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  5. RAPHAEL REISS, A PHYSICIAN, P.C.

RAPHAEL REISS, A PHYSICIAN, P.C.

Company Details

Name: RAPHAEL REISS, A PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Jul 1985 (39 years ago)
Entity Number: 1008730
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 69-05 YELLOWSTONE BLVD, FOREST HILLS, NY, United States, 11375
Principal Address: 69-05 YELLOWSTONE BLVD., FOREST HILLS, NY, United States, 11375

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
RAPHAEL REISS A PHYSICIAN , P.C. 401K PLAN 2023 112772955 2024-09-25 RAPHAEL REISS A PHYSICIAN, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7185448400
Plan sponsor’s address 6905 YELLOWSTONE BLVD., FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2024-09-25
Name of individual signing RAPHAEL REISS
Valid signature Filed with authorized/valid electronic signature
RAPHAEL REISS A PHYSICIAN , P.C. 401K PLAN 2022 112772955 2023-08-30 RAPHAEL REISS A PHYSICIAN, P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7185448400
Plan sponsor’s address 6905 YELLOWSTONE BLVD., FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2023-08-30
Name of individual signing RAPHAEL REISS
RAPHAEL REISS A PHYSICIAN , P.C. 401K PLAN 2021 112772955 2022-06-09 RAPHAEL REISS A PHYSICIAN, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7185448400
Plan sponsor’s address 6905 YELLOWSTONE BLVD., FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2022-06-09
Name of individual signing RAPHAEL REISS
RAPHAEL REISS A PHYSICIAN , P.C. 401K PLAN 2020 112772955 2021-09-23 RAPHAEL REISS A PHYSICIAN, P.C. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7185448400
Plan sponsor’s address 6905 YELLOWSTONE BLVD., FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing RAPHAEL REISS
RAPHAEL REISS A PHYSICIAN, P.C. 401K PLAN 2019 112772955 2020-10-01 RAPHAEL REISS A PHYSICIAN, P.C. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7185448400
Plan sponsor’s address 6905 YELLOWSTONE BLVD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2020-10-01
Name of individual signing RAPHAEL REISS
RAPHAEL REISS A PHYSICIAN, P.C. 401K PLAN 2018 112772955 2019-10-07 RAPHAEL REISS A PHYSICIAN, P.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7185448400
Plan sponsor’s address 6905 YELLOWSTONE BLVD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing RAPHAEL REISS
RAPHAEL REISS A PHYSICIAN, P.C. 401K PLAN 2017 112772955 2018-10-08 RAPHAEL REISS A PHYSICIAN, P.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7185448400
Plan sponsor’s address 6905 YELLOWSTONE BLVD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing RAPHAEL REISS
RAPHAEL REISS A PHYSICIAN, P.C. 401K PLAN 2016 112772955 2017-07-31 RAPHAEL REISS A PHYSICIAN, P.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7185448400
Plan sponsor’s address 6905 YELLOWSTONE BLVD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing RAPHAEL REISS
RAPHAEL REISS A PHYSICIAN, P.C. 401K PLAN 2015 112772955 2016-07-25 RAPHAEL REISS A PHYSICIAN, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7185448400
Plan sponsor’s address 6905 YELLOWSTONE BLVD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing RAPHAEL REISS
RAPHAEL REISS A PHYSICIAN, P.C. 401K PLAN 2014 112772955 2015-04-27 RAPHAEL REISS A PHYSICIAN, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7185448400
Plan sponsor’s address 60-05 YELLOWSTONE BLVD, FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 112772955
Plan administrator’s name RAPHAEL REISS A PHYSICIAN, P.C.
Plan administrator’s address 60-05 YELLOWSTONE BLVD, FOREST HILLS, NY, 11375
Administrator’s telephone number 7185448400

Signature of
Role Plan administrator
Date 2015-04-27
Name of individual signing RAPHAEL REISS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 69-05 YELLOWSTONE BLVD, FOREST HILLS, NY, United States, 11375

Chief Executive Officer

Name Role Address
RAPHAEL REISS Chief Executive Officer 69-05 YELLOWSTONE BLVD., FOREST HILLS, NY, United States, 11375

History

Start date End date Type Value
1985-07-01 2009-11-05 Address 75-27 175TH STREET, FLUSHING, NY, 11366, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140127006333 2014-01-27 BIENNIAL STATEMENT 2013-07-01
110816002697 2011-08-16 BIENNIAL STATEMENT 2011-07-01
091105002180 2009-11-05 BIENNIAL STATEMENT 2009-07-01
070803002123 2007-08-03 BIENNIAL STATEMENT 2007-07-01
030707002472 2003-07-07 BIENNIAL STATEMENT 2003-07-01
010718002913 2001-07-18 BIENNIAL STATEMENT 2001-07-01
990817002474 1999-08-17 BIENNIAL STATEMENT 1999-07-01
970715002761 1997-07-15 BIENNIAL STATEMENT 1997-07-01
930927002038 1993-09-27 BIENNIAL STATEMENT 1993-07-01
930302002737 1993-03-02 BIENNIAL STATEMENT 1992-07-01

Related by officers

THE CORPORATION

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RAPHAEL REISS

RCR MEDICAL REALTY CORP. REISS HOUSING INC.

Related by address

69-05 YELLOWSTONE BLVD, FOREST HILLS, NY, United States, 11375

RCR MEDICAL REALTY CORP. MONTAUK OWNERS CORP.

69-05 YELLOWSTONE BLVD., FOREST HILLS, NY, United States, 11375

ROSE OWNERS CORP. ANDREW JACKSON OWNERS CORP. MT. VERNON OWNERS CORP.

Date of last update: 15 Nov 2024

Sources: New York Secretary of State

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