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LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.

Headquarter

Company Details

Name: LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Jun 1973 (51 years ago)
Entity Number: 263540
ZIP code: 11040
County: Nassau
Place of Formation: New York
Address: 1300 UNION TPKE, NEW HYDE PARK, NY, United States, 11040

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Links between entities

Type Company Name Company Number State
Headquarter of LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. P07840 FLORIDA
Headquarter of LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. P07840 FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2019 112303460 2020-07-27 LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5164882750
Plan sponsor’s address 29 LAWRENCE STREET, NEW HYDE PARK, NY, 11040
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2019 112303460 2020-07-27 LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 5164882750
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112303460
Plan administrator’s name LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
Plan administrator’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5164882750
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2018 112303460 2019-04-23 LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 5164882750
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112303460
Plan administrator’s name LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
Plan administrator’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5164882750
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2017 112303460 2018-07-25 LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 5164882750
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112303460
Plan administrator’s name LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
Plan administrator’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5164882750
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2016 112303460 2017-07-24 LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 5164882750
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112303460
Plan administrator’s name LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
Plan administrator’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5164882750
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2015 112303460 2016-07-13 LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 5164882750
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112303460
Plan administrator’s name LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
Plan administrator’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5164882750
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2014 112303460 2015-07-10 LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 11
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 5164882750
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112303460
Plan administrator’s name LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
Plan administrator’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5164882750

Signature of

Role Plan administrator
Date 2015-07-10
Name of individual signing ROBERT MALKIN
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2013 112303460 2014-07-10 LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 5164882750
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112303460
Plan administrator’s name LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
Plan administrator’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5164882750

Signature of

Role Plan administrator
Date 2014-07-10
Name of individual signing ROBERT MALKIN
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2012 112303460 2013-06-19 LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 5164882750
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112303460
Plan administrator’s name LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
Plan administrator’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5164882750

Signature of

Role Plan administrator
Date 2013-06-19
Name of individual signing ROBERT MALKIN
LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2011 112303460 2012-10-15 LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C. 11
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 5164882750
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112303460
Plan administrator’s name LAKE SUCCESS OPHTHALMIC ASSOCIATES, P.C.
Plan administrator’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5164882750

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing MARIANNE MUNDY

DOS Process Agent

Name Role Address
* DOS Process Agent 1300 UNION TPKE, NEW HYDE PARK, NY, United States, 11040

History

Start date End date Type Value
1973-06-12 2023-08-21 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
C307487-2 2001-09-27 ASSUMED NAME LLC INITIAL FILING 2001-09-27
921130000017 1992-11-30 ANNULMENT OF DISSOLUTION 1992-11-30
DP-570681 1991-09-25 DISSOLUTION BY PROCLAMATION 1991-09-25
A522243-4 1978-10-12 CERTIFICATE OF AMENDMENT 1978-10-12
A78109-6 1973-06-12 CERTIFICATE OF INCORPORATION 1973-06-12

Date of last update: 17 Nov 2024

Sources: New York Secretary of State