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  5. LARCHMONT FAMILY MEDICINE, PLLC

LARCHMONT FAMILY MEDICINE, PLLC

Company Details

Name: LARCHMONT FAMILY MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Jan 2016 (9 years ago)
Entity Number: 4885292
ZIP code: 11228
County: Westchester
Place of Formation: New York
Address: 7014 13TH AVENUE, STE 202, BROOKLYN, NY, United States, 11228

Contact Details

Phone +1 914-834-9606

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LARCHMONT FAMILY MEDICINE 401(K) PLAN 2023 811326533 2024-10-14 LARCHMONT FAMILY MEDICINE PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-01
Business code 621111
Sponsor’s telephone number 9148349606
Plan sponsor’s address 1890 PALMER AVENUE, SUITE 304, LARCHMONT, NY, 10538

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing STEPHANIE HEINEGG
Valid signature Filed with authorized/valid electronic signature
LARCHMONT FAMILY MEDICINE 401(K) PLAN 2022 811326533 2023-09-13 LARCHMONT FAMILY MEDICINE PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-01
Business code 621111
Sponsor’s telephone number 9148349606
Plan sponsor’s address 1890 PALMER AVENUE, SUITE 304, LARCHMONT, NY, 10538

Signature of
Role Plan administrator
Date 2023-09-13
Name of individual signing STEPHANIE HEINEGG
LARCHMONT FAMILY MEDICINE 401(K) PLAN 2021 811326533 2022-10-14 LARCHMONT FAMILY MEDICINE PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-01
Business code 621111
Sponsor’s telephone number 9148349606
Plan sponsor’s address 1890 PALMER AVENUE, SUITE 304, LARCHMONT, NY, 10538

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing STEPHANIE HEINEGG
LARCHMONT FAMILY MEDICINE 401(K) PLAN 2020 811326533 2021-09-24 LARCHMONT FAMILY MEDICINE PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-01
Business code 621111
Sponsor’s telephone number 9148349606
Plan sponsor’s address 1890 PALMER AVENUE, LARCHMONT, NY, 10538

Signature of
Role Plan administrator
Date 2021-09-24
Name of individual signing STEPHANIE HEINEGG
LARCHMONT FAMILY MEDICINE 401(K) PLAN 2019 811326533 2020-09-23 LARCHMONT FAMILY MEDICINE PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-01
Business code 621111
Sponsor’s telephone number 9148349606
Plan sponsor’s address 1890 PALMER AVENUE, LARCHMONT, NY, 10538

Signature of
Role Plan administrator
Date 2020-09-23
Name of individual signing STEPHANIE HEINEGG
LARCHMONT FAMILY MEDICINE 401(K) PLAN 2018 811326533 2019-10-14 LARCHMONT FAMILY MEDICINE PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-01
Business code 621111
Sponsor’s telephone number 9148349606
Plan sponsor’s address 1890 PALMER AVENUE, LARCHMONT, NY, 10538

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing STEPHANIE HEINEGG
LARCHMONT FAMILY MEDICINE 401(K) PLAN 2017 811326533 2018-10-10 LARCHMONT FAMILY MEDICINE PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-01
Business code 621111
Sponsor’s telephone number 9148349606
Plan sponsor’s address 1890 PALMER AVENUE, LARCHMONT, NY, 10538

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing STEPHANIE HEINEGG
LARCHMONT FAMILY MEDICINE 401(K) PLAN 2016 811326533 2017-10-16 LARCHMONT FAMILY MEDICINE PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-01
Business code 621111
Sponsor’s telephone number 9148349606
Plan sponsor’s address 1890 PALMER AVENUE, LARCHMONT, NY, 10538

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing STEPHANIE HEINEGG

DOS Process Agent

Name Role Address
UNITED STATES CORPORATION AGENTS, INC. DOS Process Agent 7014 13TH AVENUE, STE 202, BROOKLYN, NY, United States, 11228

Filings

Filing Number Date Filed Type Effective Date
200127060176 2020-01-27 BIENNIAL STATEMENT 2020-01-01
180105006192 2018-01-05 BIENNIAL STATEMENT 2018-01-01
160126000160 2016-01-26 ARTICLES OF ORGANIZATION 2016-01-26

Related by officers

UNITED STATES CORPORATION AGENTS, INC.

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Related by address

7014 13TH AVENUE, STE 202, BROOKLYN, NY, United States, 11228

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Date of last update: 31 Jan 2025

Sources: New York Secretary of State

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