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WILLIAMSBURG ANIMAL CLINIC PLLC

Company Details

Name: WILLIAMSBURG ANIMAL CLINIC PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Sep 2007 (17 years ago)
Entity Number: 3567008
ZIP code: 11211
County: Kings
Place of Formation: New York
Address: 760 GRAND ST., BROOKLYN, NY, United States, 11211

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2022 260902176 2023-09-20 WILLIAMSBURG ANIMAL CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of

Role Plan administrator
Date 2023-09-20
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2021 260902176 2022-07-27 WILLIAMSBURG ANIMAL CLINIC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2021 260902176 2022-12-28 WILLIAMSBURG ANIMAL CLINIC 18
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of

Role Plan administrator
Date 2022-12-28
Name of individual signing ORLANDO R DIAZ
Role Employer/plan sponsor
Date 2022-12-28
Name of individual signing ORLANDO R DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2020 260902176 2021-07-29 WILLIAMSBURG ANIMAL CLINIC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of

Role Plan administrator
Date 2021-07-29
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2019 260902176 2020-06-30 WILLIAMSBURG ANIMAL CLINIC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2018 260902176 2019-06-13 WILLIAMSBURG ANIMAL CLINIC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of

Role Plan administrator
Date 2019-06-13
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2017 260902176 2018-05-30 WILLIAMSBURG ANIMAL CLINIC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of

Role Plan administrator
Date 2018-05-30
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2016 260902176 2017-06-06 WILLIAMSBURG ANIMAL CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of

Role Plan administrator
Date 2017-06-06
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2015 260902176 2016-08-09 WILLIAMSBURG ANIMAL CLINIC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND AVENUE, BROOKLYN, NY, 11211

Signature of

Role Plan administrator
Date 2016-08-09
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401(K) PROFIT SHARING PLAN 2013 260902176 2014-10-09 WILLIAMSBURG ANIMAL CLINIC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Plan administrator’s name and address

Administrator’s EIN 260902176
Plan administrator’s name WILLIAMSBURG ANIMAL CLINIC
Plan administrator’s address 760 GRAND STREET, BROOKLYN, NY, 11211
Administrator’s telephone number 7183022420

Signature of

Role Plan administrator
Date 2014-10-09
Name of individual signing ORLANDO DIAZ

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 760 GRAND ST., BROOKLYN, NY, United States, 11211

Filings

Filing Number Date Filed Type Effective Date
211123001699 2021-11-23 BIENNIAL STATEMENT 2021-11-23
190903061958 2019-09-03 BIENNIAL STATEMENT 2019-09-01
180724006205 2018-07-24 BIENNIAL STATEMENT 2017-09-01
130909007682 2013-09-09 BIENNIAL STATEMENT 2013-09-01
110919002503 2011-09-19 BIENNIAL STATEMENT 2011-09-01
090921002620 2009-09-21 BIENNIAL STATEMENT 2009-09-01
080213000127 2008-02-13 CERTIFICATE OF PUBLICATION 2008-02-13
070912000703 2007-09-12 ARTICLES OF ORGANIZATION 2007-09-12

Date of last update: 17 Jan 2025

Sources: New York Secretary of State