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  5. MEDSOURCE NATIONAL, LLC

MEDSOURCE NATIONAL, LLC

Company Details

Name: MEDSOURCE NATIONAL, LLC
Jurisdiction: New York
Legal type: FOREIGN LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 May 2018 (7 years ago)
Entity Number: 5345710
ZIP code: 12207
County: Nassau
Place of Formation: Delaware
Address: 80 STATE STREET, ALBANY, NY, United States, 12207

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDSOURCE NATIONAL 401K PROFIT 2018 454787793 2020-12-04 MEDSOURCE NATIONAL 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 5165060400
Plan sponsor’s address 591 STEWART AVENUE, SUITE 600, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2020-12-04
Name of individual signing AMANDA LALL
MEDSOURCE NATIONAL 401K PROFIT SHARING PLAN AND TRUST 2017 454787793 2018-06-12 MEDSOURCE NATIONAL 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 5165060400
Plan sponsor’s address 591 STEWART AVENUE, SUITE 600, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2018-06-12
Name of individual signing AMANDA LALL
MEDSOURCE NATIONAL 401K PROFIT SHARING PLAN AND TRUST 2016 454787793 2017-07-25 MEDSOURCE NATIONAL 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 5165060400
Plan sponsor’s address 591 STEWART AVE SUITE 600, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing AMANDA LALL
MEDSOURCE NATIONAL 401K PROFIT SHARING PLAN AND TRUST 2015 454787793 2016-08-15 MEDSOURCE NATIONAL 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 5165060400
Plan sponsor’s address 591 STEWART AVE SUITE 600, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2016-08-15
Name of individual signing DANIEL WEADERHORN
MEDSOURCE NATIONAL 401K PROFIT SHARING PLAN AND TRUST 2014 454787793 2015-08-11 MEDSOURCE NATIONAL 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 5165060400
Plan sponsor’s address 591 STEWART AVE SUITE 600, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2015-08-11
Name of individual signing DANIEL WEADERHORN
MEDSOURCE NATIONAL 401K PROFIT SHARING PLAN & TRUST 2013 454787793 2014-07-15 MEDSOURCE NATIONAL 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 9148048092
Plan sponsor’s address 591 STEWART AVENUE, SUITE 600, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2014-07-15
Name of individual signing STEPHEN GARYN
Role Employer/plan sponsor
Date 2014-07-15
Name of individual signing STEPHEN GARYN

DOS Process Agent

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

History

Start date End date Type Value
2019-04-03 2024-05-12 Address 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process)
2018-05-22 2019-04-03 Address 3280 PEACHTREE ROAD, SUITE 2625, ATLANTA, GA, 30305, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240512000256 2024-05-12 BIENNIAL STATEMENT 2024-05-12
220531002632 2022-05-31 BIENNIAL STATEMENT 2022-05-01
200504061322 2020-05-04 BIENNIAL STATEMENT 2020-05-01
190403000065 2019-04-03 CERTIFICATE OF CHANGE 2019-04-03
180719000208 2018-07-19 CERTIFICATE OF PUBLICATION 2018-07-19
180522000518 2018-05-22 APPLICATION OF AUTHORITY 2018-05-22

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Related by address

80 STATE STREET, ALBANY, NY, United States, 12207

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State

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