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PARK SLOPE MEDICINE, P.C.

Company Details

Name: PARK SLOPE MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jan 1997 (28 years ago)
Entity Number: 2097847
County: Kings
Place of Formation: New York
Principal Address: 506 6TH ST, BROOKLYN, NY, United States, 11215
Principal Address ZIP Code: 11215
Address: 506 SIXTH STREET, BROOKLYN, NY, United States, 11215
Address ZIP Code: 11215

Contact Details

Phone +1 718-499-2169

Phone +1 718-246-8614

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Phone +1 718-282-7880

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
PARK SLOPE MEDICINE P.C. 401(K) PLAN 2016 113362663 2017-10-13 PARK SLOPE MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing D ERIC POGUE
PARK SLOPE MEDICINE P.C. 401(K) PLAN 2016 113362663 2017-07-11 PARK SLOPE MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing D ERIC POGUE
PARK SLOPE MEDICINE P.C. 401(K) PLAN 2015 113362663 2016-04-13 PARK SLOPE MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2016-04-13
Name of individual signing STANLEY SHERBELL
PARK SLOPE MEDICINE P.C. 401(K) PLAN 2014 113362663 2015-04-20 PARK SLOPE MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2015-04-20
Name of individual signing STANLEY SHERBELL
PARK SLOPE MEDICINE, P.C. 401(K) PLAN 2013 113362663 2014-05-27 PARK SLOPE MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2014-05-26
Name of individual signing STANLEY SHERBELL
PARK SLOPE MEDICINE, P.C. 401(K) PLAN 2012 113362663 2013-05-31 PARK SLOPE MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2013-05-30
Name of individual signing STANLEY SHERBELL
PARK SLOPE MEDICINE, P.C. 401(K) PLAN 2011 113362663 2012-06-05 PARK SLOPE MEDICINE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2012-06-05
Name of individual signing STANLEY SHERBELL
PARK SLOPE MEDICINE, P.C. 401(K) PLAN 2010 113362663 2011-04-11 PARK SLOPE MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2011-04-11
Name of individual signing STANLEY SHERBELL
PARK SLOPE MEDICINE, P.C. 401(K) PLAN 2009 113362663 2010-09-23 PARK SLOPE MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2010-09-23
Name of individual signing STANLEY SHERBELL

Chief Executive Officer

Name Role Address
STEPHEN J. PETERSON, MD Chief Executive Officer 506 6TH ST, BROOKLYN, NY, United States, 11215

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 506 SIXTH STREET, BROOKLYN, NY, United States, 11215

History

Start date End date Type Value
2007-03-12 2015-02-11 Address 506 6TH ST, BROOKLYN, NY, 11215, USA (Type of address: Chief Executive Officer)
2000-01-18 2024-10-22 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 1
1999-01-21 2007-03-12 Address 506 6TH ST, BROOKLYN, NY, 11215, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
210105062093 2021-01-05 BIENNIAL STATEMENT 2021-01-01
150211006311 2015-02-11 BIENNIAL STATEMENT 2015-01-01
130220002182 2013-02-20 BIENNIAL STATEMENT 2013-01-01
110311002606 2011-03-11 BIENNIAL STATEMENT 2011-01-01
090122002271 2009-01-22 BIENNIAL STATEMENT 2009-01-01
070312002695 2007-03-12 BIENNIAL STATEMENT 2007-01-01
030129002954 2003-01-29 BIENNIAL STATEMENT 2003-01-01
010129002428 2001-01-29 BIENNIAL STATEMENT 2001-01-01
000118000713 2000-01-18 CERTIFICATE OF AMENDMENT 2000-01-18
990121002108 1999-01-21 BIENNIAL STATEMENT 1999-01-01

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

506 6TH ST, BROOKLYN, NY, United States, 11215

BROOKLYN RADIOLOGY SERVICES, P.C. HANI ASHAMALLA PHYSICIAN, P.C. JOSEPH BOVE, M.D., P.C. PARK SLOPE PHYSICIAN SERVICES, P.C. RADIATION THERAPIST ASSOCIATES, P.C.

506 SIXTH STREET, BROOKLYN, NY, United States, 11215

BROOKLYN DENTAL SERVICES, P.C. BROOKLYN FOOT & ANKLE, P.C. KINGS PHYSICIAN SERVICES, P.C. NEW YORK IVF P.C. PARK SLOPE HEMATOLOGY AND ONCOLOGY, P.C. PARK SLOPE MEDICAL HEALTH PROVIDER, P.C. PARK SLOPE OBSTETRICS & GYNECOLOGY, P.C. PARK SLOPE PEDIATRIC MEDICINE, P.C.

Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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