| Name: | MAZLIN & SHAW, M.D.S, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 01 Jul 1997 (27 years ago) (Companies founded in July 1997) |
| Entity Number: | 2158251 |
| ZIP code: | 07670 (Companies in New York, 07670) |
| County: | New York |
| Place of Formation: | New York |
| Address: | 29 FARVIEW RD, TENAFLY, NJ, United States, 07670 |
| Principal Address: | 11A EAST 74TH ST, NEW YORK, NY, United States, 10021 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAZLIN & SHAW, M.D.'S, P.C. EMPLOYEES PROFIT SHARING PLAN | 2011 | 133955086 | 2012-07-30 | MAZLIN & SHAW, M.D.S, P.C. | 9 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 133955086 |
| Plan administrator’s name | MAZLIN & SHAW, M.D.S, P.C. |
| Plan administrator’s address | 53 EAST 67TH STREET, NEW YORK, NY, 10065 |
| Administrator’s telephone number | 2125179048 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-30 |
| Name of individual signing | MICHAEL WASSERSTEIN |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1999-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2125179048 |
| Plan sponsor’s address | 53 EAST 67TH STREET, NEW YORK, NY, 10065 |
Plan administrator’s name and address
| Administrator’s EIN | 133955086 |
| Plan administrator’s name | MAZLIN & SHAW, M.D.S, P.C. |
| Plan administrator’s address | 53 EAST 67TH STREET, NEW YORK, NY, 10065 |
| Administrator’s telephone number | 2125179048 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-31 |
| Name of individual signing | MICHAEL WASSERSTEIN |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1999-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2125179048 |
| Plan sponsor’s address | 53 EAST 67TH STREET, NEW YORK, NY, 10065 |
Plan administrator’s name and address
| Administrator’s EIN | 133955086 |
| Plan administrator’s name | MAZLIN & SHAW, M.D.S, P.C. |
| Plan administrator’s address | 53 EAST 67TH STREET, NEW YORK, NY, 10065 |
| Administrator’s telephone number | 2125179048 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | MICHAEL WASSERSTEIN |
| Name | Role | Address |
|---|---|---|
| JEFFREY MAZLIN MD | Chief Executive Officer | 11A E 74TH ST, NEW YORK, NY, United States, 10021 |
| Name | Role | Address |
|---|---|---|
| JEFFREY MAZLIN MD | DOS Process Agent | 29 FARVIEW RD, TENAFLY, NJ, United States, 07670 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2001-07-12 | 2005-08-26 | Address | 11A EAST 74TH ST, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer) |
| 1997-07-01 | 2001-07-12 | Address | 747 THIRD AVENUE, 19/FL, NEW YORK, NY, 10017, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 050826002038 | 2005-08-26 | BIENNIAL STATEMENT | 2005-07-01 |
| 030715002390 | 2003-07-15 | BIENNIAL STATEMENT | 2003-07-01 |
| 010712002946 | 2001-07-12 | BIENNIAL STATEMENT | 2001-07-01 |
| 970701000157 | 1997-07-01 | CERTIFICATE OF INCORPORATION | 1997-07-01 |
Date of last update: 12 Nov 2024
Sources: New York Secretary of State
