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  5. KAREN M. LISH, M.D., P.C.

KAREN M. LISH, M.D., P.C.

Company Details

Name: KAREN M. LISH, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Feb 2002 (23 years ago)
Entity Number: 2734839
ZIP code: 11557
County: Nassau
Place of Formation: New York
Address: 301 FRANKLIN AVE, STE 1, HEWLETT, NY, United States, 11557

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
KAREN M. LISH, M.D., P.C. PROFIT SHARING PLAN 2023 010608157 2024-05-29 KAREN M. LISH, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163747575
Plan sponsor’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557

Plan administrator’s name and address
Administrator’s EIN 010608157
Plan administrator’s name KAREN M. LISH, M.D., P.C.
Plan administrator’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557
Administrator’s telephone number 5163747575

Signature of
Role Plan administrator
Date 2024-05-29
Name of individual signing KAREN M. LISH
KAREN M. LISH, M.D., P.C. PROFIT SHARING PLAN 2022 010608157 2023-07-18 KAREN M. LISH, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163747575
Plan sponsor’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557

Plan administrator’s name and address
Administrator’s EIN 010608157
Plan administrator’s name KAREN M. LISH, M.D., P.C.
Plan administrator’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557
Administrator’s telephone number 5163747575

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing KAREN M. LISH
KAREN M. LISH, M.D., P.C. PROFIT SHARING PLAN 2021 010608157 2022-03-29 KAREN M. LISH, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163747575
Plan sponsor’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557

Plan administrator’s name and address
Administrator’s EIN 010608157
Plan administrator’s name KAREN M. LISH, M.D., P.C.
Plan administrator’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557
Administrator’s telephone number 5163747575

Signature of
Role Plan administrator
Date 2022-03-29
Name of individual signing KAREN M. LISH
KAREN M. LISH, M.D., P.C. PROFIT SHARING PLAN 2020 010608157 2021-10-05 KAREN M. LISH, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163747575
Plan sponsor’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557

Plan administrator’s name and address
Administrator’s EIN 010608157
Plan administrator’s name KAREN M. LISH, M.D., P.C.
Plan administrator’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557
Administrator’s telephone number 5163747575

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing KAREN M. LISH
KAREN M. LISH, M.D., P.C. PROFIT SHARING PLAN 2019 010608157 2020-09-11 KAREN M. LISH, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163747575
Plan sponsor’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557

Plan administrator’s name and address
Administrator’s EIN 010608157
Plan administrator’s name KAREN M. LISH, M.D., P.C.
Plan administrator’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557
Administrator’s telephone number 5163747575

Signature of
Role Plan administrator
Date 2020-09-11
Name of individual signing KAREN M. LISH
KAREN M. LISH, M.D., P.C. PROFIT SHARING PLAN 2018 010608157 2019-04-23 KAREN M. LISH, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163747575
Plan sponsor’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557

Plan administrator’s name and address
Administrator’s EIN 010608157
Plan administrator’s name KAREN M. LISH, M.D., P.C.
Plan administrator’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557
Administrator’s telephone number 5163747575

Signature of
Role Plan administrator
Date 2019-04-23
Name of individual signing KAREN M. LISH
KAREN M. LISH, M.D., P.C. PROFIT SHARING PLAN 2017 010608157 2018-05-22 KAREN M. LISH, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163747575
Plan sponsor’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557

Plan administrator’s name and address
Administrator’s EIN 010608157
Plan administrator’s name KAREN M. LISH, M.D., P.C.
Plan administrator’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557
Administrator’s telephone number 5163747575

Signature of
Role Plan administrator
Date 2018-05-22
Name of individual signing KAREN M. LISH
KAREN M. LISH, M.D., P.C. PROFIT SHARING PLAN 2016 010608157 2017-07-11 KAREN M. LISH, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163747575
Plan sponsor’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557

Plan administrator’s name and address
Administrator’s EIN 010608157
Plan administrator’s name KAREN M. LISH, M.D., P.C.
Plan administrator’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557
Administrator’s telephone number 5163747575

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing KAREN M. LISH
KAREN M. LISH, M.D., P.C. PROFIT SHARING PLAN 2015 010608157 2016-05-26 KAREN M. LISH, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163747575
Plan sponsor’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557

Plan administrator’s name and address
Administrator’s EIN 010608157
Plan administrator’s name KAREN M. LISH, M.D., P.C.
Plan administrator’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557
Administrator’s telephone number 5163747575

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing KAREN M. LISH
KAREN M. LISH, M.D., P.C. PROFIT SHARING PLAN 2014 010608157 2015-08-04 KAREN M. LISH, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163747575
Plan sponsor’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557

Plan administrator’s name and address
Administrator’s EIN 010608157
Plan administrator’s name KAREN M. LISH, M.D., P.C.
Plan administrator’s address 301 FRANKLIN AVENUE, HEWLETT, NY, 11557
Administrator’s telephone number 5163747575

Signature of
Role Plan administrator
Date 2015-08-04
Name of individual signing KAREN M. LISH

Chief Executive Officer

Name Role Address
KAREN M LISH MD Chief Executive Officer 301 FRANKLIN AVE, STE 1, HEWLETT, NY, United States, 11557

DOS Process Agent

Name Role Address
KAREN M. LISH, M.D., P.C. DOS Process Agent 301 FRANKLIN AVE, STE 1, HEWLETT, NY, United States, 11557

History

Start date End date Type Value
2024-02-01 2024-02-01 Address 301 FRANKLIN AVE, STE 1, HEWLETT, NY, 11557, USA (Type of address: Chief Executive Officer)
2008-03-12 2024-02-01 Address 301 FRANKLIN AVE, STE 1, HEWLETT, NY, 11557, USA (Type of address: Service of Process)
2008-03-12 2024-02-01 Address 301 FRANKLIN AVE, STE 1, HEWLETT, NY, 11557, USA (Type of address: Chief Executive Officer)
2004-02-17 2008-03-12 Address 1200 W BROADWAY / SUITE 10, HEWLETT, NY, 11557, USA (Type of address: Principal Executive Office)
2004-02-17 2008-03-12 Address 1200 W BROADWAY / SUITE 10, HEWLETT, NY, 11557, USA (Type of address: Chief Executive Officer)
2004-02-17 2008-03-12 Address 1200 W BROADWAY / SUITE 10, HEWLETT, NY, 11557, USA (Type of address: Service of Process)
2002-02-25 2024-02-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2002-02-25 2004-02-17 Address 1017 HAZEL PLACE, WOODMERE, NY, 11598, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240201044246 2024-02-01 BIENNIAL STATEMENT 2024-02-01
220817001567 2022-08-17 BIENNIAL STATEMENT 2022-02-01
211111001843 2021-11-11 BIENNIAL STATEMENT 2021-11-11
140404002080 2014-04-04 BIENNIAL STATEMENT 2014-02-01
120316003091 2012-03-16 BIENNIAL STATEMENT 2012-02-01
100304002626 2010-03-04 BIENNIAL STATEMENT 2010-02-01
080312003378 2008-03-12 BIENNIAL STATEMENT 2008-02-01
060303002022 2006-03-03 BIENNIAL STATEMENT 2006-02-01
040217002509 2004-02-17 BIENNIAL STATEMENT 2004-02-01
020225000128 2002-02-25 CERTIFICATE OF INCORPORATION 2002-02-25

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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