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  5. PECONIC ANESTHESIOLOGIST, P.C.

PECONIC ANESTHESIOLOGIST, P.C.

Company Details

Name: PECONIC ANESTHESIOLOGIST, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 13 Jul 1995 (29 years ago)
Date of dissolution: 01 Nov 2022
Entity Number: 1938713
ZIP code: 11901
County: Suffolk
Place of Formation: New York
Address: 1900 ROANOKE AVE, RIVERHEAD, NY, United States, 11901

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 ANESTHESIOLOGIST, P.C. 401(K) SAFE HARBOR PLAN 2014 113274225 2015-10-01 PECONIC ANESTHESIOLOGIST, 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 6312080984
Plan sponsor’s address PECONIC BAY MEDICAL CENTER ANESTHES, 1300 ROANOKE AVE, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing ROY WARD
PECONIC ANESTHESIOLOGIST, P.C. DEFINED BENEFIT PENSION PLAN 2013 113274225 2014-10-03 PECONIC ANESTHESIOLOGIST, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5164338389
Plan sponsor’s address P.O. BOX 239, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing ROY WARD
Role Employer/plan sponsor
Date 2014-10-02
Name of individual signing ROY WARD
PECONIC ANESTHESIOLOGIST, P.C. 401(K) SAFE HARBOR PLAN 2013 113274225 2014-04-08 PECONIC ANESTHESIOLOGIST, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6312080984
Plan sponsor’s address P.O. BOX 239, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2014-04-08
Name of individual signing ROY WARD
Role Employer/plan sponsor
Date 2014-04-08
Name of individual signing ROY WARD
PECONIC ANESTHESIOLOGIST, P.C. 401(K) SAFE HARBOR PLAN 2012 113274225 2013-08-15 PECONIC ANESTHESIOLOGIST, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6312080984
Plan sponsor’s address P.O. BOX 239, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2013-08-14
Name of individual signing ROY R. WARD
Role Employer/plan sponsor
Date 2013-08-14
Name of individual signing ROY R. WARD
PECONIC ANESTHESIOLOGIST, P.C. DEFINED BENEFIT PENSION PLAN 2012 113274225 2013-05-14 PECONIC ANESTHESIOLOGIST, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5164338389
Plan sponsor’s address P.O. BOX 239, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2013-05-13
Name of individual signing ROY WARD
Role Employer/plan sponsor
Date 2013-05-13
Name of individual signing ROY WARD
PECONIC ANESTHESIOLOGIST, P.C. 401(K) SAFE HARBOR PLAN 2011 113274225 2012-06-07 PECONIC ANESTHESIOLOGIST, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6312080984
Plan sponsor’s address P.O. BOX 239, RIVERHEAD, NY, 11901

Plan administrator’s name and address
Administrator’s EIN 113274225
Plan administrator’s name PECONIC ANESTHESIOLOGIST, P.C.
Plan administrator’s address P.O. BOX 239, RIVERHEAD, NY, 11901
Administrator’s telephone number 6312080984

Signature of
Role Plan administrator
Date 2012-06-07
Name of individual signing ROY WARD
Role Employer/plan sponsor
Date 2012-06-07
Name of individual signing ROY WARD
PECONIC ANESTHESIOLOGIST, P.C. DEFINED BENEFIT PENSION PLAN 2011 113274225 2012-06-07 PECONIC ANESTHESIOLOGIST, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5164338389
Plan sponsor’s address P.O. BOX 239, RIVERHEAD, NY, 11901

Plan administrator’s name and address
Administrator’s EIN 113274225
Plan administrator’s name PECONIC ANESTHESIOLOGIST, P.C.
Plan administrator’s address P.O. BOX 239, RIVERHEAD, NY, 11901
Administrator’s telephone number 5164338389

