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STEVEN S. SHAYANI, M.D., P.C.

Company Details

Name: STEVEN S. SHAYANI, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Sep 2000 (24 years ago)
Entity Number: 2553600
County: Nassau
Place of Formation: New York
Address: 2 APPLEGREEN DRIVE, SUITE #278, OLD WESTBURY, NY, United States, 11568
Address ZIP Code: 11568
Principal Address: 2 APPLEGREEN DR, OLD WESTBURY, NY, United States, 11568
Principal Address ZIP Code: 11568

Contact Details

Phone +1 516-877-0977

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
STEVEN S. SHAYANI, M.D., P.C. 401(K) PROFIT SHARING PLAN 2015 113572665 2016-06-09 STEVEN S. SHAYANI, M.D., P.C. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5168770977
Plan sponsor’s address 200 OLD COUNTRY RD STE 278, MINEOLA, NY, 115014235

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing STEVEN SHAYANI
Role Employer/plan sponsor
Date 2016-06-09
Name of individual signing STEVEN SHAYANI
STEVEN S. SHAYANI, M.D., P.C. 401(K) PROFIT SHARING PLAN 2014 113572665 2015-06-09 STEVEN S. SHAYANI, M.D., P.C. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5168770977
Plan sponsor’s address 200 OLD COUNTRY RD STE 278, MINEOLA, NY, 115014235

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing STEVEN SHAYANI
Role Employer/plan sponsor
Date 2015-06-09
Name of individual signing STEVEN SHAYANI
STEVEN S. SHAYANI, M.D., P.C. 401(K) PROFIT SHARING PLAN 2013 113572665 2014-07-31 STEVEN S. SHAYANI, M.D., P.C. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5168770977
Plan sponsor’s address 200 OLD COUNTRY RD STE 278, MINEOLA, NY, 115014235

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing STEVEN SHAYANI
Role Employer/plan sponsor
Date 2014-07-31
Name of individual signing STEVEN SHAYANI
STEVEN S. SHAYANI, M.D., P.C. 401(K) PROFIT SHARING PLAN 2012 113572665 2014-11-05 STEVEN S. SHAYANI, M.D., P.C. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5168770977
Plan sponsor’s address 200 OLD COUNTRY RD STE 278, MINEOLA, NY, 115014235

Signature of
Role Plan administrator
Date 2014-11-05
Name of individual signing STEVEN SHAYANI
Role Employer/plan sponsor
Date 2014-11-05
Name of individual signing STEVEN SHAYANI
STEVEN S. SHAYANI, M.D., P.C. 401(K) PROFIT SHARING PLAN 2011 113572665 2012-10-03 STEVEN S. SHAYANI, M.D., P.C. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5169336474
Plan sponsor’s address 1171 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803

Plan administrator’s name and address
Administrator’s EIN 113572665
Plan administrator’s name STEVEN S. SHAYANI, M.D., P.C.
Plan administrator’s address 1171 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803
Administrator’s telephone number 5169336474

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing STEVEN SHAYANI
STEVEN S. SHAYANI, M.D., P.C. 401(K) PROFIT SHARING PLAN 2010 113572665 2011-07-18 STEVEN S. SHAYANI, M.D., P.C. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5169336474
Plan sponsor’s address 1171 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803

Plan administrator’s name and address
Administrator’s EIN 113572665
Plan administrator’s name STEVEN S. SHAYANI, M.D., P.C.
Plan administrator’s address 1171 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803
Administrator’s telephone number 5169336474

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing STEVEN SHAYANI
STEVEN S. SHAYANI, M.D., P.C. 401(K) PROFIT SHARING PLAN 2009 113572665 2010-10-14 STEVEN S. SHAYANI, M.D., P.C. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5169336474
Plan sponsor’s address 1171 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803

Plan administrator’s name and address
Administrator’s EIN 113572665
Plan administrator’s name STEVEN S. SHAYANI, M.D., P.C.
Plan administrator’s address 1171 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803
Administrator’s telephone number 5169336474

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing STEVEN SHAYANI

Chief Executive Officer

Name Role Address
STEVEN SHAYANI, M.D. Chief Executive Officer 200 OLD COUNTRY ROAD, SUITE #278, MINEOLA, NY, United States, 11501

DOS Process Agent

Name Role Address
STEVEN S. SHAYANI, M.D., P.C. DOS Process Agent 2 APPLEGREEN DRIVE, SUITE #278, OLD WESTBURY, NY, United States, 11568

History

Start date End date Type Value
2016-09-01 2018-09-07 Address 2 APPLEGREEN DRIVE, SUITE #278, OLD WESTBURY, NY, 11568, USA (Type of address: Service of Process)
2014-09-22 2016-09-01 Address 200 OLD COUNTRY RD, SUITE #278, MINEOLA, NY, 11501, USA (Type of address: Service of Process)
2004-11-02 2014-09-22 Address 200 OLD COUNTRY RD, SUITE #278, MINEOLA, NY, 11501, USA (Type of address: Service of Process)
2002-08-20 2004-11-02 Address 200 OLD COUNTRY RD / #520, MINEOLA, NY, 11501, USA (Type of address: Chief Executive Officer)
2002-08-20 2016-09-01 Address 2 APPLE GREEN DR, OLD WESTBURY, NY, 11590, USA (Type of address: Principal Executive Office)
2000-09-18 2004-11-02 Address 200 OLD COUNTRY ROAD STE 520, MINEOLA, NY, 11501, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200901061152 2020-09-01 BIENNIAL STATEMENT 2020-09-01
180907006282 2018-09-07 BIENNIAL STATEMENT 2018-09-01
160901006556 2016-09-01 BIENNIAL STATEMENT 2016-09-01
140922006603 2014-09-22 BIENNIAL STATEMENT 2014-09-01
121009002135 2012-10-09 BIENNIAL STATEMENT 2012-09-01
100915002503 2010-09-15 BIENNIAL STATEMENT 2010-09-01
080916002592 2008-09-16 BIENNIAL STATEMENT 2008-09-01
060828002558 2006-08-28 BIENNIAL STATEMENT 2006-09-01
041102002841 2004-11-02 BIENNIAL STATEMENT 2004-09-01
020820002190 2002-08-20 BIENNIAL STATEMENT 2002-09-01

Related by officers

STEVEN S. SHAYANI, M.D., P.C.

SLEEP IMPROVEMENT, LLP

Related by address

2 APPLEGREEN DR, OLD WESTBURY, NY, United States, 11568

MURRAY HOLDING, LLC DIX HILLS HART DEVELOPMENT, LLC

Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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