| Name: | NORTH SHORE SURGICAL SPECIALISTS M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 09 Jan 1992 (33 years ago) |
| Entity Number: | 1601849 |
| County: | Nassau |
| Place of Formation: | New York |
| Address: | 833 NORTHERN BLVD., GREAT NECK, NY, United States, 11021 |
| Address ZIP Code: | 11021 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE NORTH SHORE SURGICAL SPECIALISTS, M.D., P.C. PROFIT SHARING PLAN | 2010 | 113089415 | 2011-07-21 | NORTH SHORE SURGICAL SPECIALISTS, M.D., P.C. | 26 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 113089415 |
| Plan administrator’s name | NORTH SHORE SURGICAL SPECIALISTS, M.D., P.C. |
| Plan administrator’s address | 310 EAST SHORE ROAD, SUITE 203, GREAT NECK, NY, 110232432 |
| Administrator’s telephone number | 5164828657 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-21 |
| Name of individual signing | DOMINICK GADALETA |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5164828657 |
| Plan sponsor’s address | 310 EAST SHORE ROAD, SUITE 203, GREAT NECK, NY, 110232432 |
Plan administrator’s name and address
| Administrator’s EIN | 113089415 |
| Plan administrator’s name | NORTH SHORE SURGICAL SPECIALISTS, M.D., P.C. |
| Plan administrator’s address | 310 EAST SHORE ROAD, SUITE 203, GREAT NECK, NY, 110232432 |
| Administrator’s telephone number | 5164828657 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-12 |
| Name of individual signing | DOMINICK GADALETA |
| Name | Role | Address |
|---|---|---|
| DAVID C. LEVINE, M.D. | DOS Process Agent | 833 NORTHERN BLVD., GREAT NECK, NY, United States, 11021 |
| Name | Role | Address |
|---|---|---|
| DAVID C. LEVINE, M.D. | Chief Executive Officer | 833 NORTHERN BLVD., GREAT NECK, NY, United States, 11021 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1992-01-09 | 1993-02-02 | Address | 60 CUTTERMILL ROAD, GREAT NECK, NY, 11021, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 960620000247 | 1996-06-20 | CERTIFICATE OF AMENDMENT | 1996-06-20 |
| 940114002887 | 1994-01-14 | BIENNIAL STATEMENT | 1994-01-01 |
| 930202002257 | 1993-02-02 | BIENNIAL STATEMENT | 1993-01-01 |
| 920109000016 | 1992-01-09 | CERTIFICATE OF INCORPORATION | 1992-01-09 |
Date of last update: 14 Nov 2024
Sources: New York Secretary of State
