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BROCKPORT OPTOMETRY, P.C.

Company Details

Name: BROCKPORT OPTOMETRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Feb 1997 (28 years ago)
Entity Number: 2108814
ZIP code: 14420
County: Monroe
Place of Formation: New York
Address: 22 North Main Street, Lower Suite, Brockport, NY, United States, 14420

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
BROCKPORT OPTOMETRY PROFIT SHARING PLAN 2023 161515269 2024-05-24 BROCKPORT OPTOMETRY, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-08-01
Business code 621320
Sponsor’s telephone number 5856372121
Plan sponsor’s address 22 N MAIN ST, BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2024-05-19
Name of individual signing MICHAEL RAFF
BROCKPORT OPTOMETRY PROFIT SHARING PLAN 2022 161515269 2023-05-30 BROCKPORT OPTOMETRY, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-08-01
Business code 621320
Sponsor’s telephone number 5856372121
Plan sponsor’s address 22 N MAIN ST, BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2023-05-28
Name of individual signing MICHAEL RAFF
BROCKPORT OPTOMETRY PROFIT SHARING PLAN 2021 161515269 2022-07-18 BROCKPORT OPTOMETRY, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-08-01
Business code 621320
Sponsor’s telephone number 5856372121
Plan sponsor’s address 22 N MAIN ST, BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2022-07-17
Name of individual signing MICHAEL RAFF
BROCKPORT OPTOMETRY PROFIT SHARING PLAN 2020 161515269 2021-05-17 BROCKPORT OPTOMETRY, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-08-01
Business code 621320
Sponsor’s telephone number 5856372121
Plan sponsor’s address 22 N MAIN ST, BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2021-05-15
Name of individual signing MICHAEL RAFF
BROCKPORT OPTOMETRY PROFIT SHARING PLAN 2019 161515269 2020-08-17 BROCKPORT OPTOMETRY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-08-01
Business code 621320
Sponsor’s telephone number 5856372121
Plan sponsor’s address 22 N MAIN ST, BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2020-08-16
Name of individual signing MICHAEL RAFF
BROCKPORT OPTOMETRY PROFIT SHARING PLAN 2018 161515269 2019-07-29 BROCKPORT OPTOMETRY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-08-01
Business code 621320
Sponsor’s telephone number 5856372121
Plan sponsor’s address 22 N MAIN ST, BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2019-07-28
Name of individual signing MICHAEL RAFF
BROCKPORT OPTOMETRY PROFIT SHARING PLAN 2017 161515269 2018-07-09 BROCKPORT OPTOMETRY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-08-01
Business code 621320
Sponsor’s telephone number 5856372121
Plan sponsor’s address 22 N MAIN ST, BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2018-07-08
Name of individual signing MICHAEL RAFF
BROCKPORT OPTOMETRY PROFIT SHARING PLAN 2016 161515269 2017-06-19 BROCKPORT OPTOMETRY, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-08-01
Business code 621320
Sponsor’s telephone number 5856372121
Plan sponsor’s address 22 N MAIN ST, BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2017-06-18
Name of individual signing MICHAEL RAFF
BROCKPORT OPTOMETRY PROFIT SHARING PLAN 2015 161515269 2016-09-06 BROCKPORT OPTOMETRY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-08-01
Business code 621320
Sponsor’s telephone number 5856372121
Plan sponsor’s address 22 N MAIN ST, BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2016-09-05
Name of individual signing MICHAEL RAFF
BROCKPORT OPTOMETRY PROFIT SHARING PLAN 2014 161515269 2015-07-21 BROCKPORT OPTOMETRY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-08-01
Business code 621320
Sponsor’s telephone number 5856372121
Plan sponsor’s address 22 NORTH MAIN ST., BROCKPORT, NY, 14420

Signature of

Role Plan administrator
Date 2015-07-19
Name of individual signing MICHAEL RAFF

DOS Process Agent

Name Role Address
BROCKPORT OPTOMETRY, P.C. DOS Process Agent 22 North Main Street, Lower Suite, Brockport, NY, United States, 14420

Chief Executive Officer

Name Role Address
MICHAEL RAFF Chief Executive Officer 38 FARM FIELD LANE, PITTSFORD, NY, United States, 14534

History

Start date End date Type Value
1997-02-03 2024-11-14 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1997-02-03 2024-11-14 Address 36 WEST MAIN STREET, ROCHESTER, NY, 14614, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241114004263 2024-11-14 BIENNIAL STATEMENT 2024-11-14
970203000386 1997-02-03 CERTIFICATE OF INCORPORATION 1997-02-03

Date of last update: 03 Jan 2025

Sources: New York Secretary of State