Signature of
Role Plan administrator
Date 2012-06-07
Name of individual signing ROY WARD
Role Employer/plan sponsor
Date 2012-06-07
Name of individual signing ROY WARD
PECONIC ANESTHESIOLOGIST, P.C. DEFINED BENEFIT PENSION PLAN 2010 113274225 2011-06-13 PECONIC ANESTHESIOLOGIST, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6312080984
Plan sponsor’s address P.O. BOX 239, RIVERHEAD, NY, 11901

Plan administrator’s name and address
Administrator’s EIN 113274225
Plan administrator’s name PECONIC ANESTHESIOLOGIST, P.C.
Plan administrator’s address P.O. BOX 239, RIVERHEAD, NY, 11901
Administrator’s telephone number 6312080984

Signature of
Role Plan administrator
Date 2011-06-03
Name of individual signing ROY WARD
Role Employer/plan sponsor
Date 2011-06-03
Name of individual signing ROY WARD
PECONIC ANESTHESIOLOGIST, P.C. 401(K) SAFE HARBOR PLAN 2010 113274225 2011-05-19 PECONIC ANESTHESIOLOGIST, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6312080984
Plan sponsor’s address P.O. BOX 239, RIVERHEAD, NY, 11901

Plan administrator’s name and address
Administrator’s EIN 113274225
Plan administrator’s name PECONIC ANESTHESIOLOGIST, P.C.
Plan administrator’s address P.O. BOX 239, RIVERHEAD, NY, 11901
Administrator’s telephone number 6312080984

Signature of
Role Plan administrator
Date 2011-05-19
Name of individual signing ROY WARD
Role Employer/plan sponsor
Date 2011-05-19
Name of individual signing ROY WARD
PECONIC ANESTHESIOLOGIST, P.C. 401(K) SAFE HARBOR PLAN 2009 113274225 2010-09-14 PECONIC ANESTHESIOLOGIST, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6312080984
Plan sponsor’s address P.O. BOX 239, RIVERHEAD, NY, 11901

Plan administrator’s name and address
Administrator’s EIN 113274225
Plan administrator’s name PECONIC ANESTHESIOLOGIST, P.C.
Plan administrator’s address P.O. BOX 239, RIVERHEAD, NY, 11901
Administrator’s telephone number 6312080984

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing ROY WARD

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1900 ROANOKE AVE, RIVERHEAD, NY, United States, 11901

Chief Executive Officer

Name Role Address
ROY R WARD II Chief Executive Officer 1900 ROANOKE AVE, RIVERHEAD, NY, United States, 11901

History

Start date End date Type Value
1999-08-16 2023-02-07 Address 1900 ROANOKE AVE, RIVERHEAD, NY, 11901, USA (Type of address: Chief Executive Officer)
1999-08-16 2023-02-07 Address 1900 ROANOKE AVE, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
1997-07-15 1999-08-16 Address 1300 ROANOKE AVE, RIVERHEAD, NY, 11901, USA (Type of address: Chief Executive Officer)
1997-07-15 1999-08-16 Address 49 HEWITT ROAD, CENTER MORICHES, NY, 11934, USA (Type of address: Principal Executive Office)
1995-07-13 2022-11-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1995-07-13 1999-08-16 Address 1300 ROANOKE AVENUE, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230207003738 2022-11-01 CERTIFICATE OF DISSOLUTION-CANCELLATION 2022-11-01
130812002366 2013-08-12 BIENNIAL STATEMENT 2013-07-01
110811003283 2011-08-11 BIENNIAL STATEMENT 2011-07-01
090727002949 2009-07-27 BIENNIAL STATEMENT 2009-07-01
070802002524 2007-08-02 BIENNIAL STATEMENT 2007-07-01
050928002782 2005-09-28 BIENNIAL STATEMENT 2005-07-01
030714002586 2003-07-14 BIENNIAL STATEMENT 2003-07-01
010720002363 2001-07-20 BIENNIAL STATEMENT 2001-07-01
990816002063 1999-08-16 BIENNIAL STATEMENT 1999-07-01
970715002584 1997-07-15 BIENNIAL STATEMENT 1997-07-01

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

No related companies by address

Date of last update: 01 Dec 2024

Sources: New York Secretary of State

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