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  5. FIVE STAR MEDICAL TRANSPORTATION, LLC

FIVE STAR MEDICAL TRANSPORTATION, LLC

Company Details

Name: FIVE STAR MEDICAL TRANSPORTATION, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Jun 2016 (9 years ago)
Entity Number: 4967673
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 2390 ELMWOOD AVE, ROCHESTER, NY, United States, 14618

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIVE STAR MEDICAL TRANSPORTATION 401(K) PLAN 2023 831374787 2024-11-07 FIVE STAR MEDICAL TRANSPORTATION LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621900
Sponsor’s telephone number 5852225555
Plan sponsor’s address 2390 ELMWOOD AVENUE, ROCHESTER, NY, 14618

Signature of
Role Plan administrator
Date 2024-11-07
Name of individual signing KIMBERLY JARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-11-07
Name of individual signing KIMBERLY JARRETT
Valid signature Filed with authorized/valid electronic signature
FIVE STAR MEDICAL TRANSPORTATION 401(K) PLAN 2023 831374787 2024-09-04 FIVE STAR MEDICAL TRANSPORTATION LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621900
Sponsor’s telephone number 5852225555
Plan sponsor’s address 2390 ELMWOOD AVENUE, ROCHESTER, NY, 14618

Signature of
Role Plan administrator
Date 2024-09-04
Name of individual signing KIMBERLY JARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-04
Name of individual signing KIMBERLY JARRETT
Valid signature Filed with authorized/valid electronic signature
FIVE STAR MEDICAL TRANSPORTATION 401(K) PLAN 2022 831374787 2023-04-11 FIVE STAR MEDICAL TRANSPORTATION LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621900
Sponsor’s telephone number 5852225555
Plan sponsor’s address 2390 ELMWOOD AVENUE, ROCHESTER, NY, 14618

Signature of
Role Plan administrator
Date 2023-04-11
Name of individual signing KIMBERLY JARRETT
Role Employer/plan sponsor
Date 2023-04-11
Name of individual signing KIMBERLY JARRETT
FIVE STAR MEDICAL TRANSPORTATION 401(K) PLAN 2021 831374787 2022-09-29 FIVE STAR MEDICAL TRANSPORTATION LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621900
Sponsor’s telephone number 5852225555
Plan sponsor’s address 2390 ELMWOOD AVENUE, ROCHESTER, NY, 14618

Signature of
Role Plan administrator
Date 2022-09-29
Name of individual signing KIMBERLY JARRETT
Role Employer/plan sponsor
Date 2022-09-29
Name of individual signing KIMBERLY JARRETT
FIVE STAR MEDICAL TRANSPORTATION 401(K) PLAN 2020 831374787 2021-07-29 FIVE STAR MEDICAL TRANSPORTATION LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621900
Sponsor’s telephone number 5852225555
Plan sponsor’s address 2390 ELMWOOD AVENUE, ROCHESTER, NY, 14618

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing KIMBERLY JARRETT
Role Employer/plan sponsor
Date 2021-07-29
Name of individual signing KIMBERLY JARRETT
FIVE STAR MEDICAL TRANSPORTATION 401(K) PLAN 2019 831374787 2020-07-10 FIVE STAR MEDICAL TRANSPORTATION LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621900
Sponsor’s telephone number 5852225555
Plan sponsor’s address 803 WOODBINE AVENUE, ROCHESTER, NY, 14619

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing KIMBERLY MICHELLE JARRETT
Role Employer/plan sponsor
Date 2020-07-08
Name of individual signing KIMBERLY MICHELLE JARRETT
FIVE STAR MEDICAL TRANSPORTATION 401(K) PLAN 2018 831374787 2019-10-08 FIVE STAR MEDICAL TRANSPORTATION LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621900
Sponsor’s telephone number 5852225555
Plan sponsor’s address 803 WOODBINE AVENUE, ROCHESTER, NY, 14619

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing KIMBERLY JARRETT
Role Employer/plan sponsor
Date 2019-10-08
Name of individual signing KIMBERLY JARRETT

Agent

Name Role Address
KIMBERLY M JARRETT Agent 803 WOODBINE AVE, ROCHESTER, NY, 14619

DOS Process Agent

Name Role Address
FIVE STAR MEDICAL TRANSPORTATION, LLC DOS Process Agent 2390 ELMWOOD AVE, ROCHESTER, NY, United States, 14618

Filings

Filing Number Date Filed Type Effective Date
220602003512 2022-06-02 BIENNIAL STATEMENT 2022-06-01
200622060652 2020-06-22 BIENNIAL STATEMENT 2020-06-01
180612006394 2018-06-12 BIENNIAL STATEMENT 2018-06-01
161012000711 2016-10-12 CERTIFICATE OF PUBLICATION 2016-10-12
160623000321 2016-06-23 ARTICLES OF ORGANIZATION 2016-06-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Dec 2024

Sources: New York Secretary of State

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