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  5. CROUSE MEDICAL PRACTICE, PLLC

CROUSE MEDICAL PRACTICE, PLLC

Company Details

Name: CROUSE MEDICAL PRACTICE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Feb 2010 (15 years ago)
Entity Number: 3912731
ZIP code: 13210
County: Onondaga
Place of Formation: New York
Address: 739 IRVING AVENUE, SUITE 340, ATTN: EXECUTIVE DIRECTOR, SYRACUSE, NY, United States, 13210

Contact Details

Phone +1 315-766-1627

Phone +1 315-470-5880

Phone +1 315-701-2535

Phone +1 315-470-7409

Phone +1 315-652-6551

Phone +1 315-448-6215

Phone +1 315-824-1100

Phone +1 315-682-6600

Phone +1 315-472-7401

Phone +1 315-470-8401

Phone +1 315-765-8448

Phone +1 315-449-3800

Phone +1 317-476-2323

Phone +1 315-445-2701

Phone +1 315-470-7364

Phone +1 315-470-7997

Phone +1 315-479-5070

Phone +1 315-802-2601

Phone +1 315-470-7747

Phone +1 315-766-1666

Phone +1 315-701-2550

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CROUSE MEDICAL PRACTICE, PLLC 401(K) PLAN 2012 800548096 2013-09-30 CROUSE MEDICAL PRACTICE, PLLC 116
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 621111
Sponsor’s telephone number 3154795070
Plan sponsor’s address 739 IRVING AVE, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2013-09-18
Name of individual signing GREGORY SCHULZ
Role Employer/plan sponsor
Date 2013-09-18
Name of individual signing GREGORY SCHULZ
CROUSE MEDICAL PRACTICE, PLLC 401(K) PLAN 2011 800548096 2012-10-03 CROUSE MEDICAL PRACTICE, PLLC 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 621111
Sponsor’s telephone number 3154795070
Plan sponsor’s address 739 IRVING AVE SUITE 200, SYRACUSE, NY, 13210

Plan administrator’s name and address
Administrator’s EIN 800548096
Plan administrator’s name CROUSE MEDICAL PRACTICE, PLLC
Plan administrator’s address 739 IRVING AVE SUITE 200, SYRACUSE, NY, 13210
Administrator’s telephone number 3154795070

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing KIM DEC
CROUSE MEDICAL PRACTICE, PLLC 401(K) PLAN 2010 800548096 2011-09-20 CROUSE MEDICAL PRACTICE, PLLC 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 3154795070
Plan sponsor’s address 739 IRVING AVE SUITE 200, SYRACUSE, NY, 13210

Plan administrator’s name and address
Administrator’s EIN 800548096
Plan administrator’s name CROUSE MEDICAL PRACTICE, PLLC
Plan administrator’s address 739 IRVING AVE SUITE 200, SYRACUSE, NY, 13210
Administrator’s telephone number 3154795070

Signature of
Role Plan administrator
Date 2011-09-20
Name of individual signing KIM DEC

DOS Process Agent

Name Role Address
CROUSE MEDICAL PRACTICE, PLLC DOS Process Agent 739 IRVING AVENUE, SUITE 340, ATTN: EXECUTIVE DIRECTOR, SYRACUSE, NY, United States, 13210

History

Start date End date Type Value
2010-10-12 2024-06-10 Address ATT: EXECUTIVE DIRECTOR, 730 SOUTH CROUSE AVENUE S 204, SYRACUSE, NY, 13210, USA (Type of address: Service of Process)
2010-02-16 2010-10-12 Address ATTN: PRESIDENT, 736 IRVING AVENUE, SYRACUSE, NY, 13210, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240610002358 2024-06-10 BIENNIAL STATEMENT 2024-06-10
170821006126 2017-08-21 BIENNIAL STATEMENT 2016-02-01
120403002256 2012-04-03 BIENNIAL STATEMENT 2012-02-01
101012000475 2010-10-12 CERTIFICATE OF AMENDMENT 2010-10-12
100511000882 2010-05-11 CERTIFICATE OF PUBLICATION 2010-05-11
100216000391 2010-02-16 ARTICLES OF ORGANIZATION 2010-02-16

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
80-0548096 Corporation Unconditional Exemption 730 S CROUSE AVE STE 204, SYRACUSE, NY, 13210-1746 2014-06
In Care of Name % PAUL J KRONENBERG
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 14930815
Income Amount 45127762
Form 990 Revenue Amount 45121771
National Taxonomy of Exempt Entities Health Care: Health Treatment Facilities, Primarily Outpatient
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letter
Final Letter(s) FinalLetter_80-0548096_CROUSEMEDICALPRACTICEPLLC_04032012_01.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name CROUSE MEDICAL PRACTICE PLLC
EIN 80-0548096
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name CROUSE MEDICAL PRACTICE PLLC
EIN 80-0548096
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CROUSE MEDICAL PRACTICE PLLC
EIN 80-0548096
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name CROUSE MEDICAL PRACTICE PLLC
EIN 80-0548096
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name CROUSE MEDICAL PRACTICE PLLC
EIN 80-0548096
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name CROUSE MEDICAL PRACTICE PLLC
EIN 80-0548096
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name CROUSE MEDICAL PRACTICE PLLC
EIN 80-0548096
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name CROUSE MEDICAL PRACTICE PLLC
EIN 80-0548096
Tax Period 201512
Filing Type E
Return Type 990
File View File

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Mar 2025

Sources: New York Secretary of State

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