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SCARSDALE PEDIATRIC ASSOCIATES, P.C.

Company Details

Name: SCARSDALE PEDIATRIC ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Sep 1987 (37 years ago)
Entity Number: 1199670
County: Westchester
Place of Formation: New York
Address: 7 POPHAM RD, STE 301, SCARSDALE, NY, United States, 10583
Address ZIP Code: 10583

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
SCARSDALE PEDIATRIC ASSOC. 401(K) PROFIT SHARING PLAN 2023 133395429 2024-07-03 SCARSDALE PEDIATRIC ASSOCIATES, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9147250800
Plan sponsor’s address 7 POPHAM ROAD, SUITE 301, SCARSDALE, NY, 10583
SCARSDALE PEDIATRIC ASSOC. 401(K) PROFIT SHARING PLAN 2022 133395429 2023-08-02 SCARSDALE PEDIATRIC ASSOCIATES, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9147250800
Plan sponsor’s address 7 POPHAM ROAD, SUITE 301, SCARSDALE, NY, 10583
SCARSDALE PEDIATRIC ASSOC. 401(K) PROFIT SHARING PLAN 2021 133395429 2022-04-19 SCARSDALE PEDIATRIC ASSOCIATES, P.C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9147250800
Plan sponsor’s address 7 POPHAM ROAD, SUITE 301, SCARSDALE, NY, 10583

Signature of

Role Plan administrator
Date 2022-04-19
Name of individual signing SCOTT BOOKNER, MD, TRUSTEE
Role Employer/plan sponsor
Date 2022-04-19
Name of individual signing SCOTT BOOKNER MD
SCARSDALE PEDIATRIC ASSOC. 401(K) PROFIT SHARING PLAN 2020 133395429 2021-04-21 SCARSDALE PEDIATRIC ASSOCIATES, P.C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9147250800
Plan sponsor’s address 7 POPHAM ROAD, SUITE 301, SCARSDALE, NY, 10583

Signature of

Role Plan administrator
Date 2021-04-21
Name of individual signing SCOTT BOOKNER, MD, TRUSTEE
Role Employer/plan sponsor
Date 2021-04-21
Name of individual signing SCOTT BOOKNER MD
SCARSDALE PEDIATRIC ASSOC. 401(K) PROFIT SHARING PLAN 2019 133395429 2020-04-28 SCARSDALE PEDIATRIC ASSOCIATES, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9147250800
Plan sponsor’s address 7 POPHAM ROAD, SUITE 301, SCARSDALE, NY, 10583

Signature of

Role Plan administrator
Date 2020-04-28
Name of individual signing SCOTT BOOKNER, MD, TRUSTEE
Role Employer/plan sponsor
Date 2020-04-28
Name of individual signing SCOTT BOOKNER MD
SCARSDALE PEDIATRIC ASSOC. 401(K) PROFIT SHARING PLAN 2018 133395429 2019-04-26 SCARSDALE PEDIATRIC ASSOCIATES, P.C 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9147250800
Plan sponsor’s address 7 POPHAM ROAD, SUITE 301, SCARSDALE, NY, 10583

Signature of

Role Plan administrator
Date 2019-04-26
Name of individual signing SCOTT BOOKNER, MD, TRUSTEE
Role Employer/plan sponsor
Date 2019-04-26
Name of individual signing SCOTT BOOKNER MD
SCARSDALE PEDIATRIC ASSOC. 401(K) PROFIT SHARING PLAN 2017 133395429 2018-04-18 SCARSDALE PEDIATRIC ASSOCIATES, P.C 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9147250800
Plan sponsor’s address 7 POPHAM ROAD, SUITE 301, SCARSDALE, NY, 10583

Signature of

Role Plan administrator
Date 2018-04-18
Name of individual signing SCOTT BOOKNER, MD, TRUSTEE
Role Employer/plan sponsor
Date 2018-04-18
Name of individual signing SCOTT BOOKNER MD
SCARSDALE PEDIATRIC ASSOC. 401(K) PROFIT SHARING PLAN 2016 133395429 2017-04-25 SCARSDALE PEDIATRIC ASSOCIATES, P.C 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9147250800
Plan sponsor’s address 7 POPHAM ROAD, SUITE 301, SCARSDALE, NY, 10583

