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RAJIV S. SHAH, PHYSICIAN, P.C.

Company Details

Name: RAJIV S. SHAH, PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Apr 1988 (37 years ago) (Companies founded in April 1988)
Entity Number: 1253443
ZIP code: 12953 (Companies in Franklin, 12953)
County: Franklin
Place of Formation: New York
Address: 5 CLAY ST, MALONE, NY, United States, 12953

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
RAJIV S SHAH MD, PC AND ANJNI BHAGAT MD PC PROFIT SHARING PLAN 2015 112904205 2016-08-03 RAJIV S. SHAH PHYSICIAN P.C 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5184830705
Plan sponsor’s address 5 CLAY STREET, MALONE, NY, 12953
RAJIV S SHAH MD, PC AND ANJNI BHAGAT MD PC PROFIT SHARING PLAN 2014 112904205 2015-07-31 RAJIV S. SHAH PHYSICIAN P.C 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5184830705
Plan sponsor’s address 5 CLAY STREET, MALONE, NY, 12953
RAJIV S SHAH MD, PC AND ANJNI BHAGAT MD PC PROFIT SHARING PLAN 2013 112904205 2014-09-24 RAJIV S. SHAH PHYSICIAN P.C 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5184830705
Plan sponsor’s address 5 CLAY STREET, MALONE, NY, 12953
RAJIV S SHAH MD, PC AND ANJNI BHAGAT MD PC PROFIT SHARING PLAN 2012 112904205 2013-06-27 RAJIV S. SHAH PHYSICIAN P.C 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5184830705
Plan sponsor’s address 5 CLAY STREET, MALONE, NY, 12953

Signature of

Role Plan administrator
Date 2013-06-27
Name of individual signing RAJIV S. SHAH
Role Employer/plan sponsor
Date 2013-06-27
Name of individual signing RAJIV S. SHAH
RAJIV S SHAH MD, PC AND ANJNI BHAGAT MD PC PROFIT SHARING PLAN 2011 112904205 2012-07-17 RAJIV S. SHAH PHYSICIAN P.C 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5184830705
Plan sponsor’s address 5 CLAY STREET, MALONE, NY, 12953

Plan administrator’s name and address

Administrator’s EIN 112904205
Plan administrator’s name RAJIV S. SHAH PHYSICIAN P.C
Plan administrator’s address 5 CLAY STREET, MALONE, NY, 12953
Administrator’s telephone number 5184830705

Signature of

Role Plan administrator
Date 2012-07-17
Name of individual signing RAJIV S. SHAH
Role Employer/plan sponsor
Date 2012-07-17
Name of individual signing RAJIV S. SHAH
RAJIV S SHAH MD, PC AND ANJNI BHAGAT MD PC PROFIT SHARING PLAN 2010 112904205 2011-08-30 RAJIV S. SHAH PHYSICIAN P.C 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5184830705
Plan sponsor’s address 5 CLAY STREET, MALONE, NY, 12953

Plan administrator’s name and address

Administrator’s EIN 112904205
Plan administrator’s name RAJIV S. SHAH PHYSICIAN P.C
Plan administrator’s address 5 CLAY STREET, MALONE, NY, 12953
Administrator’s telephone number 5184830705

Signature of

Role Plan administrator
Date 2011-08-30
Name of individual signing RAJIV S. SHAH
Role Employer/plan sponsor
Date 2011-08-30
Name of individual signing RAJIV S. SHAH
RAJIV S SHAH MD, PC AND ANJNI BHAGAT MD PC PROFIT SHARING PLAN 2009 112904205 2010-09-30 RAJIV S. SHAH PHYSICIAN P.C 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5184830705
Plan sponsor’s address 5 CLAY STREET, MALONE, NY, 12953

Plan administrator’s name and address

Administrator’s EIN 112904205
Plan administrator’s name RAJIV S. SHAH PHYSICIAN P.C
Plan administrator’s address 5 CLAY STREET, MALONE, NY, 12953
Administrator’s telephone number 5184830705

Signature of

Role Plan administrator
Date 2010-09-30
Name of individual signing RAJIV S SHAH
Role Employer/plan sponsor
Date 2010-09-30
Name of individual signing RAJIV S SHAH

Chief Executive Officer

Name Role Address
RAJIV SHAH MD Chief Executive Officer 5 CLAY ST, MALONE, NY, United States, 12953

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 5 CLAY ST, MALONE, NY, United States, 12953

History

Start date End date Type Value
2002-03-26 2004-05-04 Address 24 FOURTH ST, MALONE, NY, 12953, USA (Type of address: Principal Executive Office)
2002-03-26 2004-05-04 Address 24 FOURTH ST, MALONE, NY, 12953, USA (Type of address: Chief Executive Officer)
2002-03-26 2004-05-04 Address 24 FOURTH ST, MALONE, NY, 12953, USA (Type of address: Service of Process)
1992-12-17 2002-03-26 Address 16 FOURTH STREET, MALONE, NY, 12953, USA (Type of address: Chief Executive Officer)
1992-12-17 2002-03-26 Address 16 FOURTH STREET, MALONE, NY, 12953, USA (Type of address: Service of Process)
1992-12-17 2002-03-26 Address 16 FOURTH STREET, MALONE, NY, 12953, USA (Type of address: Principal Executive Office)
1988-04-15 1992-12-17 Address ALICE HYDE HOSPITAL, MALONE, NY, 12953, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140702002306 2014-07-02 BIENNIAL STATEMENT 2014-04-01
120723002116 2012-07-23 BIENNIAL STATEMENT 2012-04-01
100617003032 2010-06-17 BIENNIAL STATEMENT 2010-04-01
080508003368 2008-05-08 BIENNIAL STATEMENT 2008-04-01
060428002914 2006-04-28 BIENNIAL STATEMENT 2006-04-01
040504002386 2004-05-04 BIENNIAL STATEMENT 2004-04-01
020326002992 2002-03-26 BIENNIAL STATEMENT 2002-04-01
000427002402 2000-04-27 BIENNIAL STATEMENT 2000-04-01
980430002167 1998-04-30 BIENNIAL STATEMENT 1998-04-01
960422002271 1996-04-22 BIENNIAL STATEMENT 1996-04-01

Date of last update: 15 Nov 2024

Sources: New York Secretary of State