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  5. SAMUEL J. COSTA, P.C.

SAMUEL J. COSTA, P.C.

Company Details

Name: SAMUEL J. COSTA, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 13 Feb 1991 (34 years ago)
Date of dissolution: 15 May 2024
Entity Number: 1509063
ZIP code: 13202
County: Onondaga
Place of Formation: New York
Address: 205 S SALINA ST SUITE 403, SYRACUSE, NY, United States, 13202
Principal Address: 4680 BLOOMSBURY DRIVE, SYRACUSE, NY, United States, 13215

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
SAMUEL J. COSTA, P.C. 401(K) PLAN 2015 161386430 2016-06-03 SAMUEL J. COSTA, P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 3154711212
Plan sponsor’s address TWO CLINTON SQUARE, SUITE 215, SYRACUSE, NY, 13202

Signature of
Role Plan administrator
Date 2016-06-02
Name of individual signing SAMUEL J. COSTA
Role Employer/plan sponsor
Date 2016-06-02
Name of individual signing SAMUEL J. COSTA
SAMUEL J. COSTA, P.C. 401(K) PLAN 2014 161386430 2015-09-18 SAMUEL J. COSTA, P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 3154711212
Plan sponsor’s address TWO CLINTON SQUARE, SUITE 215, SYRACUSE, NY, 13202

Signature of
Role Plan administrator
Date 2015-09-17
Name of individual signing SAMUEL J. COSTA
Role Employer/plan sponsor
Date 2015-09-17
Name of individual signing SAMUEL J. COSTA
SAMUEL J. COSTA, P.C. 401(K) PLAN 2013 161386430 2014-07-21 SAMUEL J. COSTA, P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 3154711212
Plan sponsor’s address TWO CLINTON SQUARE, SUITE 215, SYRACUSE, NY, 13202

Signature of
Role Plan administrator
Date 2014-07-18
Name of individual signing SAMUEL J. COSTA
Role Employer/plan sponsor
Date 2014-07-18
Name of individual signing SAMUEL J. COSTA
SAMUEL J. COSTA, P.C. 401(K) PLAN 2012 161386430 2013-10-07 SAMUEL J. COSTA, P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 3154711212
Plan sponsor’s address TWO CLINTON SQUARE, SUITE 215, SYRACUSE, NY, 13202

Signature of
Role Plan administrator
Date 2013-10-07
Name of individual signing SAMUEL J. COSTA
Role Employer/plan sponsor
Date 2013-10-07
Name of individual signing SAMUEL J. COSTA
SAMUEL J. COSTA, P.C. 401(K) PLAN 2011 161386430 2012-07-26 SAMUEL J. COSTA, P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 3154711212
Plan sponsor’s address TWO CLINTON SQUARE, SUITE 215, SYRACUSE, NY, 13202

Plan administrator’s name and address
Administrator’s EIN 161386430
Plan administrator’s name SAMUEL J. COSTA, P.C.
Plan administrator’s address TWO CLINTON SQUARE, SUITE 215, SYRACUSE, NY, 13202
Administrator’s telephone number 3154711212

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing SAMUEL J. COSTA
Role Employer/plan sponsor
Date 2012-07-24
Name of individual signing SAMUEL J. COSTA
SAMUEL J. COSTA, P.C. 401(K) PLAN 2010 161386430 2011-10-07 SAMUEL J. COSTA, P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 3154711212
Plan sponsor’s address TWO CLINTON SQUARE, SUITE 215, SYRACUSE, NY, 13202

Plan administrator’s name and address
Administrator’s EIN 161386430
Plan administrator’s name SAMUEL J. COSTA, P.C.
Plan administrator’s address TWO CLINTON SQUARE, SUITE 215, SYRACUSE, NY, 13202
Administrator’s telephone number 3154711212

Signature of
Role Plan administrator
Date 2011-10-07
Name of individual signing SAMUEL J COSTA
Role Employer/plan sponsor
Date 2011-10-07
Name of individual signing SAMUEL J COSTA
SAMUEL J. COSTA, P.C. 401(K) PLAN 2010 161386430 2011-10-06 SAMUEL J. COSTA, P.C. 2
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 3154711212
Plan sponsor’s address TWO CLINTON SQUARE, SUITE 215, SYRACUSE, NY, 13202

