| Name: | BLACK CREEK ANIMAL CLINIC, LLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 11 Mar 2013 (12 years ago) |
| Entity Number: | 4371992 |
| County: | Oswego |
| Place of Formation: | New York |
| Address: | 2899 COUNTY ROUTE 57, FULTON, NY, United States, 13069 |
| Address ZIP Code: | 13069 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLACK CREEK ANIMAL CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST | 2020 | 462356192 | 2021-05-18 | BLACK CREEK ANIMAL CLINIC LLC | 9 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES |
| Plan administrator’s address | 1373 VETERAN'S MEMORIAL HWY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2021-05-18 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 541940 |
| Sponsor’s telephone number | 3154848430 |
| Plan sponsor’s address | 2899 COUNTY ROUTE 57, FULTON, NY, 13069 |
Signature of
| Role | Plan administrator |
| Date | 2020-04-09 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 541940 |
| Sponsor’s telephone number | 3154848430 |
| Plan sponsor’s address | 2899 COUNTY ROUTE 57, FULTON, NY, 13069 |
Signature of
| Role | Plan administrator |
| Date | 2019-04-23 |
| Name of individual signing | ERISA FIDUCIARY SERVICES, INC |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 541940 |
| Sponsor’s telephone number | 3154848430 |
| Plan sponsor’s address | 2899 COUNTY ROUTE 57, FULTON, NY, 13069 |
Signature of
| Role | Plan administrator |
| Date | 2019-04-23 |
| Name of individual signing | ERISA FIDUCIARY SERVICES, INC |
| Name | Role | Address |
|---|---|---|
| THE LLC | DOS Process Agent | 2899 COUNTY ROUTE 57, FULTON, NY, United States, 13069 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 130617000031 | 2013-06-17 | CERTIFICATE OF PUBLICATION | 2013-06-17 |
| 130311000803 | 2013-03-11 | ARTICLES OF ORGANIZATION | 2013-03-11 |
Date of last update: 07 Nov 2024
Sources: New York Secretary of State
