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SIMON DESOUZA AGENCY, INC.

Company Details

Name: SIMON DESOUZA AGENCY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Inactive
Date of registration: 28 Jan 1999 (26 years ago) (Companies founded in January 1999)
Date of dissolution: 30 Oct 2019
Entity Number: 2339907
ZIP code: 11790 (Companies in Suffolk, 11790)
County: Suffolk
Place of Formation: New York
Address: 215 HALLOCK ROAD / SUITE 1B, STONY BROOK, NY, United States, 11790
Principal Address: 14 HARDING STREET, SMITHTOWN, NY, United States, 11787

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
SIMON DESOUZA AGENCY NEW COMP PS 401K PLAN 2014 113475648 2015-07-24 SIMON DESOUZA AGENCY INC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6316897770
Plan sponsor’s address 215 HALLOCK ROAD, SUITE 1B, STONY BROOK, NY, 11790
SIMON DESOUZA AGENCY NEW COMP PS 401K PLAN 2013 113475648 2014-07-22 SIMON DESOUZA AGENCY INC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6316897770
Plan sponsor’s address 215 HALLOCK ROAD, SUITE 1B, STONY BROOK, NY, 11790
SIMON DESOUZA AGENCY NEW COMP PS 401K PLAN 2012 113475648 2013-07-30 SIMON DESOUZA AGENCY INC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6316897770
Plan sponsor’s address 215 HALLOCK ROAD, SUITE 1B, STONY BROOK, NY, 11790

Signature of

Role Plan administrator
Date 2013-07-30
Name of individual signing SIMON DESOUZA
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing SIMON DESOUZA
SIMON DESOUZA AGENCY NEW COMP PS 401K PLAN 2011 113475648 2012-10-09 SIMON DESOUZA AGENCY INC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6316897770
Plan sponsor’s address 215 HALLOCK ROAD, SUITE 1B, STONY BROOK, NY, 11790

Plan administrator’s name and address

Administrator’s EIN 113475648
Plan administrator’s name SIMON DESOUZA AGENCY INC
Plan administrator’s address 215 HALLOCK ROAD, SUITE 1B, STONY BROOK, NY, 11790
Administrator’s telephone number 6316897770

Signature of

Role Plan administrator
Date 2012-10-09
Name of individual signing SIMON DESOUZA
Role Employer/plan sponsor
Date 2012-10-09
Name of individual signing SIMON DESOUZA
SIMON DESOUZA AGENCY INC. DEFINED BENEFIT PLAN 2011 113475648 2012-05-08 SIMON DESOUZA AGENCY INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524210
Sponsor’s telephone number 6316897770
Plan sponsor’s address 215 HALLOCK ROAD SUITE 1B, STONY BROOK, NY, 11790

Plan administrator’s name and address

Administrator’s EIN 113475648
Plan administrator’s name SIMON DESOUZA AGENCY INC.
Plan administrator’s address 215 HALLOCK ROAD SUITE 1B, STONY BROOK, NY, 11790
Administrator’s telephone number 6316897770

Signature of

Role Plan administrator
Date 2012-05-08
Name of individual signing SUZANNE MALEN
SIMON DESOUZA AGENCY NEW COMP PS 401K PLAN 2010 113475648 2011-10-10 SIMON DESOUZA AGENCY INC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6316897770
Plan sponsor’s address 215 HALLOCK ROAD, SUITE 1B, STONY BROOK, NY, 11790

Plan administrator’s name and address

Administrator’s EIN 113475648
Plan administrator’s name SIMON DESOUZA AGENCY INC
Plan administrator’s address 215 HALLOCK ROAD, SUITE 1B, STONY BROOK, NY, 11790
Administrator’s telephone number 6316897770

Signature of

Role Plan administrator
Date 2011-10-10
Name of individual signing SIMON DESOUZA
Role Employer/plan sponsor
Date 2011-10-10
Name of individual signing SIMON DESOUZA
SIMON DESOUZA AGENCY INC. DEFINED BENEFIT PLAN 2010 113475648 2011-05-24 SIMON DESOUZA AGENCY INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524210
Sponsor’s telephone number 6316897770
Plan sponsor’s address 215 HALLOCK ROAD SUITE 1B, STONY BROOK, NY, 11790

