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SOUTH BAY MEDICAL CARE, P.C.

Company Details

Name: SOUTH BAY MEDICAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Feb 1998 (27 years ago)
Entity Number: 2225466
County: Suffolk
Place of Formation: New York
Address: 1129 NORTHERN BOULEVARD, MANHASSET, NY, United States, 11030
Address ZIP Code: 11030
Principal Address: 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, United States, 11934
Principal Address ZIP Code: 11934

Contact Details

Phone +1 631-878-7134

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
SOUTH BAY MEDICAL CARE, P.C. RETIREMENT PLAN 2023 113419719 2024-09-30 SOUTH BAY MEDICAL CARE, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 5168787134
Plan sponsor’s address 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, 119342200

Signature of

Role Plan administrator
Date 2024-09-30
Name of individual signing DAVID GOLDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-30
Name of individual signing DAVID GOLDMAN
Valid signature Filed with authorized/valid electronic signature
SOUTH BAY MEDICAL CARE, P.C. RETIREMENT PLAN 2022 113419719 2023-10-09 SOUTH BAY MEDICAL CARE, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6318787134
Plan sponsor’s address 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, 119342200

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing DAVID GOLDMAN
Role Employer/plan sponsor
Date 2023-10-09
Name of individual signing DAVID GOLDMAN
SOUTH BAY MEDICAL CARE, P.C. RETIREMENT PLAN 2021 113419719 2022-10-06 SOUTH BAY MEDICAL CARE, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6318787134
Plan sponsor’s address 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, 119342200

Signature of

Role Plan administrator
Date 2022-10-06
Name of individual signing DAVID GOLDMAN
Role Employer/plan sponsor
Date 2022-10-06
Name of individual signing DAVID GOLDMAN
SOUTH BAY MEDICAL CARE, P.C. RETIREMENT PLAN 2020 113419719 2021-06-15 SOUTH BAY MEDICAL CARE, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6318787134
Plan sponsor’s address 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, 119342200

Signature of

Role Plan administrator
Date 2021-06-15
Name of individual signing DAVID GOLDMAN
Role Employer/plan sponsor
Date 2021-06-15
Name of individual signing DAVID GOLDMAN
SOUTH BAY MEDICAL CARE, P.C. RETIREMENT PLAN 2019 113419719 2020-08-07 SOUTH BAY MEDICAL CARE, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6318787134
Plan sponsor’s address 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, 119342200

Signature of

Role Plan administrator
Date 2020-08-07
Name of individual signing DAVID GOLDMAN
Role Employer/plan sponsor
Date 2020-08-07
Name of individual signing DAVID GOLDMAN
SOUTH BAY MEDICAL CARE, P.C. RETIREMENT PLAN 2018 113419719 2019-07-12 SOUTH BAY MEDICAL CARE, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6318787134
Plan sponsor’s address 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, 119342200

Signature of

Role Plan administrator
Date 2019-07-12
Name of individual signing DAVID T. GOLDMAN, MD
Role Employer/plan sponsor
Date 2019-07-12
Name of individual signing DAVID T. GOLDMAN, MD
SOUTH BAY MEDICAL CARE, P.C. RETIREMENT PLAN 2017 113419719 2018-09-20 SOUTH BAY MEDICAL CARE, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 5168787134
Plan sponsor’s address 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, 119342200

Signature of

Role Plan administrator
Date 2018-09-20
Name of individual signing DAVID GOLDMAN
Role Employer/plan sponsor
Date 2018-09-20
Name of individual signing DAVID GOLDMAN
SOUTH BAY MEDICAL CARE, P.C. RETIREMENT PLAN 2016 113419719 2017-10-06 SOUTH BAY MEDICAL CARE, P.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6318787134
Plan sponsor’s address 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, 119342200

Signature of

Role Plan administrator
Date 2017-10-06
Name of individual signing DAVID GOLDMAN
Role Employer/plan sponsor
Date 2017-10-06
Name of individual signing DAVID GOLDMAN
SOUTH BAY MEDICAL CARE, P.C. DEFINED BENEFIT PENSION PLAN 2015 113419719 2017-03-15 SOUTH BAY MEDICAL CARE, P.C. 31
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5168787134
Plan sponsor’s address 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, 119342200

Signature of

Role Plan administrator
Date 2017-03-15
Name of individual signing DAVID GOLDMAN
Role Employer/plan sponsor
Date 2017-03-15
Name of individual signing DAVID GOLDMAN
SOUTH BAY MEDICAL CARE, P.C. RETIREMENT PLAN 2015 113419719 2016-07-29 SOUTH BAY MEDICAL CARE, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6318787134
Plan sponsor’s address 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, 119342200

Signature of

Role Plan administrator
Date 2016-07-28
Name of individual signing DAVID GOLDMAN
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing DAVID GOLDMAN

DOS Process Agent

Name Role Address
DAVID S. LESTER, ESQ. DOS Process Agent 1129 NORTHERN BOULEVARD, MANHASSET, NY, United States, 11030

Chief Executive Officer

Name Role Address
DAVID T. GOLDMAN, MD Chief Executive Officer 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, United States, 11934

History

Start date End date Type Value
2024-02-01 2024-02-01 Address 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, 11934, USA (Type of address: Chief Executive Officer)
2008-02-08 2024-02-01 Address 1129 NORTHERN BOULEVARD, MANHASSET, NY, 11030, USA (Type of address: Service of Process)
2008-02-08 2024-02-01 Address 625 MONTAUK HIGHWAY, CENTER MORICHES, NY, 11934, USA (Type of address: Chief Executive Officer)
2002-03-13 2008-02-08 Address 625 MONTAUK HWY, CENTER MORICHES, NY, 11934, USA (Type of address: Principal Executive Office)
2002-03-13 2008-02-08 Address 625 MONTAUK HWY, CENTER MORICHES, NY, 11934, USA (Type of address: Chief Executive Officer)
2002-03-13 2008-02-08 Address 1129 NORTHERN BLVD, MANHASSET, NY, 11030, USA (Type of address: Service of Process)
1998-02-05 2024-02-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1998-02-05 2002-03-13 Address DAVID S. LESTER, ESQ., 1129 NORTHERN BLVD., MANHASSET, NY, 11030, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240201041232 2024-02-01 BIENNIAL STATEMENT 2024-02-01
220201002156 2022-02-01 BIENNIAL STATEMENT 2022-02-01
200203060741 2020-02-03 BIENNIAL STATEMENT 2020-02-01
180201006274 2018-02-01 BIENNIAL STATEMENT 2018-02-01
160201007254 2016-02-01 BIENNIAL STATEMENT 2016-02-01
140424002509 2014-04-24 BIENNIAL STATEMENT 2014-02-01
120404002047 2012-04-04 BIENNIAL STATEMENT 2012-02-01
100315002137 2010-03-15 BIENNIAL STATEMENT 2010-02-01
080208002886 2008-02-08 BIENNIAL STATEMENT 2008-02-01
060321003490 2006-03-21 BIENNIAL STATEMENT 2006-02-01

Date of last update: 12 Nov 2024

Sources: New York Secretary of State