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  5. CATSKILL ADULT & PEDIATRIC MEDICINE, PLLC

CATSKILL ADULT & PEDIATRIC MEDICINE, PLLC

Company Details

Name: CATSKILL ADULT & PEDIATRIC MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Aug 2007 (17 years ago)
Entity Number: 3555824
ZIP code: 12701
County: Sullivan
Place of Formation: New York
Address: 64 JEFFERSON STREET, STE 2, MONTICELLO, NY, United States, 12701

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CATSKILL ADULT & PEDIATRIC MEDICINE 401K PLAN 2015 260728679 2016-01-04 CATSKILL ADULT & PEDIATRIC MEDICINE, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Plan sponsor’s address 64 JEFFERSON STREET, SUITE 2, MONTICELLO, NY, 12701

Signature of
Role Plan administrator
Date 2016-01-04
Name of individual signing JEFFREY WEINSTEIN
CATSKILL ADULT & PEDIATRIC MEDICINE 401K PLAN 2014 260728679 2015-05-28 CATSKILL ADULT & PEDIATRIC MEDICINE PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8457916400
Plan sponsor’s address 64 JEFFERSON ST, SUITE 2, MONTICELLO, NY, 12701

Signature of
Role Plan administrator
Date 2015-05-28
Name of individual signing JEFFREY WEINSTEIN
CATSKILL ADULT & PEDIATRIC MEDICINE 401K PLAN 2013 260728679 2014-05-08 CATSKILL ADULT & PEDIATRIC MEDICINE PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8457916400
Plan sponsor’s address 64 JEFFERSON ST, SUITE 2, MONTICELLO, NY, 12701

Signature of
Role Plan administrator
Date 2014-05-08
Name of individual signing JEFFREY WEINSTEIN
CATSKILL ADULT & PEDIATRIC MEDICINE 401K PLAN 2012 260728679 2013-04-12 CATSKILL ADULT & PEDIATRIC MEDICINE PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8457916400
Plan sponsor’s address 64 JEFFERSON ST, SUITE 2, MONTICELLO, NY, 12701

Signature of
Role Plan administrator
Date 2013-04-10
Name of individual signing JEFFREY WEINSTEIN
CATSKILL ADULT & PEDIATRIC MEDICINE 401K PLAN 2011 260728679 2012-05-15 CATSKILL ADULT & PEDIATRIC MEDICINE PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8457916400
Plan sponsor’s address 64 JEFFERSON ST, SUITE 2, MONTICELLO, NY, 12701

Plan administrator’s name and address
Administrator’s EIN 260728679
Plan administrator’s name CATSKILL ADULT & PEDIATRIC MEDICINE PLLC
Plan administrator’s address 64 JEFFERSON ST, SUITE 2, MONTICELLO, NY, 12701
Administrator’s telephone number 8457916400

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing JEFFREY WEINSTEIN
CATSKILL ADULT & PEDIATRIC MEDICINE 401K PLAN 2010 260728679 2011-02-14 CATSKILL ADULT & PEDIATRIC MEDICINE PLLC 4
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8457916400
Plan sponsor’s address 64 JEFFERSON ST, SUITE 2, MONTICELLO, NY, 12701

Plan administrator’s name and address
Administrator’s EIN 260728679
Plan administrator’s name CATSKILL ADULT & PEDIATRIC MEDICINE PLLC
Plan administrator’s address 64 JEFFERSON ST, SUITE 2, MONTICELLO, NY, 12701
Administrator’s telephone number 8457916400

Signature of
Role Employer/plan sponsor
Date 2011-02-14
Name of individual signing JILL BURNS
CATSKILL ADULT & PEDIATRIC MEDICINE 401K PLAN 2010 260728679 2011-02-15 CATSKILL ADULT & PEDIATRIC MEDICINE PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8457916400
Plan sponsor’s address 64 JEFFERSON ST, SUITE 2, MONTICELLO, NY, 12701

Plan administrator’s name and address
Administrator’s EIN 260728679
Plan administrator’s name CATSKILL ADULT & PEDIATRIC MEDICINE PLLC
Plan administrator’s address 64 JEFFERSON ST, SUITE 2, MONTICELLO, NY, 12701
Administrator’s telephone number 8457916400

Signature of
Role Plan administrator
Date 2011-02-14
Name of individual signing JILL BURNS

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 64 JEFFERSON STREET, STE 2, MONTICELLO, NY, United States, 12701

Filings

Filing Number Date Filed Type Effective Date
130826002119 2013-08-26 BIENNIAL STATEMENT 2013-08-01
110819002593 2011-08-19 BIENNIAL STATEMENT 2011-08-01
090731002426 2009-07-31 BIENNIAL STATEMENT 2009-08-01
080208001018 2008-02-08 CERTIFICATE OF PUBLICATION 2008-02-08
070814000545 2007-08-14 ARTICLES OF ORGANIZATION 2007-08-14

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Date of last update: 27 Nov 2024

Sources: New York Secretary of State

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