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SUFFOLK PEDIATRIC ASSOCIATES, P.C.

Company Details

Name: SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Jun 1985 (39 years ago)
Entity Number: 1008341
County: Suffolk
Place of Formation: New York
Address: 1430 BROADWAY SUITE 1208, 1208, NEW YORK, NY, United States, 10018
Address ZIP Code: 10018
Principal Address: 1111 MONTAUK HIGHWAY, SUITE 104, WEST ISLIP, NY, United States, 11795
Principal Address ZIP Code: 11795

Contact Details

Phone +1 631-376-3000

Phone +1 631-661-2510

Phone +1 631-968-3000

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUFFOLK PEDIATRIC ASSOCIATES, P.C. PROFIT SHARING PLAN 2023 112743079 2024-07-24 SUFFOLK PEDIATRIC ASSOCIATES, P.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316612510
Plan sponsor’s address 1111 MONTAUK HIGHWAY, SUITE 104, WEST ISLIP, NY, 11795
SUFFOLK PEDIATRIC ASSOCIATES, P.C. PROFIT SHARING PLAN 2022 112743079 2023-03-14 SUFFOLK PEDIATRIC ASSOCIATES, P.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316612510
Plan sponsor’s address 1111 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2023-03-14
Name of individual signing IRA WOLETSKY
Role Employer/plan sponsor
Date 2023-03-14
Name of individual signing IRA WOLETSKY
SUFFOLK PEDIATRIC ASSOCIATES, P.C. PROFIT SHARING PLAN 2021 112743079 2022-03-25 SUFFOLK PEDIATRIC ASSOCIATES, P.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316612510
Plan sponsor’s address 1111 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2022-03-25
Name of individual signing IRA WOLETSKY
Role Employer/plan sponsor
Date 2022-03-25
Name of individual signing IRA WOLETSKY
SUFFOLK PEDIATRIC ASSOCIATES, P.C. PROFIT SHARING PLAN 2020 112743079 2021-04-08 SUFFOLK PEDIATRIC ASSOCIATES, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316612510
Plan sponsor’s address 1111 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2021-04-08
Name of individual signing IRA WOLETSKY
Role Employer/plan sponsor
Date 2021-04-08
Name of individual signing IRA WOLETSKY
SUFFOLK PEDIATRIC ASSOCIATES, P.C. PROFIT SHARING PLAN 2019 112743079 2020-03-02 SUFFOLK PEDIATRIC ASSOCIATES, P.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316612510
Plan sponsor’s address 1111 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2020-03-02
Name of individual signing IRA WOLETSKY
Role Employer/plan sponsor
Date 2020-03-02
Name of individual signing IRA WOLETSKY
SUFFOLK PEDIATRIC ASSOCIATES, P.C. PROFIT SHARING PLAN 2018 112743079 2019-07-09 SUFFOLK PEDIATRIC ASSOCIATES, P.C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316612510
Plan sponsor’s address 1111 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2019-07-09
Name of individual signing IRA WOLETSKY
Role Employer/plan sponsor
Date 2019-07-09
Name of individual signing IRA WOLETSKY
SUFFOLK PEDIATRIC ASSOCIATES, P.C. PROFIT SHARING PLAN 2017 112743079 2018-06-26 SUFFOLK PEDIATRIC ASSOCIATES, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316612520
Plan sponsor’s address 1111 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing IRA WOLETSKY
Role Employer/plan sponsor
Date 2018-06-26
Name of individual signing IRA WOLETSKY
SUFFOLK PEDIATRIC ASSOCIATES, P.C. PROFIT SHARING PLAN 2016 112743079 2017-02-22 SUFFOLK PEDIATRIC ASSOCIATES, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316612520
Plan sponsor’s address 1111 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2017-02-22
Name of individual signing IRA WOLETSKY
Role Employer/plan sponsor
Date 2017-02-22
Name of individual signing IRA WOLETSKY
SUFFOLK PEDIATRIC ASSOCIATES, P.C. PROFIT SHARING PLAN 2015 112743079 2016-02-22 SUFFOLK PEDIATRIC ASSOCIATES, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316612520
Plan sponsor’s address 1111 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2016-02-22
Name of individual signing IRA WOLETSKY
Role Employer/plan sponsor
Date 2016-02-22
Name of individual signing IRA WOLETSKY
SUFFOLK PEDIATRIC ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 112743079 2015-04-06 SUFFOLK PEDIATRIC ASSOCIATES, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316612520
Plan sponsor’s address 1111 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2015-04-06
Name of individual signing IRA WOLETSKY
Role Employer/plan sponsor
Date 2015-04-06
Name of individual signing IRA WOLETSKY

DOS Process Agent

Name Role Address
SUFFOLK PEDIATRIC ASSOCIATES, P.C. DOS Process Agent 1430 BROADWAY SUITE 1208, 1208, NEW YORK, NY, United States, 10018

Chief Executive Officer

Name Role Address
IRA P WOLETSKY, MD Chief Executive Officer 1111 MONTAUK HIGHWAY, SUITE 104, WEST ISLIP, NY, United States, 11795

History

Start date End date Type Value
2023-07-18 2023-07-18 Address 1111 MONTAUK HIGHWAY, SUITE 104, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2021-06-01 2023-07-18 Address 1430 BROADWAY, 1208, NEW YORK, NY, 10018, USA (Type of address: Service of Process)
2011-07-15 2021-06-01 Address 1111 MONTUAK HIGHWAY, SUITE 104, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process)
2011-07-15 2023-07-18 Address 1111 MONTAUK HIGHWAY, SUITE 104, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2009-06-17 2011-07-15 Address 1111 MONTAUK HWY, STE 104, WEST ISLIP, NY, 11795, USA (Type of address: Principal Executive Office)
2009-06-17 2011-07-15 Address 1111 MONTUAK HWY, STE 104, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process)
2009-06-17 2011-07-15 Address 1111 MONTAUK HWY, STE 104, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2001-06-06 2009-06-17 Address 1111 MONTAUK HWY, WEST ISLIP, NY, 11795, 4910, USA (Type of address: Chief Executive Officer)
2001-06-06 2009-06-17 Address 111 MONTAUK HWY, WEST ISLIP, NY, 11795, 4910, USA (Type of address: Principal Executive Office)
1993-01-13 2001-06-06 Address 1111 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
230718000590 2023-07-18 BIENNIAL STATEMENT 2023-06-01
210601060235 2021-06-01 BIENNIAL STATEMENT 2021-06-01
210225060388 2021-02-25 BIENNIAL STATEMENT 2019-06-01
130611002333 2013-06-11 BIENNIAL STATEMENT 2013-06-01
110715002537 2011-07-15 BIENNIAL STATEMENT 2011-06-01
090617002334 2009-06-17 BIENNIAL STATEMENT 2009-06-01
070612002966 2007-06-12 BIENNIAL STATEMENT 2007-06-01
050801002425 2005-08-01 BIENNIAL STATEMENT 2005-06-01
030523002288 2003-05-23 BIENNIAL STATEMENT 2003-06-01
010606002382 2001-06-06 BIENNIAL STATEMENT 2001-06-01

Related by officers

SUFFOLK PEDIATRIC ASSOCIATES, P.C.

THOMAS P. MCMANUS, M.D., P.C.

Related by address

No related companies by address

Date of last update: 15 Nov 2024

Sources: New York Secretary of State

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