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  5. SAAD A. SHUKRI, M.D., P.C.

SAAD A. SHUKRI, M.D., P.C.

Company Details

Name: SAAD A. SHUKRI, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Sep 2002 (22 years ago)
Entity Number: 2809601
ZIP code: 11772
County: Suffolk
Place of Formation: New York
Address: 286 SILLS ROAD, Suite 3, PATCHOGUE, NY, United States, 11772
Principal Address: 3 LODGE LANE, PORT JEFFERSON, NY, United States, 11777

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
SAAD SHUKRI 401(K) PROFIT SHARING PLAN 2018 043709347 2019-07-16 SAAD A. SHUKRI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6314478697
Plan sponsor’s address 286 SILLS ROAD, SUITE 3, PATCHOGUE, NY, 11772
SAAD SHUKRI 401(K) PROFIT SHARING PLAN 2017 043709347 2018-09-21 SAAD A. SHUKRI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6314478697
Plan sponsor’s address 286 SILLS ROAD, SUITE 3, PATCHOGUE, NY, 11772
SAAD SHUKRI 401(K) PROFIT SHARING PLAN 2016 043709347 2017-07-21 SAAD A. SHUKRI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6314478697
Plan sponsor’s address 286 SILLS ROAD, SUITE 3, PATCHOGUE, NY, 11772
SAAD SHUKRI 401(K) PROFIT SHARING PLAN 2015 043709347 2016-08-02 SAAD A. SHUKRI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6314478697
Plan sponsor’s address 286 SILLS ROAD, SUITE 3, PATCHOGUE, NY, 11772

Plan administrator’s name and address
Administrator’s EIN 043709347
Plan administrator’s name SAAD A. SHUKRI, M.D., P.C.
Plan administrator’s address 286 SILLS ROAD, SUITE 3, PATCHOGUE, NY, 11772
Administrator’s telephone number 6314478697
SAAD SHUKRI 401(K) PROFIT SHARING PLAN 2014 043709347 2015-10-15 SAAD A. SHUKRI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6314478697
Plan sponsor’s address 286 SILLS ROAD, SUITE 3, PATCHOGUE, NY, 11772

Plan administrator’s name and address
Administrator’s EIN 043709347
Plan administrator’s name SAAD A. SHUKRI, M.D., P.C.
Plan administrator’s address 286 SILLS ROAD, SUITE 3, PATCHOGUE, NY, 11772
Administrator’s telephone number 6314478697

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing SAAD SHUKRI
SAAD SHUKRI 401(K) PROFIT SHARING PLAN 2013 043709347 2014-10-09 SAAD A. SHUKRI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6314478697
Plan sponsor’s address 286 SILLS ROAD, SUITE 3, PATCHOGUE, NY, 11772

Plan administrator’s name and address
Administrator’s EIN 043709347
Plan administrator’s name SAAD A. SHUKRI, M.D., P.C.
Plan administrator’s address 286 SILLS ROAD, SUITE 3, PATCHOGUE, NY, 11772
Administrator’s telephone number 6314478697

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing SAAD SHUKRI

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 286 SILLS ROAD, Suite 3, PATCHOGUE, NY, United States, 11772

Chief Executive Officer

Name Role Address
SAAD A. SHUKRI Chief Executive Officer 286 SILLS RD, SUITE 3, PATCHOGUE, NY, United States, 11772

History

Start date End date Type Value
2004-10-26 2008-09-10 Address 285 SILLS RD /BLDG 2 /SUITE D, PATCHOGUE, NY, 11772, USA (Type of address: Chief Executive Officer)
2004-10-26 2018-09-06 Address 106 GLENWOOD LANE, PORT JEFFERSON, NY, 11777, USA (Type of address: Principal Executive Office)
2002-09-10 2007-01-22 Address 285 SILLS RD., BLDG. 2 STE. D, PATCHOGUE, NY, 11772, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211123001497 2021-11-23 BIENNIAL STATEMENT 2021-11-23
180906006752 2018-09-06 BIENNIAL STATEMENT 2018-09-01
140925006311 2014-09-25 BIENNIAL STATEMENT 2014-09-01
121005002116 2012-10-05 BIENNIAL STATEMENT 2012-09-01
100928002108 2010-09-28 BIENNIAL STATEMENT 2010-09-01
080910002887 2008-09-10 BIENNIAL STATEMENT 2008-09-01
070122000683 2007-01-22 CERTIFICATE OF AMENDMENT 2007-01-22
060913002160 2006-09-13 BIENNIAL STATEMENT 2006-09-01
041026002153 2004-10-26 BIENNIAL STATEMENT 2004-09-01
020910000104 2002-09-10 CERTIFICATE OF INCORPORATION 2002-09-10

Related by officers

THE CORPORATION

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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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