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MAKOTO IWAHARA, M.D., P.C.

Company Details

Name: MAKOTO IWAHARA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 Jan 1998 (27 years ago)
Entity Number: 2215968
ZIP code: 10075
County: New York
Place of Formation: New York
Address: 120 EAST 79TH STREET, NEW YORK, NY, United States, 10075
Principal Address: 120 EAST 79TH ST, NEW YORK, NY, United States, 10075

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
MAKOTO IWAHARA, M.D., P.C. RETIREMENT INCOME PLAN 2023 133995351 2024-09-17 MAKOTO IWAHARA, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2128792328
Plan sponsor’s address 120 EAST 79TH STREET, SUITE 1C, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2024-09-17
Name of individual signing MAKOTO IWAHARA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-17
Name of individual signing MAKOTO IWAHARA
Valid signature Filed with authorized/valid electronic signature
MAKOTO IWAHARA, M.D., P.C. PROFIT SHARING & EMPLOYEES SAVINGS PLAN 2023 133995351 2024-09-17 MAKOTO IWAHARA, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-08
Business code 621111
Sponsor’s telephone number 2128792328
Plan sponsor’s address 120 EAST 79TH STREET, SUITE 1C, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2024-09-17
Name of individual signing MAKOTO IWAHARA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-17
Name of individual signing MAKOTO IWAHARA
Valid signature Filed with authorized/valid electronic signature
MAKOTO IWAHARA, M.D., P.C. RETIREMENT INCOME PLAN 2022 133995351 2023-09-20 MAKOTO IWAHARA, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2128792328
Plan sponsor’s address 120 EAST 79TH STREET, SUITE 1C, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2023-09-20
Name of individual signing MAKOTO IWAHARA
Role Employer/plan sponsor
Date 2023-09-20
Name of individual signing MAKOTO IWAHARA
MAKOTO IWAHARA, M.D., P.C. PROFIT SHARING & EMPLOYEES SAVINGS PLAN 2022 133995351 2023-09-20 MAKOTO IWAHARA, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-08
Business code 621111
Sponsor’s telephone number 2128792328
Plan sponsor’s address 120 EAST 79TH STREET, SUITE 1C, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2023-09-20
Name of individual signing MAKOTO IWAHARA
Role Employer/plan sponsor
Date 2023-09-20
Name of individual signing MAKOTO IWAHARA
MAKOTO IWAHARA, M.D., P.C. RETIREMENT INCOME PLAN 2021 133995351 2022-09-29 MAKOTO IWAHARA, M.D., P.C. 4
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2128792328
Plan sponsor’s address 120 EAST 79TH STREET, SUITE 1C, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2022-09-29
Name of individual signing MAKOTO IWAHARA
Role Employer/plan sponsor
Date 2022-09-29
Name of individual signing MAKOTO IWAHARA
MAKOTO IWAHARA, M.D., P.C. RETIREMENT INCOME PLAN 2021 133995351 2022-09-29 MAKOTO IWAHARA, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2128792328
Plan sponsor’s address 120 EAST 79TH STREET, SUITE 1C, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2022-09-29
Name of individual signing MAKOTO IWAHARA
Role Employer/plan sponsor
Date 2022-09-29
Name of individual signing MAKOTO IWAHARA
MAKOTO IWAHARA, M.D., P.C. PROFIT SHARING & EMPLOYEES SAVINGS PLAN 2021 133995351 2022-09-29 MAKOTO IWAHARA, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-08
Business code 621111
Sponsor’s telephone number 2128792328
Plan sponsor’s address 120 EAST 79TH STREET, SUITE 1C, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2022-09-23
Name of individual signing MAKOTO IWAHARA
Role Employer/plan sponsor
Date 2022-09-23
Name of individual signing MAKOTO IWAHARA
MAKOTO IWAHARA, M.D., P.C. PROFIT SHARING & EMPLOYEES SAVINGS PLAN 2020 133995351 2021-09-29 MAKOTO IWAHARA, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-08
Business code 621111
Sponsor’s telephone number 2128792328
Plan sponsor’s address 120 EAST 79TH STREET, SUITE 1C, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2021-09-29
Name of individual signing MAKOTO IWAHARA
Role Employer/plan sponsor
Date 2021-09-29
Name of individual signing MAKOTO IWAHARA
MAKOTO IWAHARA, M.D., P.C. RETIREMENT INCOME PLAN 2020 133995351 2021-09-29 MAKOTO IWAHARA, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2128792328
Plan sponsor’s address 120 EAST 79TH STREET, SUITE 1C, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2021-09-29
Name of individual signing MAKOTO IWAHARA
Role Employer/plan sponsor
Date 2021-09-29
Name of individual signing MAKOTO IWAHARA
MAKOTO IWAHARA, M.D., P.C. PROFIT SHARING & EMPLOYEES SAVINGS PLAN 2019 133995351 2020-09-24 MAKOTO IWAHARA, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-08
Business code 621111
Sponsor’s telephone number 2128792328
Plan sponsor’s address 120 EAST 79TH STREET, SUITE 1C, NEW YORK, NY, 10021

Signature of

Role Plan administrator
Date 2020-09-24
Name of individual signing MAKOTO IWAHARA
Role Employer/plan sponsor
Date 2020-09-24
Name of individual signing MAKOTO IWAHARA

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 120 EAST 79TH STREET, NEW YORK, NY, United States, 10075

Chief Executive Officer

Name Role Address
MAKOTO IWAHARA MD Chief Executive Officer 120 EAST 79TH ST, NEW YORK, NY, United States, 10075

History

Start date End date Type Value
2000-02-02 2008-01-23 Address 120 EAST 79TH ST, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
2000-02-02 2008-01-23 Address 120 EAST 79TH ST, NEW YORK, NY, 10021, USA (Type of address: Principal Executive Office)
1998-01-08 2008-01-23 Address 120 EAST 79TH STREET, NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140307002776 2014-03-07 BIENNIAL STATEMENT 2014-01-01
120213002431 2012-02-13 BIENNIAL STATEMENT 2012-01-01
100203002038 2010-02-03 BIENNIAL STATEMENT 2010-01-01
080123002600 2008-01-23 BIENNIAL STATEMENT 2008-01-01
060207003199 2006-02-07 BIENNIAL STATEMENT 2006-01-01
040109002919 2004-01-09 BIENNIAL STATEMENT 2004-01-01
020104002437 2002-01-04 BIENNIAL STATEMENT 2002-01-01
000202002573 2000-02-02 BIENNIAL STATEMENT 2000-01-01
980327000194 1998-03-27 CERTIFICATE OF AMENDMENT 1998-03-27
980108000600 1998-01-08 CERTIFICATE OF INCORPORATION 1998-01-08

Date of last update: 12 Nov 2024

Sources: New York Secretary of State