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PINE BUSH AGENTS, INC.

Company Details

Name: PINE BUSH AGENTS, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 16 Sep 2011 (13 years ago)
Entity Number: 4143011
County: Orange
Place of Formation: New York
Address: 29 BONIFACE DRIVE, PINE BUSH, NY, United States, 12566
Address ZIP Code: 12566

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
PINE BUSH AGENTS, INC 401(K) PLAN 2023 900761867 2024-10-15 PINE BUSH AGENTS, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-20
Business code 524210
Sponsor’s telephone number 8457443314
Plan sponsor’s address 29 BONIFACE DRIVE, PINE BUSH, NY, 12566

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing JESSICA BENEDICT
Valid signature Filed with authorized/valid electronic signature
PINE BUSH AGENTS, INC 401(K) PLAN 2022 900761867 2023-07-20 PINE BUSH AGENTS, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-20
Business code 524210
Sponsor’s telephone number 8457443314
Plan sponsor’s address 29 BONIFACE DRIVE, PINE BUSH, NY, 12566

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing JESSICA BENEDICT
PINE BUSH AGENTS, INC 401(K) PLAN 2021 900761867 2022-07-13 PINE BUSH AGENTS, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-20
Business code 524210
Sponsor’s telephone number 8457443314
Plan sponsor’s address 29 BONIFACE DRIVE, PINE BUSH, NY, 12566

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing JESSICA BENEDICT
PINE BUSH AGENTS, INC 401(K) PLAN 2020 900761867 2021-08-19 PINE BUSH AGENTS, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-20
Business code 524210
Sponsor’s telephone number 8457443314
Plan sponsor’s address PO BOX 756, PINE BUSH N, NY, 125660756

Signature of
Role Plan administrator
Date 2021-08-19
Name of individual signing JESSICA BENEDICT
PINE BUSH AGENTS, INC 401(K) PLAN 2019 900761867 2020-10-13 PINE BUSH AGENTS, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-20
Business code 524210
Sponsor’s telephone number 8457443314
Plan sponsor’s address PO BOX 756, PINE BUSH N, NY, 125660756

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing JESSICA BENEDICT
PINE BUSH AGENTS, INC 401(K) PLAN 2018 900761867 2019-10-09 PINE BUSH AGENTS, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-20
Business code 524210
Sponsor’s telephone number 8457443314
Plan sponsor’s address PO BOX 756, PINE BUSH N, NY, 125660756

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing JESSICA BENEDICT
PINE BUSH AGENTS, INC 401(K) PLAN 2017 900761867 2018-08-15 PINE BUSH AGENTS, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-20
Business code 524210
Sponsor’s telephone number 8457443314
Plan sponsor’s address PO BOX 756, PINE BUSH N, NY, 125660756

Signature of
Role Plan administrator
Date 2018-08-15
Name of individual signing JESSICA BENEDICT
PINE BUSH AGENTS, INC 401(K) PLAN 2016 900761867 2017-10-13 PINE BUSH AGENTS, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-20
Business code 524210
Sponsor’s telephone number 8457443314
Plan sponsor’s address PO BOX 756, PINE BUSH N, NY, 125660756

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing JESSICA BENEDICT
PINE BUSH AGENTS, INC 401(K) PLAN 2015 900761867 2016-10-03 PINE BUSH AGENTS, INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-20
Business code 524210
Sponsor’s telephone number 8457443314
Plan sponsor’s address PO BOX 756, PINE BUSH N, NY, 125660756

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing TIMOTHY COUGHLIN
Role Employer/plan sponsor
Date 2016-10-03
Name of individual signing TIMOTHY COUGHLIN
PINE BUSH AGENTS, INC 401K PLAN 2014 900761867 2015-07-13 PINE BUSH AGENTS, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-20
Business code 524210
Sponsor’s telephone number 8457443314
Plan sponsor’s address PO BOX 756, PINE BUSH N, NY, 125660756

Signature of
Role Plan administrator
Date 2015-07-13
Name of individual signing JESSICA M BENEDICT
Role Employer/plan sponsor
Date 2015-07-13
Name of individual signing JESSICA M BENEDICT

Chief Executive Officer

Name Role Address
JESSICA M BENEDICT Chief Executive Officer PO BOX 756, 29 BONIFACE DRIVE, PINE BUSH, NY, United States, 12566

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 29 BONIFACE DRIVE, PINE BUSH, NY, United States, 12566

Filings

Filing Number Date Filed Type Effective Date
191002060731 2019-10-02 BIENNIAL STATEMENT 2019-09-01
170907006402 2017-09-07 BIENNIAL STATEMENT 2017-09-01
130913006249 2013-09-13 BIENNIAL STATEMENT 2013-09-01
110916000595 2011-09-16 CERTIFICATE OF INCORPORATION 2011-09-16

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Related by address

No related companies by address

Date of last update: 07 Nov 2024

Sources: New York Secretary of State

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