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HAVEN PEDIATRIC OFFICE, P.C.

Company Details

Name: HAVEN PEDIATRIC OFFICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 May 1996 (29 years ago)
Entity Number: 2027581
County: New York
Place of Formation: New York
Address: 665 NORTH NEWBRIDGE RD, LEVITTOWN, NY, United States, 11756
Address ZIP Code: 11756

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
HAVEN PEDIATRIC OFFICE, P.C. 401(K) RETIREMENT PLAN 2023 133891149 2024-09-09 HAVEN PEDIATRIC OFFICE, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2129273232
Plan sponsor’s address 707 W. 171ST STREET, SUITE W, NEW YORK, NY, 10032

Signature of

Role Plan administrator
Date 2024-09-09
Name of individual signing ROBERTO MORAN
Valid signature Filed with authorized/valid electronic signature
HAVEN PEDIATRIC OFFICE, P.C. 401(K) RETIREMENT PLAN 2022 133891149 2023-08-26 HAVEN PEDIATRIC OFFICE, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2129273232
Plan sponsor’s address 707 W. 171ST STREET, SUITE W, NEW YORK, NY, 10032

Signature of

Role Plan administrator
Date 2023-08-26
Name of individual signing ROBERTO MORAN
HAVEN PEDIATRIC OFFICE, P.C. 401(K) RETIREMENT PLAN 2021 133891149 2022-09-23 HAVEN PEDIATRIC OFFICE, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2129273232
Plan sponsor’s address 707 W. 171ST STREET, SUITE W, NEW YORK, NY, 10032

Signature of

Role Plan administrator
Date 2022-09-23
Name of individual signing ROBERTO MORAN
HAVEN PEDIATRIC OFFICE, P.C. 401(K) RETIREMENT PLAN 2020 133891149 2021-09-30 HAVEN PEDIATRIC OFFICE, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2129273232
Plan sponsor’s address 707 W. 171ST STREET, SUITE W, NEW YORK, NY, 10032

Signature of

Role Plan administrator
Date 2021-09-29
Name of individual signing ROBERTO MORAN
HAVEN PEDIATRIC OFFICE, P.C. 401(K) RETIREMENT PLAN 2019 133891149 2020-09-23 HAVEN PEDIATRIC OFFICE, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2129273232
Plan sponsor’s address 707 W. 171ST STREET, SUITE W, NEW YORK, NY, 10032

Signature of

Role Plan administrator
Date 2020-09-23
Name of individual signing ROBERTO MORAN
HAVEN PEDIATRIC OFFICE, P.C. 401(K) RETIREMENT PLAN 2018 133891149 2019-10-04 HAVEN PEDIATRIC OFFICE, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2129273232
Plan sponsor’s address 707 W. 171ST STREET, SUITE A, NEW YORK, NY, 10032

Signature of

Role Plan administrator
Date 2019-10-04
Name of individual signing ROBERTO MORAN
HAVEN PEDIATRIC OFFICE, P.C. 401(K) RETIREMENT PLAN 2017 133891149 2018-10-12 HAVEN PEDIATRIC OFFICE, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2129273232
Plan sponsor’s address 707 W. 171ST STREET, SUITE A, NEW YORK, NY, 10032

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing ROBERTO MORAN
HAVEN PEDIATRIC OFFICE, P.C. 401(K) RETIREMENT PLAN 2016 133891149 2017-10-12 HAVEN PEDIATRIC OFFICE, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2129273232
Plan sponsor’s address 707 W. 171ST STREET, SUITE A, NEW YORK, NY, 10032

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing ROBERTO MORAN
HAVEN PEDIATRIC OFFICE, P.C. 401(K) RETIREMENT PLAN 2015 133891149 2016-10-17 HAVEN PEDIATRIC OFFICE, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2129273232
Plan sponsor’s address 707 W. 171ST STREET, SUITE A, NEW YORK, NY, 10032

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing ROBERTO MORAN
HAVEN PEDIATRIC OFFICE, P.C. 401(K) RETIREMENT PLAN 2014 133891149 2015-10-12 HAVEN PEDIATRIC OFFICE, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2129273232
Plan sponsor’s address 707 W. 171ST STREET, SUITE A, NEW YORK, NY, 10032

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing ROBERTO MORAN

DOS Process Agent

Name Role Address
C/O STEPHEN F. LIBROIA, CPA DOS Process Agent 665 NORTH NEWBRIDGE RD, LEVITTOWN, NY, United States, 11756

History

Start date End date Type Value
2021-08-06 2021-09-16 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1996-05-08 2021-08-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
960508000198 1996-05-08 CERTIFICATE OF INCORPORATION 1996-05-08

Date of last update: 13 Nov 2024

Sources: New York Secretary of State