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  5. ROOSEVELT SURGERY CENTER, LLC

ROOSEVELT SURGERY CENTER, LLC

Company Details

Name: ROOSEVELT SURGERY CENTER, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Sep 2009 (15 years ago)
Entity Number: 3858121
ZIP code: 10019
County: New York
Place of Formation: New York
Address: 619 W. 54TH STREET - SUITE 602, NEW YORK, NY, United States, 10019

Contact Details

Phone +1 212-231-7897

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF ROOSEVELT SURGERY CENTER, LLC 2023 271778024 2024-07-31 ROOSEVELT SURGERY CENTER, LLC 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Sponsor’s telephone number 2122317897
Plan sponsor’s address 619 W 54TH ST, NEW YORK, NY, 100193545

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing NINA IFRAIMOVA
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF ROOSEVELT SURGERY CENTER, LLC 2023 271778024 2024-09-27 ROOSEVELT SURGERY CENTER, LLC 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 621498
Sponsor’s telephone number 2122317897
Plan sponsor’s address 619 W 54TH ST, NEW YORK, NY, 100193545

Signature of
Role Plan administrator
Date 2024-09-27
Name of individual signing NINA IFRAIMOVA
Valid signature Filed with authorized/valid electronic signature
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF ROOSEVELT SURGERY CENTER, LLC 2022 271778024 2024-02-07 ROOSEVELT SURGERY CENTER, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 621498
Sponsor’s telephone number 2122317897
Plan sponsor’s address 619 W 54TH ST, NEW YORK, NY, 100193545

Signature of
Role Plan administrator
Date 2024-02-07
Name of individual signing NINA IFAIMOVA
EMPLOYEE BENEFIT PLAN OF ROOSEVELT SURGERY CENTER, LLC 2021 271778024 2022-07-20 ROOSEVELT SURGERY CENTER, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 621498
Sponsor’s telephone number 2122317897
Plan sponsor’s address 619 W 54TH ST, NEW YORK, NY, 100193545

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing NINA IFAIMOVA
EMPLOYEE BENEFIT PLAN OF ROOSEVELT SURGERY CENTER, LLC 2020 271778024 2021-06-18 ROOSEVELT SURGERY CENTER, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 621498
Sponsor’s telephone number 2122317897
Plan sponsor’s address 619 W 54TH ST, NEW YORK, NY, 100193545

Signature of
Role Plan administrator
Date 2021-06-18
Name of individual signing NINA IFAIMOVA
EMPLOYEE BENEFIT PLAN OF ROOSEVELT SURGERY CENTER, LLC 2019 271778024 2020-07-17 ROOSEVELT SURGERY CENTER, LLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 621498
Sponsor’s telephone number 2122317897
Plan sponsor’s address 619 W 54TH ST, NEW YORK, NY, 100193545

Signature of
Role Plan administrator
Date 2020-07-17
Name of individual signing NINA IFAIMOVA
EMPLOYEE BENEFIT PLAN OF ROOSEVELT SURGERY CENTER, LLC 2018 271778024 2019-07-15 ROOSEVELT SURGERY CENTER, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 621498
Sponsor’s telephone number 2122317898
Plan sponsor’s address 619 W 54TH ST, NEW YORK, NY, 100193545

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing NINA IFAIMOVA
EMPLOYEE BENEFIT PLAN OF ROOSEVELT SURGERY CENTER LLC 2017 271778024 2018-10-12 ROOSEVELT SURGERY CENTER LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 621498
Sponsor’s telephone number 2122317897
Plan sponsor’s address 619 W 54TH ST, NEW YORK, NY, 100193545

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing ROSALY URBAEZ
Role Employer/plan sponsor
Date 2018-10-12
Name of individual signing ROSALY URBAEZ
EMPLOYEE BENEFIT PLAN OF ROOSEVELT SURGERY CENTER, LLC 2016 271778024 2017-05-25 ROOSEVELT SURGERY CENTER, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 621498
Sponsor’s telephone number 5169937539
Plan sponsor’s address 619 W 54TH ST, NEW YORK, NY, 10019

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing COLLEEN O'BRIEN
Role Employer/plan sponsor
Date 2017-05-25
Name of individual signing COLLEEN O'BRIEN
EMPLOYEE BENEFIT PLAN OF ROOSEVELT SURGERY CENTER, LLC 2015 271778024 2016-07-29 ROOSEVELT SURGERY CENTER, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 621498
Sponsor’s telephone number 5169937539
Plan sponsor’s address 619 W 54TH ST, NEW YORK, NY, 10019

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing COLLEEN O'BRIEN
Role Employer/plan sponsor
Date 2016-07-29
Name of individual signing COLLEEN O'BRIEN

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 28 LIBERTY ST., NEW YORK, NY, 10005

DOS Process Agent

Name Role Address
MANHATTAN SURGERY CENTER DOS Process Agent 619 W. 54TH STREET - SUITE 602, NEW YORK, NY, United States, 10019

History

Start date End date Type Value
2019-01-28 2023-09-05 Address 28 LIBERTY ST., NEW YORK, NY, 10005, USA (Type of address: Registered Agent)
2019-01-28 2023-09-05 Address 28 LIBERTY ST., NEW YORK, NY, 10005, USA (Type of address: Service of Process)
2009-09-21 2019-01-28 Address 111 EIGHTH AVENUE, NEW YORK, NY, 10011, USA (Type of address: Registered Agent)
2009-09-21 2019-01-28 Address 111 EIGHTH AVENUE, NEW YORK, NY, 10011, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230905001310 2023-09-05 BIENNIAL STATEMENT 2023-09-01
221121000241 2022-11-21 BIENNIAL STATEMENT 2021-09-01
SR-53031 2019-01-28 CERTIFICATE OF CHANGE (BY AGENT) 2019-01-28
SR-53032 2019-01-28 CERTIFICATE OF CHANGE (BY AGENT) 2019-01-28
121024000788 2012-10-24 CERTIFICATE OF AMENDMENT 2012-10-24
111020002516 2011-10-20 BIENNIAL STATEMENT 2011-09-01
091208000182 2009-12-08 CERTIFICATE OF PUBLICATION 2009-12-08
090921000056 2009-09-21 ARTICLES OF ORGANIZATION 2009-09-21

Related by officers

C T CORPORATION SYSTEM

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Related by address

No related companies by address

Date of last update: 17 Jan 2025

Sources: New York Secretary of State

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