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AMBI MEDICAL ASSOCIATES P.C.

Company Details

Name: AMBI MEDICAL ASSOCIATES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Oct 1988 (36 years ago)
Entity Number: 1302917
County: Nassau
Place of Formation: New York
Address: C/O LOEB & LOEB, 345 PARK AVENUE, NEW YORK, NY, United States, 10154
Address ZIP Code:
Principal Address: 110 WILLIS AVENUE, MINEOLA, NY, United States, 11501
Principal Address ZIP Code: 11501

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
AMBI MEDICAL ASSOCIATES, P.C. RETIREMENT TRUST 2014 112949980 2015-06-16 AMBI MEDICAL ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5162940030
Plan sponsor’s address 110 WILLIS AVENUE, MINEOLA, NY, 11501

Signature of

Role Plan administrator
Date 2015-06-16
Name of individual signing ANTHONY PETRINI
AMBI MEDICAL ASSOCIATES, P.C. RETIREMENT TRUST 2013 112949980 2014-07-09 AMBI MEDICAL ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5162940030
Plan sponsor’s address 110 WILLIS AVENUE, MINEOLA, NY, 11501

Signature of

Role Plan administrator
Date 2014-07-09
Name of individual signing JONATHAN SCHURE
AMBI MEDICAL ASSOCIATES P.C. RETIREMENT PLAN 2012 112949980 2013-09-30 AMBI MEDICAL ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5162940030
Plan sponsor’s address 110 WILLIS AVENUE, MINEOLA, NY, 11501

Signature of

Role Plan administrator
Date 2013-09-24
Name of individual signing JONATHAN SCHURE
AMBI MEDICAL ASSOCIATES P.C. RETIREMENT PLAN 2011 112949980 2012-10-05 AMBI MEDICAL ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5162940030
Plan sponsor’s address 110 WILLIS AVENUE, MINEOLA, NY, 11501

Plan administrator’s name and address

Administrator’s EIN 112949980
Plan administrator’s name AMBI MEDICAL ASSOCIATES, P.C.
Plan administrator’s address 110 WILLIS AVENUE, MINEOLA, NY, 11501
Administrator’s telephone number 5162940030

Signature of

Role Plan administrator
Date 2012-10-02
Name of individual signing JONATHAN SCHURE
AMBI MEDICAL ASSOCIATES P.C. RETIREMENT PLAN 2010 112949980 2011-10-10 AMBI MEDICAL ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5162940030
Plan sponsor’s address 110 WILLIS AVENUE, MINEOLA, NY, 11501

Plan administrator’s name and address

Administrator’s EIN 112949980
Plan administrator’s name AMBI MEDICAL ASSOCIATES, P.C.
Plan administrator’s address 110 WILLIS AVENUE, MINEOLA, NY, 11501
Administrator’s telephone number 5162940030

Signature of

Role Plan administrator
Date 2011-10-04
Name of individual signing JONATHAN SCHURE
AMBI MEDICAL ASSOCIATES P.C. RETIREMENT PLAN 2009 112949980 2010-10-07 AMBI MEDICAL ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5162940030
Plan sponsor’s address 110 WILLIS AVENUE, MINEOLA, NY, 11501

Plan administrator’s name and address

Administrator’s EIN 112949980
Plan administrator’s name AMBI MEDICAL ASSOCIATES, P.C.
Plan administrator’s address 110 WILLIS AVENUE, MINEOLA, NY, 11501
Administrator’s telephone number 5162940030

Signature of

Role Plan administrator
Date 2010-09-21
Name of individual signing DEBORAH C. DILELLO

DOS Process Agent

Name Role Address
JEROME L. LEVINE DOS Process Agent C/O LOEB & LOEB, 345 PARK AVENUE, NEW YORK, NY, United States, 10154

Agent

Name Role Address
JEROME L. LEVINE Agent LOEB AND LOEB, 230 PARK AVENUE, NEW YORK, NY, 10169

Chief Executive Officer

Name Role Address
JONATHAN SCHURE Chief Executive Officer 110 WILLIS AVENUE, MINEOLA, NY, United States, 11501

History

Start date End date Type Value
2010-10-28 2013-01-15 Address 110 WILLIS AVENUE, MINEOLA, NY, 11501, USA (Type of address: Chief Executive Officer)
2008-10-10 2010-10-28 Address 33-82 159TH ST, FLUSHING, NY, 11358, USA (Type of address: Chief Executive Officer)
1993-10-14 1998-10-07 Address % LOEB & LOEB, 345 PARK AVENUE, NEW YORK, NY, 10154, USA (Type of address: Service of Process)
1992-10-29 2008-10-10 Address 116 VERNON DRIVE, SCARSDALE, NY, 10583, USA (Type of address: Chief Executive Officer)
1992-10-29 1993-10-14 Address 110 WILLIS AVENUE, MINEOLA, NY, 11501, USA (Type of address: Principal Executive Office)
1988-10-31 2023-04-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1988-10-31 1993-10-14 Address LOEB AND LOEB, 230 PARK AVENUE, NEW YORK, NY, 10169, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
141007006049 2014-10-07 BIENNIAL STATEMENT 2014-10-01
130115006027 2013-01-15 BIENNIAL STATEMENT 2012-10-01
101028002221 2010-10-28 BIENNIAL STATEMENT 2010-10-01
081010002549 2008-10-10 BIENNIAL STATEMENT 2008-10-01
041109002646 2004-11-09 BIENNIAL STATEMENT 2004-10-01
020926002704 2002-09-26 BIENNIAL STATEMENT 2002-10-01
001011002297 2000-10-11 BIENNIAL STATEMENT 2000-10-01
981007002409 1998-10-07 BIENNIAL STATEMENT 1998-10-01
961017002590 1996-10-17 BIENNIAL STATEMENT 1996-10-01
931014002630 1993-10-14 BIENNIAL STATEMENT 1993-10-01

Date of last update: 14 Nov 2024

Sources: New York Secretary of State