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ANNE M. KELLY, M.D., P.C.

Company Details

Name: ANNE M. KELLY, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Jun 2001 (23 years ago) (Companies founded in June 2001)
Entity Number: 2646723
ZIP code: 11530 (Companies in Nassau, 11530)
County: Nassau
Place of Formation: New York
Address: 377 OAK STREET, SUITE 407, GARDEN CITY, NY, United States, 11530
Principal Address: 333 EARLE OVINGTON BLVD, UNIONDALE, NY, United States, 11553

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
ANNE M. KELLY, M.D., P.C. 401(K) PROFIT SHARING PLAN 2012 113611562 2013-05-07 ANNE M. KELLY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5163578208
Plan sponsor’s address 333 EARLE OVINGTON BLVD., SUITE 106, UNIONDALE, NY, 11553

Signature of
Role Plan administrator
Date 2013-05-07
Name of individual signing ANNE M. KELLY
ANNE M. KELLY, M.D., P.C. 401(K) PROFIT SHARING PLAN 2011 113611562 2012-06-19 ANNE M. KELLY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5163578208
Plan sponsor’s address 333 EARLE OVINGTON BLVD., SUITE 106, UNIONDALE, NY, 11553

Plan administrator’s name and address
Administrator’s EIN 113611562
Plan administrator’s name ANNE M. KELLY, M.D., P.C.
Plan administrator’s address 333 EARLE OVINGTON BLVD., SUITE 106, UNIONDALE, NY, 11553
Administrator’s telephone number 5163578208

Signature of
Role Plan administrator
Date 2012-06-19
Name of individual signing ANNE M. KELLY
ANNE M. KELLY, M.D., P.C. 401(K) PROFIT SHARING PLAN 2010 113611562 2011-10-11 ANNE M. KELLY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5163578208
Plan sponsor’s address 333 EARLE OVINGTON BLVD., SUITE 106, UNIONDALE, NY, 11553

Plan administrator’s name and address
Administrator’s EIN 113611562
Plan administrator’s name ANNE M. KELLY, M.D., P.C.
Plan administrator’s address 333 EARLE OVINGTON BLVD., SUITE 106, UNIONDALE, NY, 11553
Administrator’s telephone number 5163578208

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing ANNE M. KELLY
ANNE M. KELLY, M.D., P.C. 401(K) PROFIT SHARING PLAN 2009 113611562 2010-10-05 ANNE M. KELLY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5163578208
Plan sponsor’s address 333 EARLE OVINGTON BLVD., SUITE 106, UNIONDALE, NY, 11553

Plan administrator’s name and address
Administrator’s EIN 113611562
Plan administrator’s name ANNE M. KELLY, M.D., P.C.
Plan administrator’s address 333 EARLE OVINGTON BLVD., SUITE 106, UNIONDALE, NY, 11553
Administrator’s telephone number 5163578208

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing ANNE M. KELLY

Chief Executive Officer

Name Role Address
ANNE M KELLY MD Chief Executive Officer 333 EARLE OVINGTON BLVD, UNIONDALE, NY, United States, 11553

DOS Process Agent

Name Role Address
C/O ANNA M. BOUTZALIS, CPA, P.C. DOS Process Agent 377 OAK STREET, SUITE 407, GARDEN CITY, NY, United States, 11530

History

Start date End date Type Value
2023-06-01 2023-06-01 Address 333 EARLE OVINGTON BLVD, UNIONDALE, NY, 11553, USA (Type of address: Chief Executive Officer)
2007-06-27 2023-06-01 Address 600 OLD COUNTRY ROAD, SUITE 230, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)
2005-08-05 2023-06-01 Address 333 EARLE OVINGTON BLVD, UNIONDALE, NY, 11553, USA (Type of address: Chief Executive Officer)
2003-06-11 2005-08-05 Address 333 EARLE OVINGTON BLVD, STE 106, UNIONDALE, NY, 11553, USA (Type of address: Chief Executive Officer)
2003-06-11 2005-08-05 Address 125 15TH ST, GARDEN CITY, NY, 11530, USA (Type of address: Principal Executive Office)
2001-06-05 2023-06-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2001-06-05 2007-06-27 Address 265 POST AVENUE, STE. 130, WESTBURY, NY, 11590, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230601001934 2023-06-01 BIENNIAL STATEMENT 2023-06-01
210601061683 2021-06-01 BIENNIAL STATEMENT 2021-06-01
130607006566 2013-06-07 BIENNIAL STATEMENT 2013-06-01
110629002627 2011-06-29 BIENNIAL STATEMENT 2011-06-01
090629002356 2009-06-29 BIENNIAL STATEMENT 2009-06-01
070627002297 2007-06-27 BIENNIAL STATEMENT 2007-06-01
050805002399 2005-08-05 BIENNIAL STATEMENT 2005-06-01
030611002472 2003-06-11 BIENNIAL STATEMENT 2003-06-01
010605000501 2001-06-05 CERTIFICATE OF INCORPORATION 2001-06-05

Related by officers

C/O ANNA M. BOUTZALIS, CPA, P.C.

5NK CONSULTING, LLC RUSSELL E. WINDSOR, M.D., P.C. 343IG LLC

Related by address

377 OAK STREET, SUITE 407, GARDEN CITY, NY, United States, 11530

BLUE SLATE CONSULTING LLC DOMINANT BRAIN PRODUCTIONS LLC FEDERICO P. GIRARDI, M.D., P.C. HAMTECH PROPERTIES, LLC JOHN D. MACGILLIVRAY, M.D., P.C. NEW MID MANHATTAN REAL ESTATE LLC NEW YORK JOINT CONSULTING LLC ORTHOGENESIS, LLC BASR LLC

333 EARLE OVINGTON BLVD, UNIONDALE, NY, United States, 11553

CANTEEN 333, LLC COFFEE CANTEEN LLC GARDEN GOURMET AT OMNI CORP. HEALTH WORKS MCO, LLC HEALTH WORKS PPO, LLC M & A FINANCIAL SERVICES INC. P&S LIQUIDATING COMPANY 20, CORP. P&S LIQUIDATING COMPANY 3, CORP. SIMPLY ELITE REALTY LLC

Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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