNTRYSIDE VETERINARY PRACTICE, P.C. 401(K) PROFIT SHARING PLAN 2015 208337692 2016-02-03 COUNTRYSIDE VETERINARY PRACTICE, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541940
Sponsor’s telephone number 5187937083
Plan sponsor’s address 270 QUEENSBURY AVENUE, QUEENSBURY, NY, 12804

Signature of

Role Plan administrator
Date 2016-01-27
Name of individual signing JAMES KELLER

Chief Executive Officer

Name Role Address
JAMES KELLER Chief Executive Officer 270 QUEENSBURY AVE, QUEENSBURY, NY, United States, 12804

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 270 QUEENSBURY AVENUE, QUEENSBURY, NY, United States, 12804

Filings

Filing Number Date Filed Type Effective Date
221115001337 2022-11-15 BIENNIAL STATEMENT 2021-01-01
190605060880 2019-06-05 BIENNIAL STATEMENT 2019-01-01
150126006057 2015-01-26 BIENNIAL STATEMENT 2015-01-01
130411002499 2013-04-11 BIENNIAL STATEMENT 2013-01-01
110318002393 2011-03-18 BIENNIAL STATEMENT 2011-01-01
070112000153 2007-01-12 CERTIFICATE OF INCORPORATION 2007-01-12

Date of last update: 27 Nov 2024

Sources: New York Secretary of State