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W. BRUCE CLARK, M.D., P.C.

Company Details

Name: W. BRUCE CLARK, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Nov 1984 (40 years ago)
Entity Number: 956321
County: Albany
Place of Formation: New York
Address: 585 NEW LOUDON RD, LATHAM, NY, United States, 12110
Address ZIP Code: 12110

Contact Details

Phone +1 518-783-1472

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
W. BRUCE CLARK M.D. 401(K) PROFIT SHARING PLAN 2022 141659231 2023-10-30 W. BRUCE CLARK, M.D., P.C. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 5187831472
Plan sponsor’s address 585 NEW LOUDON ROAD, LATHAM, NY, 12110

Signature of
Role Plan administrator
Date 2023-10-30
Name of individual signing AMY SAVARIA
W. BRUCE CLARK , M.D. 401(K) PROFIT SHARING PLAN 2021 141659231 2022-12-19 W. BRUCE CLARK, M.D., P.C. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 5187831472
Plan sponsor’s address 585 NEW LOUDON ROAD, LATHAM, NY, 12110

Signature of
Role Plan administrator
Date 2022-12-19
Name of individual signing AMY SAVARIA
W. BRUCE CLARK , M.D. 401(K) PROFIT SHARING PLAN 2020 141659231 2022-05-20 W. BRUCE CLARK, M.D., P.C. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 5187831472
Plan sponsor’s address 585 NEW LOUDON ROAD, LATHAM, NY, 12110

Signature of
Role Plan administrator
Date 2022-05-20
Name of individual signing AMY SAVARIA
W. BRUCE CLARK , M.D. 401(K) PROFIT SHARING PLAN 2019 141659231 2021-08-18 W. BRUCE CLARK, M.D., P.C. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 5187831472
Plan sponsor’s address 585 NEW LOUDON ROAD, LATHAM, NY, 12110

Signature of
Role Plan administrator
Date 2021-08-18
Name of individual signing AMY SAVARIA
W. BRUCE CLARK , M.D. 401(K) PROFIT SHARING PLAN 2018 141659231 2020-07-14 W. BRUCE CLARK, M.D., P.C. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 5187831472
Plan sponsor’s address 585 NEW LOUDON ROAD, LATHAM, NY, 12110

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing AMY SAVARIA
W. BRUCE CLARK , M.D. 401(K) PROFIT SHARING PLAN 2017 141659231 2018-12-13 W. BRUCE CLARK, M.D., P.C. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 5187831472
Plan sponsor’s address 585 NEW LOUDON ROAD, LATHAM, NY, 12110

Signature of
Role Plan administrator
Date 2018-12-13
Name of individual signing AMY SAVARIA
W. BRUCE CLARK , M.D. 401(K) PROFIT SHARING PLAN 2016 141659231 2018-03-20 W. BRUCE CLARK, M.D., P.C. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 5187831472
Plan sponsor’s address 585 NEW LOUDON ROAD, LATHAM, NY, 12110

Signature of
Role Plan administrator
Date 2018-03-20
Name of individual signing AMY SAVARIA
W. BRUCE CLARK , M.D. 401(K) PROFIT SHARING PLAN 2015 141659231 2016-12-03 W. BRUCE CLARK, M.D., P.C. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 5187831472
Plan sponsor’s address 585 NEW LOUDON ROAD, LATHAM, NY, 12110

Signature of
Role Plan administrator
Date 2016-12-03
Name of individual signing W. BRUCE
W. BRUCE CLARK , M.D. 401(K) PROFIT SHARING PLAN 2014 141659231 2016-04-11 W. BRUCE CLARK, M.D., P.C. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 5187831472
Plan sponsor’s address 585 NEW LOUDON ROAD, LATHAM, NY, 12110

Signature of
Role Plan administrator
Date 2016-04-11
Name of individual signing W. BRUCE CLARK
W. BRUCE CLARK, M.D. 401(K) PROFIT SHARING PLAN 2014 141659231 2015-07-27 W. BRUCE CLARK, M.D., P.C. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 5187831472
Plan sponsor’s address 585 NEW LOUDON ROAD, LATHAM, NY, 12110

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing W. BRUCE CLARK

DOS Process Agent

Name Role Address
W. BRUCE CLARK, MD DOS Process Agent 585 NEW LOUDON RD, LATHAM, NY, United States, 12110

Chief Executive Officer

Name Role Address
W. BRUCE CLARK, MD Chief Executive Officer 585 NEW LOUDON RD, LATHAM, NY, United States, 12110

History

Start date End date Type Value
1984-11-13 1992-11-20 Address 623 NEW LOUDON RD., LATHAM, NY, 12110, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
221110000193 2022-11-10 BIENNIAL STATEMENT 2022-11-01
161102007112 2016-11-02 BIENNIAL STATEMENT 2016-11-01
141103007965 2014-11-03 BIENNIAL STATEMENT 2014-11-01
121109006175 2012-11-09 BIENNIAL STATEMENT 2012-11-01
101117003153 2010-11-17 BIENNIAL STATEMENT 2010-11-01
081104002968 2008-11-04 BIENNIAL STATEMENT 2008-11-01
061107002478 2006-11-07 BIENNIAL STATEMENT 2006-11-01
041209002966 2004-12-09 BIENNIAL STATEMENT 2004-11-01
021016002101 2002-10-16 BIENNIAL STATEMENT 2002-11-01
001106002596 2000-11-06 BIENNIAL STATEMENT 2000-11-01

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

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