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  5. EXECUTIVE MEDICAL SERVICES, P.C.

EXECUTIVE MEDICAL SERVICES, P.C.

Headquarter

Company Details

Name: EXECUTIVE MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Apr 2000 (25 years ago)
Entity Number: 2495685
ZIP code: 10803
County: New York
Place of Formation: New York
Address: 15 CANAL ROAD, PELHAM MANOR, NY, United States, 10803

Contact Details

Phone +1 212-935-8725

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Links between entities

Type Company Name Company Number State
Headquarter of EXECUTIVE MEDICAL SERVICES, P.C. 1079027 CONNECTICUT

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4RY16 Obsolete Non-Manufacturer 2007-05-29 2024-02-29 2022-03-30 No data

Contact Information
POC ARI CUKIER
Phone +1 212-935-8725
Fax +1 646-390-2577
Address 18 E 48TH ST 2 FL, NEW YORK, NY, 10017 1014, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EXECUTIVE MEDICAL SERVICES P.C. 401K PLAN 2023 223712962 2024-06-20 EXECUTIVE MEDICAL SERVICES P.C. 157
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541600
Sponsor’s telephone number 9147381144
Plan sponsor’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803

Plan administrator’s name and address
Administrator’s EIN 223712962
Plan administrator’s name EXECUTIVE MEDICAL SERVICES P.C.
Plan administrator’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803
Administrator’s telephone number 9147381144

Signature of
Role Plan administrator
Date 2024-06-20
Name of individual signing LORENZO MURATORE
EXECUTIVE MEDICAL SERVICES P.C. 401K PLAN 2021 223712962 2022-07-20 EXECUTIVE MEDICAL SERVICES P.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541600
Sponsor’s telephone number 9147381144
Plan sponsor’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803

Plan administrator’s name and address
Administrator’s EIN 223712962
Plan administrator’s name EXECUTIVE MEDICAL SERVICES P.C.
Plan administrator’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803
Administrator’s telephone number 9147381144

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing KATHERINE MEINHOLD
EXECUTIVE MEDICAL SERVICES P.C. 401K PLAN 2020 223712962 2021-07-29 EXECUTIVE MEDICAL SERVICES P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541600
Sponsor’s telephone number 9147381144
Plan sponsor’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803

Plan administrator’s name and address
Administrator’s EIN 223712962
Plan administrator’s name EXECUTIVE MEDICAL SERVICES P.C.
Plan administrator’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803
Administrator’s telephone number 9147381144

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing KATHERINE MEINHOLD
EXECUTIVE MEDICAL SERVICES P.C. 401K PLAN 2019 223712962 2020-07-27 EXECUTIVE MEDICAL SERVICES P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541600
Sponsor’s telephone number 9147381144
Plan sponsor’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803

Plan administrator’s name and address
Administrator’s EIN 223712962
Plan administrator’s name EXECUTIVE MEDICAL SERVICES P.C.
Plan administrator’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803
Administrator’s telephone number 9147381144

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing KATHERINE MEINHOLD
EXECUTIVE MEDICAL SERVICES P.C. 401K PLAN 2018 223712962 2019-07-11 EXECUTIVE MEDICAL SERVICES P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541600
Sponsor’s telephone number 9147381144
Plan sponsor’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803

Plan administrator’s name and address
Administrator’s EIN 223712962
Plan administrator’s name EXECUTIVE MEDICAL SERVICES P.C.
Plan administrator’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803
Administrator’s telephone number 9147381144

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing KATHERINE MEINHOLD
EXECUTIVE MEDICAL SERVICES P.C. 401K PLAN 2017 223712962 2018-07-18 EXECUTIVE MEDICAL SERVICES P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541600
Sponsor’s telephone number 9147381144
Plan sponsor’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803

Plan administrator’s name and address
Administrator’s EIN 223712962
Plan administrator’s name EXECUTIVE MEDICAL SERVICES P.C.
Plan administrator’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803
Administrator’s telephone number 9147381144

Signature of
Role Plan administrator
Date 2018-07-18
Name of individual signing KATHERINE MEINHOLD
EXECUTIVE MEDICAL SERVICES P.C. 401K PLAN 2016 223712962 2017-08-05 EXECUTIVE MEDICAL SERVICES P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541600
Sponsor’s telephone number 9147381144
Plan sponsor’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803

Plan administrator’s name and address
Administrator’s EIN 223712962
Plan administrator’s name EXECUTIVE MEDICAL SERVICES P.C.
Plan administrator’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803
Administrator’s telephone number 9147381144

Signature of
Role Plan administrator
Date 2017-08-05
Name of individual signing KATHERINE MEINHOLD
EXECUTIVE MEDICAL SERVICES P.C. 401K PLAN 2015 223712962 2016-07-21 EXECUTIVE MEDICAL SERVICES P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541600
Sponsor’s telephone number 9147381144
Plan sponsor’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803

