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PETER J. KURZWEIL, M.D., P.C.

Company Details

Name: PETER J. KURZWEIL, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Jul 1986 (38 years ago)
Entity Number: 1101113
ZIP code: 11021
County: Nassau
Place of Formation: New York
Principal Address: 235 FOREST AVENUE, GLEN COVE, NY, United States, 11542
Address: 111 Great Neck Road, 6th Floor, Great Neck, NY, United States, 11021

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
PETER J. KURZWEIL, M.D. 401(K) PLAN 2023 112817481 2024-05-03 PETER J. KURZWEIL, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-02-27
Business code 621111
Sponsor’s telephone number 5166717770
Plan sponsor’s address 235 FOREST AVE, GLEN COVE, NY, 11542

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-03
Name of individual signing QIAN LIU
PETER J. KURZWEIL, M.D. 401(K) PLAN 2022 112817481 2023-05-26 PETER J. KURZWEIL, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-02-27
Business code 621111
Sponsor’s telephone number 5166717770
Plan sponsor’s address 235 FOREST AVE, GLEN COVE, NY, 11542

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-26
Name of individual signing CHRISTINE RIMER
PETER J. KURZWEIL, M.D. 401(K) PLAN 2021 112817481 2022-05-19 PETER J. KURZWEIL, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-02-27
Business code 621111
Sponsor’s telephone number 5166717770
Plan sponsor’s address 235 FOREST AVE, GLEN COVE, NY, 11542

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-05-19
Name of individual signing CHRISTINE RIMER
PETER J. KURZWEIL, M.D. 401(K) PLAN 2020 112817481 2021-06-07 PETER J. KURZWEIL, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-02-27
Business code 621111
Sponsor’s telephone number 5166717770
Plan sponsor’s address 235 FOREST AVE, GLEN COVE, NY, 11542

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2021-06-07
Name of individual signing CAROL HO
PETER J. KURZWEIL, M.D. 401(K) PLAN 2019 112817481 2020-04-30 PETER J. KURZWEIL, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-02-27
Business code 621111
Sponsor’s telephone number 5166717770
Plan sponsor’s address 235 FOREST AVE, GLEN COVE, NY, 11542

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2020-04-30
Name of individual signing CAROL HO
PETER J. KURZWEIL, M.D. 401(K) PLAN 2018 112817481 2019-07-17 PETER J. KURZWEIL, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-02-27
Business code 621111
Sponsor’s telephone number 5166717770
Plan sponsor’s address 235 FOREST AVE, GLEN COVE, NY, 11542

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2019-07-17
Name of individual signing CAROL HO

Chief Executive Officer

Name Role Address
PETER J KURZWEIL, MD Chief Executive Officer 235 FOREST AVENUE, GLEN COVE, NY, United States, 11542

DOS Process Agent

Name Role Address
GARFUNKEL WILD PC- ATTN: NICOLE GADE, ESQ. DOS Process Agent 111 Great Neck Road, 6th Floor, Great Neck, NY, United States, 11021

History

Start date End date Type Value
2024-09-11 2024-09-11 Address 235 FOREST AVENUE, GLEN COVE, NY, 11542, USA (Type of address: Chief Executive Officer)
2020-07-21 2024-09-11 Address 235 FOREST AVE, GLEN COVE, NY, 11542, USA (Type of address: Service of Process)
2018-07-10 2020-07-21 Address 35 HICKORY DRIVE, ROSLYN, NY, 11576, USA (Type of address: Service of Process)
2010-08-04 2018-07-10 Address 235 FOREST AVENUE, GLEN COVE, NY, 11542, USA (Type of address: Service of Process)
2010-08-04 2024-09-11 Address 235 FOREST AVENUE, GLEN COVE, NY, 11542, USA (Type of address: Chief Executive Officer)
2002-07-09 2010-08-04 Address 235 FOREST AVE, GLEN COVE, NY, 11542, USA (Type of address: Chief Executive Officer)
1998-08-11 2010-08-04 Address 235 FOREST AVENUE, GLEN COVE, NY, 11542, USA (Type of address: Service of Process)
1993-04-05 2010-08-04 Address 235 FOREST AVENUE, GLEN COVE, NY, 11542, USA (Type of address: Principal Executive Office)
1993-04-05 1998-08-11 Address 3000 MARCUS AVENUE, LAKE SUCCESS, NY, 11042, USA (Type of address: Service of Process)
1993-04-05 2002-07-09 Address 235 FOREST AVENUE, GLEN COVE, NY, 11542, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
240911002976 2024-09-11 BIENNIAL STATEMENT 2024-09-11
200721060294 2020-07-21 BIENNIAL STATEMENT 2020-07-01
180710006035 2018-07-10 BIENNIAL STATEMENT 2018-07-01
140812006086 2014-08-12 BIENNIAL STATEMENT 2014-07-01
100804002269 2010-08-04 BIENNIAL STATEMENT 2010-07-01
080821002384 2008-08-21 BIENNIAL STATEMENT 2008-07-01
060703002473 2006-07-03 BIENNIAL STATEMENT 2006-07-01
040813002742 2004-08-13 BIENNIAL STATEMENT 2004-07-01
020709002471 2002-07-09 BIENNIAL STATEMENT 2002-07-01
000823002110 2000-08-23 BIENNIAL STATEMENT 2000-07-01

Date of last update: 15 Nov 2024

Sources: New York Secretary of State