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LETTRICK FAMILY MEDICINE PLLC

Company Details

Name: LETTRICK FAMILY MEDICINE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Jan 2012 (13 years ago)
Entity Number: 4183128
ZIP code: 12061
County: Rensselaer
Place of Formation: New York
Address: 3 BLUE MOUNTAIN TRAIL, EAST GREENBUSH, NY, United States, 12061

Contact Details

Phone +1 518-477-1191

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LETTRICK FAMILY MEDICINE, PLLC SAFE HARBOR 401(K) PLAN 2023 454222056 2024-09-06 LETTRICK FAMILY MEDICINE, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-01
Business code 621111
Sponsor’s telephone number 5184771191
Plan sponsor’s address 2500 POND VIEW SUITE 103, CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2024-09-06
Name of individual signing MICHAEL LETTRICK
Valid signature Filed with authorized/valid electronic signature
LETTRICK FAMILY MEDICINE, PLLC SAFE HARBOR 401(K) PLAN 2022 454222056 2023-08-30 LETTRICK FAMILY MEDICINE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-01
Business code 621111
Sponsor’s telephone number 5184771191
Plan sponsor’s address 2500 POND VIEW SUITE 103, CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2023-08-30
Name of individual signing MICHAEL LETTRICK
LETTRICK FAMILY MEDICINE, PLLC SAFE HARBOR 401(K) PLAN 2021 454222056 2022-09-22 LETTRICK FAMILY MEDICINE, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-01
Business code 621111
Sponsor’s telephone number 5184771191
Plan sponsor’s address 2500 POND VIEW SUITE 103, CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2022-09-22
Name of individual signing MICHAEL LETTRICK
LETTRICK FAMILY MEDICINE, PLLC SAFE HARBOR 401(K) PLAN 2014 454222056 2015-09-21 LETTRICK FAMILY MEDICINE, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-01
Business code 621111
Sponsor’s telephone number 5184771191
Plan sponsor’s mailing address 2500 POND VIEW SUITE 103, CASTLETON, NY, 12033
Plan sponsor’s address 2500 POND VIEW, SUITE 103, CASTLETON, NY, 12033

Number of participants as of the end of the plan year

Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 11
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
LETTRICK FAMILY MEDICINE, PLLC SAFE HARBOR 401(K) PLAN 2013 454222056 2014-07-29 LETTRICK FAMILY MEDICINE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-01
Business code 621111
Sponsor’s telephone number 5184771191
Plan sponsor’s mailing address 2500 POND VIEW SUITE 103, CASTLETON, NY, 12033
Plan sponsor’s address 2500 POND VIEW, SUITE 103, CASTLETON, NY, 12033

Number of participants as of the end of the plan year

Active participants 9
Number of participants with account balances as of the end of the plan year 9

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 3 BLUE MOUNTAIN TRAIL, EAST GREENBUSH, NY, United States, 12061

Filings

Filing Number Date Filed Type Effective Date
140109006166 2014-01-09 BIENNIAL STATEMENT 2014-01-01
120814000526 2012-08-14 CERTIFICATE OF PUBLICATION 2012-08-14
120103000576 2012-01-03 ARTICLES OF ORGANIZATION 2012-01-03

Date of last update: 25 Nov 2024

Sources: New York Secretary of State