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SOUTH SHORE OPHTHALMOLOGY, P.C.

Company Details

Name: SOUTH SHORE OPHTHALMOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Apr 1988 (37 years ago)
Entity Number: 1256000
ZIP code: 11557
County: Nassau
Place of Formation: New York
Address: MARK MELAMED MD, 1175 W BROADWAY STE 25, HEWLETT, NY, United States, 11557
Principal Address: 1175 W BROADWAY, STE 25, HEWLETT, NY, United States, 11557

Contact Details

Phone +1 516-374-1122

Phone +1 516-877-2400

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
SOUTH SHORE OPHTHALMOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2023 112907134 2024-06-13 SOUTH SHORE OPHTHALMOLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-01
Business code 621111
Sponsor’s telephone number 5163741122
Plan sponsor’s address 1175 W. BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2024-06-13
Name of individual signing MARK MELAMED
SOUTH SHORE OPHTHALMOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2022 112907134 2023-03-31 SOUTH SHORE OPHTHALMOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-01
Business code 621111
Sponsor’s telephone number 5163741122
Plan sponsor’s address 1175 W. BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2023-03-31
Name of individual signing MARK MELAMED
SOUTH SHORE OPHTHALMOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2021 112907134 2022-09-22 SOUTH SHORE OPHTHALMOLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-01
Business code 621111
Sponsor’s telephone number 5163741122
Plan sponsor’s address 1175 W. BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2022-09-22
Name of individual signing MARK MELAMED
SOUTH SHORE OPHTHALMOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2020 112907134 2021-09-24 SOUTH SHORE OPHTHALMOLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-01
Business code 621111
Sponsor’s telephone number 5163741122
Plan sponsor’s address 1175 W. BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2021-09-23
Name of individual signing MARK MELAMED
SOUTH SHORE OPHTHALMOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2019 112907134 2020-08-17 SOUTH SHORE OPHTHALMOLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-01
Business code 621111
Sponsor’s telephone number 5163741122
Plan sponsor’s address 1175 W. BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2020-08-17
Name of individual signing MARK MELAMED
SOUTH SHORE OPHTHALMOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2018 112907134 2019-07-18 SOUTH SHORE OPHTHALMOLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-01
Business code 621111
Sponsor’s telephone number 5163741122
Plan sponsor’s address 1175 W. BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2019-07-18
Name of individual signing MARK MELAMED
SOUTH SHORE OPHTHALMOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2017 112907134 2018-07-26 SOUTH SHORE OPHTHALMOLOGY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-01
Business code 621111
Sponsor’s telephone number 5163741122
Plan sponsor’s address 1175 W. BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2018-07-26
Name of individual signing MARK MELAMED
SOUTH SHORE OPHTHALMOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2016 112907134 2017-05-09 SOUTH SHORE OPHTHALMOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-01
Business code 621111
Sponsor’s telephone number 5163741122
Plan sponsor’s address 1175 W. BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2017-05-05
Name of individual signing MARK MELAMED
SOUTH SHORE OPHTHALMOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2015 112907134 2016-04-19 SOUTH SHORE OPHTHALMOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-01
Business code 621111
Sponsor’s telephone number 5163741122
Plan sponsor’s address 1175 W. BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2016-04-18
Name of individual signing MARK MELAMED
SOUTH SHORE OPHTHALMOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2014 112907134 2015-04-29 SOUTH SHORE OPHTHALMOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-01
Business code 621111
Sponsor’s telephone number 5163741122
Plan sponsor’s address 1175 W. BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2015-04-29
Name of individual signing MARK MELAMED

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent MARK MELAMED MD, 1175 W BROADWAY STE 25, HEWLETT, NY, United States, 11557

Chief Executive Officer

Name Role Address
MARK MELAMED MD Chief Executive Officer 1175 W BROADWAY, STE 25, HEWLETT, NY, United States, 11557

History

Start date End date Type Value
2010-05-28 2012-05-21 Address 1175 W BROADWAY, STE 25, HEWLETT, NY, 11557, USA (Type of address: Chief Executive Officer)
2008-04-09 2010-05-28 Address MARK MELAMED MD, 1175 W BROADWAY STE 25, HEWLETT, NY, 11557, USA (Type of address: Chief Executive Officer)
2004-04-19 2008-04-09 Address MARK A MELAMED MD FACS, 1200 WEST BROADWAY, HEWLETT, NY, 11557, USA (Type of address: Principal Executive Office)
2004-04-19 2008-04-09 Address MARK A MELAMED MD FACS, 1200 WEST BROADWAY, HEWLETT, NY, 11557, USA (Type of address: Chief Executive Officer)
2004-04-19 2008-04-09 Address MARK A MELAMED MD FACS, 1200 WEST BROADWAY, HEWLETT, NY, 11557, USA (Type of address: Service of Process)
2000-04-17 2004-04-19 Address 1200 WEST BROADWAY, HEWLETT, NY, 11557, USA (Type of address: Chief Executive Officer)
1996-05-22 2004-04-19 Address 1200 WEST BROADWAY, HEWLETT, NY, 11557, USA (Type of address: Principal Executive Office)
1996-05-22 2004-04-19 Address 1200 WEST BROADWAY, HEWLETT, NY, 11557, USA (Type of address: Service of Process)
1992-11-04 1996-05-22 Address 1200 WEST BROADWAY, HEWLETT, NY, 11557, USA (Type of address: Service of Process)
1992-11-04 1996-05-22 Address 1200 WEST BROADWAY, HEWLETT, NY, 11557, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
180405006252 2018-04-05 BIENNIAL STATEMENT 2018-04-01
140423006277 2014-04-23 BIENNIAL STATEMENT 2014-04-01
120521002042 2012-05-21 BIENNIAL STATEMENT 2012-04-01
100528002852 2010-05-28 BIENNIAL STATEMENT 2010-04-01
080409002131 2008-04-09 BIENNIAL STATEMENT 2008-04-01
060508002027 2006-05-08 BIENNIAL STATEMENT 2006-04-01
040419002550 2004-04-19 BIENNIAL STATEMENT 2004-04-01
020409002440 2002-04-09 BIENNIAL STATEMENT 2002-04-01
000417002091 2000-04-17 BIENNIAL STATEMENT 2000-04-01
980416002508 1998-04-16 BIENNIAL STATEMENT 1998-04-01

Date of last update: 15 Nov 2024

Sources: New York Secretary of State