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  5. STATEN ISLAND SURGICAL ASSOCIATES, P.C.

STATEN ISLAND SURGICAL ASSOCIATES, P.C.

Company Details

Name: STATEN ISLAND SURGICAL ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 22 Sep 1998 (26 years ago)
Date of dissolution: 26 Jun 2002
Entity Number: 2299835
ZIP code: 10301
County: Richmond
Place of Formation: New York
Address: 22 VALENCIA AVE, STATEN ISLAND, NY, United States, 10301

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
STATEN ISLAND SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 2012 112237449 2014-01-07 STATEN ISLAND SURGICAL ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 7184475400
Plan sponsor’s address 1130 VICTORY BOULEVARD, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2014-01-07
Name of individual signing NED SITHIAN, M.D.
STATEN ISLAND SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 2011 112237449 2012-11-28 STATEN ISLAND SURGICAL ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 7184475400
Plan sponsor’s address 1130 VICTORY BOULEVARD, STATEN ISLAND, NY, 10301

Plan administrator’s name and address
Administrator’s EIN 112237449
Plan administrator’s name STATEN ISLAND SURGICAL ASSOCIATES, P.C.
Plan administrator’s address 1130 VICTORY BOULEVARD, STATEN ISLAND, NY, 10301
Administrator’s telephone number 7184475400

Signature of
Role Plan administrator
Date 2012-11-28
Name of individual signing NED SITHIAN, M.D.
STATEN ISLAND SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 2010 112237449 2012-04-11 STATEN ISLAND SURGICAL ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 7184475400
Plan sponsor’s address 1130 VICTORY BOULEVARD, STATEN ISLAND, NY, 10301

Plan administrator’s name and address
Administrator’s EIN 112237449
Plan administrator’s name STATEN ISLAND SURGICAL ASSOCIATES, P.C.
Plan administrator’s address 1130 VICTORY BOULEVARD, STATEN ISLAND, NY, 10301
Administrator’s telephone number 7184475400

Signature of
Role Plan administrator
Date 2012-04-11
Name of individual signing NED SITHIAN, M.D.
STATEN ISLAND SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 2009 112237449 2011-04-06 STATEN ISLAND SURGICAL ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 7184475400
Plan sponsor’s address 1130 VICTORY BOULEVARD, STATEN ISLAND, NY, 10301

Plan administrator’s name and address
Administrator’s EIN 112237449
Plan administrator’s name STATEN ISLAND SURGICAL ASSOCIATES, P.C.
Plan administrator’s address 1130 VICTORY BOULEVARD, STATEN ISLAND, NY, 10301
Administrator’s telephone number 7184475400

Signature of
Role Plan administrator
Date 2011-04-06
Name of individual signing NED SITHIAN, M.D.

DOS Process Agent

Name Role Address
ROBERT JOHN SILICH, M.D. DOS Process Agent 22 VALENCIA AVE, STATEN ISLAND, NY, United States, 10301

Filings

Filing Number Date Filed Type Effective Date
DP-1615510 2002-06-26 DISSOLUTION BY PROCLAMATION 2002-06-26
980922000448 1998-09-22 CERTIFICATE OF INCORPORATION 1998-09-22

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 30 Nov 2024

Sources: New York Secretary of State

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