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STONY BROOK PEDIATRICS, P.C.

Company Details

Name: STONY BROOK PEDIATRICS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Mar 1988 (37 years ago) (Companies founded in March 1988)
Entity Number: 1241280
ZIP code: 14614 (Companies in Livingston, 14614)
County: Livingston
Place of Formation: New York
Address: BLAINE & HUBER, 1400 1ST FEDERAL PLZ, ROCHESTER, NY, United States, 14614
Principal Address: 22 RED JACKET ST, DANSVILLE, NY, United States, 14437

Contact Details

Phone +1 585-335-5200

Phone +1 585-243-9340

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
STONY BROOK PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2023 161316636 2024-06-13 STONY BROOK PEDIATRICS, P.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5853355200
Plan sponsor’s address 22 RED JACKET STREET, DANSVILLE, NY, 14437

Signature of
Role Plan administrator
Date 2024-06-13
Name of individual signing AMY F KEAGY
Role Employer/plan sponsor
Date 2024-06-13
Name of individual signing AMY F KEAGY
STONY BROOK PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2022 161316636 2023-06-26 STONY BROOK PEDIATRICS, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5853355200
Plan sponsor’s address 22 RED JACKET STREET, DANSVILLE, NY, 14437

Signature of
Role Plan administrator
Date 2023-06-26
Name of individual signing AMY KEAGY
STONY BROOK PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2021 161316636 2022-05-03 STONY BROOK PEDIATRICS, P.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5853355200
Plan sponsor’s address 22 RED JACKET STREET, DANSVILLE, NY, 14437

Signature of
Role Plan administrator
Date 2022-05-03
Name of individual signing AMY KEAGY
STONY BROOK PEDIATRICS, P.C. 401(K) PS PLAN 2020 161316636 2021-05-03 STONY BROOK PEDIATRICS, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5853355200
Plan sponsor’s address 22 RED JACKET STREET, DANSVILLE, NY, 14437

Signature of
Role Plan administrator
Date 2021-05-03
Name of individual signing AMY KEAGY
STONY BROOK PEDIATRICS, P.C. 401(K) PS PLAN 2019 161316636 2020-05-11 STONY BROOK PEDIATRICS, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5853355200
Plan sponsor’s address 22 RED JACKET STREET, DANSVILLE, NY, 14437

Signature of
Role Plan administrator
Date 2020-05-11
Name of individual signing AMY KEAGY
STONY BROOK PEDIATRICS, P.C. 401(K) PS PLAN 2018 161316636 2019-06-10 STONY BROOK PEDIATRICS, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5853355200
Plan sponsor’s address 22 RED JACKET STREET, DANSVILLE, NY, 14437

Signature of
Role Plan administrator
Date 2019-06-10
Name of individual signing AMY KEAGY
Role Employer/plan sponsor
Date 2019-06-10
Name of individual signing AMY KEAGY
STONY BROOK PEDIATRICS, P.C. 401(K) PS PLAN 2017 161316636 2018-08-20 STONY BROOK PEDIATRICS, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5853355200
Plan sponsor’s address 22 RED JACKET STREET, DANSVILLE, NY, 14437

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing MICHELLE MACAFEE
Role Employer/plan sponsor
Date 2018-07-20
Name of individual signing MICHELLE MACAFEE

DOS Process Agent

Name Role Address
PHILLIPS LYTLE HITCHCOCK DOS Process Agent BLAINE & HUBER, 1400 1ST FEDERAL PLZ, ROCHESTER, NY, United States, 14614

Chief Executive Officer

Name Role Address
JENNIFER GRAHAM Chief Executive Officer 22 RED JACKET STREET, DANSVILLE, NY, United States, 14437

History

Start date End date Type Value
2024-03-05 2024-03-05 Address PO BOX 499, 22 RED JACKET ST, DANSVILLE, NY, 14437, USA (Type of address: Chief Executive Officer)
2024-03-05 2024-03-05 Address 22 RED JACKET STREET, DANSVILLE, NY, 14437, USA (Type of address: Chief Executive Officer)
2020-03-06 2024-03-05 Address PO BOX 499, 22 RED JACKET ST, DANSVILLE, NY, 14437, USA (Type of address: Chief Executive Officer)
2010-04-07 2020-03-06 Address PO BOX 499, 22 RED JACKET ST, DANSVILLE, NY, 14437, USA (Type of address: Chief Executive Officer)
1998-03-19 2024-03-05 Address BLAINE & HUBER, 1400 1ST FEDERAL PLZ, ROCHESTER, NY, 14614, USA (Type of address: Service of Process)
1993-06-11 2010-04-07 Address P.O. BOX 499, RED JACKET STREET, DANSVILLE, NY, 14437, USA (Type of address: Principal Executive Office)
1993-06-11 2010-04-07 Address P.O. BOX 499, RED JACKET STREET, DANSVILLE, NY, 14437, USA (Type of address: Chief Executive Officer)
1988-03-07 2024-03-05 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1988-03-07 1998-03-19 Address BLAINE & HUBER, 1400 FIRST FEDERAL PLZ, ROCHESTER, NY, 14614, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240305000957 2024-03-05 BIENNIAL STATEMENT 2024-03-05
220310000947 2022-03-10 BIENNIAL STATEMENT 2022-03-01
200306060358 2020-03-06 BIENNIAL STATEMENT 2020-03-01
180313006071 2018-03-13 BIENNIAL STATEMENT 2018-03-01
160301006700 2016-03-01 BIENNIAL STATEMENT 2016-03-01
140318006321 2014-03-18 BIENNIAL STATEMENT 2014-03-01
120416002542 2012-04-16 BIENNIAL STATEMENT 2012-03-01
100407002314 2010-04-07 BIENNIAL STATEMENT 2010-03-01
080307003086 2008-03-07 BIENNIAL STATEMENT 2008-03-01
060324002298 2006-03-24 BIENNIAL STATEMENT 2006-03-01

Related by officers

PHILLIPS LYTLE HITCHCOCK

75 PAGE AVENUE ASSOCIATION, INC. GTUV LIMITED COUNTRY CLUB COMMONS HOMEWONERS' ASSOCIATION, INC. BRENT MANOR, INC BRIERWOOD ESTATES ASSOCIATION, INC. EDGECLIFFE ASSOCIATION, INC. FAIRWAY GREENS OF RIVER OAKS ASSOCIATION, INC. LASER-ENTROPY, INC. GARDEN MANOR ASSOCIATION, INC. GRASMERE ESTATES ASSOCIATION, INC.

JENNIFER GRAHAM

NEIVA'S CLOSET LLC COMPACT REFRESHMENT SYSTEMS, INC.

Related by address

BLAINE & HUBER, 1400 1ST FEDERAL PLZ, ROCHESTER, NY, United States, 14614

SINEK, INC.

Date of last update: 15 Nov 2024

Sources: New York Secretary of State

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