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NASSAU PEDIATRIC ASSOCIATES, P.C.

Company Details

Name: NASSAU PEDIATRIC ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 18 Apr 1973 (52 years ago)
Entity Number: 259284
County: Nassau
Date of dissolution: 06 Feb 2017
Place of Formation: New York
Address: 380 DOGWOOD AVE., FRANKLIN SQ., NY, United States, 11010
Address ZIP Code: 11010

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
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN 2016 112299031 2017-06-13 NASSAU PEDIATRIC ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-05-01
Business code 621111
Sponsor’s telephone number 5164813660
Plan sponsor’s address 380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010

Signature of

Role Plan administrator
Date 2017-06-13
Name of individual signing WILLIAM KUNCEWITCH
Role Employer/plan sponsor
Date 2017-06-13
Name of individual signing WILLIAM KUNCEWITCH
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN 2015 112299031 2016-05-25 NASSAU PEDIATRIC ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-05-01
Business code 621111
Sponsor’s telephone number 5164813660
Plan sponsor’s address 380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY 11010, FRANKLIN SQUARE, NY, 11010

Signature of

Role Plan administrator
Date 2016-05-25
Name of individual signing LAURIE DARIENZO
Role Employer/plan sponsor
Date 2016-05-25
Name of individual signing LAURIE DARIENZO
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN 2014 112299031 2015-06-15 NASSAU PEDIATRIC ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-05-01
Business code 621111
Sponsor’s telephone number 5164813660
Plan sponsor’s address 380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010

Signature of

Role Plan administrator
Date 2015-06-15
Name of individual signing WILLIAM KUNCEWITCH
Role Employer/plan sponsor
Date 2015-06-15
Name of individual signing WILLIAM KUNCEWITCH
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN 2013 112299031 2014-07-01 NASSAU PEDIATRIC ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-05-01
Business code 621111
Sponsor’s telephone number 5164813660
Plan sponsor’s address 380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010

Signature of

Role Plan administrator
Date 2014-07-01
Name of individual signing WILLIAM KUNCEWITCH
Role Employer/plan sponsor
Date 2014-07-01
Name of individual signing WILLIAM KUNCEWITCH
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN 2012 112299031 2013-06-04 NASSAU PEDIATRIC ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-05-01
Business code 621111
Sponsor’s telephone number 5164813660
Plan sponsor’s address 380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010

Signature of

Role Plan administrator
Date 2013-06-04
Name of individual signing WILLIAM KUNCEWITCH
Role Employer/plan sponsor
Date 2013-06-04
Name of individual signing WILLIAM KUNCEWITCH
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN 2011 112299031 2012-08-15 NASSAU PEDIATRIC ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-05-01
Business code 621111
Sponsor’s telephone number 5164813660
Plan sponsor’s address 380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010

Plan administrator’s name and address

Administrator’s EIN 112299031
Plan administrator’s name NASSAU PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010
Administrator’s telephone number 5164813660

Signature of

Role Plan administrator
Date 2012-08-15
Name of individual signing WILLIAM KUNCEWITCH
Role Employer/plan sponsor
Date 2012-08-15
Name of individual signing WILLIAM KUNCEWITCH
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN 2010 112299031 2011-05-18 NASSAU PEDIATRIC ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-05-01
Business code 621111
Sponsor’s telephone number 5164813660
Plan sponsor’s address 380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010

Plan administrator’s name and address

Administrator’s EIN 112299031
Plan administrator’s name NASSAU PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010
Administrator’s telephone number 5164813660

Signature of

Role Plan administrator
Date 2011-05-18
Name of individual signing WILLIAM KUNCEWITCH
Role Employer/plan sponsor
Date 2011-05-18
Name of individual signing WILLIAM KUNCEWITCH
NASSAU PEDIATRIC ASSOCIATES, P.C. 401 (K) PROFIT SHARING PLAN 2009 112299031 2010-08-31 NASSAU PEDIATRIC ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-05-01
Business code 621111
Sponsor’s telephone number 5164813660
Plan sponsor’s address 380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010

Plan administrator’s name and address

Administrator’s EIN 112299031
Plan administrator’s name NASSAU PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 380 DOGWOOD AVENUE, FRANKLIN SQUARE, NY, 11010
Administrator’s telephone number 5164813660

Signature of

Role Plan administrator
Date 2010-08-31
Name of individual signing WILLIAM KUNCEWITCH
Role Employer/plan sponsor
Date 2010-08-31
Name of individual signing WILLIAM KUNCEWITCH

Chief Executive Officer

Name Role Address
WILLIAM KUNCEWITCH Chief Executive Officer 380 DOGWOOD AVE., FRANKLIN SQ., NY, United States, 11010

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 380 DOGWOOD AVE., FRANKLIN SQ., NY, United States, 11010

History

Start date End date Type Value
1999-05-14 2007-05-23 Address 380 DOGWOOD AVE., FRANKLIN SQ., NY, 11010, USA (Type of address: Chief Executive Officer)
1992-10-23 1999-05-14 Address 380 DOGWOOD AVE, FRANKLIN SQUARE, NY, 11010, USA (Type of address: Chief Executive Officer)
1992-10-23 1999-05-14 Address 380 DOGWOOD AVE, FRANKLIN SQUARE, NY, 11010, USA (Type of address: Principal Executive Office)
1992-10-23 1999-05-14 Address FRANK F CAPPELLI, 516 DOGWOOD AVE, FRANKLIN SQUARE, NY, 11010, USA (Type of address: Service of Process)
1973-04-18 1992-10-23 Address 516 DOGWOOD AVE., FRANKLIN SQ, NY, 11010, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170206000008 2017-02-06 CERTIFICATE OF DISSOLUTION 2017-02-06
130415006278 2013-04-15 BIENNIAL STATEMENT 2013-04-01
110420002957 2011-04-20 BIENNIAL STATEMENT 2011-04-01
090403002380 2009-04-03 BIENNIAL STATEMENT 2009-04-01
070523002032 2007-05-23 BIENNIAL STATEMENT 2007-04-01
050818002420 2005-08-18 BIENNIAL STATEMENT 2005-04-01
030410003027 2003-04-10 BIENNIAL STATEMENT 2003-04-01
010418002512 2001-04-18 BIENNIAL STATEMENT 2001-04-01
C277510-1 1999-08-16 ASSUMED NAME CORP INITIAL FILING 1999-08-16
990514002321 1999-05-14 BIENNIAL STATEMENT 1999-04-01

Date of last update: 17 Nov 2024

Sources: New York Secretary of State