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  5. PENFIELD PEDIATRICS, LLC

PENFIELD PEDIATRICS, LLC

Company Details

Name: PENFIELD PEDIATRICS, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 May 1999 (26 years ago)
Entity Number: 2378033
ZIP code: 14526
County: Monroe
Place of Formation: New York
Address: 21 WILLOW POND WAY, STE 200, PENFIELD, NY, United States, 14526

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PENFIELD PEDIATRICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 161567736 2024-05-06 PENFIELD PEDIATRICS LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 5853778002
Plan sponsor’s address 21 WILLOW POND WAY STE 200, PENFIELD, NY, 14526

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing MONIKA WINKELMAN
PENFIELD PEDIATRICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 161567736 2023-04-11 PENFIELD PEDIATRICS LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 5853778002
Plan sponsor’s address 21 WILLOW POND WAY STE 200, PENFIELD, NY, 14526

Signature of
Role Plan administrator
Date 2023-04-11
Name of individual signing MONIKA WINKELMAN
PENFIELD PEDIATRICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 161567736 2022-04-12 PENFIELD PEDIATRICS LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 5853778002
Plan sponsor’s address 21 WILLOW POND WAY STE 200, PENFIELD, NY, 14526

Signature of
Role Plan administrator
Date 2022-04-12
Name of individual signing MONIKA WINKELMAN
PENFIELD PEDIATRICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 161567736 2021-04-14 PENFIELD PEDIATRICS LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 5853778002
Plan sponsor’s address 21 WILLOW POND WAY STE 200, PENFIELD, NY, 14526

Signature of
Role Plan administrator
Date 2021-04-14
Name of individual signing MONIKA WINKELMAN
PENFIELD PEDIATRICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 161567736 2020-05-27 PENFIELD PEDIATRICS LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 5853778002
Plan sponsor’s address 21 WILLOW POND WAY STE 200, PENFIELD, NY, 14526

Signature of
Role Plan administrator
Date 2020-05-27
Name of individual signing CAROLYN ACQUILANO
PENFIELD PEDIATRICS LLC 401 K PROFIT SHARING PLAN TRUST 2018 161567736 2019-03-20 PENFIELD PEDIATRICS LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 5853778002
Plan sponsor’s address 21 WILLOW POND WAY STE 200, PENFIELD, NY, 14526

Signature of
Role Plan administrator
Date 2019-03-20
Name of individual signing CAROLYN ACQUILANO
PENFIELD PEDIATRICS, LLC 401 K PROFIT SHARING PLAN TRUST 2017 161567736 2018-04-26 PENFIELD PEDIATRICS, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 5853770840
Plan sponsor’s address 21 WILLOW POND WAY, SUITE 200, PENFIELD, NY, 14526

Signature of
Role Plan administrator
Date 2018-04-26
Name of individual signing CAROLYN ACQUILANO
PENFIELD PEDIATRICS LLC 401 K PROFIT SHARING PLAN TRUST 2016 161567736 2017-07-18 PENFIELD PEDIATRICS LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541990
Sponsor’s telephone number 5853778002
Plan sponsor’s address 21 WILLOW POND SUITE 200, PENFIELD, NY, 14526

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing CAROLYN ACQUILANO
PENFIELD PEDIATRICS 401(K) PLAN 2009 161567736 2010-07-27 PENFIELD PEDIATRICS, LLC 23
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 812990
Sponsor’s telephone number 5853778105
Plan sponsor’s mailing address 21 WILLOW POND WAY, PENFIELD, NY, 14526
Plan sponsor’s address SUITE 200, PENFIELD, NY, 14526

Plan administrator’s name and address
Administrator’s EIN 161567736
Plan administrator’s name PENFIELD PEDIATRICS, LLC
Plan administrator’s address 21 WILLOW POND WAY, PENFIELD, NY, 14526
Administrator’s telephone number 5853778105

Number of participants as of the end of the plan year
Active participants 18
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 24
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
PENFIELD PEDIATRICS 401(K) PLAN 2009 161567736 2010-07-29 PENFIELD PEDIATRICS, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 812990
Sponsor’s telephone number 5853778105
Plan sponsor’s mailing address 21 WILLOW POND WAY, PENFIELD, NY, 14526
Plan sponsor’s address SUITE 200, PENFIELD, NY, 14526

Plan administrator’s name and address
Administrator’s EIN 161567736
Plan administrator’s name PENFIELD PEDIATRICS, LLC
Plan administrator’s address 21 WILLOW POND WAY, PENFIELD, NY, 14526
Administrator’s telephone number 5853778105

Number of participants as of the end of the plan year
Active participants 18
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 24
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing CAROLYN ACQUILANO
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 21 WILLOW POND WAY, STE 200, PENFIELD, NY, United States, 14526

History

Start date End date Type Value
1999-05-13 2003-05-22 Address 2067 FAIRPORT NINE MILE POINT, ROAD, PENFIELD, NY, 14526, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130603006228 2013-06-03 BIENNIAL STATEMENT 2013-05-01
110520002700 2011-05-20 BIENNIAL STATEMENT 2011-05-01
090428002482 2009-04-28 BIENNIAL STATEMENT 2009-05-01
070515002443 2007-05-15 BIENNIAL STATEMENT 2007-05-01
050621002231 2005-06-21 BIENNIAL STATEMENT 2005-05-01
030522002308 2003-05-22 BIENNIAL STATEMENT 2003-05-01
010503002215 2001-05-03 BIENNIAL STATEMENT 2001-05-01
990714000185 1999-07-14 AFFIDAVIT OF PUBLICATION 1999-07-14
990714000184 1999-07-14 AFFIDAVIT OF PUBLICATION 1999-07-14
990513000486 1999-05-13 ARTICLES OF ORGANIZATION 1999-05-13

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Date of last update: 20 Jan 2025

Sources: New York Secretary of State

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