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NORTH SALEM PSYCHIATRIC SERVICES, P.C.

Company Details

Name: NORTH SALEM PSYCHIATRIC SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 28 Mar 1995 (30 years ago) (Companies founded in March 1995)
Date of dissolution: 04 Oct 2023
Entity Number: 1907839
ZIP code: 10560 (Companies in Westchester, 10560)
County: Westchester
Place of Formation: New York
Address: 388 HARDSCRABBLE RD, NORTH SALEM, NY, United States, 10560

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 SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2012 133839239 2013-07-29 NORTH SALEM PSYCHIATRIC SERVICES, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 9146695526
Plan sponsor’s mailing address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560
Plan sponsor’s address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560

Plan administrator’s name and address
Administrator’s EIN 133839239
Plan administrator’s name NORTH SALEM PSYCHIATRIC SERVICES, P.C.
Plan administrator’s address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560
Administrator’s telephone number 9146695526

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-07-19
Name of individual signing EDWARD GORDON
Valid signature Filed with authorized/valid electronic signature
NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2011 133839239 2012-07-13 NORTH SALEM PSYCHIATRIC SERVICES, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 9146695526
Plan sponsor’s mailing address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560
Plan sponsor’s address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560

Plan administrator’s name and address
Administrator’s EIN 133839239
Plan administrator’s name NORTH SALEM PSYCHIATRIC SERVICES, P.C.
Plan administrator’s address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560
Administrator’s telephone number 9146695526

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing EDWARD GORDON
Valid signature Filed with authorized/valid electronic signature
NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2010 133839239 2011-10-12 NORTH SALEM PSYCHIATRIC SERVICES, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 9146695526
Plan sponsor’s mailing address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560
Plan sponsor’s address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560

Plan administrator’s name and address
Administrator’s EIN 133839239
Plan administrator’s name NORTH SALEM PSYCHIATRIC SERVICES, P.C.
Plan administrator’s address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560
Administrator’s telephone number 9146695526

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing EDWARD GORDON
Valid signature Filed with authorized/valid electronic signature
NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2009 133839239 2011-10-12 NORTH SALEM PSYCHIATRIC SERVICES, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 9146695526
Plan sponsor’s mailing address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560
Plan sponsor’s address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560

Plan administrator’s name and address
Administrator’s EIN 133839239
Plan administrator’s name NORTH SALEM PSYCHIATRIC SERVICES, P.C.
Plan administrator’s address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560
Administrator’s telephone number 9146695526

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing EDWARD GORDON
Valid signature Filed with authorized/valid electronic signature
NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2009 133839239 2010-10-13 NORTH SALEM PSYCHIATRIC SERVICES, P.C. 3
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 9146695526
Plan sponsor’s mailing address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560
Plan sponsor’s address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560

Plan administrator’s name and address
Administrator’s EIN 133839239
Plan administrator’s name NORTH SALEM PSYCHIATRIC SERVICES, P.C.
Plan administrator’s address 388 HARDSCRABBLE ROAD, NORTH SALEM, NY, 10560
Administrator’s telephone number 9146695526

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing EDWARD GORDON
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 388 HARDSCRABBLE RD, NORTH SALEM, NY, United States, 10560

Chief Executive Officer

Name Role Address
EDWARD GORDON MD Chief Executive Officer 388 HARDSCRABBLE RD, NORTH SALEM, NY, United States, 10560

History

Start date End date Type Value
2011-06-01 2023-10-04 Address 388 HARDSCRABBLE RD, NORTH SALEM, NY, 10560, USA (Type of address: Chief Executive Officer)
2011-06-01 2023-10-04 Address 388 HARDSCRABBLE RD, NORTH SALEM, NY, 10560, USA (Type of address: Service of Process)
1997-03-21 2011-06-01 Address 388 HARDSCRABBLE RD, NORTH SALEM, NY, 10560, USA (Type of address: Principal Executive Office)
1997-03-21 2011-06-01 Address 388 HARDSCRABBLE RD, NORTH SALEM, NY, 10560, USA (Type of address: Chief Executive Officer)
1997-03-21 2011-06-01 Address 388 HARDSCRABBLE RD, NORTH SALEM, NY, 10560, USA (Type of address: Service of Process)
1995-03-28 2023-08-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1995-03-28 1997-03-21 Address RD 2 HARDSCRABBLE ROAD, NORTH SALEM, NY, 00000, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231004000198 2023-08-11 CERTIFICATE OF DISSOLUTION-CANCELLATION 2023-08-11
110601002334 2011-06-01 BIENNIAL STATEMENT 2011-03-01
090319002339 2009-03-19 BIENNIAL STATEMENT 2009-03-01
070405002148 2007-04-05 BIENNIAL STATEMENT 2007-03-01
050422003052 2005-04-22 BIENNIAL STATEMENT 2005-03-01
030307003034 2003-03-07 BIENNIAL STATEMENT 2003-03-01
010320002546 2001-03-20 BIENNIAL STATEMENT 2001-03-01
990317002083 1999-03-17 BIENNIAL STATEMENT 1999-03-01
970321002110 1997-03-21 BIENNIAL STATEMENT 1997-03-01
950328000650 1995-03-28 CERTIFICATE OF INCORPORATION 1995-03-28

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THE CORPORATION

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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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