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  5. FREDRIC J. MINTZ, M.D., P.C.

FREDRIC J. MINTZ, M.D., P.C.

Company Details

Name: FREDRIC J. MINTZ, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Apr 2002 (23 years ago)
Entity Number: 2754383
ZIP code: 10028
County: Nassau
Place of Formation: New York
Address: 11 EAST 86TH ST, APT 8C, NEW YORK, NY, United States, 10028

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
FREDRIC J. MINTZ, M.D. P.C. PROFIT SHARING PLAN AND TRUST 2023 030432581 2024-03-28 FREDRIC J. MINTZ, M.D. P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5166820001
Plan sponsor’s address 11 EAST 86TH STREET, APT. 8C, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2024-03-28
Name of individual signing LESLIE BERMAN
FREDRIC J. MINTZ, M.D. P.C. PROFIT SHARING PLAN AND TRUST 2022 030432581 2023-04-25 FREDRIC J. MINTZ, M.D. P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5166820001
Plan sponsor’s address 11 EAST 86TH STREET, APT. 8C, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2023-04-25
Name of individual signing LESLIE BERMAN
FREDRIC J. MINTZ, M.D. P.C. PROFIT SHARING PLAN AND TRUST 2021 030432581 2022-04-06 FREDRIC J. MINTZ, M.D. P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5166820001
Plan sponsor’s address 11 EAST 86TH STREET, APT. 8C, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2022-04-06
Name of individual signing LESLIE BERMAN
FREDRIC J. MINTZ, M.D. P.C. PROFIT SHARING PLAN AND TRUST 2020 030432581 2021-04-07 FREDRIC J. MINTZ, M.D. P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5166820001
Plan sponsor’s address 11 EAST 86TH STREET, APT. 8C, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2021-04-07
Name of individual signing LESLIE BERMAN
FREDRIC J. MINTZ, M.D. P.C. PROFIT SHARING PLAN AND TRUST 2019 030432581 2020-03-18 FREDRIC J. MINTZ, M.D. P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5166820001
Plan sponsor’s address 11 EAST 86TH STREET, APT. 8C, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2020-03-18
Name of individual signing LESLIE BERMAN
FREDRIC J. MINTZ, M.D. P.C. PROFIT SHARING PLAN AND TRUST 2018 030432581 2019-03-06 FREDRIC J. MINTZ, M.D. P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5166820001
Plan sponsor’s address 11 EAST 86TH STREET, APT. 8C, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2019-03-06
Name of individual signing LESLIE BERMAN

DOS Process Agent

Name Role Address
FREDRIC J MINTZ, MD DOS Process Agent 11 EAST 86TH ST, APT 8C, NEW YORK, NY, United States, 10028

Chief Executive Officer

Name Role Address
FREDRIC J MINTZ, MD Chief Executive Officer 175 JERICHO TPKE, STE 217, SYOSSET, NY, United States, 11791

History

Start date End date Type Value
2012-06-05 2014-06-18 Address 175 JERICHO TURNPIKE, STE 217, SYOSSET, NY, 11791, USA (Type of address: Chief Executive Officer)
2004-04-20 2012-06-05 Address 175 JERICHO TURNPIKE, SUITE 217, SYOSSET, NY, 11791, USA (Type of address: Chief Executive Officer)
2004-04-20 2012-06-05 Address 11 EAST 86TH ST APT 8C, NEW YORK, NY, 10028, USA (Type of address: Principal Executive Office)
2004-04-20 2012-06-05 Address 11 EAST 86TH ST APT 8C, NEW YORK, NY, 10028, USA (Type of address: Service of Process)
2002-04-12 2004-04-20 Address 20 FIR DRIVE, GREAT NECK, NY, 11024, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140618002250 2014-06-18 BIENNIAL STATEMENT 2014-04-01
120605003058 2012-06-05 BIENNIAL STATEMENT 2012-04-01
100422003636 2010-04-22 BIENNIAL STATEMENT 2010-04-01
080411002219 2008-04-11 BIENNIAL STATEMENT 2008-04-01
060419003118 2006-04-19 BIENNIAL STATEMENT 2006-04-01
040420002751 2004-04-20 BIENNIAL STATEMENT 2004-04-01
020412000446 2002-04-12 CERTIFICATE OF INCORPORATION 2002-04-12

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 29 Nov 2024

Sources: New York Secretary of State

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