| Name: | NORTHSIDE PRIMARY MEDICAL CARE, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 28 Jun 1995 (29 years ago) |
| Entity Number: | 1934849 |
| ZIP code: | 11749 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 3001 EXPRESSWAY DR NO STE 200C, ISLANDIA, NY, United States, 11749 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHSIDE PRIMARY MEDICAL CARE, P.C. 401(K) PROFIT SHARING PLAN | 2010 | 113281753 | 2011-03-14 | NORTHSIDE PRIMARY MEDICAL CARE, P.C. | 39 | |||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 113281753 |
| Plan administrator’s name | NORTHSIDE PRIMARY MEDICAL CARE, P.C. |
| Plan administrator’s address | 3001 EXPRESSWAY DRIVE N., SUITE 20, HAUPPAUGE, NY, 11749 |
| Administrator’s telephone number | 6314354358 |
Signature of
| Role | Plan administrator |
| Date | 2011-03-11 |
| Name of individual signing | JOHN FOLAN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6314354358 |
| Plan sponsor’s address | 3001 EXPRESSWAY DRIVE N., SUITE 20, HAUPPAUGE, NY, 11749 |
Plan administrator’s name and address
| Administrator’s EIN | 113281753 |
| Plan administrator’s name | NORTHSIDE PRIMARY MEDICAL CARE, P.C. |
| Plan administrator’s address | 3001 EXPRESSWAY DRIVE N., SUITE 20, HAUPPAUGE, NY, 11749 |
| Administrator’s telephone number | 6314354358 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-23 |
| Name of individual signing | JOHN FOLAN |
| Name | Role | Address |
|---|---|---|
| NORTHSIDE PRIMARY | DOS Process Agent | 3001 EXPRESSWAY DR NO STE 200C, ISLANDIA, NY, United States, 11749 |
| Name | Role | Address |
|---|---|---|
| WEI K KAO | Chief Executive Officer | 3001 EXPRESSWAY DR NO, STE 200C, ISLANDIA, NY, United States, 11749 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2003-06-12 | 2007-06-27 | Address | 3001 EXPRESSWAY DR NO STE 200C, ISLANDIA, NY, 11749, USA (Type of address: Chief Executive Officer) |
| 1999-07-06 | 2003-06-12 | Address | 1743 NORTH OCEAN AVE., MEDFORD, NY, 11763, USA (Type of address: Chief Executive Officer) |
| 1999-07-06 | 2003-06-12 | Address | 1743 NORTH OCEAN AVE., MEDFORD, NY, 11763, USA (Type of address: Principal Executive Office) |
| 1995-06-28 | 2003-06-12 | Address | THE EMPIRE STATE BLDG., 350 FIFTH AVE. SUITE 5402, NEW YORK, NY, 10118, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 090707002134 | 2009-07-07 | BIENNIAL STATEMENT | 2009-06-01 |
| 070627002206 | 2007-06-27 | BIENNIAL STATEMENT | 2007-06-01 |
| 050811002001 | 2005-08-11 | BIENNIAL STATEMENT | 2005-06-01 |
| 030612002113 | 2003-06-12 | BIENNIAL STATEMENT | 2003-06-01 |
| 990706002153 | 1999-07-06 | BIENNIAL STATEMENT | 1999-06-01 |
| 950628000208 | 1995-06-28 | CERTIFICATE OF INCORPORATION | 1995-06-28 |
Date of last update: 13 Nov 2024
Sources: New York Secretary of State
