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  5. SOUTHAMPTON PULMONARY MEDICINE P.C.

SOUTHAMPTON PULMONARY MEDICINE P.C.

Company Details

Name: SOUTHAMPTON PULMONARY MEDICINE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 20 Sep 1993 (31 years ago)
Date of dissolution: 19 Oct 2017
Entity Number: 1757814
ZIP code: 11968
County: Suffolk
Place of Formation: New York
Address: 325 MEETING HOUSE LANE, BLDG 1 SUITE K, 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 PULMONARY MEDICINE, P.C. PROFIT SHARING PLAN 2014 113176555 2015-02-11 SOUTHAMPTON PULMONARY MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 6312838008
Plan sponsor’s address 325 MEETING HOUSE LANE, BLDG. ONE, SUITE K, SOUTHAMPTON, NY, 11968
SOUTHAMPTON PULMONARY MEDICINE, P.C. PROFIT SHARING PLAN 2014 113176555 2015-12-10 SOUTHAMPTON PULMONARY MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 6312838008
Plan sponsor’s address 325 MEETING HOUSE LANE, BLDG. ONE, SUITE K, SOUTHAMPTON, NY, 11968
SOUTHAMPTON PULMONARY MEDICINE, P.C. PROFIT SHARING PLAN 2013 113176555 2014-02-24 SOUTHAMPTON PULMONARY MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 6312838008
Plan sponsor’s address 325 MEETING HOUSE LANE, BLDG. ONE, SUITE K, SOUTHAMPTON, NY, 11968
SOUTHAMPTON PULMONARY MEDICINE, P.C. PROFIT SHARING PLAN 2012 113176555 2013-04-01 SOUTHAMPTON PULMONARY MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 6312838008
Plan sponsor’s address 325 MEETING HOUSE LANE, BLDG. ONE, SUITE K, SOUTHAMPTON, NY, 11968

Signature of
Role Plan administrator
Date 2013-04-01
Name of individual signing HOWARD SKLAREK
Role Employer/plan sponsor
Date 2013-04-01
Name of individual signing HOWARD SKLAREK
SOUTHAMPTON PULMONARY MEDICINE, P.C. PROFIT SHARING PLAN 2011 113176555 2012-04-03 SOUTHAMPTON PULMONARY MEDICINE, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 6312838008
Plan sponsor’s address 325 MEETING HOUSE LANE, BLDG. ONE, SUITE K, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address
Administrator’s EIN 113176555
Plan administrator’s name SOUTHAMPTON PULMONARY MEDICINE, P.C.
Plan administrator’s address 325 MEETING HOUSE LANE, BLDG. ONE, SUITE K, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6312838008

Signature of
Role Plan administrator
Date 2012-04-03
Name of individual signing HOWARD SKLAREK
Role Employer/plan sponsor
Date 2012-04-03
Name of individual signing HOWARD SKLAREK
SOUTHAMPTON PULMONARY MEDICINE, P.C. PROFIT SHARING PLAN 2010 113176555 2011-04-05 SOUTHAMPTON PULMONARY MEDICINE, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 6312838008
Plan sponsor’s address 325 MEETING HOUSE LANE, BLDG. ONE, SUITE K, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address
Administrator’s EIN 113176555
Plan administrator’s name SOUTHAMPTON PULMONARY MEDICINE, P.C.
Plan administrator’s address 325 MEETING HOUSE LANE, BLDG. ONE, SUITE K, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6312838008

Signature of
Role Plan administrator
Date 2011-04-05
Name of individual signing HOWARD SKLAREK
Role Employer/plan sponsor
Date 2011-04-05
Name of individual signing HOWARD SKLAREK
SOUTHAMPTON PULMONARY MEDICINE, P.C. PROFIT SHARING PLAN 2009 113176555 2010-07-08 SOUTHAMPTON PULMONARY MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 6312838008
Plan sponsor’s address 325 MEETING HOUSE LANE, BLDG. ONE, SUITE K, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address
Administrator’s EIN 113176555
Plan administrator’s name SOUTHAMPTON PULMONARY MEDICINE, P.C.
Plan administrator’s address 325 MEETING HOUSE LANE, BLDG. ONE, SUITE K, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6312838008

Signature of
Role Plan administrator
Date 2010-07-08
Name of individual signing HOWARD SKLAREK
Role Employer/plan sponsor
Date 2010-07-08
Name of individual signing HOWARD SKLAREK

Chief Executive Officer

Name Role Address
HOWARD M. SKLAREK, MD Chief Executive Officer 325 MEETING HOUSE LANE, BLDG 1 SUITE K, SOUTHAMPTON, NY, United States, 11968

DOS Process Agent

Name Role Address
SOUTHAMPTON PULMONARY MEDICINE P.C. DOS Process Agent 325 MEETING HOUSE LANE, BLDG 1 SUITE K, SOUTHAMPTON, NY, United States, 11968

History

Start date End date Type Value
2009-08-27 2013-09-09 Address 325 MEETING HOUSE LANE, BLDG 2 SUITE K, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process)
2009-08-27 2013-09-09 Address 325 MEETING HOUSE LANE, BLDG 2 SUITE K, SOUTHAMPTON, NY, 11968, USA (Type of address: Principal Executive Office)
2009-08-27 2013-09-09 Address 325 MEETING HOUSE LANE, BLDG 2 SUITE K, SOUTHAMPTON, NY, 11968, USA (Type of address: Chief Executive Officer)
1999-10-05 2009-08-27 Address 50 NO. MAIN STREET, SOUTHAMPTON, NY, 11968, USA (Type of address: Principal Executive Office)
1999-10-05 2009-08-27 Address 50 NORTH MAIN STREET, SOUTHAMPTON, NY, 11968, USA (Type of address: Chief Executive Officer)
1999-10-05 2009-08-27 Address 50 NO. MAIN STREET, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process)
1997-09-23 1999-10-05 Address 50 N MAIN ST, SOUTHAMPTON, NY, 11968, USA (Type of address: Principal Executive Office)
1997-09-23 1999-10-05 Address 50 N MAIN ST, SOUTHAMPTON, NY, 11968, USA (Type of address: Chief Executive Officer)
1993-09-20 1999-10-05 Address 50 MAIN STREET, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
171019000578 2017-10-19 CERTIFICATE OF DISSOLUTION 2017-10-19
130909007642 2013-09-09 BIENNIAL STATEMENT 2013-09-01
110923002067 2011-09-23 BIENNIAL STATEMENT 2011-09-01
090827002882 2009-08-27 BIENNIAL STATEMENT 2009-09-01
070831002332 2007-08-31 BIENNIAL STATEMENT 2007-09-01
060109002360 2006-01-09 BIENNIAL STATEMENT 2005-09-01
030908002314 2003-09-08 BIENNIAL STATEMENT 2003-09-01
010907002644 2001-09-07 BIENNIAL STATEMENT 2001-09-01
991005002077 1999-10-05 BIENNIAL STATEMENT 1999-09-01
970923002507 1997-09-23 BIENNIAL STATEMENT 1997-09-01

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Nov 2024

Sources: New York Secretary of State

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