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ANTHONY CAPIZZI M.D. P.C.

Company Details

Name: ANTHONY CAPIZZI M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Aug 1988 (36 years ago)
Entity Number: 1282626
ZIP code: 11788
County: Suffolk
Place of Formation: New York
Address: 325 NESCONSET HIGHWAY, HAUPPAUGE, NY, United States, 11788
Principal Address: 786 Montauk Highway, West Islip, NY, United States, 11795

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
CAPIZZI & LEE RETIREMENT PLAN 2012 112626651 2013-10-10 ANTHONY CAPIZZI, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of

Role Plan administrator
Date 2013-10-10
Name of individual signing ANTHONY CAPIZZI
CAPIZZI, LEE & DURANTE 401(K) PLAN 2012 112626651 2013-10-10 ANTHONY CAPIZZI, M.D., P.C. 13
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of

Role Plan administrator
Date 2013-10-10
Name of individual signing ANTHONY CAPIZZI
CAPIZZI & LEE RETIREMENT PLAN 2011 112626651 2012-10-10 ANTHONY CAPIZZI, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Plan administrator’s name and address

Administrator’s EIN 112626651
Plan administrator’s name ANTHONY CAPIZZI, M.D., P.C.
Plan administrator’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
Administrator’s telephone number 6316693700

Signature of

Role Plan administrator
Date 2012-10-09
Name of individual signing ANTHONY CAPIZZI
CAPIZZI, LEE & DURANTE 401(K) PLAN 2011 112626651 2012-10-10 ANTHONY CAPIZZI, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Plan administrator’s name and address

Administrator’s EIN 112626651
Plan administrator’s name ANTHONY CAPIZZI, M.D., P.C.
Plan administrator’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
Administrator’s telephone number 6316693700

Signature of

Role Plan administrator
Date 2012-10-09
Name of individual signing ANTHONY CAPIZZI
CAPIZZI, LEE & DURANTE 401(K) PLAN 2010 112626651 2011-10-12 ANTHONY CAPIZZI, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Plan administrator’s name and address

Administrator’s EIN 112626651
Plan administrator’s name ANTHONY CAPIZZI, M.D., P.C.
Plan administrator’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
Administrator’s telephone number 6316693700

Signature of

Role Plan administrator
Date 2011-10-11
Name of individual signing ANTHONY CAPIZZI
CAPIZZI & LEE RETIREMENT PLAN 2010 112626651 2011-10-12 ANTHONY CAPIZZI, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Plan administrator’s name and address

Administrator’s EIN 112626651
Plan administrator’s name ANTHONY CAPIZZI, M.D., P.C.
Plan administrator’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
Administrator’s telephone number 6316693700

Signature of

Role Plan administrator
Date 2011-10-11
Name of individual signing ANTHONY CAPIZZI
CAPIZZI LEE & DURANTE RETIREMENT PLAN 2009 112626651 2010-10-14 ANTHONY CAPIZZI, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Plan administrator’s name and address

Administrator’s EIN 112626651
Plan administrator’s name ANTHONY CAPIZZI, M.D., P.C.
Plan administrator’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
Administrator’s telephone number 6316693700

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing ANTHONY CAPIZZI
CAPIZZI, LEE & DURANTE 401(K) PLAN 2009 112626651 2010-10-14 ANTHONY CAPIZZI, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Plan administrator’s name and address

Administrator’s EIN 112626651
Plan administrator’s name ANTHONY CAPIZZI, M.D., P.C.
Plan administrator’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
Administrator’s telephone number 6316693700

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing ANTHONY CAPIZZI

DOS Process Agent

Name Role Address
PETER B. GIERER, ESQ. DOS Process Agent 325 NESCONSET HIGHWAY, HAUPPAUGE, NY, United States, 11788

Chief Executive Officer

Name Role Address
ANTHONY CAPIZZI M.D. Chief Executive Officer 786 MONTAUK HIGHWAY, WEST ISLIP, NY, United States, 11795

Filings

Filing Number Date Filed Type Effective Date
211029000823 2021-10-29 BIENNIAL STATEMENT 2021-10-29
130906000340 2013-09-06 CERTIFICATE OF AMENDMENT 2013-09-06
B670804-4 1988-08-05 CERTIFICATE OF INCORPORATION 1988-08-05

Date of last update: 15 Nov 2024

Sources: New York Secretary of State