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ADOLESCENT-YOUNG ADULT MEDICINE OF GREAT NECK, LLC

Company Details

Name: ADOLESCENT-YOUNG ADULT MEDICINE OF GREAT NECK, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Nov 2002 (22 years ago)
Entity Number: 2830243
ZIP code: 11021
County: Nassau
Place of Formation: New York
Address: 212 MIDDLE NECK RD STE #5, GREAT NECK, NY, United States, 11021

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADOLESCENT-YOUNG ADULT MEDICINE OF GREAT NECK 401(K) PLAN 2023 371448723 2024-05-14 ADOLESCENT-YOUNG ADULT MEDICINE OF GREAT NECK LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 5164825400
Plan sponsor’s address 29 BARSTOW RD STE 201, GREAT NECK, NY, 11021

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-14
Name of individual signing QIAN LIU
ADOLESCENT-YOUNG ADULT MEDICINE OF GREAT NECK 401(K) PLAN 2022 371448723 2023-07-26 ADOLESCENT-YOUNG ADULT MEDICINE OF GREAT NECK LLC 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 5164825400
Plan sponsor’s address 29 BARSTOW RD STE 201, GREAT NECK, NY, 11021

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-07-26
Name of individual signing CHRISTINE RIMER

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 212 MIDDLE NECK RD STE #5, GREAT NECK, NY, United States, 11021

Filings

Filing Number Date Filed Type Effective Date
101203002121 2010-12-03 BIENNIAL STATEMENT 2010-11-01
081114002691 2008-11-14 BIENNIAL STATEMENT 2008-11-01
061116002244 2006-11-16 BIENNIAL STATEMENT 2006-11-01
041116002069 2004-11-16 BIENNIAL STATEMENT 2004-11-01
030103000508 2003-01-03 AFFIDAVIT OF PUBLICATION 2003-01-03
030103000505 2003-01-03 AFFIDAVIT OF PUBLICATION 2003-01-03
021104000091 2002-11-04 ARTICLES OF ORGANIZATION 2002-11-04

Date of last update: 19 Jan 2025

Sources: New York Secretary of State