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CHARLES G. BLEECHER, M.D., P.C.

Company Details

Name: CHARLES G. BLEECHER, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Jul 1991 (33 years ago) (Companies founded in July 1991)
Entity Number: 1560474
ZIP code: 11784 (Companies in Suffolk, 11784)
County: Suffolk
Place of Formation: New York
Address: 243 BOYLE RD, SELDEN, NY, United States, 11784
Principal Address: 259 POND VIEW LANE, SMITHTOWN, NY, United States, 11787

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
THE CHARLES G. BLEECHER, M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2022 113078627 2023-09-05 CHARLES G. BLEECHER, M.D., P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6316781001
Plan sponsor’s address 2 MONTERREY DRIVE, ST. JAMES, NY, 117803163

Signature of
Role Plan administrator
Date 2023-09-03
Name of individual signing CHARLES BLEECHER
Role Employer/plan sponsor
Date 2023-09-03
Name of individual signing CHARLES BLEECHER
THE CHARLES G. BLEECHER, M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2021 113078627 2022-10-05 CHARLES G. BLEECHER, M.D., P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6316781001
Plan sponsor’s address 2 MONTERREY DRIVE, ST. JAMES, NY, 117803163

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing CHARLES BLEECHER
Role Employer/plan sponsor
Date 2022-10-05
Name of individual signing CHARLES BLEECHER
THE CHARLES G. BLEECHER, M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2020 113078627 2021-10-15 CHARLES G. BLEECHER, M.D., P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6316781001
Plan sponsor’s address 2 MONTERREY DRIVE, ST. JAMES, NY, 117803163

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing CHARLES BLEECHER
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing CHARLES BLEECHER
THE CHARLES G. BLEECHER, M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2019 113078627 2020-10-13 CHARLES G. BLEECHER, M.D., P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6316781001
Plan sponsor’s address 2 MONTERREY DRIVE, ST. JAMES, NY, 117803163

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing CHARLES BLEECHER
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing CHARLES BLEECHER
THE CHARLES G. BLEECHER, M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2018 113078627 2019-10-11 CHARLES G. BLEECHER, M.D., P.C. 22
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6316781001
Plan sponsor’s address 7 HARNESS ROAD, ST. JAMES, NY, 11780

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing CHARLES BLEECHER
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing CHARLES BLEECHER
THE CHARLES G. BLEECHER, M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2018 113078627 2019-10-11 CHARLES G. BLEECHER, M.D., P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6316781001
Plan sponsor’s address 2 MONTERREY DRIVE, ST. JAMES, NY, 117803163

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing CHARLES BLEECHER
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing CHARLES BLEECHER
THE CHARLES G. BLEECHER, M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2017 113078627 2018-10-05 CHARLES G. BLEECHER, M.D., P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6316781001
Plan sponsor’s address 7 HARNESS ROAD, ST. JAMES, NY, 11780

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing CHARLES BLEECHER
Role Employer/plan sponsor
Date 2018-10-05
Name of individual signing CHARLES BLEECHER
THE CHARLES G. BLEECHER, M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2016 113078627 2017-09-29 CHARLES G. BLEECHER, M.D., P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6316781001
Plan sponsor’s address 7 HARNESS ROAD, ST. JAMES, NY, 11780

Signature of
Role Plan administrator
Date 2017-09-29
Name of individual signing CHARLES BLEECHER
Role Employer/plan sponsor
Date 2017-09-29
Name of individual signing CHARLES BLEECHER
THE CHARLES G. BLEECHER, M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2015 113078627 2016-03-02 CHARLES G. BLEECHER, M.D., P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6316781001
Plan sponsor’s address 7 HARNESS ROAD, ST. JAMES, NY, 11780

Signature of
Role Plan administrator
Date 2016-03-01
Name of individual signing CHARLES BLEECHER
Role Employer/plan sponsor
Date 2016-03-01
Name of individual signing CHARLES BLEECHER
THE CHARLES G. BLEECHER, M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2014 113078627 2015-09-28 CHARLES G. BLEECHER, M.D., P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6316781001
Plan sponsor’s address 7 HARNESS ROAD, ST. JAMES, NY, 11780

Signature of
Role Plan administrator
Date 2015-09-27
Name of individual signing CHARLES BLEECHER
Role Employer/plan sponsor
Date 2015-09-27
Name of individual signing CHARLES BLEECHER

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 243 BOYLE RD, SELDEN, NY, United States, 11784

Chief Executive Officer

Name Role Address
CHARLES G. BLEECHER Chief Executive Officer 243 BOYLE RD, SELDEN, NY, United States, 11784

History

Start date End date Type Value
1993-04-13 2006-05-03 Address 3 BOYLE ROAD, SELDEN, NY, 11784, USA (Type of address: Chief Executive Officer)
1993-04-13 2006-05-03 Address 259 POND VIEW LANE, SMITHTOWN, NY, 11787, USA (Type of address: Principal Executive Office)
1993-04-13 2006-05-03 Address 3 BOYLE ROAD, SELDEN, NY, 11784, USA (Type of address: Service of Process)
1991-07-10 1993-04-13 Address 259 POND VIEW LANE, HAUPPAUGE, NY, 11788, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
060503002804 2006-05-03 BIENNIAL STATEMENT 2005-07-01
000050003323 1993-09-30 BIENNIAL STATEMENT 1993-07-01
930413002713 1993-04-13 BIENNIAL STATEMENT 1992-07-01
910710000057 1991-07-10 CERTIFICATE OF INCORPORATION 1991-07-10

Related by officers

THE CORPORATION

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Related by address

243 BOYLE RD, SELDEN, NY, United States, 11784

ADJ HOLDING CORP. EMPIRE FOOTCARE & SURGERY, P.C.

Date of last update: 14 Nov 2024

Sources: New York Secretary of State

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