Plan administrator’s name and address
Administrator’s EIN 161386430
Plan administrator’s name SAMUEL J. COSTA, P.C.
Plan administrator’s address TWO CLINTON SQUARE, SUITE 215, SYRACUSE, NY, 13202
Administrator’s telephone number 3154711212

Signature of
Role Plan administrator
Date 2011-10-06
Name of individual signing SAMUEL J COSTA PC
Role Employer/plan sponsor
Date 2011-10-06
Name of individual signing SAMUEL J COSTA PC
SAMUEL J. COSTA, P.C. 401(K) PLAN 2009 161386430 2010-10-04 SAMUEL J. COSTA, P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 3154711212
Plan sponsor’s address TWO CLINTON SQUARE, SUITE 215, SYRACUSE, NY, 13202

Plan administrator’s name and address
Administrator’s EIN 161386430
Plan administrator’s name SAMUEL J. COSTA, P.C.
Plan administrator’s address TWO CLINTON SQUARE, SUITE 215, SYRACUSE, NY, 13202
Administrator’s telephone number 3154711212

Signature of
Role Plan administrator
Date 2010-09-25
Name of individual signing SAMUEL J. COSTA
Role Employer/plan sponsor
Date 2010-09-25
Name of individual signing SAMUEL J. COSTA

DOS Process Agent

Name Role Address
SAMUEL J COSTA DOS Process Agent 205 S SALINA ST SUITE 403, SYRACUSE, NY, United States, 13202

Chief Executive Officer

Name Role Address
SAMUEL J COSTA Chief Executive Officer 205 S SALINA ST -SUITE 403, SYRACUSE, NY, United States, 13202

History

Start date End date Type Value
2021-02-01 2024-05-31 Address 205 S SALINA ST SUITE 403, SYRACUSE, NY, 13202, USA (Type of address: Service of Process)
2019-02-06 2024-05-31 Address 205 S SALINA ST -SUITE 403, SYRACUSE, NY, 13202, USA (Type of address: Chief Executive Officer)
2019-02-06 2021-02-01 Address 205 S SALINA ST -SUITE 403, SYRACUSE, NY, 13202, USA (Type of address: Service of Process)
2011-02-10 2019-02-06 Address 2 CLINTON SQUARE / SUITE 215, SYRACUSE, NY, 13202, USA (Type of address: Service of Process)
2011-02-10 2019-02-06 Address 2 CLINTON SQUARE / SUITE 215, SYRACUSE, NY, 13202, USA (Type of address: Chief Executive Officer)
2005-03-25 2011-02-10 Address 2 CLINTON SQUARE, STE 215, SYRACUSE, NY, 13202, USA (Type of address: Chief Executive Officer)
2005-03-25 2011-02-10 Address 2 CLINTON SQUARE, STE 215, SYRACUSE, NY, 13202, USA (Type of address: Service of Process)
2003-03-06 2005-03-25 Address 2 CLINTON SQUARE / SUITE 215, SYRACUSE, NY, 13215, USA (Type of address: Service of Process)
2001-03-05 2011-02-10 Address 4680 BLOOMSBURY DR, SYRACUSE, NY, 13215, USA (Type of address: Principal Executive Office)
2001-03-05 2005-03-25 Address 4680 BLOOMSBURY DR, SYRACUSE, NY, 13215, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
240531001385 2024-05-15 CERTIFICATE OF DISSOLUTION-CANCELLATION 2024-05-15
210201061433 2021-02-01 BIENNIAL STATEMENT 2021-02-01
190206060336 2019-02-06 BIENNIAL STATEMENT 2019-02-01
150202006458 2015-02-02 BIENNIAL STATEMENT 2015-02-01
130507007132 2013-05-07 BIENNIAL STATEMENT 2013-02-01
110210002226 2011-02-10 BIENNIAL STATEMENT 2011-02-01
090211002333 2009-02-11 BIENNIAL STATEMENT 2009-02-01
070307002700 2007-03-07 BIENNIAL STATEMENT 2007-02-01
050325002326 2005-03-25 BIENNIAL STATEMENT 2005-02-01
030306002034 2003-03-06 BIENNIAL STATEMENT 2003-02-01

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 22 Jan 2025

Sources: New York Secretary of State

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