Signature of

Role Plan administrator
Date 2017-04-25
Name of individual signing SCOTT BOOKNER, MD, TRUSTEE
Role Employer/plan sponsor
Date 2017-04-25
Name of individual signing SCOTT BOOKNER MD
SCARSDALE PEDIATRIC ASSOC. 401(K) PROFIT SHARING PLAN 2015 133395429 2016-07-22 SCARSDALE PEDIATRIC ASSOCIATES, P.C 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9147250800
Plan sponsor’s address 7 POPHAM ROAD, SUITE 301, SCARSDALE, NY, 10583

Signature of

Role Plan administrator
Date 2016-07-22
Name of individual signing SCOTT BOOKNER, MD, TRUSTEE
Role Employer/plan sponsor
Date 2016-07-22
Name of individual signing SCOTT BOOKNER MD
SCARSDALE PEDIATRIC ASSOC. 401(K) PROFIT SHARING PLAN 2014 133395429 2015-07-28 SCARSDALE PEDIATRIC ASSOCIATES, P.C 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9147250800
Plan sponsor’s address 7 POPHAM ROAD, SUITE 301, SCARSDALE, NY, 10583

Signature of

Role Plan administrator
Date 2015-04-28
Name of individual signing WILLIAM LEE, M.D., TRUSTEE
Role Employer/plan sponsor
Date 2015-04-28
Name of individual signing WILLIAM LEE, M.D.

Chief Executive Officer

Name Role Address
WILLIAM LEE, MD Chief Executive Officer 7 POPHAM RD, STE 301, SCARSDALE, NY, United States, 10583

DOS Process Agent

Name Role Address
WILLIAM LEE, MD DOS Process Agent 7 POPHAM RD, STE 301, SCARSDALE, NY, United States, 10583

History

Start date End date Type Value
2011-11-10 2013-09-09 Address 7 POPHAM RD, STE 301, SCARSDALE, NY, 10583, USA (Type of address: Service of Process)
2011-11-10 2013-09-09 Address 7 POPHAM RD, STE 301, SCARSDALE, NY, 10583, USA (Type of address: Chief Executive Officer)
2011-11-10 2013-09-09 Address 7 POPHAM RD, STE 301, SCARSDALE, NY, 10583, USA (Type of address: Principal Executive Office)
2007-09-24 2011-11-10 Address 2 OVERHILL ROAD, STE 220, SCARSDALE, NY, 10583, USA (Type of address: Service of Process)
2007-09-24 2011-11-10 Address 2 OVERHILL ROAD, STE 220, SCARSDALE, NY, 10583, USA (Type of address: Principal Executive Office)
2007-09-24 2011-11-10 Address 2 OVERHILL ROAD, STE 220, SCARSDALE, NY, 10583, USA (Type of address: Chief Executive Officer)
1993-06-14 2007-09-24 Address 2 OVERHILL ROAD, SCARSDALE, NY, 10583, USA (Type of address: Chief Executive Officer)
1993-06-14 2007-09-24 Address 2 OVERHILL ROAD, SCARSDALE, NY, 10583, USA (Type of address: Principal Executive Office)
1993-06-14 2007-09-24 Address 2 OVERHILL ROAD, SCARSDALE, NY, 10583, USA (Type of address: Service of Process)
1987-09-03 1993-06-14 Address 2 OVERHILL RD., SUITE 200, SCARSDALE, NY, 10583, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230119003531 2023-01-19 BIENNIAL STATEMENT 2021-09-01
190903062134 2019-09-03 BIENNIAL STATEMENT 2019-09-01
170905006213 2017-09-05 BIENNIAL STATEMENT 2017-09-01
150901006738 2015-09-01 BIENNIAL STATEMENT 2015-09-01
130909006933 2013-09-09 BIENNIAL STATEMENT 2013-09-01
111110002247 2011-11-10 BIENNIAL STATEMENT 2011-09-01
090925002197 2009-09-25 BIENNIAL STATEMENT 2009-09-01
070924002531 2007-09-24 BIENNIAL STATEMENT 2007-09-01
051108003064 2005-11-08 BIENNIAL STATEMENT 2005-09-01
031007002497 2003-10-07 BIENNIAL STATEMENT 2003-09-01

Date of last update: 15 Nov 2024

Sources: New York Secretary of State