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  5. DOUGLAS A. BYRNES, M.D., P.C.

DOUGLAS A. BYRNES, M.D., P.C.

Company Details

Name: DOUGLAS A. BYRNES, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 11 Mar 1993 (32 years ago)
Date of dissolution: 15 Apr 2020
Entity Number: 1709463
ZIP code: 11725
County: Suffolk
Place of Formation: New York
Address: 283 COMMACK ROAD, SUITE 300, 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
DOUGLAS A. BYRNES M.D., P.C. RETIREMENT PLAN 2013 113149422 2014-03-08 DOUGLAS A. BYRNES M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6314251616
Plan sponsor’s address 152 EAST MAIN STREET, SUITE B, HUNTINGTON, NY, 11743

Signature of
Role Plan administrator
Date 2014-03-08
Name of individual signing DOUGLAS BYRNES
DOUGLAS A. BYRNES M.D., P.C. RETIREMENT PLAN 2012 113149422 2013-09-18 DOUGLAS A. BYRNES M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6314251616
Plan sponsor’s address 152 EAST MAIN STREET, SUITE B, HUNTINGTON, NY, 11743

Signature of
Role Plan administrator
Date 2013-09-18
Name of individual signing DOUGLAS BYRNES
DOUGLAS A. BYRNES M.D., P.C. RETIREMENT PLAN 2011 113149422 2012-06-13 DOUGLAS A. BYRNES M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6314251616
Plan sponsor’s address 152 EAST MAIN STREET, SUITE B, HUNTINGTON, NY, 11743

Plan administrator’s name and address
Administrator’s EIN 113149422
Plan administrator’s name DOUGLAS A. BYRNES M.D., P.C.
Plan administrator’s address 152 EAST MAIN STREET, SUITE B, HUNTINGTON, NY, 11743
Administrator’s telephone number 6314251616

Signature of
Role Plan administrator
Date 2012-06-13
Name of individual signing DOUGLAS A. BYRNES, M.D.
Role Employer/plan sponsor
Date 2012-06-13
Name of individual signing DOUGLAS A. BYRNES, M.D.
DOUGLAS A. BYRNES M.D., P.C. RETIREMENT PLAN 2010 113149422 2011-07-18 DOUGLAS A. BYRNES M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6314251616
Plan sponsor’s address 152 EAST MAIN STREET, SUITE B, HUNTINGTON, NY, 11743

Plan administrator’s name and address
Administrator’s EIN 113149422
Plan administrator’s name DOUGLAS A. BYRNES M.D., P.C.
Plan administrator’s address 152 EAST MAIN STREET, SUITE B, HUNTINGTON, NY, 11743
Administrator’s telephone number 6314251616

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing DOUGLAS A. BYRNES, M.D.
Role Employer/plan sponsor
Date 2011-07-18
Name of individual signing DOUGLAS A. BYRNES, M.D.
DOUGLAS A. BYRNES M.D., P.C. RETIREMENT PLAN 2009 113149422 2010-07-27 DOUGLAS A. BYRNES M.D., P.C. 6
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5164251616
Plan sponsor’s address 152 EAST MAIN STREET, SUITE B, HUNTINGTON, NY, 11743

Plan administrator’s name and address
Administrator’s EIN 113149422
Plan administrator’s name DOUGLAS A. BYRNES M.D., P.C.
Plan administrator’s address 152 EAST MAIN STREET, SUITE B, HUNTINGTON, NY, 11743
Administrator’s telephone number 5164251616

Signature of
Role Plan administrator
Date 2010-07-27
Name of individual signing DR. DOUGLAS A. BYRNES
Role Employer/plan sponsor
Date 2010-07-27
Name of individual signing DR. DOUGLAS A. BYRNES
DOUGLAS A. BYRNES M.D., P.C. RETIREMENT PLAN 2009 113149422 2010-07-28 DOUGLAS A. BYRNES M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6314251616
Plan sponsor’s address 152 EAST MAIN STREET, SUITE B, HUNTINGTON, NY, 11743

Plan administrator’s name and address
Administrator’s EIN 113149422
Plan administrator’s name DOUGLAS A. BYRNES M.D., P.C.
Plan administrator’s address 152 EAST MAIN STREET, SUITE B, HUNTINGTON, NY, 11743
Administrator’s telephone number 6314251616

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing DR. DOUGLAS A. BYRNES
Role Employer/plan sponsor
Date 2010-07-28
Name of individual signing DR. DOUGLAS A. BYRNES

DOS Process Agent

Name Role Address
DOUGLAS A BYRNES MD DOS Process Agent 283 COMMACK ROAD, SUITE 300, COMMACK, NY, United States, 11725

Chief Executive Officer

Name Role Address
DOUGLAS A BYRNES MD Chief Executive Officer 283 COMMACK ROAD, SUITE 300, COMMACK, NY, United States, 11725

History

Start date End date Type Value
1993-03-11 1994-03-28 Address 123 STONY HOLLOW ROAD, CENTERPORT, NY, 11721, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200415000162 2020-04-15 CERTIFICATE OF DISSOLUTION 2020-04-15
951114002071 1995-11-14 BIENNIAL STATEMENT 1995-03-01
940328002150 1994-03-28 BIENNIAL STATEMENT 1994-03-01
930311000160 1993-03-11 CERTIFICATE OF INCORPORATION 1993-03-11

Related by officers

No related officers

Related by address

283 COMMACK ROAD, SUITE 300, COMMACK, NY, United States, 11725

RAPHAEL STRAUSS MD, P.C.

Date of last update: 01 Dec 2024

Sources: New York Secretary of State

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