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  5. TWENTY FIRST CENTURY UROLOGY, PLLC

TWENTY FIRST CENTURY UROLOGY, PLLC

Company Details

Name: TWENTY FIRST CENTURY UROLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Aug 2007 (17 years ago)
Entity Number: 3554080
ZIP code: 10583
County: Orange
Place of Formation: New York
Address: 1 OAK WAY, SCARSDALE, NY, United States, 10583

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TWENTY FIRST CENTURY UROLOGY PLLC DEFINED BENEFIT PLAN 2012 260687655 2013-09-04 TWENTY FIRST CENTURY UROLOGY PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8453465815
Plan sponsor’s address 10 DELL ROAD, SCARSDALE, NY, 10583

Signature of
Role Plan administrator
Date 2013-09-04
Name of individual signing SAPAN POLEPALLE
Role Employer/plan sponsor
Date 2013-09-04
Name of individual signing SAPAN POLEPALLE
TWENTY FIRST CENTURY UROLOGY PLLC DEFINED BENEFIT PLAN 2011 260687655 2012-04-05 TWENTY FIRST CENTURY UROLOGY PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8453465815
Plan sponsor’s address 10 DELL RD, SCARSDALE, NY, 10583

Plan administrator’s name and address
Administrator’s EIN 260687655
Plan administrator’s name TWENTY FIRST CENTURY UROLOGY PLLC
Plan administrator’s address 10 DELL RD, SCARSDALE, NY, 10583
Administrator’s telephone number 8453465815

Signature of
Role Plan administrator
Date 2012-04-04
Name of individual signing SAPAN POLEPALLE
Role Employer/plan sponsor
Date 2012-04-04
Name of individual signing SAPAN POLEPALLE
TWENTY FIRST CENTURY UROLOGY PLLC DEFINED BENEFIT PLAN 2010 260687655 2011-03-29 TWENTY FIRST CENTURY UROLOGY PLLC 1
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8453465815
Plan sponsor’s address 10 DELL RD, SCARSDALE, NY, 10583

Plan administrator’s name and address
Administrator’s EIN 260687655
Plan administrator’s name TWENTY FIRST CENTURY UROLOGY PLLC
Plan administrator’s address 10 DELL RD, SCARSDALE, NY, 10583
Administrator’s telephone number 8453465815

Signature of
Role Plan administrator
Date 2011-03-29
Name of individual signing SAPAN POLEPALLE
Role Employer/plan sponsor
Date 2011-03-29
Name of individual signing SAPAN POLEPALLE
TWENTY FIRST CENTURY UROLOGY PLLC DEFINED BENEFIT PLAN 2010 260687655 2011-04-06 TWENTY FIRST CENTURY UROLOGY PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8453465815
Plan sponsor’s address 10 DELL RD, SCARSDALE, NY, 10583

Plan administrator’s name and address
Administrator’s EIN 260687655
Plan administrator’s name TWENTY FIRST CENTURY UROLOGY PLLC
Plan administrator’s address 10 DELL RD, SCARSDALE, NY, 10583
Administrator’s telephone number 8453465815

Signature of
Role Plan administrator
Date 2011-04-06
Name of individual signing SAPAN POLEPALLE
Role Employer/plan sponsor
Date 2011-04-06
Name of individual signing SAPAN POLEPALLE
TWENTY FIRST CENTURY UROLOGY PLLC DEFINED BENEFIT PLAN 2010 260687655 2011-04-06 TWENTY FIRST CENTURY UROLOGY PLLC 1
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8453465815
Plan sponsor’s address 10 DELL RD, SCARSDALE, NY, 10583

Plan administrator’s name and address
Administrator’s EIN 260687655
Plan administrator’s name TWENTY FIRST CENTURY UROLOGY PLLC
Plan administrator’s address 10 DELL RD, SCARSDALE, NY, 10583
Administrator’s telephone number 8453465815

Signature of
Role Plan administrator
Date 2011-04-06
Name of individual signing SAPAN POLEPALLE
Role Employer/plan sponsor
Date 2011-04-06
Name of individual signing SAPAN POLEPALLE

DOS Process Agent

Name Role Address
TWENTY FIRST CENTURY UROLOGY, PLLC DOS Process Agent 1 OAK WAY, SCARSDALE, NY, United States, 10583

History

Start date End date Type Value
2011-09-09 2013-08-07 Address 10 DELL ROAD, SCARSDALE, NY, 10583, USA (Type of address: Service of Process)
2007-08-09 2011-09-09 Address 47 MANSION RIDGE ROAD, MONROE, NY, 10950, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
190819060104 2019-08-19 BIENNIAL STATEMENT 2019-08-01
170918006061 2017-09-18 BIENNIAL STATEMENT 2017-08-01
150804006413 2015-08-04 BIENNIAL STATEMENT 2015-08-01
141202000197 2014-12-02 CERTIFICATE OF PUBLICATION 2014-12-02
130807006426 2013-08-07 BIENNIAL STATEMENT 2013-08-01
110909002576 2011-09-09 BIENNIAL STATEMENT 2011-08-01
090921002118 2009-09-21 BIENNIAL STATEMENT 2009-08-01
070809000320 2007-08-09 ARTICLES OF ORGANIZATION 2007-08-09

Related by officers

No related officers

Related by address

1 OAK WAY, SCARSDALE, NY, United States, 10583

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Date of last update: 27 Nov 2024

Sources: New York Secretary of State

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