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  5. SARATOGA FAMILY MEDICINE, PLLC

SARATOGA FAMILY MEDICINE, PLLC

Company Details

Name: SARATOGA FAMILY MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Dec 2002 (22 years ago)
Entity Number: 2848475
ZIP code: 12020
County: Saratoga
Place of Formation: New York
Address: 100 SARATOGA VILLAGE BLVD, SUITE 34, MALTA, NY, United States, 12020

Contact Details

Phone +1 518-899-9090

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SARATOGA FAMILY MEDICINE 401(K) PLAN 2023 320043730 2024-07-25 SARATOGA FAMILY MEDICINE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2024-07-25
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2022 320043730 2023-04-21 SARATOGA FAMILY MEDICINE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2023-04-21
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2021 320043730 2022-07-27 SARATOGA FAMILY MEDICINE 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2020 320043730 2021-10-13 SARATOGA FAMILY MEDICINE 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2019 320043730 2020-10-08 SARATOGA FAMILY MEDICINE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2018 320043730 2019-05-24 SARATOGA FAMILY MEDICINE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2019-05-24
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2017 320043730 2018-01-22 SARATOGA FAMILY MEDICINE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2018-01-22
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2016 320043730 2017-05-30 SARATOGA FAMILY MEDICINE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2017-05-30
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2015 320043730 2016-06-07 SARATOGA FAMILY MEDICINE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2014 320043730 2015-07-21 SARATOGA FAMILY MEDICINE 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing DR. MARIANNE MUSTAFA

DOS Process Agent

Name Role Address
C/O MARIANNE A. MUSTAFA, MD DOS Process Agent 100 SARATOGA VILLAGE BLVD, SUITE 34, MALTA, NY, United States, 12020

Filings

Filing Number Date Filed Type Effective Date
050124002783 2005-01-24 BIENNIAL STATEMENT 2004-12-01
030304000031 2003-03-04 AFFIDAVIT OF PUBLICATION 2003-03-04
030304000032 2003-03-04 AFFIDAVIT OF PUBLICATION 2003-03-04
021223000145 2002-12-23 ARTICLES OF ORGANIZATION 2003-01-05

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: New York Secretary of State

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