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SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C.

Company Details

Name: SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 22 May 1992 (33 years ago) (Companies founded in May 1992)
Date of dissolution: 23 Mar 2020
Entity Number: 1638726
ZIP code: 11968 (Companies in Suffolk, 11968)
County: Suffolk
Place of Formation: New York
Address: 325 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968

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
SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2016 113112431 2017-02-24 SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 531120
Sponsor’s telephone number 6317285300
Plan sponsor’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113112431
Plan administrator’s name SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6317285300

Signature of
Role Plan administrator
Date 2017-02-24
Name of individual signing ROBERT GOTTLIEB
SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2015 113112431 2016-06-16 SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 531120
Sponsor’s telephone number 6317285300
Plan sponsor’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113112431
Plan administrator’s name SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6317285300

Signature of
Role Plan administrator
Date 2016-06-16
Name of individual signing ROBERT GOTTLIEB
SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2014 113112431 2015-06-03 SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6317285300
Plan sponsor’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113112431
Plan administrator’s name SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6317285300

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing ROBERT GOTTLIEB
SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2013 113112431 2014-07-08 SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6317285300
Plan sponsor’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113112431
Plan administrator’s name SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6317285300

Signature of
Role Plan administrator
Date 2014-07-08
Name of individual signing ROBERT GOTTLIEB
SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2012 113112431 2013-03-08 SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6317285300
Plan sponsor’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113112431
Plan administrator’s name SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6317285300

Signature of
Role Plan administrator
Date 2013-03-08
Name of individual signing ROBERT GOTTLIEB
SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2011 113112431 2012-03-09 SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6317285300
Plan sponsor’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113112431
Plan administrator’s name SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6317285300

Signature of
Role Plan administrator
Date 2012-03-09
Name of individual signing ROBERT GOTTLIEB
SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2010 113112431 2011-06-10 SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6317285300
Plan sponsor’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113112431
Plan administrator’s name SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6317285300

Signature of
Role Plan administrator
Date 2011-06-10
Name of individual signing ROBERT GOTTLIEB
SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2009 113112431 2010-07-13 SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6317285300
Plan sponsor’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113112431
Plan administrator’s name SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 5 SQUIRETOWN LANE, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6317285300

Signature of
Role Plan administrator
Date 2010-07-13
Name of individual signing ROBERT GOTTLIEB

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 325 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968

Chief Executive Officer

Name Role Address
JOSEPH B. QUINN Chief Executive Officer 325 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968

Filings

Filing Number Date Filed Type Effective Date
200323000307 2020-03-23 CERTIFICATE OF DISSOLUTION 2020-03-23
120706002306 2012-07-06 BIENNIAL STATEMENT 2012-05-01
100617002614 2010-06-17 BIENNIAL STATEMENT 2010-05-01
080515002366 2008-05-15 BIENNIAL STATEMENT 2008-05-01
060811002726 2006-08-11 BIENNIAL STATEMENT 2006-05-01
040609002270 2004-06-09 BIENNIAL STATEMENT 2004-05-01
020506002229 2002-05-06 BIENNIAL STATEMENT 2002-05-01
000523002176 2000-05-23 BIENNIAL STATEMENT 2000-05-01
980427002181 1998-04-27 BIENNIAL STATEMENT 1998-05-01
960612002058 1996-06-12 BIENNIAL STATEMENT 1996-05-01

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

325 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968

EASTERN LONG ISLAND SURGERY, P.C. EASTERN SUFFOLK UROLOGY, P.C. HAMPTON DENTAL GROUP, P.C. HAMPTON DERMATOLOGY, P.C. TIMOTHY C. INGRAO D.D.S., P.C.

Date of last update: 14 Nov 2024

Sources: New York Secretary of State

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