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BLOOM CPA PLLC

Company Details

Name: BLOOM CPA PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Jan 2004 (21 years ago)
Entity Number: 3000389
ZIP code: 11730
County: Suffolk
Place of Formation: New York
Address: 19 DONNA PLACE, EAST ISLIP, NY, United States, 11730

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLOOM CPA, PLLC RETIREMENT PLAN 2015 112790339 2016-10-17 BLOOM CPA PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541211
Sponsor’s telephone number 2125600607
Plan sponsor’s address 1441 BROADWAY, SUITE 3047, NEW YORK, NY, 10018

Signature of

Role Plan administrator
Date 2016-10-15
Name of individual signing WILLIAM BLOOM
Role Employer/plan sponsor
Date 2016-10-15
Name of individual signing WILLIAM BLOOM
BLOOM CPA, PLLC RETIREMENT PLAN 2014 112790339 2015-09-30 BLOOM CPA PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541211
Sponsor’s telephone number 2125600607
Plan sponsor’s address 1441 BROADWAY SUITE 3047, NEW YORK, NY, 10018

Signature of

Role Plan administrator
Date 2015-09-30
Name of individual signing WILLIAM BLOOM
Role Employer/plan sponsor
Date 2015-09-30
Name of individual signing WILLIAM BLOOM
BLOOM CPA, PLLC RETIREMENT PLAN 2013 112790339 2014-10-10 BLOOM CPA PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541211
Sponsor’s telephone number 2125600607
Plan sponsor’s address 1441 BROADWAY SUITE 3047, NEW YORK, NY, 10018

Signature of

Role Plan administrator
Date 2014-10-09
Name of individual signing WILLIAM R BLOOM
Role Employer/plan sponsor
Date 2014-10-09
Name of individual signing WILLIAM R BLOOM
BLOOM CPA, PLLC RETIREMENT PLAN 2012 112790339 2013-10-15 BLOOM CPA, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541211
Sponsor’s telephone number 2125600607
Plan sponsor’s address 469 7TH AVENUE, SUITE 326, NEW YORK, NY, 10018

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing WILLIAM R BLOOM
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing WILLIAM R BLOOM
BLOOM CPA, PLLC RETIREMENT PLAN 2011 112790339 2012-10-15 BLOOM CPA, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541211
Sponsor’s telephone number 2125600607
Plan sponsor’s address 231 WEST 29TH STREET, SUITE 604, NEW YORK, NY, 10001

Plan administrator’s name and address

Administrator’s EIN 112790339
Plan administrator’s name BLOOM CPA, PLLC
Plan administrator’s address 231 WEST 29TH STREET, SUITE 604, NEW YORK, NY, 10001
Administrator’s telephone number 2125600607

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing WILLIAM R BLOOM
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing WILLIAM R BLOOM
BLOOM CPA, PLLC RETIREMENT PLAN 2010 112790339 2011-10-06 BLOOM CPA, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541211
Sponsor’s telephone number 2125600607
Plan sponsor’s address 231 WEST 29TH STREET, SUITE 604, NEW YORK, NY, 10001

Plan administrator’s name and address

Administrator’s EIN 112790339
Plan administrator’s name BLOOM CPA, PLLC
Plan administrator’s address 231 WEST 29TH STREET, SUITE 604, NEW YORK, NY, 10001
Administrator’s telephone number 2125600607

Signature of

Role Plan administrator
Date 2011-10-06
Name of individual signing WILLIAM BLOOM
Role Employer/plan sponsor
Date 2011-10-06
Name of individual signing WILLIAM BLOOM
BLOOM CPA, PLLC RETIREMENT PLAN 2009 112790339 2010-10-13 BLOOM CPA, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541211
Sponsor’s telephone number 2125600607
Plan sponsor’s address 231 WEST 29TH STREET, SUITE 604, NEW YORK, NY, 10001

Plan administrator’s name and address

Administrator’s EIN 112790339
Plan administrator’s name BLOOM CPA, PLLC
Plan administrator’s address 231 WEST 29TH STREET, SUITE 604, NEW YORK, NY, 10001
Administrator’s telephone number 2125600607

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing WILLIAM R BLOOM
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing WILLIAM R BLOOM

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 19 DONNA PLACE, EAST ISLIP, NY, United States, 11730

Filings

Filing Number Date Filed Type Effective Date
200102061625 2020-01-02 BIENNIAL STATEMENT 2020-01-01
180215006084 2018-02-15 BIENNIAL STATEMENT 2018-01-01
160119006284 2016-01-19 BIENNIAL STATEMENT 2016-01-01
140121006376 2014-01-21 BIENNIAL STATEMENT 2014-01-01
120214002267 2012-02-14 BIENNIAL STATEMENT 2012-01-01
100126002830 2010-01-26 BIENNIAL STATEMENT 2010-01-01
080116002406 2008-01-16 BIENNIAL STATEMENT 2008-01-01
060113002688 2006-01-13 BIENNIAL STATEMENT 2006-01-01
050929000219 2005-09-29 AFFIDAVIT OF PUBLICATION 2005-09-29
050929000214 2005-09-29 AFFIDAVIT OF PUBLICATION 2005-09-29

Date of last update: 01 Jan 2025

Sources: New York Secretary of State