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  5. CNY SPINE AND PAIN MEDICINE, LLC

CNY SPINE AND PAIN MEDICINE, LLC

Company Details

Name: CNY SPINE AND PAIN MEDICINE, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Feb 2013 (12 years ago)
Entity Number: 4354722
ZIP code: 13090
County: Onondaga
Place of Formation: New York
Address: 7449 MORGAN ROAD, LIVERPOOL, NY, United States, 13090

Contact Details

Phone +1 315-410-7130

Phone +1 315-624-9082

Phone +1 315-451-5400

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CNY SPINE AND PAIN MEDICINE, LLC 401(K) RETIREMENT PLAN 2023 461978290 2024-07-24 CNY SPINE AND PAIN MEDICINE, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154515400
Plan sponsor’s address 7449 MORGAN ROAD, LIVERPOOL, NY, 130903973

Signature of
Role Plan administrator
Date 2024-07-24
Name of individual signing DONN DIEFENBACHER
Role Employer/plan sponsor
Date 2024-07-24
Name of individual signing DONN DIEFENBACHER
CNY SPINE AND PAIN MEDICINE, LLC 401(K) RETIREMENT PLAN 2022 461978290 2023-06-14 CNY SPINE AND PAIN MEDICINE, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154515400
Plan sponsor’s address 7449 MORGAN ROAD, LIVERPOOL, NY, 130903973

Signature of
Role Plan administrator
Date 2023-06-14
Name of individual signing DONN G DIEFENBACHER
Role Employer/plan sponsor
Date 2023-06-14
Name of individual signing DONN G DIEFENBACHER
CNY SPINE AND PAIN MEDICINE, LLC 401(K) RETIREMENT PLAN 2021 461978290 2022-05-10 CNY SPINE AND PAIN MEDICINE, LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154515400
Plan sponsor’s address 7449 MORGAN ROAD, LIVERPOOL, NY, 130903973

Signature of
Role Plan administrator
Date 2022-05-10
Name of individual signing DONN DIEFENBACHER
Role Employer/plan sponsor
Date 2022-05-10
Name of individual signing DONN DIEFENBACHER
CNY SPINE AND PAIN MEDICINE, LLC 401(K) RETIREMENT PLAN 2020 461978290 2021-04-19 CNY SPINE AND PAIN MEDICINE, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154515400
Plan sponsor’s address 7449 MORGAN ROAD, LIVERPOOL, NY, 130903973

Signature of
Role Plan administrator
Date 2021-04-19
Name of individual signing DONN DIEFENBACHER
Role Employer/plan sponsor
Date 2021-04-19
Name of individual signing DONN DIEFENBACHER
CNY SPINE AND PAIN MEDICINE, LLC 401(K) RETIREMENT PLAN 2019 461978290 2020-06-19 CNY SPINE AND PAIN MEDICINE, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154515400
Plan sponsor’s address 7449 MORGAN ROAD, LIVERPOOL, NY, 130903973

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing DONN G DIEFENBACHER
Role Employer/plan sponsor
Date 2020-06-18
Name of individual signing DONN G DIEFENBACHER
CNY SPINE AND PAIN MEDICINE, LLC 401(K) RETIREMENT PLAN 2018 461978290 2019-07-17 CNY SPINE AND PAIN MEDICINE, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154515400
Plan sponsor’s address 7449 MORGAN ROAD, LIVERPOOL, NY, 130903973

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing DONN DIEFENBACHER
Role Employer/plan sponsor
Date 2019-07-16
Name of individual signing DONN DIEFENBACHER
CNY SPINE AND PAIN MEDICINE, LLC 401(K) RETIREMENT PLAN 2017 461978290 2018-06-01 CNY SPINE AND PAIN MEDICINE, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 3154515400
Plan sponsor’s address 7449 MORGAN ROAD, LIVERPOOL, NY, 130903973

Signature of
Role Plan administrator
Date 2018-06-01
Name of individual signing DONN DIEFENBACHER
CNY SPINE AND PAIN MEDICINE, LLC 401(K) RETIREMENT PLAN 2016 461978290 2017-05-08 CNY SPINE AND PAIN MEDICINE, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 3154515400
Plan sponsor’s address 7449 MORGAN ROAD, LIVERPOOL, NY, 130903973

Signature of
Role Plan administrator
Date 2017-05-08
Name of individual signing DONN DIEFENBACHER
CNY SPINE AND PAIN MEDICINE, LLC 401(K) RETIREMENT PLAN 2015 461978290 2016-08-16 CNY SPINE AND PAIN MEDICINE, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 3154515400
Plan sponsor’s address 7449 MORGAN ROAD, LIVERPOOL, NY, 130903973

Signature of
Role Plan administrator
Date 2016-08-16
Name of individual signing DONN DIEFENBACHER

DOS Process Agent

Name Role Address
CNY SPINE AND PAIN MEDICINE, LLC DOS Process Agent 7449 MORGAN ROAD, LIVERPOOL, NY, United States, 13090

History

Start date End date Type Value
2013-02-14 2023-08-20 Address 7449 MORGAN ROAD, LIVERPOOL, NY, 13090, USA (Type of address: Service of Process)
2013-02-01 2013-02-14 Address 8243 TURNSTONE DRIVE, MANLIUS, NY, 13104, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230820000009 2023-08-20 BIENNIAL STATEMENT 2023-02-01
220306000030 2022-03-06 BIENNIAL STATEMENT 2021-02-01
130517001017 2013-05-17 CERTIFICATE OF PUBLICATION 2013-05-17
130214000961 2013-02-14 CERTIFICATE OF AMENDMENT 2013-02-14
130201000969 2013-02-01 ARTICLES OF ORGANIZATION 2013-02-01

Related by officers

No related officers

Related by address

7449 MORGAN ROAD, LIVERPOOL, NY, United States, 13090

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Date of last update: 25 Nov 2024

Sources: New York Secretary of State

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