| Name: | FAIRMOUNT FAMILY MEDICINE, PLLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 01 May 2002 (23 years ago) |
| Entity Number: | 2761178 |
| ZIP code: | 13215 |
| County: | Onondaga |
| Place of Formation: | New York |
| Address: | 4883 MANOR HILL DR, SYRACUSE, NY, United States, 13215 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FAIRMOUNT FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN | 2017 | 043670426 | 2018-05-11 | FAIRMOUNT FAMILY MEDICINE, PLLC | 8 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2018-05-11 |
| Name of individual signing | LELAND JACKSON |
| Role | Employer/plan sponsor |
| Date | 2018-05-11 |
| Name of individual signing | LELAND JACKSON |
| Name | Role | Address |
|---|---|---|
| FAIRMOUNT FAMILY MEDICINE, PLLC | DOS Process Agent | 4883 MANOR HILL DR, SYRACUSE, NY, United States, 13215 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2008-09-24 | 2024-09-13 | Address | 4883 MANOR HILL DR, SYRACUSE, NY, 13215, USA (Type of address: Service of Process) |
| 2004-04-28 | 2008-09-24 | Address | 5006 W GENESEE ST, CAMILLUS, NY, 13031, USA (Type of address: Service of Process) |
| 2002-05-01 | 2004-04-28 | Address | 111 EAGLE CREST DRIVE, CAMILLUS, NY, 13031, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 240913003228 | 2024-09-13 | BIENNIAL STATEMENT | 2024-09-13 |
| 200805061403 | 2020-08-05 | BIENNIAL STATEMENT | 2020-05-01 |
| 180509006509 | 2018-05-09 | BIENNIAL STATEMENT | 2018-05-01 |
| 160525006014 | 2016-05-25 | BIENNIAL STATEMENT | 2016-05-01 |
| 140620006383 | 2014-06-20 | BIENNIAL STATEMENT | 2014-05-01 |
| 120515006344 | 2012-05-15 | BIENNIAL STATEMENT | 2012-05-01 |
| 100520003192 | 2010-05-20 | BIENNIAL STATEMENT | 2010-05-01 |
| 080924000095 | 2008-09-24 | CERTIFICATE OF CHANGE | 2008-09-24 |
| 080512002329 | 2008-05-12 | BIENNIAL STATEMENT | 2008-05-01 |
| 060503002317 | 2006-05-03 | BIENNIAL STATEMENT | 2006-05-01 |
Date of last update: 02 Jan 2025
Sources: New York Secretary of State
