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LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.

Headquarter

Company Details

Name:	LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	26 Jul 2001 (23 years ago)
Entity Number:	2664637
ZIP code:	11577
County:	Nassau
Place of Formation:	New York
Address:	125 MINEOLA AVENUE, STE 200, ROSLYN HEIGHTS, NY, United States, 11577

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Links between entities

Type	Company Name	Company Number	State
Headquarter of	LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.	1221221	CONNECTICUT

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C. RETIREMENT PLAN

2019

113638939

2020-08-04

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.

65

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	5163517328
Plan sponsor’s address	125 MINEOLA AVENUE, SUITE 200, ROSLYN HEIGHTS, NY, 11577

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C. RETIREMENT PLAN

2019

113638939

2020-08-04

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.

73

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	5163517328
Plan sponsor’s address	125 MINEOLA AVENUE, SUITE 200, ROSLYN HEIGHTS, NY, 11577

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C. RETIREMENT PLAN

2018

311758450

2019-10-10

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.

55

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	5163517328
Plan sponsor’s address	125 MINEOLA AVENUE, SUITE 200, ROSLYN HEIGHTS, NY, 11577

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C. RETIREMENT PLAN

2017

311758450

2018-10-09

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.

37

Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	5163517328
Plan sponsor’s address	125 MINEOLA AVENUE, SUITE 200, ROSLYN HEIGHTS, NY, 11577

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C. RETIREMENT PLAN

2017

311758450

2019-10-10

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.

37

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	5163517328
Plan sponsor’s address	125 MINEOLA AVENUE, SUITE 200, ROSLYN HEIGHTS, NY, 11577

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C. RETIREMENT PLAN

2016

311758450

2017-10-05

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.

28

Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	5163517328
Plan sponsor’s address	125 MINEOLA AVENUE, SUITE 200, ROSLYN HEIGHTS, NY, 11577

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C. RETIREMENT PLAN

2016

311758450

2019-10-10

LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.

28

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	5163517328
Plan sponsor’s address	125 MINEOLA AVENUE, SUITE 200, ROSLYN HEIGHTS, NY, 11577

Chief Executive Officer

Name	Role	Address
SHAWN GARBER MD	Chief Executive Officer	125 MINEOLA AVENUE, STE 200, ROSLYN HEIGHTS, NY, United States, 11577

DOS Process Agent

Name	Role	Address
LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.	DOS Process Agent	125 MINEOLA AVENUE, STE 200, ROSLYN HEIGHTS, NY, United States, 11577

History

Start date	End date	Type	Value
2024-05-09	2024-06-20	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-03-20	2024-05-09	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-02-22	2024-03-20	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-02-07	2024-02-22	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-02-05	2024-02-07	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-07-27	2024-02-05	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-07-06	2023-07-27	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-07-06	2023-07-06	Address	125 MINEOLA AVENUE, STE 200, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Chief Executive Officer)
2023-06-08	2023-07-06	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-06-06	2023-06-08	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-02-23	2023-07-06	Address	125 MINEOLA AVENUE, STE 200, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Service of Process)
2023-02-23	2023-06-06	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-02-23	2023-02-23	Address	125 MINEOLA AVENUE, STE 200, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Chief Executive Officer)
2023-02-23	2023-07-06	Address	125 MINEOLA AVENUE, STE 200, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Chief Executive Officer)
2022-10-24	2023-02-23	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-09-07	2022-10-24	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-01-12	2022-09-07	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2014-11-06	2023-02-23	Address	125 MINEOLA AVENUE, STE 200, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Chief Executive Officer)
2014-11-06	2023-02-23	Address	125 MINEOLA AVENUE, STE 200, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Service of Process)
2003-07-15	2014-11-06	Address	3003 NEW HYDE PARK RD, STE 307, NEW HYDE PARK, NY, 11042, USA (Type of address: Principal Executive Office)
2003-07-15	2014-11-06	Address	3003 NEW HYDE PARK RD, STE 307, NEW HYDE PARK, NY, 11042, USA (Type of address: Chief Executive Officer)
2003-07-15	2014-11-06	Address	3003 NEW HYDE PARK RD, STE 307, NEW HYDE PARK, NY, 11042, USA (Type of address: Service of Process)
2001-07-26	2003-07-15	Address	543 BROADWAY PO BOX 149, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)
2001-07-26	2022-01-12	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number	Date Filed	Type	Effective Date
230706003645	2023-07-06	BIENNIAL STATEMENT	2023-07-01
230223000026	2023-02-23	BIENNIAL STATEMENT	2021-07-01
190709060253	2019-07-09	BIENNIAL STATEMENT	2019-07-01
171226000211	2017-12-26	CERTIFICATE OF AMENDMENT	2017-12-26
150701006507	2015-07-01	BIENNIAL STATEMENT	2015-07-01
141106006810	2014-11-06	BIENNIAL STATEMENT	2013-07-01
120828006014	2012-08-28	BIENNIAL STATEMENT	2011-07-01
090707003804	2009-07-07	BIENNIAL STATEMENT	2009-07-01
070719003003	2007-07-19	BIENNIAL STATEMENT	2007-07-01
050929002017	2005-09-29	BIENNIAL STATEMENT	2005-07-01
030715002264	2003-07-15	BIENNIAL STATEMENT	2003-07-01
010726000513	2001-07-26	CERTIFICATE OF INCORPORATION	2001-07-26

Date of last update: 11 Nov 2024

Sources: New York Secretary of State