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MITCHELL A. KLINE, M.D., P.C.

Company Details

Name: MITCHELL A. KLINE, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Jun 1995 (29 years ago)
Entity Number: 1932902
ZIP code: 10021
County: New York
Place of Formation: New York
Address: 700 PARK AVE, NEW YORK, NY, United States, 10021

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
MITCHELL A. KLINE, M.D., P.C. PROFIT SHARING PLAN & TRUST 2014 133843772 2015-07-22 MITCHELL A. KLINE, M.D. P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2125176555
Plan sponsor’s address 700 PARK AVENUE, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2015-07-22
Name of individual signing MITCHELL KLINE
MITCHELL A. KLINE, M.D., P.C. PROFIT SHARING PLAN & TRUST 2013 133843772 2014-05-09 MITCHELL A. KLINE, M.D. P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2125176555
Plan sponsor’s address 700 PARK AVENUE, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2014-05-09
Name of individual signing MITCHELL KLINE
MITCHELL A. KLINE, M.D., P.C. PROFIT SHARING PLAN & TRUST 2012 133843772 2013-09-18 MITCHELL A. KLINE, M.D. P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2125176555
Plan sponsor’s address 700 PARK AVENUE, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2013-09-18
Name of individual signing MITCHELL KLINE
MITCHELL A. KLINE, M.D., P.C. PROFIT SHARING PLAN & TRUST 2011 133843772 2012-07-25 MITCHELL A. KLINE, M.D. P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2125176555
Plan sponsor’s address 700 PARK AVENUE, NEW YORK, NY, 10021

Plan administrator’s name and address

Administrator’s EIN 133843772
Plan administrator’s name MITCHELL A. KLINE, M.D. P.C.
Plan administrator’s address 700 PARK AVENUE, NEW YORK, NY, 10021
Administrator’s telephone number 2125176555

Signature of

Role Plan administrator
Date 2012-07-25
Name of individual signing MITCHELL A. KLINE
Role Employer/plan sponsor
Date 2012-07-25
Name of individual signing MITCHELL A. KLINE
MITCHELL A. KLINE, M.D., P.C. PROFIT SHARING PLAN & TRUST 2010 133843772 2011-09-14 MITCHELL A. KLINE, M.D. P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2125176555
Plan sponsor’s address 700 PARK AVENUE, NEW YORK, NY, 10021

Plan administrator’s name and address

Administrator’s EIN 133843772
Plan administrator’s name MITCHELL A. KLINE, M.D. P.C.
Plan administrator’s address 700 PARK AVENUE, NEW YORK, NY, 10021
Administrator’s telephone number 2125176555

Signature of

Role Plan administrator
Date 2011-09-14
Name of individual signing MITCHELL A KLINE
Role Employer/plan sponsor
Date 2011-09-14
Name of individual signing MITCHELL A. KLINE
MITCHELL A. KLINE, M.D., P.C. PROFIT SHARING PLAN & TRUST 2009 133843772 2010-09-24 MITCHELL A. KLINE, M.D. P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2125176555
Plan sponsor’s address 700 PARK AVENUE, NEW YORK, NY, 10021

Plan administrator’s name and address

Administrator’s EIN 133843772
Plan administrator’s name MITCHELL A. KLINE, M.D. P.C.
Plan administrator’s address 700 PARK AVENUE, NEW YORK, NY, 10021
Administrator’s telephone number 2125176555

Signature of

Role Plan administrator
Date 2010-09-24
Name of individual signing MITCHELL A. KLINE
Role Employer/plan sponsor
Date 2010-09-24
Name of individual signing MITCHELL A. KLINE

DOS Process Agent

Name Role Address
MITCHELL KLINE MD DOS Process Agent 700 PARK AVE, NEW YORK, NY, United States, 10021

Chief Executive Officer

Name Role Address
MITCHELL KLINE MD Chief Executive Officer 700 PARK AVE, NEW YORK, NY, United States, 10021

History

Start date End date Type Value
1997-08-07 2009-03-11 Address 53 E 67TH ST, NEW YORK, NY, 10021, 5962, USA (Type of address: Chief Executive Officer)
1997-08-07 2009-03-11 Address 53 E 67TH ST, NEW YORK, NY, 10021, 5962, USA (Type of address: Principal Executive Office)
1997-08-07 2009-03-11 Address 350 5TH AVE, STE 6719, NEW YORK, NY, 10118, USA (Type of address: Service of Process)
1995-07-24 1997-08-07 Address 350 FIFTH AVENUE, SUITE 6719, NEW YORK, NY, 10118, USA (Type of address: Service of Process)
1995-06-21 1995-07-24 Address 320 EAST 65TH STREET, NE WYORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170713006240 2017-07-13 BIENNIAL STATEMENT 2017-06-01
130612006286 2013-06-12 BIENNIAL STATEMENT 2013-06-01
110714002218 2011-07-14 BIENNIAL STATEMENT 2011-06-01
090604002705 2009-06-04 BIENNIAL STATEMENT 2009-06-01
090311002130 2009-03-11 BIENNIAL STATEMENT 2007-06-01
050805002347 2005-08-05 BIENNIAL STATEMENT 2005-06-01
030519002707 2003-05-19 BIENNIAL STATEMENT 2003-06-01
010712002425 2001-07-12 BIENNIAL STATEMENT 2001-06-01
991216002396 1999-12-16 BIENNIAL STATEMENT 1999-06-01
970807002343 1997-08-07 BIENNIAL STATEMENT 1997-06-01

Date of last update: 13 Nov 2024

Sources: New York Secretary of State