| Name: | SUFFOLK FAMILY THERAPY LCSW, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 27 Nov 2019 (5 years ago) |
| Entity Number: | 5663754 |
| ZIP code: | 11776 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 2 Mount Sinai Ave S, Port Jefferson Station, NY, United States, 11776 |
| Principal Address: | 2 Mount Sinai S, Port Jeffersn Station, NY, United States, 11776 |
Shares Details
Shares issued 2000
Share Par Value 0.01
Type PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUFFOLK FAMILY THERAPY 401(K) PLAN | 2022 | 843840657 | 2023-10-10 | SUFFOLK FAMILY THERAPY LCSW P.C. | 4 | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2023-10-10 |
| Name of individual signing | JAMIE VOLLMOELLER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-10-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 6315031539 |
| Plan sponsor’s address | 4109 SUNRISE HIGHWAY, BOHEMIA, NY, 11716 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-10 |
| Name of individual signing | JAMIE VOLLMOELLER |
| Name | Role | Address |
|---|---|---|
| JAMIE KRISTEN VOLLMOELLER | Agent | 7 LEHIGH LANE, FARMINGVILLE, NY, 11738 |
| Name | Role | Address |
|---|---|---|
| C/O JAMIE KRISTEN VOLLMOELLER | DOS Process Agent | 2 Mount Sinai Ave S, Port Jefferson Station, NY, United States, 11776 |
| Name | Role | Address |
|---|---|---|
| JAMIE VOLLMOELLER | Chief Executive Officer | 2 MOUNT SINAI AVE S, PORT JEFFERSON STATION, NY, United States, 11776 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2022-04-12 | 2023-11-17 | Shares | Share type: PAR VALUE, Number of shares: 2000, Par value: 0.01 |
| 2019-11-27 | 2022-04-12 | Shares | Share type: PAR VALUE, Number of shares: 2000, Par value: 0.01 |
| 2019-11-27 | 2023-11-17 | Address | 7 LEHIGH LANE, FARMINGVILLE, NY, 11738, USA (Type of address: Registered Agent) |
| 2019-11-27 | 2023-11-17 | Address | 7 LEHIGH LANE, FARMINGVILLE, NY, 11738, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 231117002518 | 2023-11-17 | BIENNIAL STATEMENT | 2023-11-01 |
| 191127000683 | 2019-11-27 | CERTIFICATE OF INCORPORATION | 2019-11-27 |
Date of last update: 21 Nov 2024
Sources: New York Secretary of State
