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MARINA I. PEREDO M.D., P.C.

Company Details

Name: MARINA I. PEREDO M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Sep 1995 (29 years ago)
Entity Number: 1953417
ZIP code: 11746
County: New York
Place of Formation: New York
Address: 594 VANDERBILT PKWY, DIX HILLS, NY, United States, 11746

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
MARINA I. PEREDO, M.D., P.C. PROFIT SHARING PLAN 2017 113279188 2018-10-02 MARINA I. PEREDO, M.D., P.C. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6316260731
Plan sponsor’s address 594 VANDERBILT PKWY, DIX HILLS, NY, 11746
MARINA I. PEREDO M.D., P.C. DEFINED BENEFIT PLAN 2017 113279188 2018-01-29 MARINA I. PEREDO, M.D., P.C. 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6318633223
Plan sponsor’s address 594 VANDERBILT PKWY, DIX HILLS, NY, 11746

Signature of

Role Plan administrator
Date 2018-01-29
Name of individual signing MARINA PEREDO
MARINA I. PEREDO, M.D., P.C. PROFIT SHARING PLAN 2016 113279188 2017-06-22 MARINA I. PEREDO, M.D., P.C. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6318633223
Plan sponsor’s address 594 VANDERBILT PKWY, DIX HILLS, NY, 11746

Signature of

Role Plan administrator
Date 2017-06-21
Name of individual signing MARINA PEREDO
MARINA I. PEREDO M.D., P.C. DEFINED BENEFIT PLAN 2016 113279188 2017-06-22 MARINA I. PEREDO, M.D., P.C. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6318633223
Plan sponsor’s address 594 VANDERBILT PKWY, DIX HILLS, NY, 11746

Signature of

Role Plan administrator
Date 2017-06-21
Name of individual signing MARINA PEREDO
MARINA I. PEREDO, M.D., P.C. PROFIT SHARING PLAN 2015 113279188 2016-09-28 MARINA I. PEREDO, M.D., P.C. 34
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6318633223
Plan sponsor’s address 260 MIDDLE COUNTRY ROAD, SUITE 208, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2016-09-28
Name of individual signing MARINA PEREDO
MARINA I. PEREDO M.D., P.C. DEFINED BENEFIT PLAN 2015 113279188 2016-09-28 MARINA I. PEREDO, M.D., P.C. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6318633223
Plan sponsor’s address 260 MIDDLE COUNTRY ROAD, SUITE 208, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2016-09-28
Name of individual signing MARINA PEREDO
MARINA I. PEREDO, M.D., P.C. PROFIT SHARING PLAN 2015 113279188 2017-06-22 MARINA I. PEREDO, M.D., P.C. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6318633223
Plan sponsor’s address 594 VANDERBILT PKWY, DIX HILLS, NY, 11746

Signature of

Role Plan administrator
Date 2017-06-21
Name of individual signing MARINA PEREDO
MARINA I. PEREDO, M.D., P.C. PROFIT SHARING PLAN 2014 113279188 2015-10-05 MARINA I. PEREDO, M.D., P.C. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6318633223
Plan sponsor’s address 260 MIDDLE COUNTRY ROAD, SUITE 208, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2015-10-05
Name of individual signing MARINA PEREDO
MARINA I. PEREDO M.D., P.C. DEFINED BENEFIT PLAN 2014 113279188 2015-10-05 MARINA I. PEREDO, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6318633223
Plan sponsor’s address 260 MIDDLE COUNTRY ROAD, SUITE 208, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2015-10-05
Name of individual signing MARINA PEREDO
MARINA I. PEREDO M.D., P.C. DEFINED BENEFIT PLAN 2013 113279188 2014-10-13 MARINA I. PEREDO, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6318633223
Plan sponsor’s address 260 MIDDLE COUNTRY ROAD, SUITE 208, SMITHTOWN, NY, 11787

Signature of

Role Plan administrator
Date 2014-10-13
Name of individual signing MARINA PEREDO

DOS Process Agent

Name Role Address
MARINA I. PEREDO M.D., P.C. DOS Process Agent 594 VANDERBILT PKWY, DIX HILLS, NY, United States, 11746

Chief Executive Officer

Name Role Address
MARINA PEREDO MD Chief Executive Officer 594 VANDER BILT PKWY, DIX HILLS, NY, United States, 11746

History

Start date End date Type Value
2005-11-17 2017-09-11 Address 260 MIDDLE COUNTRY RD, STE 208, SMITHTOWN, NY, 11787, USA (Type of address: Principal Executive Office)
2005-11-17 2015-09-01 Address 594 VANDER BILT PKWY, DIX HILLS, NY, 11746, USA (Type of address: Chief Executive Officer)
2005-11-17 2017-09-11 Address 260 MIDDLE COUNTRY RD, STE 208, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)
1997-11-05 2005-11-17 Address 594 VANDERBILT PKWY, DIX HILLS, NY, 11746, USA (Type of address: Chief Executive Officer)
1997-11-05 2005-11-17 Address 594 VANDEERBILT PKWY, DIX HILLS, NY, 11746, USA (Type of address: Service of Process)
1997-11-05 2005-11-17 Address 594 VANDERBILT PKWY, DIX HILLS, NY, 11746, USA (Type of address: Principal Executive Office)
1995-09-05 1997-11-05 Address 100 MERRICK ROAD, SUITE 320, ROCKVILLE CENTRE, NY, 11570, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
190904060434 2019-09-04 BIENNIAL STATEMENT 2019-09-01
170911006330 2017-09-11 BIENNIAL STATEMENT 2017-09-01
150901006841 2015-09-01 BIENNIAL STATEMENT 2015-09-01
130906006434 2013-09-06 BIENNIAL STATEMENT 2013-09-01
110922002533 2011-09-22 BIENNIAL STATEMENT 2011-09-01
090910002343 2009-09-10 BIENNIAL STATEMENT 2009-09-01
070919002078 2007-09-19 BIENNIAL STATEMENT 2007-09-01
051117002922 2005-11-17 BIENNIAL STATEMENT 2005-09-01
030919002254 2003-09-19 BIENNIAL STATEMENT 2003-09-01
010919002001 2001-09-19 BIENNIAL STATEMENT 2001-09-01

Date of last update: 13 Nov 2024

Sources: New York Secretary of State