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  5. FINGER LAKES ORAL SURGERY, PLLC

FINGER LAKES ORAL SURGERY, PLLC

Company Details

Name: FINGER LAKES ORAL SURGERY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Oct 2007 (17 years ago)
Entity Number: 3579599
ZIP code: 14850
County: Tompkins
Place of Formation: New York
Address: 2377 N TRIPHAMMER ROAD, ITHACA, NY, United States, 14850

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FINGER LAKES ORAL SURGERY PLLC CASH BALANCE PLAN 2023 261318201 2024-06-19 FINGER LAKES ORAL SURGERY PLLC 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2018-01-01
Business code 812990
Sponsor’s telephone number 6072668600
Plan sponsor’s address 2377 N. TRIPHAMMER RD., ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2024-06-19
Name of individual signing TIMOTHY BONNIWELL
Role Employer/plan sponsor
Date 2024-06-19
Name of individual signing TIMOTHY BONNIWELL
FINGER LAKES ORAL SURGERY PLLC 401(K) PROFIT SHARING PLAN AND TRUST 2023 261318201 2024-06-18 FINGER LAKES ORAL SURGERY PLLC 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 6072668600
Plan sponsor’s address 2377 N. TRIPHAMMER RD., ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2024-06-18
Name of individual signing TIMOTHY BONNIWELL
Role Employer/plan sponsor
Date 2024-06-18
Name of individual signing TIMOTHY BONNIWELL
FINGER LAKES ORAL SURGERY PLLC CASH BALANCE PLAN 2022 261318201 2023-05-19 FINGER LAKES ORAL SURGERY PLLC 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2018-01-01
Business code 812990
Sponsor’s telephone number 6072668600
Plan sponsor’s address 2377 N. TRIPHAMMER RD., ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2023-05-19
Name of individual signing TIMOTHY BONNIWELL
Role Employer/plan sponsor
Date 2023-05-19
Name of individual signing TIMOTHY BONNIWELL
FINGER LAKES ORAL SURGERY PLLC 401(K) PROFIT SHARING PLAN AND TRUST 2022 261318201 2023-05-19 FINGER LAKES ORAL SURGERY PLLC 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 6072668600
Plan sponsor’s address 2377 N. TRIPHAMMER RD., ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2023-05-19
Name of individual signing TIMOTHY BONNIWELL
Role Employer/plan sponsor
Date 2023-05-19
Name of individual signing TIMOTHY BONNIWELL
FINGER LAKES ORAL SURGERY PLLC CASH BALANCE PLAN 2021 261318201 2022-09-08 FINGER LAKES ORAL SURGERY PLLC 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6072668600
Plan sponsor’s address 2377 N. TRIPHAMMER RD., ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2022-09-08
Name of individual signing TIMOTHY BONNIWELL
Role Employer/plan sponsor
Date 2022-09-08
Name of individual signing TIMOTHY BONNIWELL
FINGER LAKES ORAL SURGERY PLLC 401(K) PROFIT SHARING PLAN AND TRUST 2021 261318201 2022-09-08 FINGER LAKES ORAL SURGERY PLLC 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6072668600
Plan sponsor’s address 2377 N. TRIPHAMMER RD., ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2022-09-08
Name of individual signing TIMOTHY BONNIWELL
Role Employer/plan sponsor
Date 2022-09-08
Name of individual signing TIMOTHY BONNIWELL
FINGER LAKES ORAL SURGERY PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 261318201 2021-04-19 FINGER LAKES ORAL SURGERY PLLC 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6072668600
Plan sponsor’s address 2377 N TRIPHAMMER ROAD, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2021-04-19
Name of individual signing TIMOTHY BONNIWELL
FINGER LAKES ORAL SURGERY PLLC CASH BALANCE PLAN 2020 261318201 2021-06-18 FINGER LAKES ORAL SURGERY PLLC 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6072668600
Plan sponsor’s address 2377 N. TRIPHAMMER RD., ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2021-06-18
Name of individual signing TIMOTHY BONNIWELL
Role Employer/plan sponsor
Date 2021-06-18
Name of individual signing TIMOTHY BONNIWELL
FINGER LAKES ORAL SURGERY PLLC CASH BALANCE PLAN 2019 261318201 2020-04-16 FINGER LAKES ORAL SURGERY PLLC 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2018-01-01
Business code 812990
Sponsor’s telephone number 6072668600
Plan sponsor’s address 2377 N. TRIPHAMMER RD., ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2020-04-16
Name of individual signing TIMOTHY BONNIWELL
Role Employer/plan sponsor
Date 2020-04-16
Name of individual signing TIMOTHY BONNIWELL
FINGER LAKES ORAL SURGERY PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 261318201 2020-07-30 FINGER LAKES ORAL SURGERY PLLC 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6072668600
Plan sponsor’s address 2377 N TRIPHAMMER ROAD, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing TIMOTHY BONNIWELL

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2377 N TRIPHAMMER ROAD, ITHACA, NY, United States, 14850

History

Start date End date Type Value
2007-10-12 2024-04-25 Address 2377 N TRIPHAMMER ROAD, ITHACA, NY, 14850, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240425000308 2024-04-25 BIENNIAL STATEMENT 2024-04-25
191007060134 2019-10-07 BIENNIAL STATEMENT 2019-10-01
171005006453 2017-10-05 BIENNIAL STATEMENT 2017-10-01
151009006104 2015-10-09 BIENNIAL STATEMENT 2015-10-01
150126000653 2015-01-26 CERTIFICATE OF AMENDMENT 2015-01-26
131016007006 2013-10-16 BIENNIAL STATEMENT 2013-10-01
111020002749 2011-10-20 BIENNIAL STATEMENT 2011-10-01
091028002667 2009-10-28 BIENNIAL STATEMENT 2009-10-01
071012000815 2007-10-12 ARTICLES OF ORGANIZATION 2007-10-12

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Date of last update: 09 Nov 2024

Sources: New York Secretary of State

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