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TWIN FORKS OPTOMETRY PLLC

Company Details

Name: TWIN FORKS OPTOMETRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 May 2015 (9 years ago)
Entity Number: 4765985
County: Suffolk
Place of Formation: New York
Address: 662 MAIN STREET, PORT JEFFERSON, NY, United States, 11777
Address ZIP Code: 11777

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TWIN FORKS OPTOMETRY PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 474137824 2024-04-05 TWIN FORKS OPTOMETRY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154397518
Plan sponsor’s address 25 CRANBERRY ST, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2024-04-05
Name of individual signing JESSICA LICAUSI
TWIN FORKS OPTOMETRY PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 474137824 2023-04-11 TWIN FORKS OPTOMETRY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154397518
Plan sponsor’s address 25 CRANBERRY ST, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2023-04-11
Name of individual signing JESSICA LICAUSI
TWIN FORKS OPTOMETRY PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 474137824 2022-04-01 TWIN FORKS OPTOMETRY PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154397518
Plan sponsor’s address 25 CRANBERRY ST, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2022-04-01
Name of individual signing JESSICA LICAUSI
TWIN FORKS OPTOMETRY PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 474137824 2021-04-02 TWIN FORKS OPTOMETRY PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154397518
Plan sponsor’s address 25 CRANBERRY ST, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2021-04-02
Name of individual signing JESSICA LICAUSI
TWIN FORKS OPTOMETRY PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 474137824 2020-04-10 TWIN FORKS OPTOMETRY PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154397518
Plan sponsor’s address 25 CRANBERRY ST, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2020-04-10
Name of individual signing JESSICA LICAUSI
TWIN FORKS OPTOMETRY PLLC 401 K PROFIT SHARING PLAN TRUST 2018 474137824 2019-03-22 TWIN FORKS OPTOMETRY PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154397518
Plan sponsor’s address 25 CRANBERRY ST, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2019-03-22
Name of individual signing JESSICA FULMER
TWIN FORKS OPTOMETRY PLLC 401 K PROFIT SHARING PLAN TRUST 2017 474137824 2018-05-04 TWIN FORKS OPTOMETRY PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154397518
Plan sponsor’s address 25 CRANBERRY ST, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2018-05-04
Name of individual signing JESSICA FULMER
TWIN FORKS OPTOMETRY PLLC 401 K PROFIT SHARING PLAN TRUST 2016 474137824 2017-05-15 TWIN FORKS OPTOMETRY PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154397518
Plan sponsor’s address 25 CRANBERRY ST, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing JESSICA FULMER
TWIN FORKS OPTOMETRY PLLC 401 K PROFIT SHARING PLAN TRUST 2015 474137824 2016-07-05 TWIN FORKS OPTOMETRY PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3154397518
Plan sponsor’s address 25 CRANBERRY ST, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing JESSICA FULMER

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 662 MAIN STREET, PORT JEFFERSON, NY, United States, 11777

Filings

Filing Number Date Filed Type Effective Date
150529000041 2015-05-29 ARTICLES OF ORGANIZATION 2015-05-29

Related by officers

THE LLC

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Related by address

662 MAIN STREET, PORT JEFFERSON, NY, United States, 11777

Z & Z CONSTRUCTION CORP. NATIONAL FOOTBALL SEPCIALISTS INC. CREDIT CARD SECURITY CHECK INC. J-DAVE'S CAFE LTD. PICCOLINO REALTY CORP. OLD MILL INN OF MATTITUCK INC. 3603 MERRICK CORP. UNITED DISTRIBUTORS OF SUFFOLK INC. AAA AUTHORIZED T.V. SERVICE, INC.

Date of last update: 06 Nov 2024

Sources: New York Secretary of State

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