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  5. ELYSE S. RAFAL, M.D., P.C.

ELYSE S. RAFAL, M.D., P.C.

Company Details

Name: ELYSE S. RAFAL, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Jul 2000 (24 years ago)
Entity Number: 2530127
ZIP code: 11790
County: Suffolk
Place of Formation: New York
Address: 2500 ROUTE 347, BLDG 22A, STONY BROOK, NY, United States, 11790

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
ELYSE S. RAFAL, M.D., P.C. RETIREMENT PLAN 2023 113555219 2024-10-02 ELYSE S. RAFAL, M.D., P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6316891900
Plan sponsor’s address 2500 NESCONSET HIGHWAY - BLDG 22A, STONY BROOK, NY, 11790
ELYSE S. RAFAL, M.D., P.C. RETIREMENT PLAN 2022 113555219 2023-10-06 ELYSE S. RAFAL, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6316891900
Plan sponsor’s address 2500 NESCONSET HIGHWAY - BLDG 22A, STONY BROOK, NY, 11790
ELYSE S. RAFAL, M.D., P.C. RETIREMENT PLAN 2021 113555219 2022-10-12 ELYSE S. RAFAL, M.D., P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6316891900
Plan sponsor’s address 2500 NESCONSET HIGHWAY - BLDG 22A, STONY BROOK, NY, 11790
ELYSE S. RAFAL, M.D., P.C. RETIREMENT PLAN 2020 113555219 2021-10-13 ELYSE S. RAFAL, M.D., P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6316891900
Plan sponsor’s address 2500 NESCONSET HIGHWAY - BLDG 22A, STONY BROOK, NY, 11790
ELYSE S. RAFAL, M.D., P.C. RETIREMENT PLAN 2019 113555219 2020-09-25 ELYSE S. RAFAL, M.D., P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6316891900
Plan sponsor’s address 2500 NESCONSET HIGHWAY - BLDG 22A, STONY BROOK, NY, 11790
ELYSE S. RAFAL, M.D., P.C. RETIREMENT PLAN 2018 113555219 2019-10-07 ELYSE S. RAFAL, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6316891900
Plan sponsor’s address 2500 NESCONSET HIGHWAY - BLDG 22A, STONY BROOK, NY, 11790
ELYSE S. RAFAL, M.D., P.C. RETIREMENT PLAN 2017 113555219 2018-09-27 ELYSE S. RAFAL, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6316891900
Plan sponsor’s address 2500 NESCONSET HIGHWAY - BLDG 22A, STONY BROOK, NY, 11790
ELYSE S. RAFAL, M.D., P.C. RETIREMENT PLAN 2016 113555219 2017-10-02 ELYSE S. RAFAL, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6316891900
Plan sponsor’s address 2500 NESCONSET HIGHWAY - BLDG 22A, STONY BROOK, NY, 11790
ELYSE S. RAFAL, M.D., P.C. RETIREMENT PLAN 2015 113555219 2016-10-03 ELYSE S. RAFAL, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6316891900
Plan sponsor’s address 2500 NESCONSET HIGHWAY - BLDG 22A, STONY BROOK, NY, 11790
ELYSE S. RAFAL, M.D., P.C. RETIREMENT PLAN 2014 113555219 2015-05-18 ELYSE S. RAFAL, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6316890300
Plan sponsor’s address 2500-22 ROUTE 347, SUITE 82, STONY BROOK, NY, 11790

Chief Executive Officer

Name Role Address
ELYSE S. RAFAL, MD Chief Executive Officer 2500 ROUTE 347, BLDG 22A, STONY BROOK, NY, United States, 11790

DOS Process Agent

Name Role Address
ELYSE S. RAFAL, MD DOS Process Agent 2500 ROUTE 347, BLDG 22A, STONY BROOK, NY, United States, 11790

History

Start date End date Type Value
2024-07-25 2024-07-25 Address 2500 ROUTE 347, BLDG 22A, STONY BROOK, NY, 11790, USA (Type of address: Chief Executive Officer)
2023-05-03 2024-07-25 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-03 2024-07-25 Address 2500 ROUTE 347, BLDG 22A, STONY BROOK, NY, 11790, USA (Type of address: Service of Process)
2023-05-03 2023-05-03 Address 2500 ROUTE 347, BLDG 22A, STONY BROOK, NY, 11790, USA (Type of address: Chief Executive Officer)
2023-05-03 2024-07-25 Address 2500 ROUTE 347, BLDG 22A, STONY BROOK, NY, 11790, USA (Type of address: Chief Executive Officer)
2020-05-12 2023-05-03 Address 2500 ROUTE 347, BLDG 22A, STONY BROOK, NY, 11790, USA (Type of address: Service of Process)
2018-07-02 2020-05-12 Address 2500 NESCONSET HWY, BLDG 22A, 330 OLD COUNTRY RD / PO BOX 31, STONY BROOK, NY, 11790, USA (Type of address: Service of Process)
2006-06-21 2023-05-03 Address 2500 ROUTE 347, BLDG 22A, STONY BROOK, NY, 11790, USA (Type of address: Chief Executive Officer)
2002-06-25 2018-07-02 Address TERENCE E. SMOLEV, ESQ., 330 OLD COUNTRY RD / PO BOX 31, MINEOLA, NY, 11501, USA (Type of address: Service of Process)
2002-06-25 2006-06-21 Address 2500-22 ROUTE 347 / SUITE 82, STONY BROOK, NY, 11790, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
240725002972 2024-07-25 BIENNIAL STATEMENT 2024-07-25
230503002161 2023-05-03 BIENNIAL STATEMENT 2022-07-01
200512000481 2020-05-12 CERTIFICATE OF CHANGE 2020-05-12
180702006869 2018-07-02 BIENNIAL STATEMENT 2018-07-01
140702006989 2014-07-02 BIENNIAL STATEMENT 2014-07-01
120711006498 2012-07-11 BIENNIAL STATEMENT 2012-07-01
100730002144 2010-07-30 BIENNIAL STATEMENT 2010-07-01
080716002575 2008-07-16 BIENNIAL STATEMENT 2008-07-01
060621003124 2006-06-21 BIENNIAL STATEMENT 2006-07-01
040809002486 2004-08-09 BIENNIAL STATEMENT 2004-07-01

Related by officers

ELYSE S. RAFAL, MD

DERMRESEARCHCENTER OF NEW YORK, INC.

Related by address

2500 ROUTE 347, BLDG 22A, STONY BROOK, NY, United States, 11790

DERMRESEARCHCENTER OF NEW YORK, INC.

Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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