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MAXWELL BOEV MEDICAL GROUP, PLLC

Company Details

Name: MAXWELL BOEV MEDICAL GROUP, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 23 Dec 2011 (13 years ago)
Date of dissolution: 31 Jan 2018
Entity Number: 4180557
ZIP code: 14621
County: Monroe
Place of Formation: New York
Address: PARNALL OFFICE BLDG, SUITE 304, 1445 PORTLAND AVE, ROCHESTER, NY, United States, 14621

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAXWELL BOEV MEDICAL GROUP, PLLC 401(K) PLAN 2017 611631960 2018-07-25 MAXWELL BOEV MEDICAL GROUP, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 5855445492
Plan sponsor’s address 1445 PORTLAND AVENUE, SUITE 304, ROCHESTER, NY, 14621

Signature of

Role Plan administrator
Date 2018-07-25
Name of individual signing DANIEL HESPEN
MAXWELL BOEV MEDICAL GROUP, PLLC 401(K) PLAN 2017 611631960 2018-07-25 MAXWELL BOEV MEDICAL GROUP, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 5855445492
Plan sponsor’s address 1445 PORTLAND AVENUE, SUITE 304, ROCHESTER, NY, 14621

Signature of

Role Plan administrator
Date 2018-07-25
Name of individual signing DANIEL HESPEN
MAXWELL BOEV MEDICAL GROUP, PLLC 401(K) PLAN 2016 611631960 2017-09-25 MAXWELL BOEV MEDICAL GROUP, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 5855445492
Plan sponsor’s address 1445 PORTLAND AVENUE, SUITE 304, ROCHESTER, NY, 14621

Signature of

Role Plan administrator
Date 2017-09-25
Name of individual signing DANIEL J HESPEN
MAXWELL BOEV MEDICAL GROUP, PLLC 401(K) PLAN 2015 611631960 2016-07-29 MAXWELL BOEV MEDICAL GROUP, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 5855445492
Plan sponsor’s address 1445 PORTLAND AVENUE, SUITE 304, ROCHESTER, NY, 14621

Signature of

Role Plan administrator
Date 2016-07-29
Name of individual signing DANIEL J HESPEN
MAXWELL BOEV MEDICAL GROUP, PLLC CASH BALANCE PLAN 2014 611631960 2015-07-20 MAXWELL BOEV MEDICAL GROUP, PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 5853427170
Plan sponsor’s address 1445 PORTLAND AVENUE, SUITE 304, ROCHESTER, NY, 14621

Signature of

Role Plan administrator
Date 2015-07-20
Name of individual signing TERRI ROESSER
MAXWELL BOEV MEDICAL GROUP, PLLC 401(K) PLAN 2014 611631960 2015-08-31 MAXWELL BOEV MEDICAL GROUP, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 5855445492
Plan sponsor’s address 1445 PORTLAND AVENUE, SUITE 304, ROCHESTER, NY, 14621

Signature of

Role Plan administrator
Date 2015-08-31
Name of individual signing DANIEL J. HESPEN
MAXWELL BOEV MEDICAL GROUP, PLLC 401(K) PLAN 2013 611631960 2014-07-02 MAXWELL BOEV MEDICAL GROUP, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 5855445492
Plan sponsor’s address 1445 PORTLAND AVENUE, SUITE 304, ROCHESTER, NY, 14621

Signature of

Role Plan administrator
Date 2014-07-02
Name of individual signing TERRI ROESSER
MAXWELL BOEV MEDICAL GROUP, PLLC CASH BALANCE PLAN 2013 611631960 2014-09-30 MAXWELL BOEV MEDICAL GROUP, PLLC 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 5853427170
Plan sponsor’s address 1445 PORTLAND AVENUE, SUITE 304, ROCHESTER, NY, 14621

Signature of

Role Plan administrator
Date 2014-09-30
Name of individual signing TERRI ROESSER
MAXWELL BOEV MEDICAL GROUP, PLLC 401(K) PLAN 2012 611631960 2013-07-30 MAXWELL BOEV MEDICAL GROUP, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 5855445492
Plan sponsor’s address 1445 PORTLAND AVENUE, SUITE 304, ROCHESTER, NY, 14621

Signature of

Role Plan administrator
Date 2013-07-30
Name of individual signing TERRI ROESSER

DOS Process Agent

Name Role Address
ROCHESTER GENERAL HOSPITAL DOS Process Agent PARNALL OFFICE BLDG, SUITE 304, 1445 PORTLAND AVE, ROCHESTER, NY, United States, 14621

Filings

Filing Number Date Filed Type Effective Date
180131000925 2018-01-31 CERTIFICATE OF DISSOLUTION 2018-01-31
120330000184 2012-03-30 CERTIFICATE OF PUBLICATION 2012-03-30
111223000610 2011-12-23 ARTICLES OF ORGANIZATION 2011-12-23

Date of last update: 25 Nov 2024

Sources: New York Secretary of State