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MICHAEL NISSEN, M.D., P.C.

Company Details

Name: MICHAEL NISSEN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Jun 2001 (23 years ago)
Entity Number: 2647614
County: New York
Place of Formation: New York
Address: GARY M REING ESQ, 1360 SUNNY RIDGE ROAD, MOHEGAN LAKE, NY, United States, 10547
Address ZIP Code: 10547
Principal Address: 225 EAST 64TH ST, NEW YORK, NY, United States, 10021
Principal Address ZIP Code: 10021

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
MICHAEL NISSEN, M.D., P.C. RETIREMENT PLAN 2023 134174737 2024-10-14 MICHAEL NISSEN, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2127727000
Plan sponsor’s address 1317 3RD AVENUE, GROUND FLOOR, NEW YORK, NY, 100212995

Signature of
Role Plan administrator
Date 2024-10-12
Name of individual signing MICHAEL NISSEN
Valid signature Filed with authorized/valid electronic signature
MICHAEL NISSEN, M.D., P.C. RETIREMENT PLAN 2022 134174737 2023-08-23 MICHAEL NISSEN, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2127727000
Plan sponsor’s address 1317 3RD AVENUE, GROUND FLOOR, NEW YORK, NY, 100212995

Signature of
Role Plan administrator
Date 2023-08-22
Name of individual signing MICHAEL NISSEN
MICHAEL NISSEN, M.D., P.C. RETIREMENT PLAN 2021 134174737 2022-10-17 MICHAEL NISSEN, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2127727000
Plan sponsor’s address 1317 3RD AVENUE, GROUND FLOOR, NEW YORK, NY, 100212995

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing MICHAEL NISSEN
MICHAEL NISSEN, M.D., P.C. RETIREMENT PLAN 2020 134174737 2021-06-01 MICHAEL NISSEN, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2127727000
Plan sponsor’s address 1317 3RD AVENUE, GROUND FLOOR, NEW YORK, NY, 100212995

Signature of
Role Plan administrator
Date 2021-05-22
Name of individual signing MICHAEL NISSEN
Role Employer/plan sponsor
Date 2021-05-22
Name of individual signing MICHAEL NISSEN
MICHAEL NISSEN, M.D., P.C. RETIREMENT PLAN 2019 134174737 2020-06-05 MICHAEL NISSEN, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2127727000
Plan sponsor’s address 1317 3RD AVENUE, GROUND FLOOR, NEW YORK, NY, 100212995

Signature of
Role Plan administrator
Date 2020-06-05
Name of individual signing MICHAEL NISSEN
MICHAEL NISSEN, M.D., P.C. RETIREMENT PLAN 2018 134174737 2019-10-02 MICHAEL NISSEN, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2127727000
Plan sponsor’s address 1317 3RD AVENUE, GROUND FLOOR, NEW YORK, NY, 100212995

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing MICHAEL NISSEN
Role Employer/plan sponsor
Date 2019-08-22
Name of individual signing MICHAEL NISSEN
MICHAEL NISSEN, M.D., P.C. RETIREMENT PLAN 2017 134174737 2018-10-15 MICHAEL NISSEN, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2127727000
Plan sponsor’s address 1317 3RD AVENUE, GROUND FLOOR, NEW YORK, NY, 100212995

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MICHAEL NISSEN
MICHAEL NISSEN, M.D., P.C. RETIREMENT PLAN 2016 134174737 2017-10-12 MICHAEL NISSEN, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2127727000
Plan sponsor’s address 1317 3RD AVENUE, GROUND FLOOR, NEW YORK, NY, 100212995

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing MICHAEL NISSEN
MICHAEL NISSEN, M.D., P.C. RETIREMENT PLAN 2015 134174737 2016-09-08 MICHAEL NISSEN, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2127727000
Plan sponsor’s address 1317 3RD AVENUE, NEW YORK, NY, 100212995

Signature of
Role Plan administrator
Date 2016-09-08
Name of individual signing MICHAEL NISSEN
MICHAEL NISSEN, M.D., P.C. RETIREMENT PLAN 2014 134174737 2015-06-22 MICHAEL NISSEN, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2127727000
Plan sponsor’s address 1317 3RD AVENUE, GROUND FLOOR, NEW YORK, NY, 100212995

Signature of
Role Plan administrator
Date 2015-06-22
Name of individual signing MICHAEL NISSEN

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent GARY M REING ESQ, 1360 SUNNY RIDGE ROAD, MOHEGAN LAKE, NY, United States, 10547

Chief Executive Officer

Name Role Address
MICHAEL NISSEN Chief Executive Officer 225 EAST 64TH ST, NEW YORK, NY, United States, 10021

Filings

Filing Number Date Filed Type Effective Date
070709002069 2007-07-09 BIENNIAL STATEMENT 2007-06-01
050901002431 2005-09-01 BIENNIAL STATEMENT 2005-06-01
030619002087 2003-06-19 BIENNIAL STATEMENT 2003-06-01
010607000066 2001-06-07 CERTIFICATE OF INCORPORATION 2001-06-07

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THE CORPORATION

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Related by address

225 EAST 64TH ST, NEW YORK, NY, United States, 10021

PAUL V. PORCELLI, D.P.M., P.C. WOMEN'S CARE-EASTSIDE MEDICAL SERVICES, P.C.

Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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