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  5. EDWARDS & SISAM, LLC

EDWARDS & SISAM, LLC

Company Details

Name: EDWARDS & SISAM, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 May 2002 (23 years ago)
Entity Number: 2764687
ZIP code: 14020
County: Genesee
Place of Formation: New York
Address: 215 SUMMIT STREET, BATAVIA, NY, United States, 14020

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EDWARDS & SISAM LLC PROFIT SHARING PLAN 2019 030441930 2020-04-29 EDWARDS & SISAM LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5854097104
Plan sponsor’s address 9951 COLBY RD., CORFU, NY, 14036

Signature of
Role Plan administrator
Date 2020-04-28
Name of individual signing RICHARD EDWARDS, MD
Role Employer/plan sponsor
Date 2020-04-28
Name of individual signing RICHARD EDWARDS, MD
EDWARDS & SISAM LLC PROFIT SHARING PLAN 2018 030441930 2019-09-17 EDWARDS & SISAM LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5854097104
Plan sponsor’s address 33 CHANDLER AVENUE, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2019-09-16
Name of individual signing RICHARD EDWARDS
Role Employer/plan sponsor
Date 2019-09-16
Name of individual signing RICHARD EDWARDS
EDWARDS & SISAM LLC PROFIT SHARING PLAN 2017 030441930 2018-07-05 EDWARDS & SISAM LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5854097104
Plan sponsor’s address 33 CHANDLER AVENUE, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2018-07-05
Name of individual signing RICHARD A EDWARDS
Role Employer/plan sponsor
Date 2018-07-05
Name of individual signing RICHARD A EDWARDS
EDWARDS & SISAM LLC PROFIT SHARING PLAN 2016 030441930 2017-07-26 EDWARDS & SISAM LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5854097104
Plan sponsor’s address 33 CHANDLER AVENUE, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing RICHARD EDWARDS
Role Employer/plan sponsor
Date 2017-07-26
Name of individual signing RICHARD EDWARDS
EDWARDS & SISAM LLC PROFIT SHARING PLAN 2015 030441930 2016-09-30 EDWARDS & SISAM LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5854097104
Plan sponsor’s address 33 CHANDLER AVENUE, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2016-09-29
Name of individual signing RICHARD EDWARDS
Role Employer/plan sponsor
Date 2016-09-29
Name of individual signing RICHARD EDWARDS
EDWARDS & SISAM LLC PROFIT SHARING PLAN 2014 030441930 2015-10-08 EDWARDS & SISAM LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5854097104
Plan sponsor’s address 33 CHANDLER AVENUE, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing RICHARD EDWARDS
Role Employer/plan sponsor
Date 2015-10-08
Name of individual signing RICHARD EDWARDS
EDWARDS & SISAM LLC PROFIT SHARING PLAN 2013 030441930 2014-07-30 EDWARDS & SISAM LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5854097104
Plan sponsor’s address 33 CHANDLER AVENUE, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2014-07-29
Name of individual signing RICHARD EDWARDS
Role Employer/plan sponsor
Date 2014-07-29
Name of individual signing RICHARD EDWARDS
EDWARDS & SISAM LLC PROFIT SHARING PLAN 2012 030441930 2013-10-15 EDWARDS & SISAM LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5854097104
Plan sponsor’s address 33 CHANDLER AVENUE, BATAVIA, NY, 14020

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing RICHARD EDWARDS, MD
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing RICHARD EDWARDS, MD
EDWARDS & SISAM LLC PROFIT SHARING PLAN 2011 030441930 2012-10-12 EDWARDS & SISAM LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5854097104
Plan sponsor’s address 33 CHANDLER AVENUE, BATAVIA, NY, 14020

Plan administrator’s name and address
Administrator’s EIN 030441930
Plan administrator’s name EDWARDS & SISAM LLC
Plan administrator’s address 33 CHANDLER AVENUE, BATAVIA, NY, 14020
Administrator’s telephone number 5854097104

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing RICHARD EDWARDS
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing RICHARD EDWARDS
EDWARDS & SISAM LLC PROFIT SHARING PLAN 2010 030441930 2011-10-14 EDWARDS & SISAM LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5854097104
Plan sponsor’s address 33 CHANDLER AVENUE, BATAVIA, NY, 14020

Plan administrator’s name and address
Administrator’s EIN 030441930
Plan administrator’s name EDWARDS & SISAM LLC
Plan administrator’s address 33 CHANDLER AVENUE, BATAVIA, NY, 14020
Administrator’s telephone number 5854097104

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing RICHARD EDWARDS
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing RICHARD EDWARDS

DOS Process Agent

Name Role Address
C/O RICHARD EDWARDS MD DOS Process Agent 215 SUMMIT STREET, BATAVIA, NY, United States, 14020

History

Start date End date Type Value
2002-05-08 2006-05-11 Address 215 SUMMIT STREET, BATAVIA, NY, 14020, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
080729002474 2008-07-29 BIENNIAL STATEMENT 2008-05-01
060511002501 2006-05-11 BIENNIAL STATEMENT 2006-05-01
040427002378 2004-04-27 BIENNIAL STATEMENT 2004-05-01
020816000062 2002-08-16 AFFIDAVIT OF PUBLICATION 2002-08-16
020816000065 2002-08-16 AFFIDAVIT OF PUBLICATION 2002-08-16
020508000674 2002-05-08 ARTICLES OF ORGANIZATION 2002-05-08

Related by officers

No related officers

Related by address

215 SUMMIT STREET, BATAVIA, NY, United States, 14020

JP MISHRA CARDIOLOGY, P.C.

Date of last update: 02 Jan 2025

Sources: New York Secretary of State

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