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FONG LU, PHYSICIAN, P.C.

Company Details

Name: FONG LU, PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Jan 2000 (25 years ago)
Entity Number: 2463449
County: Nassau
Place of Formation: New York
Address: 565 PLANDOM ROAD, SUITE 167, MANHASSET, NY, United States, 11030
Address ZIP Code: 11030

Contact Details

Phone +1 718-661-9909

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
FONG LU, PHYSICIAN, PC. DEFINED BENEFIT PLAN 2023 061569754 2024-10-15 FONG LU, PHYSICIAN, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5163659725
Plan sponsor’s address 70 GRISTMILL LANE, MANHASSET, NY, 11030

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing FONG LU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-15
Name of individual signing FONG LU
Valid signature Filed with authorized/valid electronic signature
FONG LU, PHYSICIAN, PC. 401(K) PROFIT SHARING PLAN 2023 061569754 2024-10-15 FONG LU, PHYSICIAN, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5163659725
Plan sponsor’s address 70 GRISTMILL LANE, MANHASSET, NY, 11030

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing FONG LU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-15
Name of individual signing FONG LU
Valid signature Filed with authorized/valid electronic signature
FONG LU, PHYSICIAN, PC. DEFINED BENEFIT PLAN 2022 061569754 2023-10-12 FONG LU, PHYSICIAN, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5163659725
Plan sponsor’s address 70 GRISTMILL LANE, MANHASSET, NY, 11030

Signature of

Role Plan administrator
Date 2023-10-12
Name of individual signing FONG LU
Role Employer/plan sponsor
Date 2023-10-12
Name of individual signing FONG LU
FONG LU, PHYSICIAN, PC. 401(K) PROFIT SHARING PLAN 2022 061569754 2023-10-12 FONG LU, PHYSICIAN, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5163659725
Plan sponsor’s address 70 GRISTMILL LANE, MANHASSET, NY, 11030

Signature of

Role Plan administrator
Date 2023-10-12
Name of individual signing FONG LU
Role Employer/plan sponsor
Date 2023-10-12
Name of individual signing FONG LU
FONG LU, PHYSICIAN, PC. 401(K) PROFIT SHARING PLAN 2021 061569754 2022-10-17 FONG LU, PHYSICIAN, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5163659725
Plan sponsor’s address 70 GRISTMILL LANE, MANHASSET, NY, 11030

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing FONG LU
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing FONG LU
FONG LU, PHYSICIAN, PC. DEFINED BENEFIT PLAN 2021 061569754 2022-10-17 FONG LU, PHYSICIAN, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5163659725
Plan sponsor’s address 70 GRISTMILL LANE, MANHASSET, NY, 11030

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing FONG LU
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing FONG LU
FONG LU, PHYSICIAN, PC. 401(K) PROFIT SHARING PLAN 2020 061569754 2021-10-15 FONG LU, PHYSICIAN, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5163659725
Plan sponsor’s address 70 GRISTMILL LANE, MANHASSET, NY, 11030

Signature of

Role Plan administrator
Date 2021-10-15
Name of individual signing FONG LU
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing FONG LU
FONG LU, PHYSICIAN, PC. DEFINED BENEFIT PLAN 2020 061569754 2021-10-15 FONG LU, PHYSICIAN, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5163659725
Plan sponsor’s address 70 GRISTMILL LANE, MANHASSET, NY, 11030

Signature of

Role Plan administrator
Date 2021-10-15
Name of individual signing FONG LU
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing FONG LU
FONG LU, PHYSICIAN, PC. DEFINED BENEFIT PLAN 2019 061569754 2020-10-14 FONG LU, PHYSICIAN, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5163659725
Plan sponsor’s address 70 GRISTMILL LANE, MANHASSET, NY, 11030

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing FONG LU
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing FONG LU
FONG LU, PHYSICIAN, PC. 401(K) PROFIT SHARING PLAN 2019 061569754 2020-10-14 FONG LU, PHYSICIAN, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5163659725
Plan sponsor’s address 70 GRISTMILL LANE, MANHASSET, NY, 11030

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing FONG LU
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing FONG LU

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 565 PLANDOM ROAD, SUITE 167, MANHASSET, NY, United States, 11030

Filings

Filing Number Date Filed Type Effective Date
000119000953 2000-01-19 CERTIFICATE OF INCORPORATION 2000-01-19

Date of last update: 12 Nov 2024

Sources: New York Secretary of State