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PECONIC BAY PRIMARY MEDICAL CARE, P.C.

Company Details

Name: PECONIC BAY PRIMARY MEDICAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 May 1995 (30 years ago) (Companies founded in May 1995)
Entity Number: 1919518
ZIP code: 11042 (Companies in Suffolk, 11042)
County: Suffolk
Place of Formation: New York
Principal Address: 2000 Marcus Avenue, New Hyde Park, NY, United States, 11042
Address: 2000 Marcus Avenue, 2, New Hyde Park, NY, United States, 11042

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
PECONIC BAY PRIMARY MEDICAL CARE, P.C. 401(K) PROFIT SHARING PLAN 2017 113265111 2018-07-30 PECONIC BAY PRIMARY MEDICAL CARE, P.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6315486152
Plan sponsor’s address 13400 MAIN ROAD, MATTITUCK, NY, 11952

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing MONICA CHESTNUT RAULS
PECONIC BAY PRIMARY MEDICAL CARE, P.C. 401(K) PROFIT SHARING PLAN 2016 113265111 2017-10-13 PECONIC BAY PRIMARY MEDICAL CARE, 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 6315486152
Plan sponsor’s address 13400 MAIN ROAD, MATTITUCK, NY, 11952

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing MONICA CHESTNUT RAULS
PECONIC BAY PRIMARY MEDICAL CARE, P.C. 401(K) PROFIT SHARING PLAN 2015 113265111 2016-07-18 PECONIC BAY PRIMARY MEDICAL CARE, P.C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6315486152
Plan sponsor’s address 13400 MAIN ROAD, MATTITUCK, NY, 11952

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing MONICA CHESTNUT RAULS
PECONIC BAY PRIMARY MEDICAL CARE, P.C. 401(K) PROFIT SHARING PLAN 2014 113265111 2015-10-08 PECONIC BAY PRIMARY MEDICAL CARE, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6315486152
Plan sponsor’s address 13400 MAIN ROAD, MATTITUCK, NY, 11952

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing MONICA CHESTNUT RAULS
PECONIC BAY PRIMARY MEDICAL CARE, P.C. 401(K) PROFIT SHARING PLAN 2013 113265111 2014-10-15 PECONIC BAY PRIMARY MEDICAL CARE, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6315486152
Plan sponsor’s address 13400 MAIN ROAD, MATTITUCK, NY, 11952

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing MONICA CHESTNUT RAULS
PECONIC BAY PRIMARY MEDICAL CARE, P.C. 401(K) PROFIT SHARING PLAN 2012 113265111 2013-10-15 PECONIC BAY PRIMARY MEDICAL CARE, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6315486152
Plan sponsor’s address 13400 MAIN ROAD, MATTITUCK, NY, 11952

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing MONICA CHESTNUT RAULS

Chief Executive Officer

Name Role Address
MICHAEL J. DOWLING Chief Executive Officer 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

DOS Process Agent

Name Role Address
OFFICE OF LEGAL AFFAIRS - GENERAL COUNSEL DOS Process Agent 2000 Marcus Avenue, 2, New Hyde Park, NY, United States, 11042

History

Start date End date Type Value
2021-12-03 2023-11-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2007-05-25 2013-05-31 Address 13400 MAIN ROAD / PO BOX 1619, MATTITUCK, NY, 11952, 0903, USA (Type of address: Service of Process)
2007-05-25 2013-05-31 Address 13400 MAIN ROAD / PO BOX 1619, MATTITUCK, NY, 11952, 0903, USA (Type of address: Principal Executive Office)
2007-05-25 2013-05-31 Address 13400 MAIN ROAD / PO BOX 1619, MATTITUCK, NY, 11952, 0903, USA (Type of address: Chief Executive Officer)
1999-06-30 2007-05-25 Address 13400 MAIN RD, PO BOX 1619, MATTITUCK, NY, 11952, 0903, USA (Type of address: Principal Executive Office)
1999-06-30 2007-05-25 Address 13400 MAIN RD, PO BOX 1619, MATTITUCK, NY, 11952, 0903, USA (Type of address: Chief Executive Officer)
1999-06-30 2007-05-25 Address 13400 MAIN RD, PO BOX 1619, MATTITUCK, NY, 11952, 0903, USA (Type of address: Service of Process)
1995-05-05 2021-12-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1995-05-05 1999-06-30 Address P.O. BOX 1619, 15805 MAIN ROAD, MATTITUCK, NY, 11952, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211006001970 2021-10-06 BIENNIAL STATEMENT 2021-10-06
130531002088 2013-05-31 BIENNIAL STATEMENT 2013-05-01
110606002657 2011-06-06 BIENNIAL STATEMENT 2011-05-01
090513002650 2009-05-13 BIENNIAL STATEMENT 2009-05-01
070525002471 2007-05-25 BIENNIAL STATEMENT 2007-05-01
050930002711 2005-09-30 BIENNIAL STATEMENT 2005-05-01
030508002079 2003-05-08 BIENNIAL STATEMENT 2003-05-01
010524002633 2001-05-24 BIENNIAL STATEMENT 2001-05-01
990630002389 1999-06-30 BIENNIAL STATEMENT 1999-05-01
950505000312 1995-05-05 CERTIFICATE OF INCORPORATION 1995-05-05

Related by officers

MICHAEL J. DOWLING

NORTH SHORE-LIJ MEDICAL, P.C. CARNEGIE CARDIOVASCULAR, P.C. COMMUNITY DRIVE SURGERY, P.C. LAKEVILLE SURGERY, P.C. LENOX HILL INTERVENTIONAL CARDIAC & VASCULAR SERVICES, P.C. BLACK HALL ORAL MAXILLOFACIAL SURGERY, P.C. MEDICAL SERVICES OF RIVERHEAD, P.C. TRUE NORTH WORKFORCE SAFETY CONSULTING, INC. PHYSICIANS OF UNIVERSITY HOSPITAL, P.C. STATEN ISLAND NEONATOLOGY, P.C.

OFFICE OF LEGAL AFFAIRS - GENERAL COUNSEL

NORTH SHORE-LIJ RADIOLOGY SERVICES, P.C. STATEN ISLAND NEONATOLOGY, P.C. SUITE 130 PLASTIC SURGERY, P.C. PHYSICIANS OF UNIVERSITY HOSPITAL, P.C. PRIME CARE MEDICAL OF LONG ISLAND, P.C. PECONIC BAY MEDICAL SERVICES, P.C. PHELPS MEDICAL SERVICES, P.C.

Related by address

2000 Marcus Avenue, New Hyde Park, NY, United States, 11042

BLACK HALL ORAL MAXILLOFACIAL SURGERY, P.C. MARCUS AVENUE MEDICAL, P.C. MARCUS AVENUE OB/GYN, P.C. MEDICAL CARE OF QUEENS, P.C. MEDICAL SERVICES OF BELLMORE, P.C. MEDICAL SERVICES OF NEW HYDE PARK, P.C. NORTH SHORE RADIOLOGY AT GLEN COVE, P.C. NORTH SHORE-LIJ INTERNAL MEDICINE, P.C. NORTH SHORE-LIJ MEDICAL, P.C. NORTH SHORE-LIJ RADIOLOGY SERVICES, P.C.

Date of last update: 13 Nov 2024

Sources: New York Secretary of State

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