DAVID B. PETSHAFT, P.C.

Company Details

Name:	DAVID B. PETSHAFT, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	02 Nov 1995 (29 years ago)
Entity Number:	1970047
County:	Westchester
Place of Formation:	New York
Address:	1890 PALMER AVE SUITE 203, LARCHMONT, NY, United States, 10538
Address ZIP Code:	10538
Principal Address:	180 PALMER AVE SUITE 203, LARCHMONT, NY, United States, 10538
Principal Address ZIP Code:	10538

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

DAVID B. PETSHAFT, P.C. 401(K) PLAN AND TRUST

2015

133864295

2016-10-10

DAVID B. PETSHAFT, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	541110
Sponsor’s telephone number	9145977900
Plan sponsor’s address	222 BLOOMINGDALE ROAD, SUITE 116, WHITE PLAINS, NY, 10605

Signature of

Role	Plan administrator
Date	2016-10-10
Name of individual signing	DAVID B. PETSHAFT

Role	Employer/plan sponsor
Date	2016-10-10
Name of individual signing	DAVID B. PETSHAFT

DAVID B. PETSHAFT, P.C. 401(K) PLAN AND TRUST

2014

133864295

2015-10-07

DAVID B. PETSHAFT, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	541110
Sponsor’s telephone number	9145977900
Plan sponsor’s address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605

Signature of

Role	Plan administrator
Date	2015-10-07
Name of individual signing	DAVID PETSHAFT

Role	Employer/plan sponsor
Date	2015-10-07
Name of individual signing	DAVID PETSHAFT

DAVID B. PETSHAFT, P.C. 401(K) PLAN AND TRUST

2013

133864295

2014-07-30

DAVID B. PETSHAFT, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	541110
Sponsor’s telephone number	9145977900
Plan sponsor’s address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605

Signature of

Role	Plan administrator
Date	2014-07-30
Name of individual signing	DAVID B. PETSHAFT

Role	Employer/plan sponsor
Date	2014-07-30
Name of individual signing	DAVID B. PETSHAFT

DAVID B. PETSHAFT, P.C. 401(K) PLAN AND TRUST

2012

133864295

2013-10-07

DAVID B. PETSHAFT, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	541110
Sponsor’s telephone number	9145977900
Plan sponsor’s address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605

Signature of

Role	Plan administrator
Date	2013-10-07
Name of individual signing	DAVID B. PETSHAFT

Role	Employer/plan sponsor
Date	2013-10-07
Name of individual signing	DAVID B. PETSHAFT

DAVID B. PETSHAFT, P.C. 401(K) PLAN AND TRUST

2011

133864295

2012-09-04

DAVID B. PETSHAFT, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	541110
Sponsor’s telephone number	9145977900
Plan sponsor’s address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605

Plan administrator’s name and address

Administrator’s EIN	133864295
Plan administrator’s name	DAVID B. PETSHAFT, P.C.
Plan administrator’s address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605
Administrator’s telephone number	9145977900

Signature of

Role	Plan administrator
Date	2012-09-04
Name of individual signing	DAVID B. PETSHAFT

Role	Employer/plan sponsor
Date	2012-09-04
Name of individual signing	DAVID B. PETSHAFT

DAVID B. PETSHAFT, P.C. 401(K) PLAN AND TRUST

2010

133864295

2011-10-04

DAVID B. PETSHAFT, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	541110
Sponsor’s telephone number	9146449277
Plan sponsor’s address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605

Plan administrator’s name and address

Administrator’s EIN	133864295
Plan administrator’s name	DAVID B. PETSHAFT, P.C.
Plan administrator’s address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605
Administrator’s telephone number	9146449277

Signature of

Role	Plan administrator
Date	2011-10-04
Name of individual signing	DAVID PETSHAFT

Role	Employer/plan sponsor
Date	2011-10-04
Name of individual signing	DAVID PETSHAFT

DAVID B. PETSHAFT, P.C. 401(K) PLAN AND TRUST

2010

133864295

2011-10-04

DAVID B. PETSHAFT, P.C.

Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	541110
Sponsor’s telephone number	9146449277
Plan sponsor’s address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605

Plan administrator’s name and address

Administrator’s EIN	133864295
Plan administrator’s name	DAVID B. PETSHAFT, P.C.
Plan administrator’s address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605
Administrator’s telephone number	9146449277

Signature of

Role	Plan administrator
Date	2011-10-04
Name of individual signing	DAVID PETSHAFT

Role	Employer/plan sponsor
Date	2011-10-04
Name of individual signing	DAVID PETSHAFT

DAVID B. PETSHAFT, P.C. 401(K) PLAN AND TRUST

2010

133864295

2011-10-04

DAVID B. PETSHAFT, P.C.

Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	541110
Sponsor’s telephone number	9146449277
Plan sponsor’s address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605

Plan administrator’s name and address

Administrator’s EIN	133864295
Plan administrator’s name	DAVID B. PETSHAFT, P.C.
Plan administrator’s address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605
Administrator’s telephone number	9146449277

Signature of

Role	Plan administrator
Date	2011-10-04
Name of individual signing	DAVID PETSHAFT

Role	Employer/plan sponsor
Date	2011-10-04
Name of individual signing	DAVID PETSHAFT

DAVID B. PETSHAFT, P.C. 401(K) PLAN AND TRUST

2009

133864295

2010-09-02

DAVID B. PETSHAFT, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	541110
Sponsor’s telephone number	9146449277
Plan sponsor’s mailing address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605
Plan sponsor’s address	DAVID B. PETSHAFT, P.C., 222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605

Plan administrator’s name and address

Administrator’s EIN	133864295
Plan administrator’s name	DAVID B. PETSHAFT, P.C.
Plan administrator’s address	222 BLOOMINGDALE ROAD, WHITE PLAINS, NY, 10605
Administrator’s telephone number	9146449277

Number of participants as of the end of the plan year

Active participants	5
Retired or separated participants receiving benefits	1
Other retired or separated participants entitled to future benefits	2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	7
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2

Signature of

Role	Plan administrator
Date	2010-09-02
Name of individual signing	DAVID PETSHAFT
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-09-02
Name of individual signing	DAVID PETSHAFT
Valid signature	Filed with authorized/valid electronic signature

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	1890 PALMER AVE SUITE 203, LARCHMONT, NY, United States, 10538

Chief Executive Officer

Name	Role	Address
DAVID B PETSHAFT, ESQ.	Chief Executive Officer	1890 PALMER AVE SUITE 203, LARCHMONT, NY, United States, 10538

History

Start date	End date	Type	Value
1995-11-02	2023-04-27	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1995-11-02	1997-11-12	Address	580 FIFTH AVENUE, SUITE 1904, NEW YORK, NY, 10036, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
000106002034	2000-01-06	BIENNIAL STATEMENT	1999-11-01
971112002518	1997-11-12	BIENNIAL STATEMENT	1997-11-01
951102000015	1995-11-02	CERTIFICATE OF INCORPORATION	1995-11-02

Date of last update: 13 Nov 2024

Sources: New York Secretary of State

DAVID B. PETSHAFT, P.C.

Company Details

form 5500

DOS Process Agent

Chief Executive Officer

History

Filings

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