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  5. SOUTHERN TIER ANESTHESIOLOGISTS, P.C.

SOUTHERN TIER ANESTHESIOLOGISTS, P.C.

Company Details

Name: SOUTHERN TIER ANESTHESIOLOGISTS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 27 Apr 1994 (31 years ago)
Date of dissolution: 23 Apr 2020
Entity Number: 1815609
ZIP code: 28110
County: Cattaraugus
Place of Formation: New York
Address: 4117 WAXWOOD DRIVE, MONROE, NC, United States, 28110

Shares Details

Shares issued 1000

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN TIER ANESTHESIOLOGISTS PC RETIREMENT PLAN 2017 161461928 2018-02-19 SOUTHERN TIER ANESTHESIOLOGISTS, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7163720260
Plan sponsor’s address 202 N BARRY ST, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2018-02-12
Name of individual signing STEPHEN CARLSON
SOUTHERN TIER ANESTHESIOLOGISTS PC RETIREMENT PLAN 2016 161461928 2017-03-06 SOUTHERN TIER ANESTHESIOLOGISTS, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7163720260
Plan sponsor’s address 202 N BARRY ST, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2017-02-05
Name of individual signing STEPHEN CARLSON
SOUTHERN TIER ANESTHESIOLOGISTS PC RETIREMENT PLAN 2015 161461928 2016-03-19 SOUTHERN TIER ANESTHESIOLOGISTS, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7163720260
Plan sponsor’s address 202 N BARRY ST, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2016-03-15
Name of individual signing STEPHEN CARLSON
SOUTHERN TIER ANESTHESIOLOGISTS PC RETIREMENT PLAN 2014 161461928 2015-01-30 SOUTHERN TIER ANESTHESIOLOGISTS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7163720260
Plan sponsor’s address 202 NORTH BARRY STREET, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2015-01-27
Name of individual signing STEPHEN CARLSON
SOUTHERN TIER ANESTHESIOLOGISTS PC RETIREMENT PLAN 2013 161461928 2014-02-26 SOUTHERN TIER ANESTHESIOLOGISTS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7163720260
Plan sponsor’s address 202 NORTH BARRY STREET, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2014-02-26
Name of individual signing STEPHEN CARLSON
SOUTHERN TIER ANESTHESIOLOGISTS PC RETIREMENT PLAN 2012 161461928 2013-02-26 SOUTHERN TIER ANESTHESIOLOGISTS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7163720260
Plan sponsor’s address 202 NORTH BARRY STREET, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2013-02-26
Name of individual signing STEPHEN CARLSON
SOUTHERN TIER ANESTHESIOLOGISTS PC RETIREMENT PLAN 2011 161461928 2012-02-02 SOUTHERN TIER ANESTHESIOLOGISTS, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7163720260
Plan sponsor’s address 202 NORTH BARRY STREET, OLEAN, NY, 14760

Plan administrator’s name and address
Administrator’s EIN 161461928
Plan administrator’s name SOUTHERN TIER ANESTHESIOLOGISTS, P.C.
Plan administrator’s address 202 NORTH BARRY STREET, OLEAN, NY, 14760
Administrator’s telephone number 7163720260

Signature of
Role Plan administrator
Date 2012-02-01
Name of individual signing STEPHEN CARLSON
SOUTHERN TIER ANESTHESIOLOGISTS PC RETIREMENT PLAN 2010 161461928 2011-02-07 SOUTHERN TIER ANESTHESIOLOGISTS, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7163720260
Plan sponsor’s address 202 NORTH BARRY STREET, OLEAN, NY, 14760

Plan administrator’s name and address
Administrator’s EIN 161461928
Plan administrator’s name SOUTHERN TIER ANESTHESIOLOGISTS, P.C.
Plan administrator’s address 202 NORTH BARRY STREET, OLEAN, NY, 14760
Administrator’s telephone number 7163720260

Signature of
Role Plan administrator
Date 2011-02-07
Name of individual signing STEPHEN CARLSON
SOUTHERN TIER ANESTHESIOLOGISTS PC RETIREMENT PLAN 2009 161461928 2010-07-16 SOUTHERN TIER ANESTHESIOLOGISTS, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7163720260
Plan sponsor’s address PO BOX 260, WESTON MILLS, NY, 14788

Plan administrator’s name and address
Administrator’s EIN 161461928
Plan administrator’s name SOUTHERN TIER ANESTHESIOLOGISTS, P.C.
Plan administrator’s address PO BOX 260, WESTON MILLS, NY, 14788
Administrator’s telephone number 7163720260

Signature of
Role Plan administrator
Date 2010-07-16
Name of individual signing STEPHEN CARLSON

Chief Executive Officer

Name Role Address
STEPHEN D CARLSON, MD PHD Chief Executive Officer 413 VANBUREN AVENUE, OLEAN, NY, United States, 14760

DOS Process Agent

Name Role Address
STEPHEN D CARLSON, MD PHD DOS Process Agent 4117 WAXWOOD DRIVE, MONROE, NC, United States, 28110

History

Start date End date Type Value
2009-09-24 2020-04-03 Address 202 NORTH BARRY ST, OLEAN, NY, 14760, USA (Type of address: Chief Executive Officer)
2009-09-24 2020-04-03 Address 202 NORTH BARRY ST, OLEAN, NY, 14760, USA (Type of address: Principal Executive Office)
2009-09-24 2020-04-03 Address 202 NORTH BARRY ST, OLEAN, NY, 14760, USA (Type of address: Service of Process)
2009-08-31 2009-09-24 Address 202 NORTH BARRY STREET, OLEAN, NY, 14760, USA (Type of address: Service of Process)
2000-04-20 2009-09-24 Address 1315 EAST STATE STREET, OLEAN, NY, 14760, USA (Type of address: Principal Executive Office)
2000-04-20 2009-09-24 Address 1315 EAST STATE STREET, OLEAN, NY, 14760, USA (Type of address: Chief Executive Officer)
2000-04-20 2009-08-31 Address 1315 EAST STATE STREET, OLEAN, NY, 14760, USA (Type of address: Service of Process)
1998-03-17 2024-08-23 Shares Share type: NO PAR VALUE, Number of shares: 1000, Par value: 0
1996-04-26 2000-04-20 Address 304 BEECHVIEW AVE, JAMESTOWN, NY, 14701, 2112, USA (Type of address: Principal Executive Office)
1996-04-26 2000-04-20 Address 304 BEECHVIEW AVE, JAMESTOWN, NY, 14701, 2112, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200423000050 2020-04-23 CERTIFICATE OF DISSOLUTION 2020-04-23
200403061048 2020-04-03 BIENNIAL STATEMENT 2020-04-01
180404006868 2018-04-04 BIENNIAL STATEMENT 2018-04-01
160404006244 2016-04-04 BIENNIAL STATEMENT 2016-04-01
140422006180 2014-04-22 BIENNIAL STATEMENT 2014-04-01
120523003070 2012-05-23 BIENNIAL STATEMENT 2012-04-01
100429003278 2010-04-29 BIENNIAL STATEMENT 2010-04-01
090924002639 2009-09-24 BIENNIAL STATEMENT 2008-04-01
090831000074 2009-08-31 CERTIFICATE OF CHANGE 2009-08-31
000420002175 2000-04-20 BIENNIAL STATEMENT 2000-04-01

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 04 Jan 2025

Sources: New York Secretary of State

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