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  5. VICTORY HEALTH PARTNERS LLC

VICTORY HEALTH PARTNERS LLC

Company Details

Name: VICTORY HEALTH PARTNERS LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 Sep 2014 (10 years ago)
Entity Number: 4638129
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 2315 VICTORY BLVD, STATEN ISLAND, NY, United States, 10314

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VICTORY HEALTH PARTNERS LLC RETIREMENT PLAN 2023 471862101 2024-07-22 VICTORY HEALTH PARTNERS LLC 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Signature of
Role Plan administrator
Date 2024-07-22
Name of individual signing DAVID WORTMAN
VICTORY HEALTH PARTNERS LLC RETIREMENT PLAN 2022 471862101 2023-08-21 VICTORY HEALTH PARTNERS LLC 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Signature of
Role Plan administrator
Date 2023-08-21
Name of individual signing DAVID WORTMAN
VICTORY HEALTH PARTNERS LLC RETIREMENT PLAN 2021 471862101 2022-07-01 VICTORY HEALTH PARTNERS LLC 48
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Signature of
Role Plan administrator
Date 2022-07-01
Name of individual signing DAVID WORTMAN
VICTORY HEALTH PARTNERS LLC RETIREMENT PLAN 2020 471862101 2021-10-06 VICTORY HEALTH PARTNERS LLC 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing DAVID WORTMAN
VICTORY HEALTH PARTNERS LLC RETIREMENT PLAN 2019 471862101 2020-09-18 VICTORY HEALTH PARTNERS LLC 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Signature of
Role Plan administrator
Date 2020-09-18
Name of individual signing DAVID WORTMAN
VICTORY HEALTH PARTNERS LLC RETIREMENT PLAN 2018 471862101 2019-08-27 VICTORY HEALTH PARTNERS LLC 49
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Signature of
Role Plan administrator
Date 2019-08-27
Name of individual signing DAVID WORTMAN
VICTORY HEALTH PARTNERS LLC RETIREMENT PLAN 2017 471862101 2018-08-15 VICTORY HEALTH PARTNERS LLC 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Signature of
Role Plan administrator
Date 2018-08-15
Name of individual signing DAVID WORTMAN
VICTORY HEALTH PARTNERS LLC RETIREMENT PLAN 2017 134114612 2018-08-14 VICTORY HEALTH PARTNERS LLC 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Signature of
Role Plan administrator
Date 2018-08-14
Name of individual signing DAVID WORTMAN
VICTORY HEALTH PARTNERS LLC RETIREMENT PLAN 2016 134114612 2017-08-16 VICTORY HEALTH PARTNERS LLC 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Signature of
Role Plan administrator
Date 2017-08-16
Name of individual signing DAVID WORTMAN
VICTORY HEALTH PARTNERS LLC RETIREMENT PLAN 2015 134114612 2016-10-05 VICTORY HEALTH PARTNERS LLC 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing DAVID WORTMAN

DOS Process Agent

Name Role Address
VICTORY HEALTH PARTNERS LLC DOS Process Agent 2315 VICTORY BLVD, STATEN ISLAND, NY, United States, 10314

Filings

Filing Number Date Filed Type Effective Date
150224000831 2015-02-24 CERTIFICATE OF PUBLICATION 2015-02-24
140917010389 2014-09-17 ARTICLES OF ORGANIZATION 2014-09-17

Related by officers

No related officers

Related by address

2315 VICTORY BLVD, STATEN ISLAND, NY, United States, 10314

VICTORY INTERNAL MEDICINE, P.C. WOOLLEY ASSOCIATES, INC. VICTORY IN-PATIENT MEDICINE, P.C.

Date of last update: 15 Jan 2025

Sources: New York Secretary of State

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