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NORTH SHORE NEPHROLOGY, P.C.

Company Details

Name: NORTH SHORE NEPHROLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 May 2002 (22 years ago)
Entity Number: 2770646
County: Nassau
Place of Formation: New York
Address: 1129 NORTHERN BLLVD STE 101, MANHASSET, NY, United States, 11030
Address ZIP Code: 11030
Principal Address: 1129 NORTHERN BLVD STE 101, MANHASSET, NY, United States, 11030
Principal Address ZIP Code: 11030

Contact Details

Phone +1 516-365-5570

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
NORTH SHORE NEPHROLOGY, P.C. RETIREMENT PLAN 2019 010681206 2020-06-26 NORTH SHORE NEPHROLOGY, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163655570
Plan sponsor’s address 1129 NORTHERN BLVD., SUITE 101, MANHASSET, NY, 11030

Signature of
Role Plan administrator
Date 2020-06-26
Name of individual signing SIMON PRINCE
Role Employer/plan sponsor
Date 2020-06-26
Name of individual signing SIMON PRINCE
NORTH SHORE NEPHROLOGY, P.C. RETIREMENT PLAN 2018 010681206 2019-05-23 NORTH SHORE NEPHROLOGY, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163655570
Plan sponsor’s address 1129 NORTHERN BLVD., SUITE 101, MANHASSET, NY, 11030

Signature of
Role Plan administrator
Date 2019-05-23
Name of individual signing SIMON PRINCE
Role Employer/plan sponsor
Date 2019-05-23
Name of individual signing SIMON PRINCE
NORTH SHORE NEPHROLOGY, P.C. RETIREMENT PLAN 2017 010681206 2018-03-30 NORTH SHORE NEPHROLOGY, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163655570
Plan sponsor’s address 1129 NORTHERN BLVD., SUITE 101, MANHASSET, NY, 11030

Signature of
Role Plan administrator
Date 2018-03-30
Name of individual signing SIMON PRINCE
Role Employer/plan sponsor
Date 2018-03-30
Name of individual signing SIMON PRINCE
NORTH SHORE NEPHROLOGY, P.C. RETIREMENT PLAN 2016 010681206 2017-03-04 NORTH SHORE NEPHROLOGY, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163655570
Plan sponsor’s address 1129 NORTHERN BLVD., SUITE 101, MANHASSET, NY, 11030

Signature of
Role Plan administrator
Date 2017-03-04
Name of individual signing SIMON PRINCE
Role Employer/plan sponsor
Date 2017-03-04
Name of individual signing SIMON PRINCE
NORTH SHORE NEPHROLOGY, P.C. RETIREMENT PLAN 2015 010681206 2016-07-11 NORTH SHORE NEPHROLOGY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163655570
Plan sponsor’s address 1129 NORTHERN BLVD., SUITE 101, MANHASSET, NY, 11030

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing SIMON PRINCE
Role Employer/plan sponsor
Date 2016-07-11
Name of individual signing SIMON PRINCE
NORTH SHORE NEPHROLOGY, P.C. RETIREMENT PLAN 2014 010681206 2015-05-28 NORTH SHORE NEPHROLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163655570
Plan sponsor’s address 1129 NORTHERN BLVD., SUITE 101, MANHASSET, NY, 11030

Signature of
Role Plan administrator
Date 2015-05-28
Name of individual signing SIMON PRINCE
Role Employer/plan sponsor
Date 2015-05-28
Name of individual signing SIMON PRINCE
NORTH SHORE NEPHROLOGY, P.C. RETIREMENT PLAN 2013 010681206 2014-02-18 NORTH SHORE NEPHROLOGY, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163655570
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 304, MANHASSET, NY, 11030

Signature of
Role Plan administrator
Date 2014-02-18
Name of individual signing SIMON PRINCE
Role Employer/plan sponsor
Date 2014-02-18
Name of individual signing SIMON PRINCE
NORTH SHORE NEPHROLOGY, P.C. RETIREMENT PLAN 2012 010681206 2013-04-18 NORTH SHORE NEPHROLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163655570
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 304, MANHASSET, NY, 11030

Signature of
Role Plan administrator
Date 2013-04-18
Name of individual signing SIMON PRINCE
Role Employer/plan sponsor
Date 2013-04-18
Name of individual signing SIMON PRINCE
NORTH SHORE NEPHROLOGY, P.C. RETIREMENT PLAN 2011 010681206 2012-05-08 NORTH SHORE NEPHROLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163655570
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 304, MANHASSET, NY, 11030

Plan administrator’s name and address
Administrator’s EIN 010681206
Plan administrator’s name NORTH SHORE NEPHROLOGY, P.C.
Plan administrator’s address 1165 NORTHERN BLVD., SUITE 304, MANHASSET, NY, 11030
Administrator’s telephone number 5163655570

Signature of
Role Plan administrator
Date 2012-05-08
Name of individual signing SIMON PRINCE
Role Employer/plan sponsor
Date 2012-05-08
Name of individual signing SIMON PRINCE
NORTH SHORE NEPHROLOGY, P.C. RETIREMENT PLAN 2010 010681206 2011-05-12 NORTH SHORE NEPHROLOGY, P.C. 13
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5163655570
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 304, MANHASSET, NY, 11030

Plan administrator’s name and address
Administrator’s EIN 010681206
Plan administrator’s name NORTH SHORE NEPHROLOGY, P.C.
Plan administrator’s address 1165 NORTHERN BLVD., SUITE 304, MANHASSET, NY, 11030
Administrator’s telephone number 5163655570

Signature of
Role Plan administrator
Date 2011-05-12
Name of individual signing SIMON PRINCE
Role Employer/plan sponsor
Date 2011-05-12
Name of individual signing SIMON PRINCE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1129 NORTHERN BLLVD STE 101, MANHASSET, NY, United States, 11030

Chief Executive Officer

Name Role Address
DR. SIMON PRINCE Chief Executive Officer 1129 NORTHERN BLVD STE 101, MANHASSET, NY, United States, 11030

History

Start date End date Type Value
2004-05-13 2012-06-21 Address 1165 NORTHERN BLVD. SUITE 304, MANHASSET, NY, 11030, USA (Type of address: Chief Executive Officer)
2004-05-13 2012-06-21 Address 1165 NORTHERN BLVD. SUITE 304, MANHASSET, NY, 11030, USA (Type of address: Principal Executive Office)
2004-05-13 2012-06-21 Address 1165 NORTHERN BOULEVARD, MANHASSET, NY, 11030, USA (Type of address: Service of Process)
2002-05-23 2023-07-08 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2002-05-23 2004-05-13 Address 1165 NORTHERN BOULEVARD, MANHASSET, NY, 00000, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120621002326 2012-06-21 BIENNIAL STATEMENT 2012-05-01
100525002375 2010-05-25 BIENNIAL STATEMENT 2010-05-01
080514002871 2008-05-14 BIENNIAL STATEMENT 2008-05-01
040513002417 2004-05-13 BIENNIAL STATEMENT 2004-05-01
020708000528 2002-07-08 CERTIFICATE OF AMENDMENT 2002-07-08
020523000257 2002-05-23 CERTIFICATE OF INCORPORATION 2002-05-23

Related by officers

THE CORPORATION

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DR. SIMON PRINCE

PRINE HEALTH MSO, LLC

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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