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  5. PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION, LLC

PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION, LLC

Company Details

Name: PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Oct 2017 (7 years ago)
Entity Number: 5224349
ZIP code: 14202
County: Erie
Place of Formation: New York
Address: 560 Delaware Avenue, Buffalo, NY, United States, 14202

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERSON CENTERED SERVICES CCO, LLC SECTION 125 PLAN 2022 823550571 2024-01-29 PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION LLC 715
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-07-01
Business code 621498
Sponsor’s telephone number 7165600437
Plan sponsor’s mailing address 560 DELAWARE AVE RM 400, BUFFALO, NY, 142021204
Plan sponsor’s address 560 DELAWARE AVE RM 400, BUFFALO, NY, 142021204

Number of participants as of the end of the plan year
Active participants 762

Signature of
Role Plan administrator
Date 2024-01-29
Name of individual signing MICHELLE HOFFMAN
Valid signature Filed with authorized/valid electronic signature
PERSON CENTERED SERVICES CCO, LLC SECTION 125 PLAN 2021 823550571 2023-01-25 PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION LLC 708
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-07-01
Business code 621498
Sponsor’s telephone number 7165600437
Plan sponsor’s mailing address 560 DELAWARE AVE RM 400, BUFFALO, NY, 142021204
Plan sponsor’s address 560 DELAWARE AVE RM 400, BUFFALO, NY, 142021204

Number of participants as of the end of the plan year
Active participants 715

Signature of
Role Plan administrator
Date 2023-01-25
Name of individual signing MICHELLE HOFFMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-01-25
Name of individual signing MICHELLE HOFFMAN
Valid signature Filed with authorized/valid electronic signature
PERSON CENTERED SERVICES CCO, LLC SECTION 125 PLAN 2020 823550571 2022-01-24 PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION LLC 713
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-07-01
Business code 621498
Sponsor’s telephone number 7165600437
Plan sponsor’s mailing address 560 DELAWARE AVE RM 400, BUFFALO, NY, 142021204
Plan sponsor’s address 560 DELAWARE AVE RM 400, BUFFALO, NY, 142021204

Number of participants as of the end of the plan year
Active participants 715
Retired or separated participants receiving benefits 4

Signature of
Role Plan administrator
Date 2022-01-24
Name of individual signing MICHELLE HOFFMAN
Valid signature Filed with authorized/valid electronic signature
PERSON CENTERED SERVICES CCO, LLC SECTION 125 PLAN 2019 823550571 2021-01-18 PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION LLC 706
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-07-01
Business code 621498
Sponsor’s telephone number 7165600437
Plan sponsor’s mailing address 560 DELAWARE AVE RM 400, BUFFALO, NY, 142021204
Plan sponsor’s address 560 DELAWARE AVE RM 400, BUFFALO, NY, 142021204

Number of participants as of the end of the plan year
Active participants 705
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2021-01-18
Name of individual signing CHRISTA DIPIZIO
Valid signature Filed with authorized/valid electronic signature
PERSON CENTERED SERVICES CCO, LLC SECTION 125 PLAN 2018 823550571 2020-04-10 PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION LLC 588
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-07-01
Business code 621498
Sponsor’s telephone number 7165600437
Plan sponsor’s mailing address 560 DELAWARE AVE RM 400, BUFFALO, NY, 142021204
Plan sponsor’s address 560 DELAWARE AVE RM 400, BUFFALO, NY, 142021204

Number of participants as of the end of the plan year
Active participants 713
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2020-04-10
Name of individual signing JOE STEIN
Valid signature Filed with authorized/valid electronic signature
PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION LLC 401(K) PLAN 2018 823550571 2019-09-23 PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 7165600437
Plan sponsor’s address 560 DELAWARE AVENUE, SUITE 400, BUFFALO, NY, 14202

Signature of
Role Plan administrator
Date 2019-09-23
Name of individual signing ELISHA TOMASELLO

DOS Process Agent

Name Role Address
PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION, LLC DOS Process Agent 560 Delaware Avenue, Buffalo, NY, United States, 14202

History

Start date End date Type Value
2023-02-09 2023-10-02 Address 560 Delaware Avenue, Buffalo, NY, 14202, USA (Type of address: Service of Process)
2017-10-26 2023-02-09 Address 1219 N FOREST ROAD, WILLIAMSVILLE, NY, 14221, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231002005433 2023-10-02 BIENNIAL STATEMENT 2023-10-01
230209001739 2023-02-09 BIENNIAL STATEMENT 2021-10-01
200416060412 2020-04-16 BIENNIAL STATEMENT 2019-10-01
180314000517 2018-03-14 CERTIFICATE OF PUBLICATION 2018-03-14
180228000564 2018-02-28 CERTIFICATE OF PUBLICATION 2018-02-28
171026000253 2017-10-26 ARTICLES OF ORGANIZATION 2017-10-26

Related by officers

No related officers

Related by address

560 Delaware Avenue, Buffalo, NY, United States, 14202

PERSON CENTERED SERVICES HOLDING COMPANY, LLC

Date of last update: 23 Nov 2024

Sources: New York Secretary of State

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