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ROBERT S. GROSS M.D., P.C.

Company Details

Name: ROBERT S. GROSS M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Sep 1985 (39 years ago)
Entity Number: 1027954
County: Nassau
Place of Formation: New York
Address: 1400 WANTAGH AVENUE, WANTAGH, NY, United States, 11793
Address ZIP Code: 11793

Contact Details

Phone +1 516-785-5757

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
ROBERT S. GROSS, M.D., P.C. PROFIT SHARING PLAN 2018 112766000 2019-10-02 ROBERT S. GROSS, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5167855757
Plan sponsor’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing ROBERT GROSS
ROBERT S. GROSS, M.D., P.C. PROFIT SHARING PLAN 2017 112766000 2018-10-05 ROBERT S. GROSS, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5167855757
Plan sponsor’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing ROBERT GROSS
ROBERT S. GROSS, M.D., P.C. PROFIT SHARING PLAN 2016 112766000 2017-10-13 ROBERT S. GROSS, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5167855757
Plan sponsor’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing ROBERT GROSS
ROBERT S. GROSS, M.D., P.C. PROFIT SHARING PLAN 2015 112766000 2016-10-13 ROBERT S. GROSS, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5167855757
Plan sponsor’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing ROBERT GROSS
ROBERT S. GROSS, M.D., P.C. PROFIT SHARING PLAN 2014 112766000 2015-10-02 ROBERT S. GROSS, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5164877600
Plan sponsor’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing ROBERT GROSS
ROBERT S. GROSS, M.D., P.C. PROFIT SHARING PLAN 2013 112766000 2014-09-18 ROBERT S. GROSS, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5164877600
Plan sponsor’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257

Plan administrator’s name and address
Administrator’s EIN 112766000
Plan administrator’s name ROBERT S. GROSS, M.D., P.C.
Plan administrator’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257
Administrator’s telephone number 5164877600

Signature of
Role Plan administrator
Date 2014-09-18
Name of individual signing ROBERT GROSS
ROBERT S. GROSS, M.D., P.C. PROFIT SHARING PLAN 2012 112766000 2013-09-15 ROBERT S. GROSS, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5164877600
Plan sponsor’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257

Plan administrator’s name and address
Administrator’s EIN 112766000
Plan administrator’s name ROBERT S. GROSS, M.D., P.C.
Plan administrator’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257
Administrator’s telephone number 5164877600

Signature of
Role Plan administrator
Date 2013-09-15
Name of individual signing ROBERT GROSS
ROBERT S. GROSS, M.D., P.C. PROFIT SHARING PLAN 2011 112766000 2012-10-08 ROBERT S. GROSS, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5164877600
Plan sponsor’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257

Plan administrator’s name and address
Administrator’s EIN 112766000
Plan administrator’s name ROBERT S. GROSS, M.D., P.C.
Plan administrator’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257
Administrator’s telephone number 5164877600

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing ROBERT GROSS
ROBERT S. GROSS, M.D., P.C. PROFIT SHARING PLAN 2010 112766000 2011-10-11 ROBERT S. GROSS, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5164877600
Plan sponsor’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257

Plan administrator’s name and address
Administrator’s EIN 112766000
Plan administrator’s name ROBERT S. GROSS, M.D., P.C.
Plan administrator’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257
Administrator’s telephone number 5164877600

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing ROBERT GROSS
ROBERT S. GROSS, M.D., P.C. PROFIT SHARING PLAN 2009 112766000 2010-10-12 ROBERT S. GROSS, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5164877600
Plan sponsor’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257

Plan administrator’s name and address
Administrator’s EIN 112766000
Plan administrator’s name ROBERT S. GROSS, M.D., P.C.
Plan administrator’s address 1400 WANTAGH AVENUE, WANTAGH, NY, 117932257
Administrator’s telephone number 5164877600

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing ROBERT GROSS

DOS Process Agent

Name Role Address
ROBERT S GROSS DOS Process Agent 1400 WANTAGH AVENUE, WANTAGH, NY, United States, 11793

Chief Executive Officer

Name Role Address
ROBERT S GROSS Chief Executive Officer 1400 WANTAGH AVENUE, WANTAGH, NY, United States, 11793

History

Start date End date Type Value
1985-09-25 1993-05-18 Address 1400 WANTAGH AVE, WANTAGH, NY, 11793, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130918006019 2013-09-18 BIENNIAL STATEMENT 2013-09-01
111101002461 2011-11-01 BIENNIAL STATEMENT 2011-09-01
100303002932 2010-03-03 BIENNIAL STATEMENT 2009-09-01
080104003128 2008-01-04 BIENNIAL STATEMENT 2007-09-01
051123002746 2005-11-23 BIENNIAL STATEMENT 2005-09-01
031119002140 2003-11-19 BIENNIAL STATEMENT 2003-09-01
010911002231 2001-09-11 BIENNIAL STATEMENT 2001-09-01
991026002169 1999-10-26 BIENNIAL STATEMENT 1999-09-01
970926002003 1997-09-26 BIENNIAL STATEMENT 1997-09-01
931020002712 1993-10-20 BIENNIAL STATEMENT 1993-09-01

Related by officers

No related officers

Related by address

1400 WANTAGH AVENUE, WANTAGH, NY, United States, 11793

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Date of last update: 15 Nov 2024

Sources: New York Secretary of State

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