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  5. MARK G. CREIGHTON, M.D., P.C.

MARK G. CREIGHTON, M.D., P.C.

Company Details

Name: MARK G. CREIGHTON, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Jul 1998 (26 years ago)
Entity Number: 2278353
ZIP code: 11946
County: Suffolk
Place of Formation: New York
Address: 182 W. MONTAUK HWY, SUITE 1-C, HAMPTON BAYS, NY, United States, 11946

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
MARK G. CREIGHTON, M.D., P.C. 401(K) PROFIT SHARING PLAN 2021 113447058 2022-04-08 MARK G. CREIGHTON, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6319071109
Plan sponsor’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113447058
Plan administrator’s name MARK G. CREIGHTON, M.D., P.C.
Plan administrator’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6319071109

Signature of
Role Plan administrator
Date 2022-04-08
Name of individual signing MARK G. CREIGHTON
MARK G. CREIGHTON, M.D., P.C. 401(K) PROFIT SHARING PLAN 2021 113447058 2022-10-31 MARK G. CREIGHTON, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6319071109
Plan sponsor’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113447058
Plan administrator’s name MARK G. CREIGHTON, M.D., P.C.
Plan administrator’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6319071109

Signature of
Role Plan administrator
Date 2022-10-31
Name of individual signing MARK G. CREIGHTON
MARK G. CREIGHTON, M.D., P.C. 401(K) PROFIT SHARING PLAN 2020 113447058 2021-07-23 MARK G. CREIGHTON, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6319071109
Plan sponsor’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113447058
Plan administrator’s name MARK G. CREIGHTON, M.D., P.C.
Plan administrator’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6319071109

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing MARK G. CREIGHTON
MARK G. CREIGHTON, M.D., P.C. 401(K) PROFIT SHARING PLAN 2019 113447058 2020-10-09 MARK G. CREIGHTON, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6319071109
Plan sponsor’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113447058
Plan administrator’s name MARK G. CREIGHTON, M.D., P.C.
Plan administrator’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6319071109

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing MARK G. CREIGHTON
MARK G. CREIGHTON, M.D., P.C. 401(K) PROFIT SHARING PLAN 2018 113447058 2020-10-09 MARK G. CREIGHTON, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6319071109
Plan sponsor’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113447058
Plan administrator’s name MARK G. CREIGHTON, M.D., P.C.
Plan administrator’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6319071109

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing MARK G. CREIGHTON
MARK G. CREIGHTON, M.D., P.C. 401(K) PROFIT SHARING PLAN 2017 113447058 2018-10-01 MARK G. CREIGHTON, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6319071109
Plan sponsor’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113447058
Plan administrator’s name MARK G. CREIGHTON, M.D., P.C.
Plan administrator’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6319071109

Signature of
Role Plan administrator
Date 2018-10-01
Name of individual signing MARK G. CREIGHTON
MARK G. CREIGHTON, M.D., P.C. 401(K) PROFIT SHARING PLAN 2016 113447058 2017-10-06 MARK G. CREIGHTON, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6319071109
Plan sponsor’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113447058
Plan administrator’s name MARK G. CREIGHTON, M.D., P.C.
Plan administrator’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6319071109

Signature of
Role Plan administrator
Date 2017-10-06
Name of individual signing MARK G. CREIGHTON
MARK G. CREIGHTON, M.D., P.C. 401(K) PROFIT SHARING PLAN 2015 113447058 2016-10-17 MARK G. CREIGHTON, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6319071109
Plan sponsor’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113447058
Plan administrator’s name MARK G. CREIGHTON, M.D., P.C.
Plan administrator’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6319071109

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing MARK G. CREIGHTON
MARK G. CREIGHTON, M.D., P.C. 401(K) PROFIT SHARING PLAN 2014 113447058 2015-10-09 MARK G. CREIGHTON, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6319071109
Plan sponsor’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113447058
Plan administrator’s name MARK G. CREIGHTON, M.D., P.C.
Plan administrator’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6319071109

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing MARK G. CREIGHTON
MARK G. CREIGHTON, M.D., P.C. 401(K) PROFIT SHARING PLAN 2013 113447058 2014-10-10 MARK G. CREIGHTON, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6319071109
Plan sponsor’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946

Plan administrator’s name and address
Administrator’s EIN 113447058
Plan administrator’s name MARK G. CREIGHTON, M.D., P.C.
Plan administrator’s address 182 WEST MONTAUK HIGHWAY SUITE 1-C, HAMPTON BAYS, NY, 11946
Administrator’s telephone number 6319071109

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing MARK G. CREIGHTON

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 182 W. MONTAUK HWY, SUITE 1-C, HAMPTON BAYS, NY, United States, 11946

Chief Executive Officer

Name Role Address
MARK G. CREIGHTON, MD Chief Executive Officer 182 W. MONTAUK HWY, SUITE 1-C, HAMPTON BAYS, NY, United States, 11946

History

Start date End date Type Value
1998-07-13 2000-10-06 Address 44 WARFIELD WAY, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
040820002102 2004-08-20 BIENNIAL STATEMENT 2004-07-01
020813002551 2002-08-13 BIENNIAL STATEMENT 2002-07-01
001006002335 2000-10-06 BIENNIAL STATEMENT 2000-07-01
980713000329 1998-07-13 CERTIFICATE OF INCORPORATION 1998-07-13

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Related by address

No related companies by address

Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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