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  5. DECOTIIS MEDICAL, PLLC

DECOTIIS MEDICAL, PLLC

Company Details

Name: DECOTIIS MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 18 Jan 2007 (18 years ago)
Entity Number: 3463854
ZIP code: 10005
County: New York
Place of Formation: New York
Address: 28 LIBERTY ST., NEW YORK, NY, United States, 10005

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DECOTIIS MEDICAL PLLC CASH BALANCE PLAN 2023 208040003 2024-09-30 DECOTIIS MEDICAL PLLC 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2126853640
Plan sponsor’s address 20 E. 46TH STREET, SUITE 1201, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing SUSAN DECOTIIS
Valid signature Filed with authorized/valid electronic signature
DECOTIIS MEDICAL PLLC 401(K) PROFIT SHARING PLAN 2023 208040003 2024-08-20 DECOTIIS MEDICAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2126853640
Plan sponsor’s address 20 E. 46TH STREET, SUITE 1201, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2024-08-20
Name of individual signing DR. SUSAN DECOTIIS
DECOTIIS MEDICAL PLLC 401(K) PROFIT SHARING PLAN 2022 208040003 2023-08-21 DECOTIIS MEDICAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2126853640
Plan sponsor’s address 20 E. 46TH STREET, SUITE 1201, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2023-08-21
Name of individual signing DR. SUSAN DECOTIIS
DECOTIIS MEDICAL PLLC CASH BALANCE PLAN 2022 208040003 2023-09-14 DECOTIIS MEDICAL PLLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2126853640
Plan sponsor’s address 20 E. 46TH STREET, SUITE 1201, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing SUSAN DECOTIIS
DECOTIIS MEDICAL PLLC CASH BALANCE PLAN 2021 208040003 2022-09-16 DECOTIIS MEDICAL PLLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2126853640
Plan sponsor’s address 20 E. 46TH STREET, SUITE 1201, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2022-09-16
Name of individual signing SUSAN DECOTIIS
DECOTIIS MEDICAL PLLC 401(K) PROFIT SHARING PLAN 2021 208040003 2022-04-06 DECOTIIS MEDICAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2126853640
Plan sponsor’s address 20 E. 46TH STREET, SUITE 1201, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2022-04-06
Name of individual signing DR. SUSAN DECOTIIS
DECOTIIS MEDICAL PLLC CASH BALANCE PLAN 2020 208040003 2021-06-16 DECOTIIS MEDICAL PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2126853640
Plan sponsor’s address 20 E. 46TH STREET, SUITE 1201, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing DR. SUSAN DECOTIIS
DECOTIIS MEDICAL PLLC CASH BALANCE PLAN 2020 208040003 2021-06-16 DECOTIIS MEDICAL PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2126853640
Plan sponsor’s address 20 E. 46TH STREET, SUITE 1201, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing DR. SUSAN DECOTIIS
DECOTIIS MEDICAL PLLC 401(K) PROFIT SHARING PLAN 2020 208040003 2021-08-27 DECOTIIS MEDICAL PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2126853640
Plan sponsor’s address 20 E. 46TH STREET, SUITE 1201, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2021-08-27
Name of individual signing DR. SUSAN DECOTIIS
DECOTIIS MEDICAL PLLC CASH BALANCE PLAN 2019 208040003 2020-09-30 DECOTIIS MEDICAL PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2126853640
Plan sponsor’s address 20 E. 46TH STREET, SUITE 1201, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing DR. SUSAN DECOTIIS

DOS Process Agent

Name Role Address
NATIONAL REGISTERED AGENTS, INC. DOS Process Agent 28 LIBERTY ST., NEW YORK, NY, United States, 10005

History

Start date End date Type Value
2007-01-18 2019-01-28 Address 875 AVENUE OF THE AMERICAS, SUITE 501, NEW YORK, NY, 10001, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
SR-93956 2019-01-28 CERTIFICATE OF CHANGE (BY AGENT) 2019-01-28
070118000360 2007-01-18 ARTICLES OF ORGANIZATION 2007-01-18

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Date of last update: 04 Feb 2025

Sources: New York Secretary of State

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