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MICHELLE COPELAND, D.M.D., M.D., P.C.

Company Details

Name: MICHELLE COPELAND, D.M.D., M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Aug 1996 (28 years ago)
Entity Number: 2059769
County: New York
Place of Formation: New York
Address: 1001 5TH AVE, NEW YORK, NY, United States, 10028
Address ZIP Code: 10028

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
MICHELLE COPELAND, D.M.D., M.D., P.C. PROFIT SHARING PLAN 2023 133905539 2024-04-15 MICHELLE COPELAND, D.M.D., M.D., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2124522200
Plan sponsor’s address 1001 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2024-03-21
Name of individual signing MICHELLE COPELAND
Role Employer/plan sponsor
Date 2024-03-21
Name of individual signing MICHELLE COPELAND
MICHELLE COPELAND, D.M.D., M.D., P.C. PENSION PLAN 2023 133905539 2024-07-02 MICHELLE COPELAND, D.M.D., M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2124522200
Plan sponsor’s address 1001 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2024-06-13
Name of individual signing MICHELLE COPELAND
Role Employer/plan sponsor
Date 2024-06-13
Name of individual signing MICHELLE COPELAND
MICHELLE COPELAND, D.M.D., M.D., P.C. PENSION PLAN 2022 133905539 2023-09-26 MICHELLE COPELAND, D.M.D., M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2124522200
Plan sponsor’s address 1001 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2023-09-19
Name of individual signing MICHELLE COPELAND
Role Employer/plan sponsor
Date 2023-09-19
Name of individual signing MICHELLE COPELAND
MICHELLE COPELAND, D.M.D., M.D., P.C. PENSION PLAN 2021 133905539 2022-09-22 MICHELLE COPELAND, D.M.D., M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2124522200
Plan sponsor’s address 1001 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2022-09-21
Name of individual signing MICHELLE COPELAND
Role Employer/plan sponsor
Date 2022-09-21
Name of individual signing MICHELLE COPELAND
MICHELLE COPELAND, D.M.D., M.D., P.C. PROFIT SHARING PLAN 2016 133905539 2017-08-07 MICHELLE COPELAND, D.M.D., M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2124522200
Plan sponsor’s address 1001 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2017-08-07
Name of individual signing MICHELLE COPELAND
Role Employer/plan sponsor
Date 2017-08-07
Name of individual signing MICHELLE COPELAND
MICHELLE COPELAND, D.M.D., M.D., P.C. PROFIT SHARING PLAN 2015 133905539 2016-10-06 MICHELLE COPELAND, D.M.D., M.D., P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2124522200
Plan sponsor’s address 1001 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2016-10-06
Name of individual signing MICHELLE COPELAND
Role Employer/plan sponsor
Date 2016-10-06
Name of individual signing MICHELLE COPELAND
MICHELLE COPELAND, D.M.D., M.D., P.C. PENSION PLAN 2014 133905539 2015-10-06 MICHELLE COPELAND, D.M.D., M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2124522200
Plan sponsor’s address 1001 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2015-10-06
Name of individual signing MICHELLE COPELAND
Role Employer/plan sponsor
Date 2015-10-06
Name of individual signing MICHELLE COPELAND
MICHELLE COPELAND, D.M.D., M.D., P.C. PENSION PLAN 2013 133905539 2014-07-21 MICHELLE COPELAND, D.M.D., M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2124522200
Plan sponsor’s address 1001 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2014-07-21
Name of individual signing MICHELLE COPELAND
Role Employer/plan sponsor
Date 2014-07-21
Name of individual signing MICHELLE COPELAND
MICHELLE COPELAND, D.M.D., M.D., P.C. PENSION PLAN 2012 133905539 2013-09-06 MICHELLE COPELAND, D.M.D., M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2124522200
Plan sponsor’s address 1001 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2013-09-06
Name of individual signing MICHELLE COPELAND
Role Employer/plan sponsor
Date 2013-09-06
Name of individual signing MICHELLE COPELAND
MICHELLE COPELAND, D.M.D., M.D., P.C. PENSION PLAN 2011 133905539 2012-09-28 MICHELLE COPELAND, D.M.D., M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2124522200
Plan sponsor’s address 1001 FIFTH AVENUE, NEW YORK, NY, 10028

Plan administrator’s name and address

Administrator’s EIN 133905539
Plan administrator’s name MICHELLE COPELAND, D.M.D., M.D., P.C.
Plan administrator’s address 1001 FIFTH AVENUE, NEW YORK, NY, 10028
Administrator’s telephone number 2124522200

Signature of

Role Plan administrator
Date 2012-09-28
Name of individual signing MICHELLE COPELAND
Role Employer/plan sponsor
Date 2012-09-28
Name of individual signing MICHELLE COPELAND

DOS Process Agent

Name Role Address
MICHELLE COPELAND MD FACS PC DOS Process Agent 1001 5TH AVE, NEW YORK, NY, United States, 10028

Chief Executive Officer

Name Role Address
MICHELLE COPELAND MD FACS Chief Executive Officer 1001 5TH AVE, NEW YORK, NY, United States, 10028

History

Start date End date Type Value
2024-03-08 2024-03-08 Address 1001 5TH AVE, NEW YORK, NY, 10028, USA (Type of address: Chief Executive Officer)
2011-04-01 2011-05-20 Name MICHELLE COPELAND, M.D., P.C.
1998-08-13 2024-03-08 Address 1001 5TH AVE, NEW YORK, NY, 10028, USA (Type of address: Service of Process)
1998-08-13 2024-03-08 Address 1001 5TH AVE, NEW YORK, NY, 10028, USA (Type of address: Chief Executive Officer)
1996-09-20 2011-04-01 Name MICHELLE COPELAND, D.M.D., M.D., P.C.
1996-08-23 1996-09-20 Name MICHELLE COPELAND, M.D., P.C.
1996-08-23 1998-08-13 Address 310 WEST 83RD STREET, NEW YORK, NY, 10024, USA (Type of address: Service of Process)
1996-08-23 2024-03-08 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240308000404 2024-03-08 BIENNIAL STATEMENT 2024-03-08
220728001428 2022-07-28 BIENNIAL STATEMENT 2020-08-01
120824006031 2012-08-24 BIENNIAL STATEMENT 2012-08-01
110520000748 2011-05-20 CERTIFICATE OF AMENDMENT 2011-05-20
110401000193 2011-04-01 CERTIFICATE OF AMENDMENT 2011-04-01
100827002183 2010-08-27 BIENNIAL STATEMENT 2010-08-01
080806003064 2008-08-06 BIENNIAL STATEMENT 2008-08-01
060809002911 2006-08-09 BIENNIAL STATEMENT 2006-08-01
040920002033 2004-09-20 BIENNIAL STATEMENT 2004-08-01
020805002298 2002-08-05 BIENNIAL STATEMENT 2002-08-01

Date of last update: 13 Nov 2024

Sources: New York Secretary of State