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PEDIATRIC IMMEDIATE CARE, PLLC

Company Details

Name: PEDIATRIC IMMEDIATE CARE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Mar 1997 (28 years ago)
Entity Number: 2125770
County: Suffolk
Place of Formation: New York
Address: 150 EAST SUNRISE HIGHWAY, SUITE 200, LINDENHURST, NY, United States, 11757
Address ZIP Code: 11757

Contact Details

Phone +1 631-956-7337

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC IMMEDIATE CARE 401(K) 2023 113370613 2024-06-04 PEDIATRIC IMMEDIATE CARE, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6318073344
Plan sponsor’s address 150 E SUNRISE HIGHWAY STE 105, LINDENHURST, NY, 11757

Signature of
Role Plan administrator
Date 2024-06-04
Name of individual signing DAVID LEVY
PEDIATRIC IMMEDIATE CARE 401(K) 2022 113370613 2023-06-26 PEDIATRIC IMMEDIATE CARE, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6317076212
Plan sponsor’s address 150 E SUNRISE HIGHWAY STE 105, LINDENHURST, NY, 11757

Signature of
Role Plan administrator
Date 2023-06-26
Name of individual signing DAVID LEVY
PEDIATRIC IMMEDIATE CARE 401(K) 2021 113370613 2022-10-10 PEDIATRIC IMMEDIATE CARE, PLLC 32
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6317076212
Plan sponsor’s address 150 E SUNRISE HIGHWAY STE 105, LINDENHURST, NY, 11757

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing KINGA SIEDLECKA
PEDIATRIC IMMEDIATE CARE 401(K) 2021 113370613 2023-12-08 PEDIATRIC IMMEDIATE CARE, PLLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6318073344
Plan sponsor’s address 150 E SUNRISE HIGHWAY STE 105, LINDENHURST, NY, 11757

Signature of
Role Plan administrator
Date 2023-12-08
Name of individual signing DAVID LEVY
PEDIATRIC IMMEDIATE CARE 401(K) 2020 113370613 2021-07-29 PEDIATRIC IMMEDIATE CARE, PLLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6317076212
Plan sponsor’s address 150 E SUNRISE HIGHWAY STE 105, LINDENHURST, NY, 11757

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing KINGA SIEDLECKA
PEDIATRIC IMMEDIATE CARE 401(K) 2019 113370613 2020-07-15 PEDIATRIC IMMEDIATE CARE, PLLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6317076212
Plan sponsor’s address 150 E SUNRISE HIGHWAY STE 105, LINDENHURST, NY, 11757

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing KINGA SIEDLECKA
PEDIATRIC IMMEDIATE CARE 401(K) 2018 113370613 2019-07-15 PEDIATRIC IMMEDIATE CARE, PLLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6317076212
Plan sponsor’s address 150 E SUNRISE HIGHWAY STE 105, LINDENHURST, NY, 11757

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing KINGA SIEDLECKA
PEDIATRIC IMMEDIATE CARE 401(K) 2017 113370613 2018-07-30 PEDIATRIC IMMEDIATE CARE, PLLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6317076212
Plan sponsor’s address 150 E SUNRISE HIGHWAY STE 105, LINDENHURST, NY, 11757

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing KINGA SIEDLECKA
PEDIATRIC IMMEDIATE CARE 401(K) 2016 113370613 2017-08-24 PEDIATRIC IMMEDIATE CARE, PLLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6317076212
Plan sponsor’s address 150 E SUNRISE HIGHWAY STE 105, LINDENHURST, NY, 11757

Signature of
Role Plan administrator
Date 2017-08-24
Name of individual signing KINGA SIEDLECKA
PEDIATRIC IMMEDIATE CARE 401(K) 2015 113370613 2017-01-24 PEDIATRIC IMMEDIATE CARE, PLLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6317076212
Plan sponsor’s address 150 E SUNRISE HIGHWAY STE 150, LINDENHURST, NY, 11757

Signature of
Role Plan administrator
Date 2017-01-24
Name of individual signing KINGA SIEDLECKA

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 150 EAST SUNRISE HIGHWAY, SUITE 200, LINDENHURST, NY, United States, 11757

History

Start date End date Type Value
1997-08-14 2000-06-23 Name SOUTH SHORES PEDIATRICS, PLLC
1997-03-24 1997-08-14 Name PEDIATRIC IMMEDIATE CARE, PLLC
1997-03-24 2000-06-23 Address 291 EAST SUNRISE HIGHWAY, NORTH LINDENHURST, NY, 11757, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
110331003085 2011-03-31 BIENNIAL STATEMENT 2011-03-01
090316002291 2009-03-16 BIENNIAL STATEMENT 2009-03-01
050330002566 2005-03-30 BIENNIAL STATEMENT 2005-03-01
000623000068 2000-06-23 CERTIFICATE OF AMENDMENT 2000-06-23
970814000219 1997-08-14 CERTIFICATE OF AMENDMENT 1997-08-14
970324000390 1997-03-24 ARTICLES OF ORGANIZATION 1997-03-24

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Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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