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CONCOURSE VILLAGE PRIMARY CARE PLLC

Company Details

Name: CONCOURSE VILLAGE PRIMARY CARE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Apr 2007 (18 years ago)
Entity Number: 3508609
ZIP code: 10451
County: Bronx
Place of Formation: New York
Address: 769 CONCOURSE VILLAGE WEST, BRONX, NY, United States, 10451

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
JLSYFUL7LS53 2022-10-08 860 GRAND CONCOURSE APT 1L, BRONX, NY, 10451, 2815, USA 860 GRAND CONCOURSE APT 1L, BRONX, NY, 10451, 2815, USA

Business Information

Congressional District 15
State/Country of Incorporation NY, USA
Activation Date 2021-09-10
Initial Registration Date 2021-09-07
Entity Start Date 2000-06-01
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621111

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JEAN-ROBERT MACENAT MD
Role DIRECTOR
Address 860 GRAND CONCOURSE 1L, BRONX, NY, 10451, USA
Government Business
Title PRIMARY POC
Name JEAN-ROBERT MACENAT MD
Role DIRECTOR
Address 860 GRAND CONCOURSE 1L, BRONX, NY, 10451, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN 2023 208939043 2024-10-16 CONCOURSE VILLAGE PRIMARY CARE, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7184024021
Plan sponsor’s address 860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815

Signature of

Role Plan administrator
Date 2024-10-16
Name of individual signing JEAN-ROBERT MACENAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-16
Name of individual signing JEAN-ROBERT MACENAT
Valid signature Filed with authorized/valid electronic signature
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN 2022 208939043 2023-10-15 CONCOURSE VILLAGE PRIMARY CARE, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7184024021
Plan sponsor’s address 860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815

Signature of

Role Plan administrator
Date 2023-10-15
Name of individual signing JEAN-ROBERT MACENAT
Role Employer/plan sponsor
Date 2023-10-15
Name of individual signing JEAN-ROBERT MACENAT
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN 2021 208939043 2022-09-02 CONCOURSE VILLAGE PRIMARY CARE, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7184024021
Plan sponsor’s address 860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815

Signature of

Role Plan administrator
Date 2022-09-01
Name of individual signing JEAN-ROBERT MACENAT
Role Employer/plan sponsor
Date 2022-09-01
Name of individual signing JEAN-ROBERT MACENAT
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN 2020 208939043 2021-11-23 CONCOURSE VILLAGE PRIMARY CARE, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7184024021
Plan sponsor’s address 860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815

Signature of

Role Plan administrator
Date 2021-11-23
Name of individual signing JEAN-ROBERT MACENAT
Role Employer/plan sponsor
Date 2021-11-23
Name of individual signing JEAN-ROBERT MACENAT
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN 2020 208939043 2021-10-05 CONCOURSE VILLAGE PRIMARY CARE, PLLC 10
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7184024021
Plan sponsor’s address 860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815

Signature of

Role Plan administrator
Date 2021-10-05
Name of individual signing JEAN-ROBERT MACENAT
Role Employer/plan sponsor
Date 2021-10-05
Name of individual signing JEAN-ROBERT MACENAT
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN 2019 208939043 2021-11-17 CONCOURSE VILLAGE PRIMARY CARE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7184024021
Plan sponsor’s address 860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815

Signature of

Role Plan administrator
Date 2021-11-16
Name of individual signing JEAN-ROBERT MACENAT
Role Employer/plan sponsor
Date 2021-11-16
Name of individual signing JEAN-ROBERT MACENAT
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN 2019 208939043 2020-09-21 CONCOURSE VILLAGE PRIMARY CARE, PLLC 7
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7184024021
Plan sponsor’s address 860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815

Signature of

Role Plan administrator
Date 2020-09-21
Name of individual signing JEAN-ROBERT MACENAT
Role Employer/plan sponsor
Date 2020-09-21
Name of individual signing JEAN-ROBERT MACENAT
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN 2018 208939043 2019-10-01 CONCOURSE VILLAGE PRIMARY CARE, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7184024021
Plan sponsor’s address 769 CONCOURSE VLG W, BRONX, NY, 104513801

Signature of

Role Plan administrator
Date 2019-10-01
Name of individual signing JEAN-ROBERT MACENAT
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN 2017 208939043 2018-09-10 CONCOURSE VILLAGE PRIMARY CARE, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7184024021
Plan sponsor’s address 769 CONCOURSE VLG W, BRONX, NY, 104513801

Signature of

Role Plan administrator
Date 2018-09-10
Name of individual signing JEAN-ROBERT MACENAT
Role Employer/plan sponsor
Date 2018-09-10
Name of individual signing JEAN-ROBERT MACENAT
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN 2016 208939043 2017-10-10 CONCOURSE VILLAGE PRIMARY CARE, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7184024021
Plan sponsor’s address 769 CONCOURSE VLG W, BRONX, NY, 104513801

Signature of

Role Plan administrator
Date 2017-10-10
Name of individual signing JEAN-ROBERT MACENAT

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 769 CONCOURSE VILLAGE WEST, BRONX, NY, United States, 10451

Filings

Filing Number Date Filed Type Effective Date
150420006184 2015-04-20 BIENNIAL STATEMENT 2015-04-01
130409006524 2013-04-09 BIENNIAL STATEMENT 2013-04-01
110707002225 2011-07-07 BIENNIAL STATEMENT 2011-04-01
090414003106 2009-04-14 BIENNIAL STATEMENT 2009-04-01
070731000448 2007-07-31 CERTIFICATE OF PUBLICATION 2007-07-31
070426000366 2007-04-26 ARTICLES OF ORGANIZATION 2007-04-26

Date of last update: 27 Nov 2024

Sources: New York Secretary of State