Plan administrator’s name and address
Administrator’s EIN 223712962
Plan administrator’s name EXECUTIVE MEDICAL SERVICES P.C.
Plan administrator’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803
Administrator’s telephone number 9147381144

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing KATHERINE MEINHOLD
EXECUTIVE MEDICAL SERVICES P.C. 401K PLAN 2014 223712962 2015-07-21 EXECUTIVE MEDICAL SERVICES P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541600
Sponsor’s telephone number 9147381144
Plan sponsor’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803

Plan administrator’s name and address
Administrator’s EIN 223712962
Plan administrator’s name EXECUTIVE MEDICAL SERVICES P.C.
Plan administrator’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803
Administrator’s telephone number 9147381144

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing KATHERINE MEINHOLD
EXECUTIVE MEDICAL SERVICES P.C. 401K PLAN 2013 223712962 2014-07-31 EXECUTIVE MEDICAL SERVICES P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541600
Sponsor’s telephone number 9147381144
Plan sponsor’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803

Plan administrator’s name and address
Administrator’s EIN 223712962
Plan administrator’s name EXECUTIVE MEDICAL SERVICES P.C.
Plan administrator’s address 15 CANAL ROAD, PELHAM MANOR, NY, 10803
Administrator’s telephone number 9147381144

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing KATHERINE MEINHOLD

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 15 CANAL ROAD, PELHAM MANOR, NY, United States, 10803

Chief Executive Officer

Name Role Address
MARTIN CUKIER Chief Executive Officer 15 CANAL ROAD, PELHAM MANOR, NY, United States, 10803

History

Start date End date Type Value
2004-07-06 2010-05-27 Address 15 CANAL RD, PELHAM MANOR, NY, 10803, USA (Type of address: Chief Executive Officer)
2002-04-09 2004-07-06 Address 15 CANAL RD, PELHAM MANOR, NY, 10803, USA (Type of address: Chief Executive Officer)
2002-04-09 2010-05-27 Address 15 CANAL RD, PELHAM MANOR, NY, 10803, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
200519060038 2020-05-19 BIENNIAL STATEMENT 2020-04-01
180427006083 2018-04-27 BIENNIAL STATEMENT 2018-04-01
160824006101 2016-08-24 BIENNIAL STATEMENT 2016-04-01
140804002026 2014-08-04 BIENNIAL STATEMENT 2014-04-01
120613002082 2012-06-13 BIENNIAL STATEMENT 2012-04-01
100527002051 2010-05-27 BIENNIAL STATEMENT 2010-04-01
060512002811 2006-05-12 BIENNIAL STATEMENT 2006-04-01
040706002403 2004-07-06 BIENNIAL STATEMENT 2004-04-01
020409002419 2002-04-09 BIENNIAL STATEMENT 2002-04-01
000406000487 2000-04-06 CERTIFICATE OF INCORPORATION 2000-04-06

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD TCC08HQP0034 2008-01-07 2008-12-31 2012-12-31
Unique Award Key CONT_AWD_TCC08HQP0034_2046_-NONE-_-NONE-
Awarding Agency Department of the Treasury
Link View Page

Description
Title TAMIFLU AND MEDICAL ASSESSMENT SERVICES
NAICS Code 541611: ADMINISTRATIVE MANAGEMENT AND GENERAL MANAGEMENT CONSULTING SERVICES
Product and Service Codes Q403: EVALUATION AND SCREENING

Recipient Details
Recipient EXECUTIVE MEDICAL SERVICES, P.C.
UEI NSAKPPPUSAG6
Legacy DUNS 849159991
Recipient Address UNITED STATES, 15 CANAL RD, PELHAM, 108032706
DO AWARD DJFA9C0926800 2009-09-30 2010-09-29 2010-09-29
Unique Award Key CONT_AWD_DJFA9C0926800_1549_DJFJFBI09268_1549
Awarding Agency Department of Justice
Link View Page

Description
Title FFD PHYSICAL EXAMS FOR NEW YORK, BASE YEAR
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient EXECUTIVE MEDICAL SERVICES, P.C.
UEI NSAKPPPUSAG6
Legacy DUNS 849159991
Recipient Address UNITED STATES, 18 EAST 48TH ST 2 FL, NEW YORK, 100171014
No data IDV DJFJFBI09268 2009-09-30 No data No data
Unique Award Key CONT_IDV_DJFJFBI09268_1549
Awarding Agency Department of Justice
Link View Page

Description
Title FFD PHYSICAL EXAMS FOR NEW YORK.
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient EXECUTIVE MEDICAL SERVICES, P.C.
UEI NSAKPPPUSAG6
Legacy DUNS 849159991
Recipient Address UNITED STATES, 18 EAST 48TH ST 2 FL, NEW YORK, 100171014
DO AWARD DJFA9C0915700 2009-09-11 2010-09-03 2010-09-03
Unique Award Key CONT_AWD_DJFA9C0915700_1549_DJFJFBI09157_1549
Awarding Agency Department of Justice
Link View Page

