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SYRACUSE PLASTIC SURGERY PLLC

Company Details

Name: SYRACUSE PLASTIC SURGERY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 18 Nov 2019 (5 years ago)
Entity Number: 5657865
ZIP code: 13066
County: Onondaga
Place of Formation: New York
Address: 6810 HOLLISTON CIRCLE, FAYETTEVILLE, NY, United States, 13066

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SYRACUSE PLASTIC SURGERY, PLLC EMPLOYEES' DEFINED BENEFIT PLAN AND TRUST 2023 843713796 2024-09-19 SYRACUSE PLASTIC SURGERY, PLLC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3152995313
Plan sponsor’s address 3107 EAST GENESEE STREET, SYRACUSE, NY, 13224

Signature of

Role Plan administrator
Date 2024-09-19
Name of individual signing DEAN DEROBERTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-19
Name of individual signing DEAN DEROBERTS
Valid signature Filed with authorized/valid electronic signature
SYRACUSE PLASTIC SURGERY, PLLC EMPLOYEES' PROFIT SHARING PLAN & TRUST 2023 843713796 2024-09-19 SYRACUSE PLASTIC SURGERY, PLLC 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3152995313
Plan sponsor’s address 3107 EAST GENESEE STREET, SYRACUSE, NY, 13224

Signature of

Role Plan administrator
Date 2024-09-19
Name of individual signing DEAN DEROBERTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-19
Name of individual signing DEAN DEROBERTS
Valid signature Filed with authorized/valid electronic signature
SYRACUSE PLASTIC SURGERY, PLLC EMPLOYEES' PROFIT SHARING PLAN & TRUST 2022 843713796 2023-07-17 SYRACUSE PLASTIC SURGERY, PLLC 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3152995313
Plan sponsor’s address 3107 EAST GENESEE STREET, SYRACUSE, NY, 13224

Signature of

Role Plan administrator
Date 2023-07-17
Name of individual signing DEAN DEROBERTS
Role Employer/plan sponsor
Date 2023-07-17
Name of individual signing DEAN DEROBERTS
SYRACUSE PLASTIC SURGERY, PLLC EMPLOYEES' DEFINED BENEFIT PLAN AND TRUST 2022 843713796 2023-07-17 SYRACUSE PLASTIC SURGERY, PLLC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3152995313
Plan sponsor’s address 3107 EAST GENESEE STREET, SYRACUSE, NY, 13224

Signature of

Role Plan administrator
Date 2023-07-17
Name of individual signing DEAN DEROBERTS
Role Employer/plan sponsor
Date 2023-07-17
Name of individual signing DEAN DEROBERTS
SYRACUSE PLASTIC SURGERY, PLLC EMPLOYEES' PROFIT SHARING PLAN & TRUST 2021 843713796 2022-09-30 SYRACUSE PLASTIC SURGERY, PLLC 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3152995313
Plan sponsor’s address 3107 EAST GENESEE STREET, SYRACUSE, NY, 13224

Signature of

Role Plan administrator
Date 2022-09-30
Name of individual signing DEAN DEROBERTS
Role Employer/plan sponsor
Date 2022-09-30
Name of individual signing DEAN DEROBERTS
SYRACUSE PLASTIC SURGERY, PLLC EMPLOYEES' DEFINED BENEFIT PLAN AND TRUST 2021 843713796 2022-09-30 SYRACUSE PLASTIC SURGERY, PLLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3152995313
Plan sponsor’s address 3107 EAST GENESEE STREET, SYRACUSE, NY, 13224

Signature of

Role Plan administrator
Date 2022-09-30
Name of individual signing DEAN DEROBERTS
Role Employer/plan sponsor
Date 2022-09-30
Name of individual signing DEAN DEROBERTS

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 6810 HOLLISTON CIRCLE, FAYETTEVILLE, NY, United States, 13066

Filings

Filing Number Date Filed Type Effective Date
200316000784 2020-03-16 CERTIFICATE OF PUBLICATION 2020-03-16
191118000601 2019-11-18 ARTICLES OF ORGANIZATION 2019-11-18

Date of last update: 21 Nov 2024

Sources: New York Secretary of State