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SMITHTOWN PEDIATRIC GROUP, P.C.

Company Details

Name: SMITHTOWN PEDIATRIC GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 16 Jul 1973 (51 years ago)
Date of dissolution: 11 Oct 2018
Entity Number: 265993
ZIP code: 11787
County: Suffolk
Place of Formation: New York
Address: 260 MIDDLE COUNTRY RD, SMITHTOWN, NY, United States, 11787

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
PROFIT SHARING RETIREMENT PLAN OF SMITHTOWN PEDIATRIC GROUP, PC 2011 112293859 2012-03-25 SMITHTOWN PEDIATRIC GROUP, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-08-01
Business code 621111
Sponsor’s telephone number 6319797222
Plan sponsor’s address 260 MIDDLE COUNTRY ROAD, SUITE 107, SMITHTOWN, NY, 11787

Plan administrator’s name and address

Administrator’s EIN 112409160
Plan administrator’s name RETIREMENT PLAN COMMITTEE OF SMITHTOWN PEDIATRIC GROUP, PC
Plan administrator’s address 260 MIDDLE COUNTRY ROAD, SMITHTOWN, NY, 11787
Administrator’s telephone number 6319797222

Signature of

Role Plan administrator
Date 2012-03-25
Name of individual signing HARVEY BERNSTEIN
Role Employer/plan sponsor
Date 2012-03-25
Name of individual signing HARVEY BERNSTEIN
PROFIT SHARING RETIREMENT PLAN OF SMITHTOWN PEDIATRIC GROUP, PC 2010 112293859 2011-10-06 SMITHTOWN PEDIATRIC GROUP, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-08-01
Business code 621111
Sponsor’s telephone number 6319797222
Plan sponsor’s address 260 MIDDLE COUNTRY ROAD, SMITHTOWN, NY, 11787

Plan administrator’s name and address

Administrator’s EIN 112409160
Plan administrator’s name RETIREMENT PLAN COMMITTEE OF SMITHTOWN PEDIATRIC GROUP, PC
Plan administrator’s address 260 MIDDLE COUNTRY ROAD, SMITHTOWN, NY, 11787
Administrator’s telephone number 6319797222

Signature of

Role Plan administrator
Date 2011-10-06
Name of individual signing HARVEY BERNSTEIN

Chief Executive Officer

Name Role Address
STEPHEN PARLES, MD Chief Executive Officer 260 MIDDLE COUNTRY RD, SMITHTOWN, NY, United States, 11787

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 260 MIDDLE COUNTRY RD, SMITHTOWN, NY, United States, 11787

History

Start date End date Type Value
1999-07-23 2001-07-16 Address 260 MIDDLE COUNTRY RD, SMITHTOWN, NY, 11787, USA (Type of address: Chief Executive Officer)
1997-07-08 1999-07-23 Address 363 ROUTE 111, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)
1993-02-18 1999-07-23 Address 363 ROUTE 111, SMITHTOWN, NY, 11787, USA (Type of address: Chief Executive Officer)
1993-02-18 1999-07-23 Address 363 ROUTE 111, SMITHTOWN, NY, 11787, USA (Type of address: Principal Executive Office)
1973-07-16 1997-07-08 Address 363 ROUTE 111, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
181011000183 2018-10-11 CERTIFICATE OF DISSOLUTION 2018-10-11
131003006102 2013-10-03 BIENNIAL STATEMENT 2013-07-01
110715002680 2011-07-15 BIENNIAL STATEMENT 2011-07-01
090806002807 2009-08-06 BIENNIAL STATEMENT 2009-07-01
070802002783 2007-08-02 BIENNIAL STATEMENT 2007-07-01
051017002812 2005-10-17 BIENNIAL STATEMENT 2005-07-01
030728002030 2003-07-28 BIENNIAL STATEMENT 2003-07-01
010716002538 2001-07-16 BIENNIAL STATEMENT 2001-07-01
000407000367 2000-04-07 CERTIFICATE OF AMENDMENT 2000-04-07
990723002077 1999-07-23 BIENNIAL STATEMENT 1999-07-01

Date of last update: 17 Nov 2024

Sources: New York Secretary of State