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  5. MID-SUFFOLK PEDIATRIC ASSOCIATES, P.C.

MID-SUFFOLK PEDIATRIC ASSOCIATES, P.C.

Company Details

Name: MID-SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 23 Apr 1991 (34 years ago)
Date of dissolution: 22 Sep 2017
Entity Number: 1542339
ZIP code: 11749
County: Suffolk
Place of Formation: New York
Address: 1770 MOTOR PARKWAY, HAUPPAUGE (ISLANDIA), NY, United States, 11749

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
MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2015 113060544 2016-06-21 MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 6314341770
Plan sponsor’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260

Plan administrator’s name and address
Administrator’s EIN 113060544
Plan administrator’s name MID SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260
Administrator’s telephone number 6314341770

Signature of
Role Plan administrator
Date 2016-06-21
Name of individual signing STUART BERMAN
CREATED FROM MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2015 113060544 2016-11-08 MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 6314341770
Plan sponsor’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260

Signature of
Role Plan administrator
Date 2016-11-08
Name of individual signing STUART BERMAN
MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2014 113060544 2015-08-12 MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 6314341770
Plan sponsor’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260

Plan administrator’s name and address
Administrator’s EIN 113060544
Plan administrator’s name MID SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260
Administrator’s telephone number 6314341770

Signature of
Role Plan administrator
Date 2015-08-12
Name of individual signing STUART BERMAN
MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2013 113060544 2014-04-07 MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 6314341770
Plan sponsor’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260

Plan administrator’s name and address
Administrator’s EIN 113060544
Plan administrator’s name MID SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260
Administrator’s telephone number 6314341770

Signature of
Role Plan administrator
Date 2014-04-07
Name of individual signing STUART BERMAN
MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2012 113060544 2013-06-26 MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 99
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 6314341770
Plan sponsor’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260

Plan administrator’s name and address
Administrator’s EIN 113060544
Plan administrator’s name MID SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260
Administrator’s telephone number 6314341770

Signature of
Role Plan administrator
Date 2013-06-26
Name of individual signing STUART BERMAN
MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2012 113060544 2013-06-26 MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 6314341770
Plan sponsor’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260

Plan administrator’s name and address
Administrator’s EIN 113060544
Plan administrator’s name MID SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260
Administrator’s telephone number 6314341770

Signature of
Role Plan administrator
Date 2013-06-26
Name of individual signing STUART BERMAN
MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2011 113060544 2012-02-21 MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 6314341770
Plan sponsor’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260

Plan administrator’s name and address
Administrator’s EIN 113060544
Plan administrator’s name MID SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260
Administrator’s telephone number 6314341770

Signature of
Role Plan administrator
Date 2012-02-21
Name of individual signing STUART BERMAN
MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2010 113060544 2011-04-04 MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 6314341770
Plan sponsor’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260

Plan administrator’s name and address
Administrator’s EIN 113060544
Plan administrator’s name MID SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260
Administrator’s telephone number 6314341770

Signature of
Role Plan administrator
Date 2011-04-04
Name of individual signing STUART BERMAN
MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2009 113060544 2010-04-21 MID SUFFOLK PEDIATRIC ASSOCIATES, P.C. 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 6314341770
Plan sponsor’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260

Plan administrator’s name and address
Administrator’s EIN 113060544
Plan administrator’s name MID SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 117495260
Administrator’s telephone number 6314341770

Signature of
Role Plan administrator
Date 2010-04-21
Name of individual signing STUART BERMAN
Role Employer/plan sponsor
Date 2010-04-21
Name of individual signing STUART BERMAN

Chief Executive Officer

Name Role Address
STUART BERMAN MD Chief Executive Officer 1770 MOTOR PARKWAY, HAUPPAUGE (ISLANDIA), NY, United States, 11749

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1770 MOTOR PARKWAY, HAUPPAUGE (ISLANDIA), NY, United States, 11749

History

Start date End date Type Value
2004-02-24 2005-06-13 Address 1770 MOTOR PARKWAY, HAUPPAUGE (ISLANDIA), NY, 11749, 5260, USA (Type of address: Chief Executive Officer)
2004-02-24 2005-06-13 Address 1770 MOTOR PARKWAY, HAUPPAUGE, NY, 11749, 5260, USA (Type of address: Principal Executive Office)
1999-07-21 2005-06-13 Address 1770 MOTOR PARKWAY, HAUPPAGE, NY, 11788, USA (Type of address: Service of Process)
1991-04-23 1999-07-21 Address 515 ROUTE 111, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170922000518 2017-09-22 CERTIFICATE OF DISSOLUTION 2017-09-22
170405006413 2017-04-05 BIENNIAL STATEMENT 2017-04-01
150402006649 2015-04-02 BIENNIAL STATEMENT 2015-04-01
130410006500 2013-04-10 BIENNIAL STATEMENT 2013-04-01
110502002801 2011-05-02 BIENNIAL STATEMENT 2011-04-01
090408002030 2009-04-08 BIENNIAL STATEMENT 2009-04-01
070420002732 2007-04-20 BIENNIAL STATEMENT 2007-04-01
050613002799 2005-06-13 BIENNIAL STATEMENT 2005-04-01
040224002768 2004-02-24 BIENNIAL STATEMENT 2003-04-01
990721000670 1999-07-21 CERTIFICATE OF AMENDMENT 1999-07-21

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

No related companies by address

Date of last update: 14 Nov 2024

Sources: New York Secretary of State

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