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  5. PRIME CARE COORDINATION, LLC

PRIME CARE COORDINATION, LLC

Company Details

Name: PRIME CARE COORDINATION, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Dec 2016 (8 years ago)
Entity Number: 5054920
ZIP code: 14580
County: Monroe
Place of Formation: New York
Address: C/O EXECUTIVE OFFICE, 860 HARD ROAD, WEBSTER, NY, United States, 14580

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIME CARE COORDINATION, LLC SECTION 105 PLAN HEALTH REIMBURSEMENT ARRANGEMENT 2021 821094163 2022-12-13 PRIME CARE COORDINATION, LLC 237
File View Page
Three-digit plan number (PN) 525
Effective date of plan 2018-06-01
Business code 624100
Sponsor’s telephone number 5853471208
Plan sponsor’s mailing address 860 HARD RD, WEBSTER, NY, 145808825
Plan sponsor’s address 860 HARD RD, WEBSTER, NY, 145808825

Number of participants as of the end of the plan year
Active participants 237

Signature of
Role Plan administrator
Date 2022-12-08
Name of individual signing JUDY CONSADINE
Valid signature Filed with authorized/valid electronic signature
PRIME CARE COORDINATION, LLC WELFARE BENEFITS PLAN 2021 821094163 2022-12-13 PRIME CARE COORDINATION, LLC 371
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-06-01
Business code 624100
Sponsor’s telephone number 5853471208
Plan sponsor’s mailing address 860 HARD RD, WEBSTER, NY, 145808825
Plan sponsor’s address 860 HARD RD, WEBSTER, NY, 145808825

Number of participants as of the end of the plan year
Active participants 374

Signature of
Role Plan administrator
Date 2022-12-08
Name of individual signing JUDY CONSADINE
Valid signature Filed with authorized/valid electronic signature
PRIME CARE COORDINATION, LLC FLEXIBLE BENEFITS PLAN 2021 821094163 2022-12-13 PRIME CARE COORDINATION, LLC 202
File View Page
Three-digit plan number (PN) 520
Effective date of plan 2018-06-01
Business code 624100
Sponsor’s telephone number 5853471208
Plan sponsor’s mailing address 860 HARD RD, WEBSTER, NY, 145808825
Plan sponsor’s address 860 HARD RD, WEBSTER, NY, 145808825

Number of participants as of the end of the plan year
Active participants 119

Signature of
Role Plan administrator
Date 2022-12-08
Name of individual signing JUDY CONSADINE
Valid signature Filed with authorized/valid electronic signature
ETF ADVISOR K MEP PRIME CARE COORDINATION, LLC 2019 821094163 2021-10-15 PRIME CARE COORDINATION, LLC 89
File View Page
Three-digit plan number (PN) 336
Effective date of plan 2017-07-01
Business code 624100
Sponsor’s telephone number 5852084159
Plan sponsor’s address 860 HARD ROAD, WEBSTER, NY, 14580

Plan administrator’s name and address
Administrator’s EIN 813799174
Plan administrator’s name FIDUCIARY WISE
Plan administrator’s address 2487 S. GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295
Administrator’s telephone number 4808554017

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing KRISTI DALLEY
ETF ADVISOR K MEP PRIME CARE COORDINATION, LLC 2019 821094163 2020-10-11 PRIME CARE COORDINATION, LLC 89
Three-digit plan number (PN) 336
Effective date of plan 2017-07-01
Business code 624100
Sponsor’s telephone number 5852084159
Plan sponsor’s address 860 HARD ROAD, WEBSTER, NY, 14580

Plan administrator’s name and address
Administrator’s EIN 813799174
Plan administrator’s name FIDUCIARY WISE
Plan administrator’s address 2487 S. GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295
Administrator’s telephone number 4808554017

Signature of
Role Plan administrator
Date 2020-10-11
Name of individual signing KRISTI DALLEY
ETF ADVISOR K MEP PRIME CARE COORDINATION, LLC 2018 821094163 2019-06-17 PRIME CARE COORDINATION, LLC 5
File View Page
Three-digit plan number (PN) 336
Effective date of plan 2017-07-01
Business code 624100
Sponsor’s telephone number 5852084159
Plan sponsor’s address 860 HARD ROAD, WEBSTER, NY, 14580

Plan administrator’s name and address
Administrator’s EIN 813799174
Plan administrator’s name FIDUCIARY WISE
Plan administrator’s address 2487 S. GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295
Administrator’s telephone number 4808554017

Signature of
Role Plan administrator
Date 2019-06-17
Name of individual signing KRISTI DALLEY

DOS Process Agent

Name Role Address
PRIME CARE COORDINATION, LLC DOS Process Agent C/O EXECUTIVE OFFICE, 860 HARD ROAD, WEBSTER, NY, United States, 14580

History

Start date End date Type Value
2017-05-16 2017-08-21 Name CARE COORDINATION PARTNERS OF NEW YORK, LLC
2017-04-04 2017-05-16 Name CARE COORDINATION PARTNERS OF UPSTATE NEW YORK, LLC
2016-12-19 2017-04-04 Name ICARE COORDINATION, LLC
2016-12-19 2020-03-19 Address C/O EXECUTIVE OFFICE, 860 HARD ROAD, WEBSTER, NY, 14580, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211213000843 2021-12-13 BIENNIAL STATEMENT 2021-12-13
200319060288 2020-03-19 BIENNIAL STATEMENT 2018-12-01
170821000528 2017-08-21 CERTIFICATE OF AMENDMENT 2017-08-21
170516000556 2017-05-16 CERTIFICATE OF AMENDMENT 2017-05-16
170404000615 2017-04-04 CERTIFICATE OF AMENDMENT 2017-04-04
170216000707 2017-02-16 CERTIFICATE OF PUBLICATION 2017-02-16
161219010332 2016-12-19 ARTICLES OF ORGANIZATION 2016-12-19

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Nov 2024

Sources: New York Secretary of State

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