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LESLY GERMAIN, MD, PC

Company Details

Name: LESLY GERMAIN, MD, PC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Mar 1999 (26 years ago)
Entity Number: 2359839
ZIP code: 14569
County: Oswego
Place of Formation: New York
Address: 400 N MAIN, WARSAW, NY, United States, 14569
Principal Address: 400 N MAIN ST, WARSAW, NY, United States, 14569

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
LESLY GERMAIN MD PC PLAN 2014 161566250 2015-10-01 LESLY GERMAIN MD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-12-01
Business code 621111
Sponsor’s telephone number 5143423064
Plan sponsor’s address 339 NORTH MAIN STREET, SUITE 3, MEDINA, NY, 14103

Signature of

Role Plan administrator
Date 2015-10-01
Name of individual signing LESLY GERMAIN
LESLY GERMAIN MD PC PLAN 2013 161566250 2014-10-14 LESLY GERMAIN MD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-12-01
Business code 621111
Sponsor’s telephone number 5857868940
Plan sponsor’s address 339 NORTH MAIN STREET, SUITE 3, MEDINA, NY, 14103

Signature of

Role Plan administrator
Date 2014-10-08
Name of individual signing LESLY GERMAIN
Role Employer/plan sponsor
Date 2014-10-08
Name of individual signing LESLY GERMAIN
LESLY GERMAIN MD PC PLAN 2012 161566250 2013-10-15 LESLY GERMAIN MD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-12-01
Business code 621111
Sponsor’s telephone number 5857868940
Plan sponsor’s address 339 NORTH MAIN STREET, SUITE 3, MEDINA, NY, 14103

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing LESLY GERMAIN
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing LESLY GERMAIN
LESLY GERMAIN MD PC PLAN 2011 161566250 2012-10-09 LESLY GERMAIN MD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-12-01
Business code 621111
Sponsor’s telephone number 5857868940
Plan sponsor’s address 339 NORTH MAIN STREET, SUITE 3, MEDINA, NY, 14103

Plan administrator’s name and address

Administrator’s EIN 161566250
Plan administrator’s name LESLY GERMAIN MD
Plan administrator’s address 339 NORTH MAIN STREET, SUITE 3, MEDINA, NY, 14103
Administrator’s telephone number 5857868940

Signature of

Role Plan administrator
Date 2012-10-09
Name of individual signing LESLY GERMAIN MD
LESLY GERMAIN MD PC PLAN 2010 161566250 2011-10-17 LESLY GERMAIN MD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-12-01
Business code 621111
Sponsor’s telephone number 5857868940
Plan sponsor’s address 400 N MAIN STREET, WARSAW, NY, 14569

Plan administrator’s name and address

Administrator’s EIN 161566250
Plan administrator’s name LESLY GERMAIN MD
Plan administrator’s address 400 N MAIN STREET, WARSAW, NY, 14569
Administrator’s telephone number 5857868940

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing LESLY GERMAIN
LESLY GERMAIN MD PC PLAN 2009 161566250 2010-10-11 LESLY GERMAIN MD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-12-01
Business code 621111
Sponsor’s telephone number 5857982060
Plan sponsor’s address 100 OHIO ST, STE 1, MEDINA, NY, 14103

Plan administrator’s name and address

Administrator’s EIN 161566250
Plan administrator’s name LESLY GERMAIN MD
Plan administrator’s address 100 OHIO ST, STE 1, MEDINA, NY, 14103
Administrator’s telephone number 5857982060

Signature of

Role Plan administrator
Date 2010-10-11
Name of individual signing LESLY GERMAIN

Chief Executive Officer

Name Role Address
LESLY GERMDIN MD Chief Executive Officer 400 N MAIN ST, WARSAW, NY, United States, 14569

DOS Process Agent

Name Role Address
LESLY GERMAIN MD DOS Process Agent 400 N MAIN, WARSAW, NY, United States, 14569

History

Start date End date Type Value
2011-04-14 2013-04-19 Address 339 N MAIN ST, MEDINA, NY, 14103, USA (Type of address: Service of Process)
2011-04-14 2013-04-19 Address 339 N MAIN ST, MEDINA, NY, 14103, USA (Type of address: Chief Executive Officer)
2011-04-14 2013-04-19 Address 339 N MAIN ST, MEDINA, NY, 14103, USA (Type of address: Principal Executive Office)
2007-04-04 2011-04-14 Address 100 OHIO STREET, MEDINA, NY, 14103, USA (Type of address: Principal Executive Office)
2007-04-04 2011-04-14 Address 100 OHIO STREET, MEDINA, NY, 14103, USA (Type of address: Chief Executive Officer)
2007-04-04 2011-04-14 Address 100 OHIO STREET, MEDINA, NY, 14103, USA (Type of address: Service of Process)
2005-04-13 2007-04-04 Address 39 NORTH PARK DR, GLOVERSVILLE, NY, 12078, USA (Type of address: Service of Process)
2005-04-13 2007-04-04 Address 39 NORTH PARK DR, GLOVERSVILLE, NY, 12078, USA (Type of address: Chief Executive Officer)
2005-04-13 2007-04-04 Address 39 NORTH PARK DR, GLOVERSVILLE, NY, 12078, USA (Type of address: Principal Executive Office)
2003-04-02 2005-04-13 Address 21 PARK ST, PO BOX 270, MALONE, NY, 12953, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130419002291 2013-04-19 BIENNIAL STATEMENT 2013-03-01
110414002325 2011-04-14 BIENNIAL STATEMENT 2011-03-01
090311002850 2009-03-11 BIENNIAL STATEMENT 2009-03-01
070404002139 2007-04-04 BIENNIAL STATEMENT 2007-03-01
050413002383 2005-04-13 BIENNIAL STATEMENT 2005-03-01
030402002824 2003-04-02 BIENNIAL STATEMENT 2003-03-01
010412002217 2001-04-12 BIENNIAL STATEMENT 2001-03-01
990324000412 1999-03-24 CERTIFICATE OF INCORPORATION 1999-03-24

Date of last update: 17 Dec 2024

Sources: New York Secretary of State