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CNY SHAREHOLDER REPRESENTATIVE, INC.

Company Details

Name: CNY SHAREHOLDER REPRESENTATIVE, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 11 Oct 2016 (8 years ago)
Entity Number: 5021407
County: Onondaga
Place of Formation: New York
Address: ROBERT BLACK, 147 AVRIEL DRIVE, FAYETTEVILLE, NY, United States, 13066
Address ZIP Code: 13066

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CNY ANESTHESIA GROUP, P.C. CASH BALANCE PENSION PLAN 2017 814120585 2018-08-15 CNY SHAREHOLDER REPRESENTATIVE, INC. 28
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2010-07-01
Business code 621111
Sponsor’s telephone number 3154707828
Plan sponsor’s address 147 AVRIEL DRIVE, FAYETTEVILLE, NY, 13066

Signature of

Role Plan administrator
Date 2018-08-15
Name of individual signing ROBERT BLACK
CNY ANESTHESIA GROUP, P.C. CASH BALANCE PENSION PLAN 2016 814120585 2017-10-23 CNY SHAREHOLDER REPRESENTATIVE, INC. 28
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2010-07-01
Business code 621111
Sponsor’s telephone number 3154707828
Plan sponsor’s address 147 AVRIEL DRIVE, FAYETTEVILLE, NY, 13066

Signature of

Role Plan administrator
Date 2017-10-23
Name of individual signing ROBERT BLACK

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ROBERT BLACK, 147 AVRIEL DRIVE, FAYETTEVILLE, NY, United States, 13066

Filings

Filing Number Date Filed Type Effective Date
161011000802 2016-10-11 CERTIFICATE OF INCORPORATION 2016-10-11

Date of last update: 05 Nov 2024

Sources: New York Secretary of State