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  5. JOSEPH L. DEBELLIS, M.D., P.C.

JOSEPH L. DEBELLIS, M.D., P.C.

Company Details

Name: JOSEPH L. DEBELLIS, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Jan 1997 (28 years ago)
Entity Number: 2102848
ZIP code: 11968
County: Suffolk
Place of Formation: New York
Address: 80 SANFORD PLACE, SOUTHAMPTON, NY, United States, 11968
Principal Address: 80 SANFORD PL, 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
JOSEPH L. DEBELLIS, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2014 113361409 2015-10-15 JOSEPH L. DEBELLIS, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6312871234
Plan sponsor’s address 80 SANFORD PLACE, SOUTHAMPTON, NY, 11968

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JOSEPH DEBELLIS
JOSEPH L. DEBELLIS, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2013 113361409 2014-10-13 JOSEPH L. DEBELLIS, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6312871234
Plan sponsor’s address 80 SANFORD PLACE, SOUTHAMPTON, NY, 11968

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing JOSEPH DEBELLIS
JOSEPH L. DEBELLIS, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2012 113361409 2013-10-14 JOSEPH L. DEBELLIS, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6312871234
Plan sponsor’s address 80 SANFORD PLACE, SOUTHAMPTON, NY, 11968

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing JOSEPH L. DEBELLIS
JOSEPH L. DEBELLIS, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2011 113361409 2012-10-15 JOSEPH L. DEBELLIS, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6312871234
Plan sponsor’s address 80 SANFORD PLACE, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address
Administrator’s EIN 113361409
Plan administrator’s name JOSEPH L. DEBELLIS, M.D., P.C.
Plan administrator’s address 80 SANFORD PLACE, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6312871234

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing JOSEPH DEBELLIS
JOSEPH L. DEBELLIS, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2010 113361409 2011-10-13 JOSEPH L. DEBELLIS, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6312871234
Plan sponsor’s address 80 SANFORD PLACE, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address
Administrator’s EIN 113361409
Plan administrator’s name JOSEPH L. DEBELLIS, M.D., P.C.
Plan administrator’s address 80 SANFORD PLACE, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6312871234

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing JOSEPH L. DEBELLIS
JOSEPH L. DEBELLIS, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2009 113361409 2010-10-15 JOSEPH L. DEBELLIS, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6312871234
Plan sponsor’s address 80 SANFORD PLACE, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address
Administrator’s EIN 113361409
Plan administrator’s name JOSEPH L. DEBELLIS, M.D., P.C.
Plan administrator’s address 80 SANFORD PLACE, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6312871234

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing JOSEPH DEBELLIS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 80 SANFORD PLACE, SOUTHAMPTON, NY, United States, 11968

Chief Executive Officer

Name Role Address
JOSEPH L DEBELLIS MD Chief Executive Officer 80 SANFORD PL, SOUTHAMPTON, NY, United States, 11968

Filings

Filing Number Date Filed Type Effective Date
130313002003 2013-03-13 BIENNIAL STATEMENT 2013-01-01
110128002691 2011-01-28 BIENNIAL STATEMENT 2011-01-01
090108002867 2009-01-08 BIENNIAL STATEMENT 2009-01-01
070131002540 2007-01-31 BIENNIAL STATEMENT 2007-01-01
050201002358 2005-02-01 BIENNIAL STATEMENT 2005-01-01
030709002183 2003-07-09 BIENNIAL STATEMENT 2003-01-01
010111002270 2001-01-11 BIENNIAL STATEMENT 2001-01-01
990114002338 1999-01-14 BIENNIAL STATEMENT 1999-01-01
970115000524 1997-01-15 CERTIFICATE OF INCORPORATION 1997-01-15

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

80 SANFORD PLACE, SOUTHAMPTON, NY, United States, 11968

HANGAR ONE AVIATION LLC PEDESTRIAN CONCEPTS, LLC THREE MONKEY AIRLINES, LLC VILOX, INC. VIRTUAL LOGISTIX INC. A.Q. 47, INC. 80 SANFORD PLACE, INC. PEDESTRIAN CONCEPTS INC.

Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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