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EASTERN SUFFOLK UROLOGY, P.C.

Company Details

Name: EASTERN SUFFOLK UROLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Nov 1996 (28 years ago) (Companies founded in November 1996)
Entity Number: 2086059
ZIP code: 11969 (Companies in Suffolk, 11969)
County: Suffolk
Place of Formation: New York
Address: PO BOX 2608, SOUTHAMPTON, NY, United States, 11969
Principal Address: 325 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968

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
EASTERN SUFFOLK UROLOGY, P.C. 401(K) PLAN 2017 113350103 2018-10-17 EASTERN SUFFOLK UROLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6312878600
Plan sponsor’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968

Signature of
Role Plan administrator
Date 2018-10-17
Name of individual signing ROBERT MUNKELWITZ
EASTERN SUFFOLK UROLOGY, P.C. 401(K) PLAN 2017 113350103 2018-07-16 EASTERN SUFFOLK UROLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6312878600
Plan sponsor’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing ROBERT MUNKELWITZ
EASTERN SUFFOLK UROLOGY, P.C. 401(K) PLAN 2016 113350103 2017-09-09 EASTERN SUFFOLK UROLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6312878600
Plan sponsor’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968

Signature of
Role Plan administrator
Date 2017-09-09
Name of individual signing ROBERT MUNKELWITZ
EASTERN SUFFOLK UROLOGY, P.C. 401(K) PLAN 2015 113350103 2016-09-28 EASTERN SUFFOLK UROLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6312878600
Plan sponsor’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing ROBERT MUNKELWITZ
EASTERN SUFFOLK UROLOGY, P.C. 401(K) PLAN 2014 113350103 2015-09-26 EASTERN SUFFOLK UROLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6312878600
Plan sponsor’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968

Signature of
Role Plan administrator
Date 2015-09-26
Name of individual signing ROBERT MUNKELWITZ
EASTERN SUFFOLK UROLOGY, P.C. 401(K) PLAN 2013 113350103 2014-09-24 EASTERN SUFFOLK UROLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6312878600
Plan sponsor’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968

Signature of
Role Plan administrator
Date 2014-09-24
Name of individual signing ROBERT MUNKELWITZ
EASTERN SUFFOLK UROLOGY, P.C. 401(K) PLAN 2012 113350103 2013-05-08 EASTERN SUFFOLK UROLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6312878600
Plan sponsor’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968

Signature of
Role Plan administrator
Date 2013-05-08
Name of individual signing ROBERT MUNKELWITZ
EASTERN SUFFOLK UROLOGY, P.C. 401(K) PLAN 2011 113350103 2012-04-13 EASTERN SUFFOLK UROLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6312878600
Plan sponsor’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address
Administrator’s EIN 113350103
Plan administrator’s name EASTERN SUFFOLK UROLOGY, P.C.
Plan administrator’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6312878600

Signature of
Role Plan administrator
Date 2012-04-13
Name of individual signing ROBERT MUNKELWITZ
EASTERN SUFFOLK UROLOGY, P.C. 401(K) PLAN 2010 113350103 2011-06-14 EASTERN SUFFOLK UROLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6312878600
Plan sponsor’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address
Administrator’s EIN 113350103
Plan administrator’s name EASTERN SUFFOLK UROLOGY, P.C.
Plan administrator’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6312878600

Signature of
Role Plan administrator
Date 2011-06-14
Name of individual signing ROBERT MUNKELWITZ
EASTERN SUFFOLK UROLOGY, P.C. 2009 113350103 2010-05-21 EASTERN SUFFOLK UROLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6312878600
Plan sponsor’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address
Administrator’s EIN 113350103
Plan administrator’s name EASTERN SUFFOLK UROLOGY, P.C.
Plan administrator’s address 117 HAMPTON ROAD, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6312878600

Signature of
Role Plan administrator
Date 2010-05-21
Name of individual signing ROBERT MUNKELWITZ

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent PO BOX 2608, SOUTHAMPTON, NY, United States, 11969

Chief Executive Officer

Name Role Address
ROBERT A. MUNKELWITZ MD Chief Executive Officer 325 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968

History

Start date End date Type Value
2001-03-01 2002-11-22 Address 325 MEETING HOUSE LANE, SOUTHAMPTON, NY, 11968, USA (Type of address: Chief Executive Officer)
2001-03-01 2002-11-22 Address 325 MEETING HOUSE LANE, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process)
1996-11-20 2001-03-01 Address 20 SOUNDVIEW DRIVE, PORT JEFFERSON, NY, 11777, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
041223002303 2004-12-23 BIENNIAL STATEMENT 2004-11-01
021122002152 2002-11-22 BIENNIAL STATEMENT 2002-11-01
010301002213 2001-03-01 BIENNIAL STATEMENT 2000-11-01
981007000111 1998-10-07 CERTIFICATE OF AMENDMENT 1998-10-07
961120000200 1996-11-20 CERTIFICATE OF INCORPORATION 1996-11-20

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

325 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968

EASTERN LONG ISLAND SURGERY, P.C. HAMPTON DENTAL GROUP, P.C. HAMPTON DERMATOLOGY, P.C. TIMOTHY C. INGRAO D.D.S., P.C. SOUTHAMPTON PEDIATRIC ASSOCIATES, P.C.

Date of last update: 13 Nov 2024

Sources: New York Secretary of State

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