Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Jefferson
    4. ›
  4. 13601
    5. ›
  5. PROFESSIONAL PRACTICE MANAGEMENT, INC.

PROFESSIONAL PRACTICE MANAGEMENT, INC.

Company Details

Name: PROFESSIONAL PRACTICE MANAGEMENT, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Inactive
Date of registration: 24 Feb 1984 (41 years ago)
Date of dissolution: 26 Oct 2016
Entity Number: 897063
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: 100 ACADEMY ST., WATERTOWN, NY, United States, 13601
Principal Address: 1116 ARSENAL ST, STE 504, WATERTOWN, NY, United States, 13601

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROFESSIONAL PRACTICE MANAGEMENT INC 401(K) PLAN 2015 161218820 2016-10-11 PROFESSIONAL PRACTICE MANAGEMENT INC 35
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 541600
Sponsor’s telephone number 3157822669
Plan sponsor’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing KERRY A ROBERGE
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing KERRY A ROBERGE
PROFESSIONAL PRACTICE MANAGEMENT INC 401K PLAN 2013 161218820 2014-08-11 PROFESSIONAL PRACTICE MANAGEMENT INC 46
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 541600
Sponsor’s telephone number 3157822669
Plan sponsor’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229

Signature of
Role Plan administrator
Date 2014-08-11
Name of individual signing KERRY A ROBERGE
Role Employer/plan sponsor
Date 2014-08-11
Name of individual signing KERRY A ROBERGE
PROFESSIONAL PRACTICE MANAGEMENT INC 401K PLAN 2012 161218820 2013-07-08 PROFESSIONAL PRACTICE MANAGEMENT INC 48
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 541600
Sponsor’s telephone number 3157822669
Plan sponsor’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229

Signature of
Role Plan administrator
Date 2013-07-08
Name of individual signing KERRY A ROBERGE
Role Employer/plan sponsor
Date 2013-07-08
Name of individual signing KERRY A ROBERGE
PROFESSIONAL PRACTICE MANAGEMENT INC 401K PLAN 2011 161218820 2012-06-21 PROFESSIONAL PRACTICE MANAGEMENT INC 43
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 541600
Sponsor’s telephone number 3157822669
Plan sponsor’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229

Plan administrator’s name and address
Administrator’s EIN 161218820
Plan administrator’s name PROFESSIONAL PRACTICE MANAGEMENT INC
Plan administrator’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229
Administrator’s telephone number 3157822669

Signature of
Role Plan administrator
Date 2012-06-21
Name of individual signing KERRY A ROBERGE
Role Employer/plan sponsor
Date 2012-06-21
Name of individual signing KERRY A ROBERGE
PROFESSIONAL PRACTICE MANAGEMENT INC 401K PLAN 2011 161218820 2012-06-21 PROFESSIONAL PRACTICE MANAGEMENT INC 43
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 541600
Sponsor’s telephone number 3157822669
Plan sponsor’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229

Plan administrator’s name and address
Administrator’s EIN 161218820
Plan administrator’s name PROFESSIONAL PRACTICE MANAGEMENT INC
Plan administrator’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229
Administrator’s telephone number 3157822669

Signature of
Role Plan administrator
Date 2012-06-21
Name of individual signing KERRY A ROBERGE
Role Employer/plan sponsor
Date 2012-06-21
Name of individual signing KERRY A ROBERGE
PROFESSIONAL PRACTICE MANAGEMENT INC 401K PLAN 2011 161218820 2012-06-21 PROFESSIONAL PRACTICE MANAGEMENT INC 43
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 541600
Sponsor’s telephone number 3157822669
Plan sponsor’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229

Plan administrator’s name and address
Administrator’s EIN 161218820
Plan administrator’s name PROFESSIONAL PRACTICE MANAGEMENT INC
Plan administrator’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229
Administrator’s telephone number 3157822669

Signature of
Role Plan administrator
Date 2012-06-21
Name of individual signing KERRY A ROBERGE
Role Employer/plan sponsor
Date 2012-06-21
Name of individual signing KERRY A ROBERGE
PROFESSIONAL PRACTICE MANAGEMENT INC 401K PLAN 2010 161218820 2011-06-22 PROFESSIONAL PRACTICE MANAGEMENT INC 43
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 541600
Sponsor’s telephone number 3157822669
Plan sponsor’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229

Plan administrator’s name and address
Administrator’s EIN 161218820
Plan administrator’s name PROFESSIONAL PRACTICE MANAGEMENT INC
Plan administrator’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229
Administrator’s telephone number 3157822669

