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LONG ISLAND ANESTHESIOLOGISTS, PLLC

Company Details

Name: LONG ISLAND ANESTHESIOLOGISTS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 May 1998 (27 years ago)
Entity Number: 2258855
County: Suffolk
Place of Formation: New York
Address: 1000 MONTAUK HWY, WEST ISLIP, NY, United States, 11795
Address ZIP Code: 11795

Contact Details

Phone +1 347-627-4705

Phone +1 631-277-1600

Phone +1 631-424-3600

Phone +1 631-225-7200

Phone +1 631-376-3000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LONG ISLAND ANESTHESIOLOGISTS, PLLC PENSION PLAN 2013 134006714 2014-10-15 LONG ISLAND ANESTHESIOLOGISTS, PLLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6313764088
Plan sponsor’s address 100 MERRRICK ROAD, SUITE 112E, ROCKVILLE CENTRE, NEW YORK, NY, 11570
LONG ISLAND ANESTHESIOLOGISTS, PLLC PENSION PLAN 2012 134006714 2013-10-15 LONG ISLAND ANESTHESIOLOGISTS, PLLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6315894747
Plan sponsor’s address 223 SHADYBROOK LANE, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing RICHARD MOORE
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing RICHARD MOORE
LONG ISLAND ANESTHESIOLOGISTS, PLLC PENSION PLAN 2011 134006714 2012-10-15 LONG ISLAND ANESTHESIOLOGISTS, PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6313764088
Plan sponsor’s address 223 SHADYBROOK LANE, WEST ISLIP, NY, 11795

Plan administrator’s name and address
Administrator’s EIN 134006714
Plan administrator’s name LONG ISLAND ANESTHESIOLOGISTS, PLLC
Plan administrator’s address 223 SHADYBROOK LANE, WEST ISLIP, NY, 11795
Administrator’s telephone number 6313764088

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing RICHARD MOORE
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing RICHARD MOORE
LONG ISLAND ANESTHESIOLOGISTS, PLLC PENSION PLAN 2010 134006714 2011-10-27 LONG ISLAND ANESTHESIOLOGISTS, PLLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6313764088
Plan sponsor’s address 223 SHADYBROOK LANE, WEST ISLIP, NY, 11795

Plan administrator’s name and address
Administrator’s EIN 134006714
Plan administrator’s name LONG ISLAND ANESTHESIOLOGISTS, PLLC
Plan administrator’s address 223 SHADYBROOK LANE, WEST ISLIP, NY, 11795
Administrator’s telephone number 6313764088

Signature of
Role Plan administrator
Date 2011-10-27
Name of individual signing RICHARD MOORE
Role Employer/plan sponsor
Date 2011-10-27
Name of individual signing RICHARD MOORE
LONG ISLAND ANESTHESIOLOGISTS, PLLC PENSION PLAN 2009 134006714 2010-10-13 LONG ISLAND ANESTHESIOLOGISTS, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6313764088
Plan sponsor’s address 223 SHADYBROOK LANE, WEST ISLIP, NY, 11795

Plan administrator’s name and address
Administrator’s EIN 134006714
Plan administrator’s name LONG ISLAND ANESTHESIOLOGISTS, PLLC
Plan administrator’s address 223 SHADYBROOK LANE, WEST ISLIP, NY, 11795
Administrator’s telephone number 6313764088

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing RICHARD MOORE
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing RICHARD MOORE

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1000 MONTAUK HWY, WEST ISLIP, NY, United States, 11795

History

Start date End date Type Value
2007-05-10 2015-01-26 Address (Type of address: Service of Process)
2000-07-24 2007-05-10 Address 1370 AVE OF THE AMERICAS, 7TH FL, NEW YORK, NY, 10019, 4602, USA (Type of address: Service of Process)
1998-05-12 2000-07-24 Address 1370 AVENUE OF THE AMERICAS, NEW YORK, NY, 10019, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
150126000682 2015-01-26 CERTIFICATE OF CHANGE 2015-01-26
070510000379 2007-05-10 CERTIFICATE OF RESIGNATION OF RECEIPT OF PROCESS 2007-05-10
020430002172 2002-04-30 BIENNIAL STATEMENT 2002-05-01
000724002120 2000-07-24 BIENNIAL STATEMENT 2000-05-01
990112000695 1999-01-12 AFFIDAVIT OF PUBLICATION 1999-01-12
990112000689 1999-01-12 AFFIDAVIT OF PUBLICATION 1999-01-12
980512000576 1998-05-12 ARTICLES OF ORGANIZATION 1998-05-12

Related by officers

THE LLC

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Related by address

1000 MONTAUK HWY, WEST ISLIP, NY, United States, 11795

S.H.C.A. CORPORATION SAMARITAN PRACTICE MANAGEMENT SERVICES, INC.

Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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