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PROFESSIONAL MEDICAL RESOURCES, INC.

Company Details

Name: PROFESSIONAL MEDICAL RESOURCES, INC.
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Active
Date of registration: 24 Sep 1986 (38 years ago)
Entity Number: 1114471
ZIP code: 94066
County: New York
Place of Formation: Georgia
Address: 1111 BAYHILL DR, STE 125, SAN BRUNO, CA, United States, 94066

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROFESSIONAL MEDICAL RESOURCES 401(K) P/S PLAN 2020 581479845 2021-12-17 PROFESSIONAL MEDICAL RESOURCES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 561110
Sponsor’s telephone number 5852141601
Plan sponsor’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623

Plan administrator’s name and address

Administrator’s EIN 581479845
Plan administrator’s name PROFESSIONAL MEDICAL RESOURCES, INC.
Plan administrator’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623
Administrator’s telephone number 5852141601

Signature of

Role Plan administrator
Date 2021-12-17
Name of individual signing BARBARA WALSH
PROFESSIONAL MEDICAL RESOURCES 401(K) P/S PLAN 2019 581479845 2021-03-16 PROFESSIONAL MEDICAL RESOURCES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 561110
Sponsor’s telephone number 5852141601
Plan sponsor’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623

Plan administrator’s name and address

Administrator’s EIN 581479845
Plan administrator’s name PROFESSIONAL MEDICAL RESOURCES, INC.
Plan administrator’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623
Administrator’s telephone number 5852141601

Signature of

Role Plan administrator
Date 2021-03-16
Name of individual signing BARBARA WALSH
PROFESSIONAL MEDICAL RESOURCES 401(K) P/S PLAN 2018 581479845 2020-12-07 PROFESSIONAL MEDICAL RESOURCES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 561110
Sponsor’s telephone number 5852141601
Plan sponsor’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623

Plan administrator’s name and address

Administrator’s EIN 581479845
Plan administrator’s name PROFESSIONAL MEDICAL RESOURCES, INC.
Plan administrator’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623
Administrator’s telephone number 5852141601

Signature of

Role Plan administrator
Date 2020-12-07
Name of individual signing BARBARA WALSH
PROFESSIONAL MEDICAL RESOURCES 401(K) P/S PLAN 2017 581479845 2018-10-12 PROFESSIONAL MEDICAL RESOURCES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 561110
Sponsor’s telephone number 5852141600
Plan sponsor’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623

Plan administrator’s name and address

Administrator’s EIN 581479845
Plan administrator’s name PROFESSIONAL MEDICAL RESOURCES, INC.
Plan administrator’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623
Administrator’s telephone number 5852141600

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing BARBARA WALSH
PROFESSIONAL MEDICAL RESOURCES 401(K) P/S PLAN 2016 581479845 2017-08-11 PROFESSIONAL MEDICAL RESOURCES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 561110
Sponsor’s telephone number 5852141600
Plan sponsor’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623

Plan administrator’s name and address

Administrator’s EIN 581479845
Plan administrator’s name PROFESSIONAL MEDICAL RESOURCES, INC.
Plan administrator’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623
Administrator’s telephone number 5852141600

Signature of

Role Plan administrator
Date 2017-08-11
Name of individual signing BARBARA WALSH
PROFESSIONAL MEDICAL RESOURCES 401(K) P/S PLAN 2015 581479845 2016-09-13 PROFESSIONAL MEDICAL RESOURCES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 561110
Sponsor’s telephone number 5852141600
Plan sponsor’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623

Plan administrator’s name and address

Administrator’s EIN 581479845
Plan administrator’s name PROFESSIONAL MEDICAL RESOURCES, INC.
Plan administrator’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623
Administrator’s telephone number 5852141600

Signature of

Role Plan administrator
Date 2016-09-13
Name of individual signing BARBARA WALSH
PROFESSIONAL MEDICAL RESOURCES 401(K) P/S PLAN 2014 581479845 2015-08-24 PROFESSIONAL MEDICAL RESOURCES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 561110
Sponsor’s telephone number 5852141600
Plan sponsor’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623

Plan administrator’s name and address

Administrator’s EIN 581479845
Plan administrator’s name PROFESSIONAL MEDICAL RESOURCES, INC.
Plan administrator’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623
Administrator’s telephone number 5852141600