Signature of
Role Plan administrator
Date 2011-06-22
Name of individual signing KERRY A ROBERGE
Role Employer/plan sponsor
Date 2011-06-22
Name of individual signing KERRY A ROBERGE
PROFESSIONAL PRACTICE MANAGEMENT INC 401K PLAN 2010 161218820 2011-06-22 PROFESSIONAL PRACTICE MANAGEMENT INC 43
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 541600
Sponsor’s telephone number 3157822669
Plan sponsor’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229

Plan administrator’s name and address
Administrator’s EIN 161218820
Plan administrator’s name PROFESSIONAL PRACTICE MANAGEMENT INC
Plan administrator’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229
Administrator’s telephone number 3157822669

Signature of
Role Plan administrator
Date 2011-06-22
Name of individual signing KERRY A ROBERGE
Role Employer/plan sponsor
Date 2011-06-22
Name of individual signing KERRY A ROBERGE
PROFESSIONAL PRACTICE MANAGEMENT INC 401K PLAN 2009 161218820 2010-07-21 PROFESSIONAL PRACTICE MANAGEMENT INC 31
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 541600
Sponsor’s telephone number 3157822669
Plan sponsor’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229

Plan administrator’s name and address
Administrator’s EIN 161218820
Plan administrator’s name PROFESSIONAL PRACTICE MANAGEMENT INC
Plan administrator’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229
Administrator’s telephone number 3157822669

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing KERRY A ROBERGE
Role Employer/plan sponsor
Date 2010-07-20
Name of individual signing KERRY A ROBERGE
PROFESSIONAL PRACTICE MANAGEMENT INC 401K PLAN 2009 161218820 2010-07-21 PROFESSIONAL PRACTICE MANAGEMENT INC 31
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 541600
Sponsor’s telephone number 3157822669
Plan sponsor’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229

Plan administrator’s name and address
Administrator’s EIN 161218820
Plan administrator’s name PROFESSIONAL PRACTICE MANAGEMENT INC
Plan administrator’s address 1116 ARSENAL ST STE 504, WATERTOWN, NY, 136012229
Administrator’s telephone number 3157822669

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing KERRY A ROBERGE
Role Employer/plan sponsor
Date 2010-07-20
Name of individual signing KERRY A ROBERGE

Chief Executive Officer

Name Role Address
KERRY A. ROBERGE Chief Executive Officer 1116 ARSENAL ST, STE 504, WATERTOWN, NY, United States, 13601

DOS Process Agent

Name Role Address
BROWN & DIERDORF, ATTYS. DOS Process Agent 100 ACADEMY ST., WATERTOWN, NY, United States, 13601

History

Start date End date Type Value
1993-06-03 2010-02-24 Address 161 CLINTON STREET, P.O. BOX 6120, WATERTOWN, NY, 13601, 6120, USA (Type of address: Chief Executive Officer)
1993-06-03 2010-02-24 Address 161 CLINTON STREET, P.O. BOX 6120, WATERTOWN, NY, 13601, 6120, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
DP-2248058 2016-10-26 DISSOLUTION BY PROCLAMATION 2016-10-26
120328002451 2012-03-28 BIENNIAL STATEMENT 2012-02-01
100224002402 2010-02-24 BIENNIAL STATEMENT 2010-02-01
940215002206 1994-02-15 BIENNIAL STATEMENT 1994-02-01
930603002403 1993-06-03 BIENNIAL STATEMENT 1993-02-01
B072604-4 1984-02-24 CERTIFICATE OF INCORPORATION 1984-02-24

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
BPA AWARD DJBMCKHB210230 2008-09-11 2008-09-11 No data
Unique Award Key CONT_AWD_DJBMCKHB210230_1540_DJB20903BPA08004_1540
Awarding Agency Department of Justice
Link View Page

Description
Title RADIOLOGY SERVICES FOR FEDERAL INMATES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient PROFESSIONAL PRACTICE MANAGEMENT, INC
UEI NCPEZKE5E2L7
Legacy DUNS 184453264
Recipient Address UNITED STATES, 1116 ARSENAL ST STE 504, WATERTOWN, 136012229
BPA AWARD DJBMCKHB210217 2008-08-21 2008-08-21 No data
Unique Award Key CONT_AWD_DJBMCKHB210217_1540_DJB20903BPA08004_1540
Awarding Agency Department of Justice
Link View Page

Description
Title RADIOLOGY SERVICES FOR FEDERAL INMATES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient PROFESSIONAL PRACTICE MANAGEMENT, INC
UEI NCPEZKE5E2L7
Legacy DUNS 184453264
Recipient Address UNITED STATES, 1116 ARSENAL ST STE 504, WATERTOWN, 136012229
BPA AWARD DJBMCKHB210216 2008-09-03 2008-09-03 No data
Unique Award Key CONT_AWD_DJBMCKHB210216_1540_DJB20903BPA08004_1540
Awarding Agency Department of Justice
Link View Page