Description
Title FFD PHYSICAL EXAMS FOR NY DIVISION. MOD TO DECREASE FUNDING TO INITIAL ORDER.
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient EXECUTIVE MEDICAL SERVICES, P.C.
UEI NSAKPPPUSAG6
Legacy DUNS 849159991
Recipient Address UNITED STATES, 18 EAST 48TH ST 2 FL, NEW YORK, 100171014
No data IDV DJFJFBI09157 2009-09-04 No data No data
Unique Award Key CONT_IDV_DJFJFBI09157_1549
Awarding Agency Department of Justice
Link View Page

Description
Title FFD PHYSICAL EXAMS FOR NY DIVISION.
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient EXECUTIVE MEDICAL SERVICES, P.C.
UEI NSAKPPPUSAG6
Legacy DUNS 849159991
Recipient Address UNITED STATES, 18 EAST 48TH ST 2 FL, NEW YORK, 100171014
DO AWARD DJFA0M0915702 2010-08-06 2011-09-03 2011-09-03
Unique Award Key CONT_AWD_DJFA0M0915702_1549_DJFJFBI09157_1549
Awarding Agency Department of Justice
Link View Page

Description
Title FFD PHYSICAL EXAMS FOR NY DIVISION. MODIFICATION NO. 3 TO CONTRACT TO ADD FUNDS TO OP YR ONE.
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient EXECUTIVE MEDICAL SERVICES, P.C.
UEI NSAKPPPUSAG6
Legacy DUNS 849159991
Recipient Address UNITED STATES, 18 EAST 48TH ST 2 FL, NEW YORK, 100171014
DO AWARD DJFA0M0926802 2010-08-06 2011-09-29 2011-09-29
Unique Award Key CONT_AWD_DJFA0M0926802_1549_DJFJFBI09268_1549
Awarding Agency Department of Justice
Link View Page

Description
Title FFD PHYSICAL EXAMS FOR NEW YORK.
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient EXECUTIVE MEDICAL SERVICES, P.C.
UEI NSAKPPPUSAG6
Legacy DUNS 849159991
Recipient Address UNITED STATES, 18 EAST 48TH ST 2 FL, NEW YORK, 100171014
DO AWARD DJFA0C0915700 2010-06-08 2010-09-03 2010-09-03
Unique Award Key CONT_AWD_DJFA0C0915700_1549_DJFJFBI09157_1549
Awarding Agency Department of Justice
Link View Page

Description
Title FFD PHYSICAL EXAMS FOR NY DIVISION. MODIFICATION TO ADD ADDITIONAL FUNDS TO BASE YEAR.
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient EXECUTIVE MEDICAL SERVICES, P.C.
UEI NSAKPPPUSAG6
Legacy DUNS 849159991
Recipient Address UNITED STATES, 18 EAST 48TH ST 2 FL, NEW YORK, 100171014
DO AWARD DJFA0C0926800 2010-05-27 2010-09-29 2010-09-29
Unique Award Key CONT_AWD_DJFA0C0926800_1549_DJFJFBI09268_1549
Awarding Agency Department of Justice
Link View Page

Description
Title FFD PHYSICAL EXAMS FOR NEW YORK- MOD ADDTL FUNDS
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient EXECUTIVE MEDICAL SERVICES, P.C.
UEI NSAKPPPUSAG6
Legacy DUNS 849159991
Recipient Address UNITED STATES, 18 EAST 48TH ST 2 FL, NEW YORK, 100171014
DO AWARD DJFA1D0926803 2011-09-30 2012-09-29 2012-09-29
Unique Award Key CONT_AWD_DJFA1D0926803_1549_DJFJFBI09268_1549
Awarding Agency Department of Justice
Link View Page

Description
Title ADDITIONAL FUNDS FOR FFD EXAMS FOR NEWARK
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient EXECUTIVE MEDICAL SERVICES, P.C.
UEI NSAKPPPUSAG6
Legacy DUNS 849159991
Recipient Address UNITED STATES, 18 EAST 48TH ST 2 FL, NEW YORK, 100171014

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

MARTIN CUKIER

DENTSERV DENTAL SERVICES, P.C. MEDEAST, INC. THE CUKIER FAMILY FOUNDATION, INC. DENTSERV MANAGEMENT SERVICES, INC. 15 CANAL ROAD DENTAL SERVICES P.C.

Related by address

15 CANAL ROAD, PELHAM MANOR, NY, United States, 10803

15 CANAL ROAD DENTAL SERVICES P.C. 15 CANAL ROAD LLC DENTSERV DENTAL SERVICES, P.C. DENTSERV MANAGEMENT SERVICES, INC. EXECUMED MEDICAL SERVICES, P.C. HEDENKAMP & CO., INC. INTERDISCIPLINARY COMMUNICATIONS MEDIA, INC. MEDEAST REAL ESTATE LLC MEDEAST, INC.

Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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