Signature of

Role Plan administrator
Date 2015-08-24
Name of individual signing BARBARA WALSH
PROFESSIONAL MEDICAL RESOURCES 401(K) P/S PLAN 2013 581479845 2014-08-28 PROFESSIONAL MEDICAL RESOURCES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 561110
Sponsor’s telephone number 5852141600
Plan sponsor’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623

Plan administrator’s name and address

Administrator’s EIN 581479845
Plan administrator’s name PROFESSIONAL MEDICAL RESOURCES, INC.
Plan administrator’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623
Administrator’s telephone number 5852141600

Signature of

Role Plan administrator
Date 2014-08-28
Name of individual signing BARBARA WALSH
PROFESSIONAL MEDICAL RESOURCES 401(K) P/S PLAN 2012 581479845 2013-08-23 PROFESSIONAL MEDICAL RESOURCES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 561110
Sponsor’s telephone number 5852141600
Plan sponsor’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623

Plan administrator’s name and address

Administrator’s EIN 581479845
Plan administrator’s name PROFESSIONAL MEDICAL RESOURCES, INC.
Plan administrator’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623
Administrator’s telephone number 5852141600

Signature of

Role Plan administrator
Date 2013-08-23
Name of individual signing BARBARA WALSH
PROFESSIONAL MEDICAL RESOURCES 401(K) P/S PLAN 2011 581479845 2012-07-20 PROFESSIONAL MEDICAL RESOURCES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 561110
Sponsor’s telephone number 5852141600
Plan sponsor’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623

Plan administrator’s name and address

Administrator’s EIN 581479845
Plan administrator’s name PROFESSIONAL MEDICAL RESOURCES, INC.
Plan administrator’s address 2024 W. HENRIETTA RD, SUITE 3 I, ROCHESTER, NY, 14623
Administrator’s telephone number 5852141600

Signature of

Role Plan administrator
Date 2012-07-20
Name of individual signing BARBARA WALSH

Agent

Name Role
REGISTERED AGENT RESIGNED Agent

DOS Process Agent

Name Role
PROCESS ADDRESSEE RESIGNED DOS Process Agent

Chief Executive Officer

Name Role Address
MICHAEL GOLDBERG Chief Executive Officer 1111 BAYHILL DR, STE 125, SAN BRUNO, CA, United States, 94066

History

Start date End date Type Value
1999-09-21 2010-06-28 Address 111 EIGHTH AVENUE, NEW YORK, NY, 10011, USA (Type of address: Service of Process)
1999-09-21 2010-04-20 Address 111 EIGHTH AVENUE, NEW YORK, NY, 10011, USA (Type of address: Registered Agent)
1996-09-18 1998-09-14 Address 11660 ALPHARETTA HIGHWAY, #650, ROSWELL, GA, 30076, USA (Type of address: Chief Executive Officer)
1996-09-18 1998-09-14 Address 11660 ALPHARETTA HIGHWAY, #650, ROSWELL, GA, 30076, USA (Type of address: Principal Executive Office)
1993-05-18 1996-09-18 Address P.O. BOX 1094, SHELTER ISLAND, NY, 11965, USA (Type of address: Chief Executive Officer)
1993-05-18 1996-09-18 Address 5901 PEACHTREE DUNWOODY, #B-100, ATLANTA, GA, 30328, USA (Type of address: Principal Executive Office)
1986-09-24 1999-09-21 Address 1633 BROADWAY, NEW YORK, NY, 10019, USA (Type of address: Service of Process)
1986-09-24 1999-09-21 Address 1633 BROADWAY, NEW YORK, NY, 10019, USA (Type of address: Registered Agent)

Filings

Filing Number Date Filed Type Effective Date
100628000104 2010-06-28 CERTIFICATE OF RESIGNATION OF RECEIPT OF PROCESS 2010-06-28
100420000108 2010-04-20 CERTIFICATE OF RESIGNATION OF REGISTERED AGENT 2010-05-20
990921001287 1999-09-21 CERTIFICATE OF CHANGE 1999-09-21
980914002221 1998-09-14 BIENNIAL STATEMENT 1998-09-01
960918002490 1996-09-18 BIENNIAL STATEMENT 1996-09-01
930518002352 1993-05-18 BIENNIAL STATEMENT 1992-09-01
B405226-5 1986-09-24 APPLICATION OF AUTHORITY 1986-09-24

Date of last update: 06 Jan 2025

Sources: New York Secretary of State