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BROCKPORT MEDICAL CARE, PLLC

Company Details

Name: BROCKPORT MEDICAL CARE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 31 Jan 2013 (12 years ago)
Entity Number: 4353760
ZIP code: 14420
County: Monroe
Place of Formation: New York
Address: 6565 4TH SECTION ROAD, STE 100, BROCKPORT, NY, United States, 14420

Contact Details

Phone +1 585-391-3988

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROCKPORT MEDICAL CARE PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 461967101 2020-04-24 BROCKPORT MEDICAL CARE PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 5857507568
Plan sponsor’s address 6565 4TH SECTION ROAD, STE 300, BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2020-04-24
Name of individual signing HANY NISSIEM
BROCKPORT MEDICAL CARE PLLC 401 K PROFIT SHARING PLAN TRUST 2018 461967101 2019-08-28 BROCKPORT MEDICAL CARE PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 5857507568
Plan sponsor’s address 6565 4TH SECTION ROAD, STE 300, BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2019-08-28
Name of individual signing HANY NISSIEM
BROCKPORT MEDICAL CARE PLLC 401 K PROFIT SHARING PLAN TRUST 2017 461967101 2019-09-16 BROCKPORT MEDICAL CARE PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 5857507568
Plan sponsor’s address 6565 4TH SECTION ROAD, STE 300, BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2019-09-16
Name of individual signing HANY NISSIEM

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 6565 4TH SECTION ROAD, STE 100, BROCKPORT, NY, United States, 14420

Filings

Filing Number Date Filed Type Effective Date
130430001131 2013-04-30 CERTIFICATE OF PUBLICATION 2013-04-30
130131000466 2013-01-31 ARTICLES OF ORGANIZATION 2013-01-31

Date of last update: 25 Nov 2024

Sources: New York Secretary of State