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93-17 MEDICAL OFFICE P.C.

Company Details

Name: 93-17 MEDICAL OFFICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Oct 1995 (29 years ago)
Entity Number: 1961874
County: Queens
Place of Formation: New York
Address: 2276 STEINWAY STREET, ASTORIA, NY, United States, 11105
Address ZIP Code: 11105
Principal Address: 93-17 ROOSEVELT AVENUE, JACKSON HEIGHTS, NY, United States, 11372
Principal Address ZIP Code: 11372

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
93-17 MEDICAL OFFICE, P.C. 401(K) PLAN 2023 113291307 2024-06-18 93-17 MEDICAL OFFICE, P.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184460270
Plan sponsor’s address 40-08 FORLEY STREET, ELMHURST, NY, 11373

Signature of
Role Plan administrator
Date 2024-06-18
Name of individual signing ANNETTE PEREA
93-17 MEDICAL OFFICE, P.C. 401(K) PLAN 2022 113291307 2023-07-21 93-17 MEDICAL OFFICE, P.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184460270
Plan sponsor’s address 40-08 FORLEY STREET, ELMHURST, NY, 11373

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing ANNETTE PEREA
Role Employer/plan sponsor
Date 2023-07-20
Name of individual signing ANNETTE PEREA
93-17 MEDICAL OFFICE, P.C. 401(K) PLAN 2021 113291307 2022-09-30 93-17 MEDICAL OFFICE, P.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184460270
Plan sponsor’s address 40-08 FORLEY STREET, ELMHURST, NY, 11373

Signature of
Role Plan administrator
Date 2022-09-30
Name of individual signing ANNETTE PEREA
Role Employer/plan sponsor
Date 2022-09-30
Name of individual signing ANNETTE PEREA
93-17 MEDICAL OFFICE, P.C. 401(K) PLAN 2020 113291307 2021-10-01 93-17 MEDICAL OFFICE, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184460270
Plan sponsor’s address 40-08 FORLEY STREET, ELMHURST, NY, 11373

Signature of
Role Plan administrator
Date 2021-10-01
Name of individual signing ANNETTE PEREA
Role Employer/plan sponsor
Date 2021-10-01
Name of individual signing ANNETTE PEREA
93-17 MEDICAL OFFICE, P.C. 401(K) PLAN 2019 113291307 2020-10-01 93-17 MEDICAL OFFICE, P.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184460270
Plan sponsor’s address 40-08 FORLEY STREET, ELMHURST, NY, 11373

Signature of
Role Plan administrator
Date 2020-10-01
Name of individual signing ANNETTE PEREA
Role Employer/plan sponsor
Date 2020-10-01
Name of individual signing ANNETTE PEREA
93-17 MEDICAL OFFICE, P.C. 401(K) PLAN 2018 113291307 2019-04-02 93-17 MEDICAL OFFICE, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184460270
Plan sponsor’s address 40-08 FORLEY STREET, ELMHURST, NY, 11373

Signature of
Role Plan administrator
Date 2019-04-01
Name of individual signing ANNETTE PEREA
Role Employer/plan sponsor
Date 2019-04-01
Name of individual signing ANNETTE PEREA
93-17 MEDICAL OFFICE, P.C. 401(K) PLAN 2017 113291307 2018-05-15 93-17 MEDICAL OFFICE, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184460270
Plan sponsor’s address 40-08 FORLEY STREET, ELMHURST, NY, 11373

Signature of
Role Plan administrator
Date 2018-05-15
Name of individual signing ANNETTE PEREA
Role Employer/plan sponsor
Date 2018-05-15
Name of individual signing ANNETTE PEREA
93-17 MEDICAL OFFICE, P.C. 401(K) PLAN 2016 113291307 2017-07-10 93-17 MEDICAL OFFICE, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184460270
Plan sponsor’s address 40-08 FORLEY STREET, ELMHURST, NY, 11373

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing ANNETTE PEREA
93-17 MEDICAL OFFICE, P.C. 401(K) PLAN 2015 113291307 2016-06-10 93-17 MEDICAL OFFICE, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184460270
Plan sponsor’s address 40-08 FORLEY STREET, ELMHURST, NY, 11373

Signature of
Role Plan administrator
Date 2016-06-10
Name of individual signing ANNETTE PEREA
93-17 MEDICAL OFFICE, P.C. 401(K) PLAN 2014 113291307 2015-07-17 93-17 MEDICAL OFFICE, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184460270
Plan sponsor’s address 40-08 FORLEY STREET, ELMHURST, NY, 11373

Signature of
Role Plan administrator
Date 2015-07-17
Name of individual signing ANNETTE PEREA

Chief Executive Officer

Name Role Address
ANNETTE PEREA M.D. Chief Executive Officer 93-17 ROOSEVELT AVE, JACKSON HEIGHTS, NY, United States, 11372

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2276 STEINWAY STREET, ASTORIA, NY, United States, 11105

History

Start date End date Type Value
2024-04-30 2024-04-30 Address 93-17 ROOSEVELT AVE, JACKSON HEIGHTS, NY, 11372, USA (Type of address: Chief Executive Officer)
2024-04-30 2024-04-30 Address 93-17 ROOSEVELT AVE, JACKSON HEIGHTS, NY, 11372, 7943, USA (Type of address: Chief Executive Officer)
2007-10-30 2009-11-16 Address 40 SPRINGDALE RD, SCARSDALE, NY, 10583, 7329, USA (Type of address: Principal Executive Office)
2007-10-30 2024-04-30 Address 93-17 ROOSEVELT AVENUE, JACKSON HEIGHTS, NY, 11372, USA (Type of address: Service of Process)
2007-10-30 2024-04-30 Address 93-17 ROOSEVELT AVE, JACKSON HEIGHTS, NY, 11372, 7943, USA (Type of address: Chief Executive Officer)
1997-10-24 2007-10-30 Address 40 SPRINGDALE RD, SCARSDALE, NY, 10583, 7329, USA (Type of address: Principal Executive Office)
1997-10-24 2007-10-30 Address 93-17 ROOSEVELT AVE, JACKSON HEIGHTS, NY, 11372, 7943, USA (Type of address: Chief Executive Officer)
1995-10-04 2007-10-30 Address 93-17 ROOSEVELT AVENUE, JACKSON HEIGHTS, NY, 11372, USA (Type of address: Service of Process)
1995-10-04 2024-04-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240430021262 2024-04-30 BIENNIAL STATEMENT 2024-04-30
210701002491 2021-07-01 BIENNIAL STATEMENT 2021-07-01
091116002546 2009-11-16 BIENNIAL STATEMENT 2009-10-01
071030002127 2007-10-30 BIENNIAL STATEMENT 2007-10-01
051201003193 2005-12-01 BIENNIAL STATEMENT 2005-10-01
031015002111 2003-10-15 BIENNIAL STATEMENT 2003-10-01
011010002032 2001-10-10 BIENNIAL STATEMENT 2001-10-01
991108002650 1999-11-08 BIENNIAL STATEMENT 1999-10-01
971024002253 1997-10-24 BIENNIAL STATEMENT 1997-10-01
951004000009 1995-10-04 CERTIFICATE OF INCORPORATION 1995-10-04

Related by officers

THE CORPORATION

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Related by address

2276 STEINWAY STREET, ASTORIA, NY, United States, 11105

S KEKATOS AND ASSOCIATES LLC

93-17 ROOSEVELT AVENUE, JACKSON HEIGHTS, NY, United States, 11372

PEDRO PABLO DEL TORO BAEZ M.D., P.C.

Date of last update: 13 Nov 2024

Sources: New York Secretary of State

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