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EMPIRE MEDICAL SYSTEMS, LLC

Company Details

Name: EMPIRE MEDICAL SYSTEMS, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 30 Mar 2012 (13 years ago)
Date of dissolution: 18 Mar 2024
Entity Number: 4224904
ZIP code: 14564
County: Ontario
Place of Formation: New York
Address: 7240 WINCANTON WAY, VICTOR, NY, United States, 14564

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPIRE MEDICAL SYSTEMS LLC 401K PLAN 2023 454531658 2024-03-27 EMPIRE MEDICAL SYSTEMS LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 5858808791
Plan sponsor’s address 7240 WINCANTON WAY, VICTOR, NY, 14564

Signature of

Role Plan administrator
Date 2024-03-27
Name of individual signing JASON GOTHAM
EMPIRE MEDICAL SYSTEMS LLC 401K PLAN 2023 454531658 2024-07-11 EMPIRE MEDICAL SYSTEMS LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 5858808791
Plan sponsor’s address 7240 WINCANTON WAY, VICTOR, NY, 14564

Signature of

Role Plan administrator
Date 2024-07-11
Name of individual signing JASON GOTHAM
EMPIRE MEDICAL SYSTEMS LLC 401K PLAN 2022 454531658 2023-05-30 EMPIRE MEDICAL SYSTEMS LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 5858808791
Plan sponsor’s address 7240 WINCANTON WAY, VICTOR, NY, 14564

Signature of

Role Plan administrator
Date 2023-05-30
Name of individual signing JASON GOTHAM
EMPIRE MEDICAL SYSTEMS LLC 401K PLAN 2021 454531658 2022-04-21 EMPIRE MEDICAL SYSTEMS LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 5858808791
Plan sponsor’s address 7240 WINCANTON WAY, VICTOR, NY, 14564

Signature of

Role Plan administrator
Date 2022-04-21
Name of individual signing JASON GOTHAM
EMPIRE MEDICAL SYSTEMS LLC 401K PLAN 2020 454531658 2021-09-07 EMPIRE MEDICAL SYSTEMS LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 5858808791
Plan sponsor’s address 7240 WINCANTON WAY, VICTOR, NY, 14564

Signature of

Role Plan administrator
Date 2021-09-07
Name of individual signing JASON GOTHAM
EMPIRE MEDICAL SYSTEMS LLC 401K PLAN 2019 454531658 2020-09-29 EMPIRE MEDICAL SYSTEMS LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 5858808791
Plan sponsor’s address 7240 WINCANTON WAY, VICTOR, NY, 14564

Signature of

Role Plan administrator
Date 2020-09-29
Name of individual signing JASON GOTHAM
EMPIRE MEDICAL SYSTEMS LLC 401K PLAN 2018 454531658 2019-10-14 EMPIRE MEDICAL SYSTEMS LLC 6
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 5858808791
Plan sponsor’s address 7240 WINCANTON WAY, VICTOR, NY, 14564

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing JASON GOTHAM
EMPIRE MEDICAL SYSTEMS LLC 401K PLAN 2018 454531658 2020-09-29 EMPIRE MEDICAL SYSTEMS LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 5858808791
Plan sponsor’s address 7240 WINCANTON WAY, VICTOR, NY, 14564

Signature of

Role Plan administrator
Date 2020-09-29
Name of individual signing JASON GOTHAM
EMPIRE MEDICAL SYSTEMS LLC 401K PLAN 2017 454531658 2018-03-16 EMPIRE MEDICAL SYSTEMS LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 5858808791
Plan sponsor’s address 7240 WINCANTON WAY, VICTOR, NY, 14564

Signature of

Role Plan administrator
Date 2018-03-16
Name of individual signing JASON GOTHAM
EMPIRE MEDICAL SYSTEMS LLC 401K PLAN 2016 454531658 2017-04-24 EMPIRE MEDICAL SYSTEMS LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 5858808791
Plan sponsor’s address 7240 WINCANTON WAY, VICTOR, NY, 14564

Signature of

Role Plan administrator
Date 2017-04-24
Name of individual signing JASON GOTHAM

DOS Process Agent

Name Role Address
JASON GOTHAM DOS Process Agent 7240 WINCANTON WAY, VICTOR, NY, United States, 14564

History

Start date End date Type Value
2012-03-30 2024-03-28 Address 7240 WINCANTON WAY, VICTOR, NY, 14564, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240328001862 2024-03-18 CERTIFICATE OF DISSOLUTION-CANCELLATION 2024-03-18
220210002091 2022-02-10 BIENNIAL STATEMENT 2022-02-10
180309006293 2018-03-09 BIENNIAL STATEMENT 2018-03-01
160304006730 2016-03-04 BIENNIAL STATEMENT 2016-03-01
140507002129 2014-05-07 BIENNIAL STATEMENT 2014-03-01
121005001026 2012-10-05 CERTIFICATE OF PUBLICATION 2012-10-05
120330001044 2012-03-30 ARTICLES OF ORGANIZATION 2012-03-30

Date of last update: 29 Dec 2024

Sources: New York Secretary of State