Description
Title RADIOLOGY SERVICES FOR FEDERAL INMATES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient PROFESSIONAL PRACTICE MANAGEMENT, INC
UEI NCPEZKE5E2L7
Legacy DUNS 184453264
Recipient Address UNITED STATES, 1116 ARSENAL ST STE 504, WATERTOWN, 136012229
BPA AWARD DJBMCKHB210210 2008-08-25 2008-08-25 No data
Unique Award Key CONT_AWD_DJBMCKHB210210_1540_DJB20903BPA08004_1540
Awarding Agency Department of Justice
Link View Page

Description
Title RADIOLOGY SERVICES FOR FEDERAL INMATES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient PROFESSIONAL PRACTICE MANAGEMENT, INC
UEI NCPEZKE5E2L7
Legacy DUNS 184453264
Recipient Address UNITED STATES, 1116 ARSENAL ST STE 504, WATERTOWN, 136012229
BPA AWARD DJBMCKHB210207 2008-06-30 2008-06-30 No data
Unique Award Key CONT_AWD_DJBMCKHB210207_1540_DJB20903BPA08004_1540
Awarding Agency Department of Justice
Link View Page

Description
Title RADIOLOGY SERVICES FOR FEDERAL INMATES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient PROFESSIONAL PRACTICE MANAGEMENT, INC
UEI NCPEZKE5E2L7
Legacy DUNS 184453264
Recipient Address UNITED STATES, 1116 ARSENAL ST STE 504, WATERTOWN, 136012229
BPA AWARD DJBMCKHB210181 2008-06-16 2008-06-16 No data
Unique Award Key CONT_AWD_DJBMCKHB210181_1540_DJB20903BPA08004_1540
Awarding Agency Department of Justice
Link View Page

Description
Title RADIOLOGY SERVICES FOR FEDERAL INMATES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient PROFESSIONAL PRACTICE MANAGEMENT, INC
UEI NCPEZKE5E2L7
Legacy DUNS 184453264
Recipient Address UNITED STATES, 1116 ARSENAL ST STE 504, WATERTOWN, 136012229
BPA AWARD DJBMCKHB210177 2008-05-29 2008-05-30 No data
Unique Award Key CONT_AWD_DJBMCKHB210177_1540_DJB20903BPA08004_1540
Awarding Agency Department of Justice
Link View Page

Description
Title RADIOLOGY SERVICES FOR FEDERAL INMATES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient PROFESSIONAL PRACTICE MANAGEMENT, INC
UEI NCPEZKE5E2L7
Legacy DUNS 184453264
Recipient Address UNITED STATES, 1116 ARSENAL ST STE 504, WATERTOWN, 136012229
BPA AWARD DJBMCKHB210168 2008-04-25 2008-04-25 No data
Unique Award Key CONT_AWD_DJBMCKHB210168_1540_DJB20903BPA08004_1540
Awarding Agency Department of Justice
Link View Page

Description
Title RADIOLOGY SERVICES FOR FEDERAL INMATES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient PROFESSIONAL PRACTICE MANAGEMENT, INC
UEI NCPEZKE5E2L7
Legacy DUNS 184453264
Recipient Address UNITED STATES, 1116 ARSENAL ST STE 504, WATERTOWN, 136012229
BPA AWARD DJBMCKHB210159 2008-04-21 2008-04-21 No data
Unique Award Key CONT_AWD_DJBMCKHB210159_1540_DJB20903BPA08004_1540
Awarding Agency Department of Justice
Link View Page

Description
Title RADIOLOGY SERVICES FOR FEDERAL INMATES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient PROFESSIONAL PRACTICE MANAGEMENT, INC
UEI NCPEZKE5E2L7
Legacy DUNS 184453264
Recipient Address UNITED STATES, 1116 ARSENAL ST STE 504, WATERTOWN, 136012229
BPA AWARD DJBMCKHB210163 2008-04-17 2008-04-17 No data
Unique Award Key CONT_AWD_DJBMCKHB210163_1540_DJB20903BPA08004_1540
Awarding Agency Department of Justice
Link View Page

Description
Title RADIOLOGY SERVICES FOR FEDERAL INMATES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient PROFESSIONAL PRACTICE MANAGEMENT, INC
UEI NCPEZKE5E2L7
Legacy DUNS 184453264
Recipient Address UNITED STATES, 1116 ARSENAL ST STE 504, WATERTOWN, 136012229

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 15 Nov 2024

Sources: New York Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 nycompanysearch.com, Part of Big Data Integrated