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DAVID LICHTENSTEIN PHYSICIAN, P.C.

Company Details

Name: DAVID LICHTENSTEIN PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Dec 1988 (36 years ago)
Entity Number: 1311134
ZIP code: 11694
County: Queens
Place of Formation: New York
Address: 131-03 ROCKAWAY BEACH, BOULEVARD, BELLE HARBOR, NY, United States, 11694

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
DAVID LICHTENSTEIN 401K PLAN 2014 112933894 2015-11-11 DAVID LICHTENSTEIN PHYSICIAN, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 7183183434
Plan sponsor’s address 431 BEACH 129TH STREET, BELLE HARBOR, NY, 116941516

Plan administrator’s name and address

Administrator’s EIN 112933894
Plan administrator’s name DAVID LICHTENSTEIN PHYSICIAN, P.C.
Plan administrator’s address 431 BEACH 129TH STREET, BELLE HARBOR, NY, 116941516
Administrator’s telephone number 7183183434

Signature of

Role Plan administrator
Date 2015-11-11
Name of individual signing DONNA LICHTENSTEIN
DAVID LICHTENSTEIN 401K PLAN 2014 112933894 2015-03-03 DAVID LICHTENSTEIN PHYSICIAN, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 7183183434
Plan sponsor’s address 431 BEACH 129TH STREET, BELLE HARBOR, NY, 116941516

Plan administrator’s name and address

Administrator’s EIN 112933894
Plan administrator’s name DAVID LICHTENSTEIN PHYSICIAN, P.C.
Plan administrator’s address 431 BEACH 129TH STREET, BELLE HARBOR, NY, 116941516
Administrator’s telephone number 7183183434

Signature of

Role Plan administrator
Date 2015-03-03
Name of individual signing DONNA LICHTENSTEIN
DAVID LICHTENSTEIN 401K PLAN 2013 112933894 2014-03-17 DAVID LICHTENSTEIN PHYSICIAN, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 7183183434
Plan sponsor’s address 431 BEACH 129TH STREET, BELLE HARBOR, NY, 116941516

Plan administrator’s name and address

Administrator’s EIN 112933894
Plan administrator’s name DAVID LICHTENSTEIN PHYSICIAN, P.C.
Plan administrator’s address 431 BEACH 129TH STREET, BELLE HARBOR, NY, 116941516
Administrator’s telephone number 7183183434

Signature of

Role Plan administrator
Date 2014-03-17
Name of individual signing DONNA LICHTENSTEIN

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 131-03 ROCKAWAY BEACH, BOULEVARD, BELLE HARBOR, NY, United States, 11694

Filings

Filing Number Date Filed Type Effective Date
B714399-5 1988-12-06 CERTIFICATE OF INCORPORATION 1988-12-06

Date of last update: 14 Nov 2024

Sources: New York Secretary of State