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LAWRENCE MARC JACOBSON, MD, PLLC

Company Details

Name: LAWRENCE MARC JACOBSON, MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Mar 2002 (23 years ago)
Entity Number: 2745423
ZIP code: 10280
County: New York
Place of Formation: New York
Address: 21 SOUTH END AVE., SUITE PH1Y, NEW YORK, NY, United States, 10280

Contact Details

Phone +1 212-981-9812

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAWRENCE MARC JACOBSON MD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 043642161 2022-09-15 LAWRENCE MARC JACOBSON MD PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2129819812
Plan sponsor’s address 40 PARK AVE, NEW YORK, NY, 100163467

Signature of

Role Plan administrator
Date 2022-09-15
Name of individual signing LAWRENCE JACOBSON
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 043642161 2022-03-30 LAWRENCE MARC JACOBSON, MD, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2129819812
Plan sponsor’s address 40 PARK AVE, NEW YORK, NY, 100163467

Signature of

Role Plan administrator
Date 2022-03-30
Name of individual signing ANTHONY WARD AS ATTORNEY
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 043642161 2022-03-30 LAWRENCE MARC JACOBSON, MD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2129819812
Plan sponsor’s address 40 PARK AVE, NEW YORK, NY, 100163467

Signature of

Role Plan administrator
Date 2022-03-30
Name of individual signing ANTHONY WARD AS ATTORNEY
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 043642161 2022-03-30 LAWRENCE MARC JACOBSON, MD, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2129819812
Plan sponsor’s address 40 PARK AVE, NEW YORK, NY, 100163467

Signature of

Role Plan administrator
Date 2022-03-30
Name of individual signing ANTHONY WARD AS ATTORNEY
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 043642161 2022-03-30 LAWRENCE MARC JACOBSON, MD, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2129819812
Plan sponsor’s address 40 PARK AVE, NEW YORK, NY, 100163467

Signature of

Role Plan administrator
Date 2022-03-30
Name of individual signing ANTHONY WARD AS ATTORNEY
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 043642161 2022-03-30 LAWRENCE MARC JACOBSON, MD, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2129819812
Plan sponsor’s address 40 PARK AVE, NEW YORK, NY, 100163467

Signature of

Role Plan administrator
Date 2022-03-30
Name of individual signing ANTHONY WARD AS ATTORNEY
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 043642161 2022-03-30 LAWRENCE MARC JACOBSON, MD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2129819812
Plan sponsor’s address 40 PARK AVE, NEW YORK, NY, 100163467

Signature of

Role Plan administrator
Date 2022-03-30
Name of individual signing ANTHONY WARD AS ATTORNEY
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 043642161 2022-03-30 LAWRENCE MARC JACOBSON, MD, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2129819812
Plan sponsor’s address 40 PARK AVE, NEW YORK, NY, 100163467

Signature of

Role Plan administrator
Date 2022-03-30
Name of individual signing ANTHONY WARD AS ATTORNEY
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 043642161 2022-03-30 LAWRENCE MARC JACOBSON, MD, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2129819812
Plan sponsor’s address 40 PARK AVE, NEW YORK, NY, 100163467

Signature of

Role Plan administrator
Date 2022-03-30
Name of individual signing ANTHONY WARD AS ATTORNEY
LAWRENCE MARC JACOBSON, MD, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 043642161 2022-03-30 LAWRENCE MARC JACOBSON, MD, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 2129819812
Plan sponsor’s address 40 PARK AVE, NEW YORK, NY, 100163467

Signature of

Role Plan administrator
Date 2022-03-30
Name of individual signing ANTHONY WARD AS ATTORNEY

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 21 SOUTH END AVE., SUITE PH1Y, NEW YORK, NY, United States, 10280

Filings

Filing Number Date Filed Type Effective Date
030117000637 2003-01-17 AFFIDAVIT OF PUBLICATION 2003-01-17
030117000649 2003-01-17 AFFIDAVIT OF PUBLICATION 2003-01-17
020321000370 2002-03-21 ARTICLES OF ORGANIZATION 2002-03-21

Date of last update: 11 Nov 2024

Sources: New York Secretary of State