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ELLEN MELLOW MD, PLLC

Company Details

Name: ELLEN MELLOW MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Jan 2021 (4 years ago)
Entity Number: 5926378
ZIP code: 10021
County: New York
Place of Formation: New York
Address: 530 EAST 76TH STREET, APT. 18A, NEW YORK, NY, United States, 10021

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELLEN MELLOW MD 401(K) PROFIT SHARING PLAN AND TRUST 2018 133896309 2019-03-29 ELLEN MELLOW, MD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2128384114
Plan sponsor’s address 110 E 59TH STREET SUITE 10B, NEW YORK, NY, 10022

Signature of

Role Plan administrator
Date 2019-03-29
Name of individual signing ELLEN MELLOW
ELLEN MELLOW MD 401K PSP AND TRUST 2017 133896309 2018-07-05 ELLEN MELLOW MD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2128380099
Plan sponsor’s address 110 E 59TH ST FL 10B, NEW YORK, NY, 100222221

Signature of

Role Plan administrator
Date 2018-07-05
Name of individual signing ELLEN MELLOW
ELLEN MELLOW MD 401K PSP AND TRUST 2016 133896309 2017-07-30 ELLEN MELLOW MD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9172575602
Plan sponsor’s address 110 E 59TH ST FL 10B, NEW YORK, NY, 100221365

Signature of

Role Plan administrator
Date 2017-07-30
Name of individual signing ELLEN MELLOW
ELLEN MELLOW MD 401K PSP AND TRUST 2015 133896309 2016-07-17 ELLEN MELLOW MD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9172575602
Plan sponsor’s address 110 E 59TH ST FL 10B, NEW YORK, NY, 100221365

Signature of

Role Plan administrator
Date 2016-07-17
Name of individual signing ELLEN MELLOW
ELLEN MELLOW MD 401K PSP AND TRUST 2014 133896309 2015-07-29 ELLEN MELLOW MD 6
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9172575602
Plan sponsor’s address 110 E 59TH ST FL 10B, NEW YORK, NY, 100221365

Signature of

Role Plan administrator
Date 2015-07-28
Name of individual signing ELLEN MELLOW
ELLEN MELLOW MD 401K PSP AND TRUST 2013 133896309 2014-07-22 ELLEN MELLOW MD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9172575602
Plan sponsor’s address 110 E 59TH ST FL 10B, NEW YORK, NY, 100221365

Signature of

Role Plan administrator
Date 2014-07-22
Name of individual signing ELLEN MELLOW
ELLEN MELLOW MD 401K PSP AND TRUST 2012 133896309 2013-07-24 ELLEN MELLOW MD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9172575602
Plan sponsor’s address 110 E 59TH ST FL 10B, ATTN ZHIBIN LI, NEW YORK, NY, 100221365

Signature of

Role Plan administrator
Date 2013-07-24
Name of individual signing ELLEN MELLOW
ELLEN MELLOW MD 401K PSP AND TRUST 2011 133896309 2012-07-20 ELLEN MELLOW MD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2128384114
Plan sponsor’s address 110 E 59TH ST FL 10B, ATTN ZHIBIN LI, NEW YORK, NY, 100221365

Plan administrator’s name and address

Administrator’s EIN 133896309
Plan administrator’s name ELLEN MELLOW MD
Plan administrator’s address 110 E 59TH ST FL 10B, ATTN ZHIBIN LI, NEW YORK, NY, 100221365
Administrator’s telephone number 2128384114

Signature of

Role Plan administrator
Date 2012-07-20
Name of individual signing ZHIBIN LI
ELLEN MELLOW MD 401(K) PROFIT SHARING PLAN AND TRUST 2010 133896309 2011-10-17 ELLEN MELLOW, MD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2128384114
Plan sponsor’s address 110 E 59TH STREET SUITE 10B, NEW YORK, NY, 10022

Plan administrator’s name and address

Administrator’s EIN 133896309
Plan administrator’s name ELLEN MELLOW, MD
Plan administrator’s address 110 E 59TH STREET SUITE 10B, NEW YORK, NY, 10022
Administrator’s telephone number 2128384114

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing ELLEN MELLOW

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 530 EAST 76TH STREET, APT. 18A, NEW YORK, NY, United States, 10021

Filings

Filing Number Date Filed Type Effective Date
210428000103 2021-04-28 CERTIFICATE OF PUBLICATION 2021-04-28
210126000168 2021-01-26 ARTICLES OF ORGANIZATION 2021-01-26

Date of last update: 21 Nov 2024

Sources: New York Secretary of State