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  5. STEPHEN D. SIEGEL, M.D., P.C.

STEPHEN D. SIEGEL, M.D., P.C.

Company Details

Name: STEPHEN D. SIEGEL, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Apr 1991 (34 years ago)
Entity Number: 1543212
ZIP code: 11023
County: Nassau
Place of Formation: New York
Address: 16 COLGATE ROAD, GREAT NECK, NY, United States, 11023
Principal Address: 16 Colgate Rd, Great Neck, NY, United States, 11023

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
STEPHEN D. SIEGEL, M.D.,P.C.DEFINED BENEFIT PLAN 2016 133619650 2017-07-30 STEPHEN D. SIEGEL, M.D., P.C. 8
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9175201243
Plan sponsor’s address 3 EAST 71ST STREET, NEW YORK, NY, 10021
STEPHEN D. SIEGEL, M.D., P.C. DEFINED BENEFIT PLAN 2012 133619650 2013-10-13 STEPHEN D. SIEGEL, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2128798000
Plan sponsor’s address 3 EAST 71ST STREET, NEW YORK, NY, 10021

Signature of
Role Plan administrator
Date 2013-10-13
Name of individual signing STEPHEN D. SIEGEL, MD
STEPHEN D. SIEGEL, M.D., P.C. DEFINED BENEFIT PLAN 2011 133619650 2012-10-02 STEPHEN D. SIEGEL, M.D., 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 2128798000
Plan sponsor’s address 3 EAST 71ST SREET, NEW YORK, NY, 10021

Plan administrator’s name and address
Administrator’s EIN 133619650
Plan administrator’s name STEPHEN D. SIEGEL, M.D., P.C.
Plan administrator’s address 3 EAST 71ST SREET, NEW YORK, NY, 10021
Administrator’s telephone number 2128798000

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing STEPHEN SIEGEL
STEPHEN D. SIEGEL, M.D., P.C. DEFINED BENEFIT PLAN 2010 133619650 2011-10-06 STEPHEN D. SIEGEL, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2128798000
Plan sponsor’s address 3 EAST 71ST SREET, NEW YORK, NY, 10021

Plan administrator’s name and address
Administrator’s EIN 133619650
Plan administrator’s name STEPHEN D. SIEGEL, M.D., P.C.
Plan administrator’s address 3 EAST 71ST SREET, NEW YORK, NY, 10021
Administrator’s telephone number 2128798000

Signature of
Role Plan administrator
Date 2011-10-06
Name of individual signing STEPHEN SIEGEL
STEPHEN D. SIEGEL, M.D., P.C. DEFINED BENEFIT PLAN 2009 133619650 2010-10-15 STEPHEN D. SIEGEL, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2128798000
Plan sponsor’s address 3 EAST 71ST SREET, NEW YORK, NY, 10021

Plan administrator’s name and address
Administrator’s EIN 133619650
Plan administrator’s name STEPHEN D. SIEGEL, M.D., P.C.
Plan administrator’s address 3 EAST 71ST SREET, NEW YORK, NY, 10021
Administrator’s telephone number 2128798000

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing STEPHEN SIEGEL
STEPHEN D. SIEGEL, M.D., P.C. DEFINED BENEFIT PLAN 2009 133619650 2010-10-14 STEPHEN D. SIEGEL, M.D., P.C. 5
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2128798000
Plan sponsor’s address 3 EAST 71ST SREET, NEW YORK, NY, 10021

Plan administrator’s name and address
Administrator’s EIN 133619650
Plan administrator’s name STEPHEN D. SIEGEL, M.D., P.C.
Plan administrator’s address 3 EAST 71ST SREET, NEW YORK, NY, 10021
Administrator’s telephone number 2128798000

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing STEPHEN SIEGEL

DOS Process Agent

Name Role Address
STEPHEN D. SIEGEL, M.D., P.C. DOS Process Agent 16 COLGATE ROAD, GREAT NECK, NY, United States, 11023

Chief Executive Officer

Name Role Address
STEPHEN D. SIEGEL Chief Executive Officer 16 COLGATE RD, GREAT NECK, NY, United States, 11023

Agent

Name Role Address
STEPHEN D. SIEGEL, M.D. Agent 16 COLGATE ROAD, GREAT NECK, NY, 11023

History

Start date End date Type Value
2023-12-29 2023-12-29 Address 16 COLGATE RD, GREAT NECK, NY, 11023, USA (Type of address: Chief Executive Officer)
2023-12-29 2023-12-29 Address 3 EAST 71ST STREET, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
2018-09-12 2023-12-29 Address 16 COLGATE ROAD, GREAT NECK, NY, 11023, USA (Type of address: Service of Process)
2018-09-12 2023-12-29 Address 16 COLGATE ROAD, GREAT NECK, NY, 11023, USA (Type of address: Registered Agent)
1999-04-21 2018-09-12 Address 3 EAST 71ST STREET, NEW YORK, NY, 10021, USA (Type of address: Service of Process)
1992-11-12 2023-12-29 Address 3 EAST 71ST STREET, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
1992-11-12 1999-04-21 Address 3 EAST 71ST STREET, NEW YORK, NY, 10021, USA (Type of address: Service of Process)
1992-11-12 1999-04-21 Address 3 EAST 71ST STREET, NEW YORK, NY, 10021, USA (Type of address: Principal Executive Office)
1991-04-25 1992-11-12 Address FIVE EAST 71ST STREET, NEW YORK, NY, 10021, USA (Type of address: Service of Process)
1991-04-25 2023-12-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
231229003003 2023-12-29 BIENNIAL STATEMENT 2023-12-29
180912000715 2018-09-12 CERTIFICATE OF CHANGE 2018-09-12
030404002483 2003-04-04 BIENNIAL STATEMENT 2003-04-01
990421002120 1999-04-21 BIENNIAL STATEMENT 1999-04-01
000049005507 1993-09-29 BIENNIAL STATEMENT 1993-04-01
921112002895 1992-11-12 BIENNIAL STATEMENT 1992-04-01
910425000418 1991-04-25 CERTIFICATE OF INCORPORATION 1991-04-25

Related by officers

No related officers

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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