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  5. MEDFORD VOLUNTEER AMBULANCE INC.

MEDFORD VOLUNTEER AMBULANCE INC.

Company Details

Name: MEDFORD VOLUNTEER AMBULANCE INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 12 Apr 1979 (46 years ago)
Entity Number: 550804
ZIP code: 11763
County: Suffolk
Place of Formation: New York
Address: ATTN: CHAIR OF THE BOARD, 1005 SIPP AVENUE, MEDFORD, NY, United States, 11763

Contact Details

Phone +1 631-758-3534

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2023 112502233 2024-07-26 MEDFORD VOLUNTEER AMBULANCE INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763

Signature of
Role Plan administrator
Date 2024-07-26
Name of individual signing ROBERT SIMPSON
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2022 112502233 2023-08-18 MEDFORD VOLUNTEER AMBULANCE INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763

Signature of
Role Plan administrator
Date 2023-08-18
Name of individual signing ROBERT SIMPSON
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2021 112502233 2022-04-13 MEDFORD VOLUNTEER AMBULANCE INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2020 112502233 2021-09-02 MEDFORD VOLUNTEER AMBULANCE INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2019 112502233 2020-10-15 MEDFORD VOLUNTEER AMBULANCE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2018 112502233 2019-10-15 MEDFORD VOLUNTEER AMBULANCE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2017 112502233 2018-10-09 MEDFORD VOLUNTEER AMBULANCE INC. 5
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2017 112502233 2019-10-15 MEDFORD VOLUNTEER AMBULANCE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2016 112502233 2017-09-04 MEDFORD VOLUNTEER AMBULANCE INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2015 112502233 2016-10-10 MEDFORD VOLUNTEER AMBULANCE INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: CHAIR OF THE BOARD, 1005 SIPP AVENUE, MEDFORD, NY, United States, 11763

History

Start date End date Type Value
1979-04-12 2011-08-15 Address CAPASSO, 356 MIDDLE COUNTRY RD, CORAM, NY, 11727, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
20180516005 2018-05-16 ASSUMED NAME CORP INITIAL FILING 2018-05-16
110815000660 2011-08-15 CERTIFICATE OF AMENDMENT 2011-08-15
A567416-7 1979-04-12 CERTIFICATE OF INCORPORATION 1979-04-12

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 16 Nov 2024

Sources: New York Secretary of State

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