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  5. SOUTHSIDE MEDICAL SUPPLY, LLC

SOUTHSIDE MEDICAL SUPPLY, LLC

Company Details

Name: SOUTHSIDE MEDICAL SUPPLY, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Oct 2005 (19 years ago)
Entity Number: 3274749
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 1815 S CLINTON AVE, STE 405, ROCHESTER, NY, United States, 14618

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHSIDE MEDICAL SUPPLY LLC 401K PLAN 2012 203705856 2013-07-08 SOUTHSIDE MEDICAL SUPPLY LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-19
Business code 621410
Sponsor’s telephone number 5857702231
Plan sponsor’s address 1815 CLINTON AVE S, ROCHESTER, NY, 146185720

Signature of
Role Plan administrator
Date 2013-07-08
Name of individual signing JENNIFER LEWIS
Role Employer/plan sponsor
Date 2013-07-08
Name of individual signing JENNIFER LEWIS
SOUTHSIDE MEDICAL SUPPLY LLC 401K PLAN 2011 203705856 2012-07-25 SOUTHSIDE MEDICAL SUPPLY LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-19
Business code 621410
Sponsor’s telephone number 5857702231
Plan sponsor’s address 1815 CLINTON AVE S, ROCHESTER, NY, 146185720

Plan administrator’s name and address
Administrator’s EIN 203705856
Plan administrator’s name SOUTHSIDE MEDICAL SUPPLY LLC
Plan administrator’s address 1815 CLINTON AVE S, ROCHESTER, NY, 146185720
Administrator’s telephone number 5857702231

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing JENNIFER LEWIS
Role Employer/plan sponsor
Date 2012-07-25
Name of individual signing JENNIFER LEWIS
SOUTHSIDE MEDICAL SUPPLY LLC 401K PLAN 2010 203705856 2011-07-29 SOUTHSIDE MEDICAL SUPPLY LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-19
Business code 621410
Sponsor’s telephone number 5857702231
Plan sponsor’s address 1815 CLINTON AVE S, ROCHESTER, NY, 146185720

Plan administrator’s name and address
Administrator’s EIN 203705856
Plan administrator’s name SOUTHSIDE MEDICAL SUPPLY LLC
Plan administrator’s address 1815 CLINTON AVE S, ROCHESTER, NY, 146185720
Administrator’s telephone number 5857702231

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing JENNIFER LEWIS
Role Employer/plan sponsor
Date 2011-07-29
Name of individual signing JENNIFER LEWIS
SOUTHSIDE MEDICAL SUPPLY LLC 401K PLAN 2010 203705856 2011-07-28 SOUTHSIDE MEDICAL SUPPLY LLC 15
Three-digit plan number (PN) 001
Effective date of plan 2006-07-19
Business code 621410
Sponsor’s telephone number 5857702231
Plan sponsor’s address 1815 CLINTON AVE S, ROCHESTER, NY, 146185720

Plan administrator’s name and address
Administrator’s EIN 203705856
Plan administrator’s name SOUTHSIDE MEDICAL SUPPLY LLC
Plan administrator’s address 1815 CLINTON AVE S, ROCHESTER, NY, 146185720
Administrator’s telephone number 5857702231
SOUTHSIDE MEDICAL SUPPLY LLC 401K PLAN 2009 203705856 2010-09-03 SOUTHSIDE MEDICAL SUPPLY LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-19
Business code 621410
Sponsor’s telephone number 5857702231
Plan sponsor’s address 1815 CLINTON AVE S, ROCHESTER, NY, 146185720

Plan administrator’s name and address
Administrator’s EIN 203705856
Plan administrator’s name SOUTHSIDE MEDICAL SUPPLY LLC
Plan administrator’s address 1815 CLINTON AVE S, ROCHESTER, NY, 146185720
Administrator’s telephone number 5857702231

Signature of
Role Plan administrator
Date 2010-09-03
Name of individual signing JENNIFER LEWIS
Role Employer/plan sponsor
Date 2010-09-03
Name of individual signing JENNIFER LEWIS

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1815 S CLINTON AVE, STE 405, ROCHESTER, NY, United States, 14618

History

Start date End date Type Value
2005-10-28 2009-10-27 Address 1815 SOUTH CLINTON AVE STE 405, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
131016006341 2013-10-16 BIENNIAL STATEMENT 2013-10-01
120413002104 2012-04-13 BIENNIAL STATEMENT 2011-10-01
091027002440 2009-10-27 BIENNIAL STATEMENT 2009-10-01
071119002301 2007-11-19 BIENNIAL STATEMENT 2007-10-01
060208001239 2006-02-08 AFFIDAVIT OF PUBLICATION 2006-02-08
060208001238 2006-02-08 AFFIDAVIT OF PUBLICATION 2006-02-08
051028000840 2005-10-28 ARTICLES OF ORGANIZATION 2005-10-28

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Related by address

No related companies by address

Date of last update: 31 Dec 2024

Sources: New York Secretary of State

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