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MELANIE C. GROSSMAN, M.D., P.C.

Company Details

Name: MELANIE C. GROSSMAN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 14 Sep 2000 (24 years ago)
Entity Number: 2552581
County: New York
Date of dissolution: 02 Sep 2021
Place of Formation: New York
Principal Address: 161 MADISON AVE, STE 4NW, NEW YORK, NY, United States, 10016
Principal Address ZIP Code: 10016
Address: ATTN MARSHALL J GLUCK ESQ, 1345 AVE OF THE AMERICAS, NEW YORK, NY, United States, 10105
Address ZIP Code:

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
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN 2014 134133865 2015-06-22 MELANIE C. GROSSMAN, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2127258600
Plan sponsor’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016

Signature of

Role Plan administrator
Date 2015-06-22
Name of individual signing MELANIE GROSSMAN
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN 2013 134133865 2014-06-16 MELANIE C. GROSSMAN, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2127258600
Plan sponsor’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016

Plan administrator’s name and address

Administrator’s EIN 134133865
Plan administrator’s name MELANIE C. GROSSMAN, M.D.P.C.
Plan administrator’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
Administrator’s telephone number 2127258600

Signature of

Role Plan administrator
Date 2014-06-16
Name of individual signing MELANIE GROSSMAN
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN 2012 134133865 2013-07-09 MELANIE C. GROSSMAN, M.D., P.C. 2
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2127258600
Plan sponsor’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016

Plan administrator’s name and address

Administrator’s EIN 134133865
Plan administrator’s name MELANIE C. GROSSMAN, M.D.P.C.
Plan administrator’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
Administrator’s telephone number 2127258600

Signature of

Role Plan administrator
Date 2013-07-09
Name of individual signing MELANIE GROSSMAN
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN 2012 134133865 2013-08-20 MELANIE C. GROSSMAN, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2127258600
Plan sponsor’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016

Plan administrator’s name and address

Administrator’s EIN 134133865
Plan administrator’s name MELANIE C. GROSSMAN, M.D.P.C.
Plan administrator’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
Administrator’s telephone number 2127258600

Signature of

Role Plan administrator
Date 2013-08-20
Name of individual signing MELANIE GROSSMAN
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN 2011 134133865 2012-06-25 MELANIE C. GROSSMAN, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2127258600
Plan sponsor’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016

Plan administrator’s name and address

Administrator’s EIN 134133865
Plan administrator’s name MELANIE C. GROSSMAN, M.D.P.C.
Plan administrator’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
Administrator’s telephone number 2127258600

Signature of

Role Plan administrator
Date 2012-06-25
Name of individual signing MELANIE GROSSMAN
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN 2010 134133865 2011-07-26 MELANIE C. GROSSMAN, M.D., P.C. 2
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2127258600
Plan sponsor’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016

Plan administrator’s name and address

Administrator’s EIN 134133865
Plan administrator’s name MELANIE C. GROSSMAN, M.D., P.C.
Plan administrator’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
Administrator’s telephone number 2127258600

Signature of

Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing MELANIE GROSSMAN
MELANIE C. GROSSMAN, M.D., P.C. RETIREMENT PLAN 2010 134133865 2011-07-28 MELANIE C. GROSSMAN, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2127258600
Plan sponsor’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016

Plan administrator’s name and address

Administrator’s EIN 134133865
Plan administrator’s name MELANIE C. GROSSMAN, M.D., P.C.
Plan administrator’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
Administrator’s telephone number 2127258600

Signature of

Role Plan administrator
Date 2011-07-28
Name of individual signing MELANIE GROSSMAN
MELANIE C. GROSSMAN, M.D.,P.C. RETIREMENT PLAN 2009 134133865 2010-07-22 MELANIE C. GROSSMAN, M.D.,P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2127258600
Plan sponsor’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016

Plan administrator’s name and address

Administrator’s EIN 134133865
Plan administrator’s name MELANIE C. GROSSMAN, M.D.,P.C.
Plan administrator’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
Administrator’s telephone number 2127258600

Signature of

Role Plan administrator
Date 2010-07-22
Name of individual signing MELANIE GROSSMAN
MELANIE C. GROSSMAN, M.D.,P.C. RETIREMENT PLAN 2009 134133865 2010-07-22 MELANIE C. GROSSMAN, M.D.,P.C. 2
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2127258600
Plan sponsor’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016

Plan administrator’s name and address

Administrator’s EIN 134133865
Plan administrator’s name MELANIE C. GROSSMAN, M.D.,P.C.
Plan administrator’s address 161 MADISON AVENUE, SUITE 4NW, NEW YORK, NY, 10016
Administrator’s telephone number 2127258600

Signature of

Role Employer/plan sponsor
Date 2010-07-22
Name of individual signing MELANIE GROSSMAN

Chief Executive Officer

Name Role Address
MELANIE C. GROSSMAN, MD Chief Executive Officer 161 MADISON AVE, STE 4NW, NEW YORK, NY, United States, 10016

DOS Process Agent

Name Role Address
ROBINSON BROG LEINWAND GREENE GENOVESE & GLUCK PC DOS Process Agent ATTN MARSHALL J GLUCK ESQ, 1345 AVE OF THE AMERICAS, NEW YORK, NY, United States, 10105

History

Start date End date Type Value
2021-08-31 2021-09-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2012-09-17 2021-09-02 Address 161 MADISON AVE, STE 4NW, NEW YORK, NY, 10016, 5421, USA (Type of address: Chief Executive Officer)
2002-09-18 2012-09-17 Address 161 MADISON AVE / 4NW, NEW YORK, NY, 10016, 5421, USA (Type of address: Chief Executive Officer)
2002-09-18 2012-09-17 Address 161 MADISON AVE / 4NW, NEW YORK, NY, 10016, 5421, USA (Type of address: Principal Executive Office)
2000-09-14 2021-08-31 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2000-09-14 2021-09-02 Address ATTN MARSHALL J GLUCK ESQ, 1345 AVE OF THE AMERICAS, NEW YORK, NY, 10105, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210902000418 2021-08-31 CERTIFICATE OF DISSOLUTION-CANCELLATION 2021-08-31
120917002212 2012-09-17 BIENNIAL STATEMENT 2012-09-01
100916002475 2010-09-16 BIENNIAL STATEMENT 2010-09-01
080825002262 2008-08-25 BIENNIAL STATEMENT 2008-09-01
060821003072 2006-08-21 BIENNIAL STATEMENT 2006-09-01
041014002226 2004-10-14 BIENNIAL STATEMENT 2004-09-01
020918002081 2002-09-18 BIENNIAL STATEMENT 2002-09-01
000914000084 2000-09-14 CERTIFICATE OF INCORPORATION 2000-09-14

Date of last update: 11 Nov 2024

Sources: New York Secretary of State