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LONG ISLAND SPINE SPECIALISTS, P.C.

Company Details

Name: LONG ISLAND SPINE SPECIALISTS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jan 1992 (33 years ago) (Companies founded in January 1992)
Entity Number: 1599922
ZIP code: 11725 (Companies in Suffolk, 11725)
County: Suffolk
Place of Formation: New York
Address: 763 LARKFIELD ROAD, 2ND FLOOR, COMMACK, NY, United States, 11725

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 LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2023 113095875 2024-10-09 LONG ISLAND SPINE SPECIALISTS, P.C. 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-15
Business code 621111
Sponsor’s telephone number 6314622225
Plan sponsor’s address 763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725

Signature of

Role Plan administrator
Date 2024-10-08
Name of individual signing THOMAS DOWLING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-08
Name of individual signing THOMAS DOWLING
Valid signature Filed with authorized/valid electronic signature
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2022 113095875 2023-09-11 LONG ISLAND SPINE SPECIALISTS, P.C. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-15
Business code 621111
Sponsor’s telephone number 6314622225
Plan sponsor’s address 763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725

Signature of

Role Plan administrator
Date 2023-09-11
Name of individual signing THOMAS DOWLING
Role Employer/plan sponsor
Date 2023-09-11
Name of individual signing THOMAS DOWLING
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2021 113095875 2022-10-15 LONG ISLAND SPINE SPECIALISTS, P.C. 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-15
Business code 621111
Sponsor’s telephone number 6314622225
Plan sponsor’s address 763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing THOMAS DOWLING
Role Employer/plan sponsor
Date 2022-10-14
Name of individual signing THOMAS DOWLING
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2020 113095875 2021-10-08 LONG ISLAND SPINE SPECIALISTS, P.C. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-15
Business code 621111
Sponsor’s telephone number 6314622225
Plan sponsor’s address 763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725

Signature of

Role Plan administrator
Date 2021-10-07
Name of individual signing THOMAS DOWLING
Role Employer/plan sponsor
Date 2021-10-07
Name of individual signing THOMAS DOWLING
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2019 113095875 2020-10-15 LONG ISLAND SPINE SPECIALISTS, P.C. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-15
Business code 621111
Sponsor’s telephone number 6314622225
Plan sponsor’s address 763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing THOMAS DOWLING MD
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing THOMAS DOWLING MD
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2018 113095875 2019-10-14 LONG ISLAND SPINE SPECIALISTS, P.C. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-15
Business code 621111
Sponsor’s telephone number 6314622225
Plan sponsor’s address 763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing THOMAS DOWLING
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing THOMAS DOWLING
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2017 113095875 2018-10-14 LONG ISLAND SPINE SPECIALISTS, P.C. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-15
Business code 621111
Sponsor’s telephone number 6314622225
Plan sponsor’s address 763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725

Signature of

Role Plan administrator
Date 2018-10-14
Name of individual signing THOMAS DOWLING MD
Role Employer/plan sponsor
Date 2018-10-14
Name of individual signing THOMAS DOWLING MD
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2016 113095875 2017-10-14 LONG ISLAND SPINE SPECIALISTS, P.C. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-15
Business code 621111
Sponsor’s telephone number 6314622225
Plan sponsor’s address 763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725

Signature of

Role Plan administrator
Date 2017-10-13
Name of individual signing THOMAS DOWLING MD
Role Employer/plan sponsor
Date 2017-10-13
Name of individual signing THOMAS DOWLING MD
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2015 113095875 2016-10-13 LONG ISLAND SPINE SPECIALISTS, P.C. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-15
Business code 621111
Sponsor’s telephone number 6314622225
Plan sponsor’s address 763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing THOMAS DOWLING
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing THOMAS DOWLING
THE LONG ISLAND SPINE SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2014 113095875 2015-10-06 LONG ISLAND SPINE SPECIALISTS, P.C. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-15
Business code 621111
Sponsor’s telephone number 6314622225
Plan sponsor’s address 763 LARKFIELD ROAD, SECOND FLOOR, COMMACK, NY, 11725

Signature of

Role Plan administrator
Date 2015-10-05
Name of individual signing THOMAS DOWLING
Role Employer/plan sponsor
Date 2015-10-05
Name of individual signing THOMAS DOWLING

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 763 LARKFIELD ROAD, 2ND FLOOR, COMMACK, NY, United States, 11725

Chief Executive Officer

Name Role Address
THOMAS J DOWLING, JR., M.D. Chief Executive Officer 763 LARKFIELD ROAD, 2ND FLOOR, COMMACK, NY, United States, 11725

History

Start date End date Type Value
2022-04-30 2023-10-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2006-02-06 2012-02-13 Address 763 LARKFIELD ROAD, 2ND FLOOR, COMMACK, NY, 11725, USA (Type of address: Chief Executive Officer)
2000-02-09 2006-02-06 Address 2171 JERICHO TPKE, STE 304, COMMACK, NY, 11725, USA (Type of address: Chief Executive Officer)
1993-02-17 2006-02-06 Address 2171 JERICHO TPKE STE 304, COMMACK, NY, 11725, USA (Type of address: Service of Process)
1993-02-17 2000-02-09 Address 2171 JERICHO TPKE STE 304, COMMACK, NY, 11725, USA (Type of address: Chief Executive Officer)
1993-02-17 2006-02-06 Address 2171 JERICHO TPKE STE 304, COMMACK, NY, 11725, USA (Type of address: Principal Executive Office)
1992-01-02 1993-02-17 Address 103 TURTLE COVE LANE, HUNTINGTON, NY, 11743, USA (Type of address: Service of Process)
1992-01-02 2022-04-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
210308061564 2021-03-08 BIENNIAL STATEMENT 2020-01-01
190312061344 2019-03-12 BIENNIAL STATEMENT 2018-01-01
140220002269 2014-02-20 BIENNIAL STATEMENT 2014-01-01
120213002083 2012-02-13 BIENNIAL STATEMENT 2012-01-01
100204002984 2010-02-04 BIENNIAL STATEMENT 2010-01-01
080115002462 2008-01-15 BIENNIAL STATEMENT 2008-01-01
060206002940 2006-02-06 BIENNIAL STATEMENT 2006-01-01
040106002152 2004-01-06 BIENNIAL STATEMENT 2004-01-01
011231002462 2001-12-31 BIENNIAL STATEMENT 2002-01-01
000209002504 2000-02-09 BIENNIAL STATEMENT 2000-01-01

Date of last update: 14 Nov 2024

Sources: New York Secretary of State