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  5. FOREST HILLS MEDICAL SERVICES P.C.

FOREST HILLS MEDICAL SERVICES P.C.

Company Details

Name: FOREST HILLS MEDICAL SERVICES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Oct 1986 (38 years ago)
Entity Number: 1121715
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 108-16 63RD ROAD, 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
FOREST HILLS MEDICAL SERVICES, P.C. 401(K) PLAN 2023 112830151 2024-06-05 FOREST HILLS MEDICAL SERVICES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-28
Business code 621111
Sponsor’s telephone number 7188975331
Plan sponsor’s address 108-16 63RD ROAD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2024-06-05
Name of individual signing KELLY DURANTE
FOREST HILLS MEDICAL SERVICES, P.C. 401(K) PLAN 2022 112830151 2023-06-14 FOREST HILLS MEDICAL SERVICES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-28
Business code 621111
Sponsor’s telephone number 7188975331
Plan sponsor’s address 108-16 63RD ROAD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2023-06-14
Name of individual signing KELLY DURANTE
FOREST HILLS MEDICAL SERVICES, P.C. 401(K) PLAN 2021 112830151 2022-07-01 FOREST HILLS MEDICAL SERVICES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 7188975331
Plan sponsor’s address 108-16 63RD ROAD, FOREST HILLS, NY, 11375

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 2022-07-01
Name of individual signing KELLY DURANTE
FOREST HILLS MEDICAL SERVICES, P.C. 401(K) PLAN 2020 112830151 2021-11-05 FOREST HILLS MEDICAL SERVICES, P.C. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 7188975331
Plan sponsor’s address 108-16 63RD ROAD, FOREST HILLS, NY, 11375

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 2021-11-05
Name of individual signing CAROL HO

DOS Process Agent

Name Role Address
JAMES GOHAR DOS Process Agent 108-16 63RD ROAD, FOREST HILLS, NY, United States, 11375

Chief Executive Officer

Name Role Address
JAMES GOHAR Chief Executive Officer 108-16 63RD ROAD, FOREST HILLS, NY, United States, 11375

History

Start date End date Type Value
2024-10-28 2024-10-28 Address 108-16 63RD ROAD, FOREST HILLS, NY, 11375, 1352, USA (Type of address: Chief Executive Officer)
2024-10-28 2024-10-28 Address 108-16 63RD ROAD, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
2023-10-24 2024-10-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-02-16 2023-10-24 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-02-16 2024-10-28 Address 108-16 63RD ROAD, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
2023-02-16 2024-10-28 Address 108-16 63RD ROAD, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2023-02-16 2023-02-16 Address 108-16 63RD ROAD, FOREST HILLS, NY, 11375, 1352, USA (Type of address: Chief Executive Officer)
2023-02-16 2024-10-28 Address 108-16 63RD ROAD, FOREST HILLS, NY, 11375, 1352, USA (Type of address: Chief Executive Officer)
2023-02-16 2023-02-16 Address 108-16 63RD ROAD, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
2014-10-30 2023-02-16 Address 108-16 63RD ROAD, FOREST HILLS, NY, 11375, 1352, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241028000316 2024-10-28 BIENNIAL STATEMENT 2024-10-28
230216003233 2023-02-16 BIENNIAL STATEMENT 2022-10-01
181030006115 2018-10-30 BIENNIAL STATEMENT 2018-10-01
141030006201 2014-10-30 BIENNIAL STATEMENT 2014-10-01
140314002014 2014-03-14 AMENDMENT TO BIENNIAL STATEMENT 2012-10-01
121116002099 2012-11-16 BIENNIAL STATEMENT 2012-10-01
101020002795 2010-10-20 BIENNIAL STATEMENT 2010-10-01
080924002846 2008-09-24 BIENNIAL STATEMENT 2008-10-01
070130002765 2007-01-30 BIENNIAL STATEMENT 2006-10-01
041130002513 2004-11-30 BIENNIAL STATEMENT 2004-10-01

Related by officers

JAMES GOHAR

J GOHAR MEDICAL P.C. JA GOHAR MEDICAL P.C. 25-15 CRESCENT STREET MEDICAL P.C.

Related by address

108-16 63RD ROAD, FOREST HILLS, NY, United States, 11375

PRESERVV MEDICAL, PLLC MARI SU, M.D. P.C.

Date of last update: 15 Nov 2024

Sources: New York Secretary of State

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