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LIBERA MEDICAL, PLLC

Company Details

Name: LIBERA MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Dec 2013 (11 years ago)
Entity Number: 4496245
ZIP code: 12207
County: New York
Place of Formation: New York
Address: 80 STATE STREET, ALBANY, NY, United States, 12207

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIBERA MEDICAL RETIREMENT PLAN 2023 464268566 2024-08-14 LIBERA MEDICAL, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-10-01
Business code 621111
Sponsor’s telephone number 6467927476
Plan sponsor’s address 425 FIFTH AVENUE, 3RD FLOOR, NEW YORK, NY, 10016

Signature of

Role Plan administrator
Date 2024-08-14
Name of individual signing SHIRLEY HORNER
LIBERA MEDICAL RETIREMENT PLAN 2022 464268566 2023-09-10 LIBERA MEDICAL, PLLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-10-01
Business code 621111
Sponsor’s telephone number 6467927476
Plan sponsor’s address 425 FIFTH AVENUE, 3RD FLOOR, NEW YORK, NY, 10016

Signature of

Role Plan administrator
Date 2023-09-10
Name of individual signing NICK RICE
LIBERA MEDICAL RETIREMENT PLAN 2021 464268566 2022-07-27 LIBERA MEDICAL, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-10-01
Business code 621111
Sponsor’s telephone number 6467927476
Plan sponsor’s address 425 FIFTH AVENUE, 3RD FLOOR, NEW YORK, NY, 10016

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing SHIRLEY HORNER
LIBERA MEDICAL RETIREMENT PLAN 2020 464268566 2021-10-10 LIBERA MEDICAL, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-10-01
Business code 621111
Sponsor’s telephone number 6467927476
Plan sponsor’s address 425 FIFTH AVENUE, 3RD FLOOR, NEW YORK, NY, 10016

Signature of

Role Plan administrator
Date 2021-10-10
Name of individual signing SHIRLEY HORNER

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 80 STATE STREET, ALBANY, NY, 12207

DOS Process Agent

Name Role Address
CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

Filings

Filing Number Date Filed Type Effective Date
191202061301 2019-12-02 BIENNIAL STATEMENT 2019-12-01
171201006676 2017-12-01 BIENNIAL STATEMENT 2017-12-01
151201006098 2015-12-01 BIENNIAL STATEMENT 2015-12-01
140205000405 2014-02-05 CERTIFICATE OF PUBLICATION 2014-02-05
131205000145 2013-12-05 ARTICLES OF ORGANIZATION 2013-12-05

Date of last update: 19 Feb 2025

Sources: New York Secretary of State