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FAN MEDICINE CONSULTANT, PLLC

Company Details

Name: FAN MEDICINE CONSULTANT, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Apr 2012 (13 years ago)
Entity Number: 4234915
ZIP code: 10304
County: Richmond
Place of Formation: New York
Address: 35 LAURIE COURT, STATEN ISLAND, NY, United States, 10304

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAN MEDICINE CONSULTANT, PLLC DEFINED BENEFIT PLAN 2020 462532534 2021-04-02 FAN MEDICINE CONSULTANT, PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6109557793
Plan sponsor’s address 35 LAURIE COURT, STATEN ISLAND, NY, 10304

Signature of

Role Plan administrator
Date 2021-04-02
Name of individual signing DAPENG FAN
Role Employer/plan sponsor
Date 2021-04-02
Name of individual signing DAPENG FAN
FAN MEDICINE CONSULTANT, PLLC DEFINED BENEFIT PLAN 2019 462532534 2020-06-17 FAN MEDICINE CONSULTANT, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6109557793
Plan sponsor’s address 35 LAURIE COURT, STATEN ISLAND, NY, 10304

Signature of

Role Plan administrator
Date 2020-06-17
Name of individual signing DAPENG FAN
Role Employer/plan sponsor
Date 2020-06-17
Name of individual signing DAPENG FAN

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 35 LAURIE COURT, STATEN ISLAND, NY, United States, 10304

Filings

Filing Number Date Filed Type Effective Date
200527060377 2020-05-27 BIENNIAL STATEMENT 2020-04-01
160405006897 2016-04-05 BIENNIAL STATEMENT 2016-04-01
140409006096 2014-04-09 BIENNIAL STATEMENT 2014-04-01
120810001015 2012-08-10 CERTIFICATE OF PUBLICATION 2012-08-10
120423000680 2012-04-23 ARTICLES OF ORGANIZATION 2012-04-23

Date of last update: 25 Nov 2024

Sources: New York Secretary of State