Plan administrator’s name and address

Administrator’s EIN 113475648
Plan administrator’s name SIMON DESOUZA AGENCY INC.
Plan administrator’s address 215 HALLOCK ROAD SUITE 1B, STONY BROOK, NY, 11790
Administrator’s telephone number 6316897770

Signature of

Role Plan administrator
Date 2011-05-24
Name of individual signing SUZANNE MALEN
SIMON DESOUZA AGENCY INC. DEFINED BENEFIT PLAN 2009 113475648 2010-09-23 SIMON DESOUZA AGENCY INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524210
Sponsor’s telephone number 6316897770
Plan sponsor’s address 215 HALLOCK ROAD SUITE 1B, STONY BROOK, NY, 11790

Plan administrator’s name and address

Administrator’s EIN 113475648
Plan administrator’s name SIMON DESOUZA AGENCY INC.
Plan administrator’s address 215 HALLOCK ROAD SUITE 1B, STONY BROOK, NY, 11790
Administrator’s telephone number 6316897770

Signature of

Role Plan administrator
Date 2010-09-23
Name of individual signing SIMON DESOUZA
SIMON DESOUZA AGENCY NEW COMP PS 401K PLAN 2009 113475648 2010-10-14 SIMON DESOUZA AGENCY INC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6316897770
Plan sponsor’s address 1320 STONYBROOK ROAD, STONY BROOK, NY, 11790

Plan administrator’s name and address

Administrator’s EIN 113475648
Plan administrator’s name SIMON DESOUZA AGENCY INC
Plan administrator’s address 1320 STONYBROOK ROAD, STONY BROOK, NY, 11790
Administrator’s telephone number 6316897770

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing SIMON DESOUZA
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing SIMON DESOUZA
SIMON DESOUZA AGENCY NEW COMP PS 401K PLAN 2009 113475648 2010-10-13 SIMON DESOUZA AGENCY INC 2
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6316897770
Plan sponsor’s address 1320 STONYBROOK ROAD, STONY BROOK, NY, 11790

Plan administrator’s name and address

Administrator’s EIN 113475648
Plan administrator’s name SIMON DESOUZA AGENCY INC
Plan administrator’s address 1320 STONYBROOK ROAD, STONY BROOK, NY, 11790
Administrator’s telephone number 6316897770

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing SIMON DESOUZA
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing SIMON DESOUZA

Chief Executive Officer

Name Role Address
SIMON A DESOUZA Chief Executive Officer 14 HARDING STREET, SMITHTOWN, NY, United States, 11787

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 215 HALLOCK ROAD / SUITE 1B, STONY BROOK, NY, United States, 11790

History

Start date End date Type Value
2001-02-08 2010-09-20 Address 14 HARDING ST, SMITHTOWN, NY, 11787, USA (Type of address: Chief Executive Officer)
2001-02-08 2010-09-20 Address 14 HARDING ST, SMITHTOWN, NY, 11787, USA (Type of address: Principal Executive Office)
2001-02-08 2010-09-20 Address 1320 STONY BROOK RD, STONY BROOK, NY, 11790, USA (Type of address: Service of Process)
1999-01-28 2001-02-08 Address 1320 STONY BROOK ROAD, STONY BROOK, NY, 11790, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191030000122 2019-10-30 CERTIFICATE OF DISSOLUTION 2019-10-30
100920002065 2010-09-20 BIENNIAL STATEMENT 2009-01-01
070207002491 2007-02-07 BIENNIAL STATEMENT 2007-01-01
050216002642 2005-02-16 BIENNIAL STATEMENT 2005-01-01
030122002070 2003-01-22 BIENNIAL STATEMENT 2003-01-01
010208002339 2001-02-08 BIENNIAL STATEMENT 2001-01-01
990128000422 1999-01-28 CERTIFICATE OF INCORPORATION 1999-01-28

Date of last update: 12 Nov 2024

Sources: New York Secretary of State