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BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C.

Company Details

Name: BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Sep 2003 (21 years ago) (Companies founded in September 2003)
Entity Number: 2957000
ZIP code: 11717 (Companies in Suffolk, 11717)
County: Suffolk
Place of Formation: New York
Principal Address: 27 WICKS RD, BRENTWOOD, NY, United States, 11717
Address: 27 WICKS ROAD, BRENTWOOD, NY, United States, 11717

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
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 401(K) PLAN 2023 200257463 2024-06-03 BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 6312315070
Plan sponsor’s address 1464 5TH AVE., BAY SHORE, NY, 11706

Signature of

Role Plan administrator
Date 2024-05-30
Name of individual signing JUAN ESPINOZA
Role Employer/plan sponsor
Date 2024-05-30
Name of individual signing JUAN ESPINOZA
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 401(K) PLAN 2022 200257463 2023-06-28 BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 6312315070
Plan sponsor’s address 1464 5TH AVE., BAY SHORE, NY, 11706

Signature of

Role Plan administrator
Date 2023-06-26
Name of individual signing JUAN ESPINOZA
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 401(K) PLAN 2021 200257463 2022-08-16 BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 6312315070
Plan sponsor’s address 1464 5TH AVE., BAY SHORE, NY, 11706

Signature of

Role Plan administrator
Date 2022-08-16
Name of individual signing JUAN ESPINOZA
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 401(K) PLAN 2020 200257463 2021-06-28 BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 6312315070
Plan sponsor’s address 1464 5TH AVE., BAY SHORE, NY, 11706

Signature of

Role Plan administrator
Date 2021-06-28
Name of individual signing JUAN ESPINOZA
BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 401(K) PLAN 2019 200257463 2020-07-23 BRENTWOOD PEDIATRIC AND ADOLESCENT ASSOCIATES, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 6312315070
Plan sponsor’s address 1464 5TH AVE., BAY SHORE, NY, 11706

Signature of

Role Plan administrator
Date 2020-07-23
Name of individual signing JUAN ESPINOZA

Chief Executive Officer

Name Role Address
JUAN C ESPINOZA MD Chief Executive Officer 27 WICKS ROAD, BRENTWOOD, NY, United States, 11717

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 27 WICKS ROAD, BRENTWOOD, NY, United States, 11717

History

Start date End date Type Value
2003-09-23 2005-04-14 Address 27 WICKS ROAD, BRENTWOOD, NY, 11717, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
110207002980 2011-02-07 BIENNIAL STATEMENT 2009-09-01
060110003214 2006-01-10 BIENNIAL STATEMENT 2005-09-01
050414000725 2005-04-14 CERTIFICATE OF AMENDMENT 2005-04-14
030923000195 2003-09-23 CERTIFICATE OF INCORPORATION 2003-09-23

Date of last update: 10 Nov 2024

Sources: New York Secretary of State