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NORTH SHORE PULMONARY ASSOCIATES, P.C.

Company Details

Name: NORTH SHORE PULMONARY ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jan 1992 (33 years ago)
Entity Number: 1600071
ZIP code: 11042
County: Nassau
Place of Formation: New York
Address: 6 OHIO DRIVE, LAKE SUCCESS, NY, United States, 11042

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 PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN 2015 113088910 2016-10-04 NORTH SHORE PULMONARY ASSOCIATES, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5163288700
Plan sponsor’s address 6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN 2015 113088910 2016-02-26 NORTH SHORE PULMONARY ASSOCIATES, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5163288700
Plan sponsor’s address 6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 113088910 2015-07-09 NORTH SHORE PULMONARY ASSOCIATES, P.C. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5163288700
Plan sponsor’s address 6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 113088910 2015-05-21 NORTH SHORE PULMONARY ASSOCIATES, P.C. 46
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5163288700
Plan sponsor’s address 6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN 2013 113088910 2014-08-22 NORTH SHORE PULMONARY ASSOCIATES, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5163288700
Plan sponsor’s address 6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN 2012 113088910 2013-07-08 NORTH SHORE PULMONARY ASSOCIATES, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5163288700
Plan sponsor’s address 6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042

Signature of

Role Plan administrator
Date 2013-07-08
Name of individual signing DAVID BREIDBART, M.D.
Role Employer/plan sponsor
Date 2013-07-08
Name of individual signing DAVID BREIDBART, M.D.
NORTH SHORE PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN 2011 113088910 2012-06-01 NORTH SHORE PULMONARY ASSOCIATES, P.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 5163288700
Plan sponsor’s address 6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 113088910
Plan administrator’s name NORTH SHORE PULMONARY ASSOCIATES, P.C.
Plan administrator’s address 6 OHIO DRIVE, LSQ MEDICAL BUILDING, LAKE SUCCESS, NY, 11042
Administrator’s telephone number 5163288700

Signature of

Role Plan administrator
Date 2012-06-01
Name of individual signing DAVID BREIDBART, M.D.
Role Employer/plan sponsor
Date 2012-06-01
Name of individual signing DAVID BREIDBART, M.D.

Chief Executive Officer

Name Role Address
DAVID M. BREIDBART, M.D. Chief Executive Officer 6 OHIO DRIVE, LAKE SUCCESS, NY, United States, 11042

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 6 OHIO DRIVE, LAKE SUCCESS, NY, United States, 11042

History

Start date End date Type Value
2000-01-28 2002-01-07 Address 3003 NEW HYDE PARK RD, NEW HYDE PARK, NY, 11042, USA (Type of address: Chief Executive Officer)
1993-05-21 2000-01-28 Address 3003 NEW HYDE PARK ROAD, NEW HYDE PARK, NY, 11042, USA (Type of address: Chief Executive Officer)
1993-05-21 2002-01-07 Address 3003 NEW HYDE PARK ROAD, NEW HYDE PARK, NY, 11042, USA (Type of address: Principal Executive Office)
1993-05-21 2002-01-07 Address 3003 NEW HYDE PARK ROAD, NEW HYDE PARK, NY, 11042, USA (Type of address: Service of Process)
1992-01-02 1993-05-21 Address & WINIKOFF, P.C., 1129 NORTHERN BOULEVARD, MANHASSET, NY, 11030, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140221002623 2014-02-21 BIENNIAL STATEMENT 2014-01-01
120201003066 2012-02-01 BIENNIAL STATEMENT 2012-01-01
100115002133 2010-01-15 BIENNIAL STATEMENT 2010-01-01
080102002296 2008-01-02 BIENNIAL STATEMENT 2008-01-01
060203003312 2006-02-03 BIENNIAL STATEMENT 2006-01-01
040115002010 2004-01-15 BIENNIAL STATEMENT 2004-01-01
020107002008 2002-01-07 BIENNIAL STATEMENT 2002-01-01
000128002716 2000-01-28 BIENNIAL STATEMENT 2000-01-01
940317000546 1994-03-17 CERTIFICATE OF AMENDMENT 1994-03-17
940121002807 1994-01-21 BIENNIAL STATEMENT 1994-01-01

Date of last update: 02 Dec 2024

Sources: New York Secretary of State