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NORTH SHORE SURGI-CENTER, INC.

Company Details

Name: NORTH SHORE SURGI-CENTER, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 11 Jul 1989 (35 years ago)
Entity Number: 1367732
County: Suffolk
Place of Formation: New York
Principal Address: 340 SEVEN SPRINGS WAY, SUITE 600, BRENTWOOD, TN, United States, 37027
Principal Address ZIP Code:
Address: 80 STATE STREET, ALBANY, NY, United States, 12207
Address ZIP Code: 12207

Contact Details

Phone +1 631-864-7100

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
NORTH SHORE SURGI CENTER INC. 401(K) PLAN 2021 112966356 2022-10-10 NORTH SHORE SURGI CENTER INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621493
Sponsor’s telephone number 6318647100
Plan sponsor’s address 989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2022-10-10
Name of individual signing JESSICA GROSSARTH
NORTH SHORE SURGI CENTER INC. 401(K) PLAN 2020 112966356 2021-10-25 NORTH SHORE SURGI CENTER INC. 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621493
Sponsor’s telephone number 6318647100
Plan sponsor’s address 989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2021-10-25
Name of individual signing JESSICA GROSSARTH
NORTH SHORE SURGI CENTER INC. 401(K) PLAN 2019 112966356 2020-10-14 NORTH SHORE SURGI CENTER INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621493
Sponsor’s telephone number 6318647100
Plan sponsor’s address 989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing JESSICA GROSSARTH
NORTH SHORE SURGI CENTER INC. 401(K) PLAN 2018 112966356 2019-12-09 NORTH SHORE SURGI CENTER INC. 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621493
Sponsor’s telephone number 6318647100
Plan sponsor’s address 989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2019-12-09
Name of individual signing JESSICA GROSSARTH
NORTH SHORE SURGI CENTER INC. 401(K) PLAN 2017 112966356 2019-12-09 NORTH SHORE SURGI CENTER INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621493
Sponsor’s telephone number 6318647100
Plan sponsor’s address 989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2019-12-09
Name of individual signing JESSICA GROSSARTH
NORTH SHORE SURGI CENTER INC. 401(K) PLAN 2016 112966356 2017-05-17 NORTH SHORE SURGI CENTER INC. 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621493
Sponsor’s telephone number 6318647100
Plan sponsor’s address 989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2017-05-17
Name of individual signing GREGG HOPPS
NORTH SHORE SURGI CENTER INC. 401(K) PLAN 2015 112966356 2016-06-01 NORTH SHORE SURGI CENTER INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621493
Sponsor’s telephone number 6318647100
Plan sponsor’s address 989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2016-06-01
Name of individual signing GREGG HOPPS
NORTH SHORE SURGI CENTER INC. 401(K) PLAN 2014 112966356 2015-07-14 NORTH SHORE SURGI CENTER INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621493
Sponsor’s telephone number 6318647100
Plan sponsor’s address 989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing GREGG HOPPS
NORTH SHORE SURGI CENTER INC. 401(K) PLAN 2013 112966356 2014-06-04 NORTH SHORE SURGI CENTER INC. 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621493
Sponsor’s telephone number 6318647100
Plan sponsor’s address 989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2014-06-04
Name of individual signing GREGG HOPPS
NORTH SHORE SURGI CENTER INC. 401(K) PLAN 2012 112966356 2013-07-23 NORTH SHORE SURGI CENTER INC. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621493
Sponsor’s telephone number 6318647100
Plan sponsor’s address 989 WEST JERICHO TURNPIKE, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2013-07-23
Name of individual signing GREGG HOPPS

DOS Process Agent

Name Role Address
CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

Chief Executive Officer

Name Role Address
VACANT POSITION Chief Executive Officer 340 SEVEN SPRINGS WAY, SUITE 600, BRENTWOOD, TN, United States, 37027

History

Start date End date Type Value
2024-05-01 2024-06-04 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-01-25 2024-05-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-09-05 2023-09-05 Address 989 JERICHO TURNPIKE, SMITHTOWN, NY, 11787, USA (Type of address: Chief Executive Officer)
2023-09-05 2024-01-25 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-09-05 2023-09-05 Address 340 SEVEN SPRINGS WAY, SUITE 600, BRENTWOOD, TN, 37027, USA (Type of address: Chief Executive Officer)
2023-08-01 2023-09-05 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-06-14 2023-08-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-06-12 2023-06-14 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-12-09 2023-06-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-05-17 2023-09-05 Address 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230905000110 2023-09-05 BIENNIAL STATEMENT 2023-07-01
220517002755 2022-05-17 CERTIFICATE OF CHANGE BY ENTITY 2022-05-17
211214001919 2021-12-14 BIENNIAL STATEMENT 2021-12-14
110720003151 2011-07-20 BIENNIAL STATEMENT 2011-07-01
071001002698 2007-10-01 BIENNIAL STATEMENT 2007-07-01
070228002317 2007-02-28 BIENNIAL STATEMENT 2005-07-01
990720002507 1999-07-20 BIENNIAL STATEMENT 1999-07-01
970709002005 1997-07-09 BIENNIAL STATEMENT 1997-07-01
940322002045 1994-03-22 BIENNIAL STATEMENT 1993-07-01
C031746-5 1989-07-11 CERTIFICATE OF INCORPORATION 1989-07-11

Date of last update: 14 Nov 2024

Sources: New York Secretary of State