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ISLAND MEDICAL SPECIALISTS, PLLC

Company Details

Name: ISLAND MEDICAL SPECIALISTS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Jul 2003 (21 years ago)
Entity Number: 2928085
County: Richmond
Place of Formation: New York
Address: 347 EDISON ST, STATEN ISLAND, NY, United States, 10306
Address ZIP Code: 10306

Contact Details

Phone +1 718-698-8800

Phone +1 718-876-6220

Phone +1 718-226-9000

Phone +1 718-683-3955

Phone +1 718-351-1136

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ISLAND MEDICAL SPECIALISTS 401(K) PLAN 2023 200180304 2024-10-15 ISLAND MEDICAL SPECIALISTS 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7183512393
Plan sponsor’s address 347 EDISON ST, STATEN ISLAND, NY, 10306

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing LEONARD LEFKOVIC
Valid signature Filed with authorized/valid electronic signature
ISLAND MEDICAL SPECIALISTS 401(K) PLAN 2022 200180304 2023-10-17 ISLAND MEDICAL SPECIALISTS 57
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7183512393
Plan sponsor’s address 2627 HYLAN BLVD, SUITE C1 AND C2, STATEN ISLAND, NY, 10306

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing ARIEL SHEOLA
ISLAND MEDICAL SPECIALISTS 401(K) PLAN 2021 200180304 2022-10-17 ISLAND MEDICAL SPECIALISTS 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7183512393
Plan sponsor’s address 347 EDISON ST, STATEN ISLAND, NY, 10306

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing LEONARD LEFKOVIC
ISLAND MEDICAL SPECIALISTS 401(K) PLAN 2020 200180304 2021-09-01 ISLAND MEDICAL SPECIALISTS 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7183512393
Plan sponsor’s address 347 EDISON ST, STATEN ISLAND, NY, 10306

Signature of
Role Plan administrator
Date 2021-09-01
Name of individual signing LEONARD LEFKOVIC
ISLAND MEDICAL SPECIALISTS 401(K) PLAN 2019 200180304 2020-09-14 ISLAND MEDICAL SPECIALISTS 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7183512393
Plan sponsor’s address 347 EDISON ST, STATEN ISLAND, NY, 10306

Signature of
Role Plan administrator
Date 2020-09-14
Name of individual signing LEONARD LEFKOVIC
ISLAND MEDICAL SPECIALISTS 401(K) PLAN 2018 200180304 2019-10-10 ISLAND MEDICAL SPECIALISTS 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7183512393
Plan sponsor’s address 347 EDISON ST, STATEN ISLAND, NY, 10306

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing LEONARD LEFKOVIC
ISLAND MEDICAL SPECIALISTS 401(K) PLAN 2017 200180304 2018-07-16 ISLAND MEDICAL SPECIALISTS 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7186833955
Plan sponsor’s address 347 EDISON ST, STATEN ISLAND, NY, 10306

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing LEONARD LEFKOVIC
ISLAND MEDICAL SPECIALISTS 401(K) PLAN 2016 200180304 2017-09-27 ISLAND MEDICAL SPECIALISTS 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7186833955
Plan sponsor’s address 501 SEAVIEW AVENUE, SUITE 201, STATEN ISLAND, NY, 10305

Signature of
Role Plan administrator
Date 2017-09-27
Name of individual signing LEONARD LEFKOVIC
ISLAND MEDICAL SPECIALISTS 401(K) PLAN 2015 200180304 2016-07-19 ISLAND MEDICAL SPECIALISTS 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7186833955
Plan sponsor’s address 501 SEAVIEW AVENUE, SUITE 201, STATEN ISLAND, NY, 10305

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing LEONARD LEFKOVIC
ISLAND MEDICAL SPECIALISTS 401(K) PLAN 2014 200180304 2015-07-28 ISLAND MEDICAL SPECIALISTS 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7186833955
Plan sponsor’s address 501 SEAVIEW AVENUE, SUITE 201, STATEN ISLAND, NY, 10305

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing LEONARD LEFKOVIC

DOS Process Agent

Name Role Address
LEONARD LEFKOVIC M.D. DOS Process Agent 347 EDISON ST, STATEN ISLAND, NY, United States, 10306

History

Start date End date Type Value
2003-07-08 2011-08-08 Address ATTN: MORTON J. KLEINER, M.D., 347 EDISON STREET, STATEN ISLAND, NY, 10306, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130808002430 2013-08-08 BIENNIAL STATEMENT 2013-07-01
110808002229 2011-08-08 BIENNIAL STATEMENT 2011-07-01
090812003159 2009-08-12 BIENNIAL STATEMENT 2009-07-01
070723002294 2007-07-23 BIENNIAL STATEMENT 2007-07-01
050715002015 2005-07-15 BIENNIAL STATEMENT 2005-07-01
030905000127 2003-09-05 AFFIDAVIT OF PUBLICATION 2003-09-05
030905000126 2003-09-05 AFFIDAVIT OF PUBLICATION 2003-09-05
030708000648 2003-07-08 ARTICLES OF ORGANIZATION 2003-07-08

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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