LIFEPLAN CCO NY, LLC

DOS Process Agent

Name	Role	Address
LIFEPLAN CCO NY, LLC	DOS Process Agent	258 GENESEE ST, MEZZANINE, UTICA, NY, United States, 13502

Unique Entity ID

Unique Entity ID:

YF4AN58UMME7

CAGE Code:

8RZS6

UEI Expiration Date:

2021-10-27

Business Information

URL:

LIFEPlanCCONY.com

Division Name:

LIFEPLAN CCO NY, LLC

Activation Date:

2020-10-28

Initial Registration Date:

2020-10-12

Central Index Key

CIK number:

0001723285

Phone:

(315) 724-6907

EDGAR Link:

View company profile on EDGAR website

Latest Filings

Form type:

D/A

File number:

021-300184

Filing date:

2018-03-01

File:

View File

Form type:

D

File number:

021-300184

Filing date:

2017-12-06

File:

View File

Commercial and government entity program

CAGE number:

8RZS6

Status:

Active

Type:

Non-Manufacturer

CAGE Update Date:

2025-07-30

CAGE Expiration:

2025-10-28

SAM Expiration:

2021-10-27

Contact Information

POC:

NICK CAPPOLETTI

Corporate URL:

lifeplanccony.com

National Provider Identifier

NPI Number:

1417457789

Link:

View on NPI website

Authorized Person:

Name:

ALAN KRAFCHIN

Role:

BOARD CHAIR

Phone:

5189442100

Taxonomy:

Selected Taxonomy:

171M00000X - Case Manager/Care Coordinator

Is Primary:

Yes

Contacts:

Phone:

+1 518-944-2100

Phone:

+1 315-724-6907

Form 5500 Series

Employer Identification Number (EIN):

823070045

Plan Year:

2023

Number Of Participants:

848

Sponsors Telephone Number:

3155652612

File:

View File

Plan Year:

2022

Number Of Participants:

804

Sponsors Telephone Number:

3155652612

File:

View File

Plan Year:

2021

Number Of Participants:

791

Sponsors Telephone Number:

3155652612

File:

View File

Plan Year:

2018

Number Of Participants:

16

Sponsors Telephone Number:

3155521105

File:

View File

History

Start date	End date	Type	Value
2017-07-10	2024-05-07	Address	1020 MARY STREET, UTICA, NY, 13501, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
240507000238	2024-05-07	BIENNIAL STATEMENT	2024-05-07
180621000566	2018-06-21	CERTIFICATE OF PUBLICATION	2018-06-21
170710000549	2017-07-10	ARTICLES OF ORGANIZATION	2017-07-10

Trademarks Section

Serial Number:

98200089

Mark:

LIFEPLAN CCO NY

Status:

REGISTERED

Mark Type:

SERVICE MARK

Application Filing Date:

2023-09-27

Mark Drawing Type:

Standard character mark

Mark Literal Elements:

LIFEPLAN CCO NY

USPTO Link:

View Trademark Status and Document Retrieval (TSDR)

Goods And Services

For:

Coordinated health care management in the nature of providing case management services, namely, coordinating medical services provided via a network of providers for people with intellectual and developmental disabilities, and providing case management services, namely, coordinating medical health,...

First Use:

2018-02-03

International Classes:

045 - Primary Class

Class Status:

Active

Serial Number:

90712220

Mark:

LIFEPLAN CCO NY

Status:

REGISTERED

Mark Type:

SERVICE MARK

Application Filing Date:

2021-05-14

Mark Drawing Type:

Illustration: Drawing or design which also includes word(s)/letter(s)/number(s)

Mark Literal Elements:

LIFEPLAN CCO NY

USPTO Link:

View Trademark Status and Document Retrieval (TSDR)

Goods And Services

For:

Coordinated health care management in the nature of providing case management services, namely, coordinating medical services provided via a network of providers for people with intellectual and developmental disabilities, and providing case management services, namely, coordinating medical health,...

First Use:

2018-02-03

International Classes:

045 - Primary Class

Class Status:

Active

Serial Number:

90712173

Mark:

LIFEPLAN

Status:

ABANDONED-FAILURE TO RESPOND OR LATE RESPONSE

Mark Type:

SERVICE MARK

Application Filing Date:

2021-05-14

Mark Drawing Type:

Standard character mark

Mark Literal Elements:

LIFEPLAN

USPTO Link:

View Trademark Status and Document Retrieval (TSDR)

Goods And Services

For:

Coordinated health care management in the nature of providing case management services, namely, coordinating medical services provided via a network of providers for people with intellectual and developmental disabilities, and providing case management services, namely, coordinating medical health,...

First Use:

2018-02-03

International Classes:

045 - Primary Class

Class Status:

Active

Name:	LIFEPLAN CCO NY, LLC
Jurisdiction:	New York
Legal type:	DOMESTIC LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	10 Jul 2017 (8 years ago)
Entity Number:	5167043
ZIP code:	13502
County:	Oneida
Place of Formation:	New York
Address:	258 GENESEE ST, MEZZANINE, UTICA, NY, United States, 13502

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Company Details

DOS Process Agent