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NORTH FORK RADIOLOGY, P.C.

Company Details

Name: NORTH FORK RADIOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 04 Nov 1985 (39 years ago)
Date of dissolution: 21 Jun 2021
Entity Number: 1037262
ZIP code: 11901
County: Suffolk
Place of Formation: New York
Address: 1333 ROANOKE AVE, RIVERHEAD, NY, United States, 11901

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
NORTH FORK RADIOLOGY, P.C. 401K PROFIT SHARING PLAN 2019 112771817 2020-11-13 NORTH FORK RADIOLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6317272755
Plan sponsor’s address 1333 ROANOKE AVENUE, RIVERHEAD, NY, 11901
NORTH FORK RADIOLOGY, P. C. 401K PROFIT SHARING PLAN 2019 112771817 2020-07-16 NORTH FORK RADIOLOGY, P.C. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6317272755
Plan sponsor’s address 1333 ROANOKE AVENUE, RIVERHEAD, NY, 11901
NORTH FORK RADIOLOGY, P. C. 401K PROFIT SHARING PLAN 2018 112771817 2019-06-13 NORTH FORK RADIOLOGY, P.C. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6317272755
Plan sponsor’s address 1333 ROANOKE AVENUE, RIVERHEAD, NY, 11901

Signature of

Role Plan administrator
Date 2019-06-13
Name of individual signing DAVID KIRSHY MD
NORTH FORK RADIOLOGY, P. C. 401K PROFIT SHARING PLAN 2017 112771817 2018-09-20 NORTH FORK RADIOLOGY, P.C. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6317272755
Plan sponsor’s address 1333 ROANOKE AVENUE, RIVERHEAD, NY, 11901

Signature of

Role Plan administrator
Date 2018-09-20
Name of individual signing DAVID KIRSHY MD
NORTH FORK RADIOLOGY, P. C. 401K PROFIT SHARING PLAN 2016 112771817 2017-10-10 NORTH FORK RADIOLOGY, P.C. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6317272755
Plan sponsor’s address 1333 ROANOKE AVENUE, RIVERHEAD, NY, 11901

Signature of

Role Plan administrator
Date 2017-10-10
Name of individual signing DAVID KIRSHY MD
NORTH FORK RADIOLOGY, P.C. 401K PROFIT SHARING PLAN 2015 112771817 2016-10-13 NORTH FORK RADIOLOGY, P.C. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6317272755
Plan sponsor’s address 1333 ROANOKE AVENUE, RIVERHEAD, NY, 11901

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing DAVID KIRSHY MD
NORTH FORK RADIOLOGY, P.C. 401K PROFIT SHARING PLAN 2014 112771817 2015-10-09 NORTH FORK RADIOLOGY, P.C. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6317272755
Plan sponsor’s address 1333 ROANOKE AVENUE, RIVERHEAD, NY, 11901

Signature of

Role Plan administrator
Date 2015-10-09
Name of individual signing DAVID KIRSHY MD
NORTH FORK RADIOLOGY, P.C. 401K PROFIT SHARING PLAN 2013 112771817 2014-09-25 NORTH FORK RADIOLOGY, P.C. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6317272755
Plan sponsor’s address 1333 ROANOKE AVENUE, RIVERHEAD, NY, 11901

Signature of

Role Plan administrator
Date 2014-09-25
Name of individual signing DAVID KIRSHY MD
NORTH FORK RADIOLOGY, P.C. 401K PROFIT SHARING PLAN 2012 112771817 2013-10-11 NORTH FORK RADIOLOGY, P.C. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6317272755
Plan sponsor’s address 1333 ROANOKE AVENUE, RIVERHEAD, NY, 11901

Signature of

Role Plan administrator
Date 2013-10-11
Name of individual signing DAVID KIRSHY MD
NORTH FORK RADIOLOGY, P.C. 401K PROFIT SHARING PLAN 2011 112771817 2012-10-11 NORTH FORK RADIOLOGY, P.C. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6317272755
Plan sponsor’s address 1333 ROANOKE AVENUE, RIVERHEAD, NY, 11901

Plan administrator’s name and address

Administrator’s EIN 112771817
Plan administrator’s name NORTH FORK RADIOLOGY, P.C.
Plan administrator’s address 1333 ROANOKE AVENUE, RIVERHEAD, NY, 11901
Administrator’s telephone number 6317272755

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing DAVID KIRSHY MD

Chief Executive Officer

Name Role Address
ANTHONY MITAROTONDO Chief Executive Officer 1333 ROANOKE AVE, RIVERHEAD, NY, United States, 11901

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1333 ROANOKE AVE, RIVERHEAD, NY, United States, 11901

History

Start date End date Type Value
2018-11-15 2021-09-17 Address 1333 ROANOKE AVE, RIVERHEAD, NY, 11901, USA (Type of address: Chief Executive Officer)
2011-11-16 2018-11-15 Address 1333 ROANOKE AVE, RIVERHEAD, NY, 11901, USA (Type of address: Chief Executive Officer)
1997-11-19 2011-11-16 Address 1333 ROANOKE AVE, RIVERHEAD, NY, 11901, USA (Type of address: Chief Executive Officer)
1997-11-19 2021-09-17 Address 1333 ROANOKE AVE, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
1985-11-04 2021-06-21 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1985-11-04 1997-11-19 Address 1333 ROANOKE AVE., RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210917000066 2021-06-21 CERTIFICATE OF DISSOLUTION-CANCELLATION 2021-06-21
181115006634 2018-11-15 BIENNIAL STATEMENT 2017-11-01
151120006118 2015-11-20 BIENNIAL STATEMENT 2015-11-01
131107006737 2013-11-07 BIENNIAL STATEMENT 2013-11-01
111116003060 2011-11-16 BIENNIAL STATEMENT 2011-11-01
100603002684 2010-06-03 BIENNIAL STATEMENT 2010-11-01
071203002812 2007-12-03 BIENNIAL STATEMENT 2007-11-01
060105002288 2006-01-05 BIENNIAL STATEMENT 2005-11-01
031104002148 2003-11-04 BIENNIAL STATEMENT 2003-11-01
011102002228 2001-11-02 BIENNIAL STATEMENT 2001-11-01

Date of last update: 15 Nov 2024

Sources: New York Secretary of State