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  5. PETER J. MICELI M.D. P.C.

PETER J. MICELI M.D. P.C.

Company Details

Name: PETER J. MICELI M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 26 Nov 2003 (21 years ago)
Date of dissolution: 17 May 2018
Entity Number: 2982399
ZIP code: 10307
County: Richmond
Place of Formation: New York
Address: 20 TRICIA WAY, STATEN ISLAND, NY, United States, 10307
Principal Address: 1550 RICHMOND AVENUE, STATEN ISLAND, NY, United States, 10314

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
PETER J. MICELI, M.D., P.C. EMPLOYEES SAVINGS PLAN 2015 770613188 2016-04-26 PETER J. MICELI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189820480
Plan sponsor’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2016-04-26
Name of individual signing PETER J. MICELI
PETER J. MICELI, M.D., P.C. EMPLOYEES' SAVINGS PLAN 2015 770613188 2016-04-08 PETER J. MICELI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189820480
Plan sponsor’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2016-04-08
Name of individual signing PETER J. MICELI
PETER J. MICELI, M.D., P.C. EMPLOYEES' SAVINGS PLAN 2014 770613188 2015-07-27 PETER J. MICELI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189820480
Plan sponsor’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing PETER J. MICELI
PETER J. MICELI, M.D., P.C. EMPLOYEES' SAVINGS PLAN 2013 770613188 2014-10-08 PETER J. MICELI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189820480
Plan sponsor’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing PETER J. MICELI
PETER J. MICELI, M.D., P.C. EMPLOYEES' SAVINGS PLAN 2012 770613188 2013-07-17 PETER J. MICELI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189820480
Plan sponsor’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Plan administrator’s name and address
Administrator’s EIN 770613188
Plan administrator’s name PETER J. MICELI, M.D., P.C.
Plan administrator’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
Administrator’s telephone number 7189820480

Signature of
Role Plan administrator
Date 2013-07-17
Name of individual signing PETER J. MICELI
PETER J. MICELI, M.D., P.C. EMPLOYEES' SAVINGS PLAN 2011 770613188 2012-03-23 PETER J. MICELI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189820480
Plan sponsor’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Plan administrator’s name and address
Administrator’s EIN 770613188
Plan administrator’s name PETER J. MICELI, M.D., P.C.
Plan administrator’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
Administrator’s telephone number 7189820480

Signature of
Role Plan administrator
Date 2012-03-23
Name of individual signing PETER J. MICELI
Role Employer/plan sponsor
Date 2012-03-23
Name of individual signing PETER J. MICELI
PETER J. MICELI, M.D., P.C. EMPLOYEES' SAVINGS PLAN 2010 770613188 2011-06-11 PETER J. MICELI, M.D., P.C. 3
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189820480
Plan sponsor’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Plan administrator’s name and address
Administrator’s EIN 770613188
Plan administrator’s name PETER J. MICELI, M.D., P.C.
Plan administrator’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
Administrator’s telephone number 7189820480

Signature of
Role Employer/plan sponsor
Date 2011-06-11
Name of individual signing PETER J. MICELI
PETER J. MICELI, M.D., P.C. EMPLOYEES' SAVINGS PLAN 2010 770613188 2011-06-11 PETER J. MICELI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189820480
Plan sponsor’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Plan administrator’s name and address
Administrator’s EIN 770613188
Plan administrator’s name PETER J. MICELI, M.D., P.C.
Plan administrator’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
Administrator’s telephone number 7189820480

Signature of
Role Plan administrator
Date 2011-06-11
Name of individual signing PETER J. MICELI
Role Employer/plan sponsor
Date 2011-06-11
Name of individual signing PETER J. MICELI
PETER J. MICELI, M.D., P.C. EMPLOYEES' SAVINGS PLAN 2009 770613188 2010-09-16 PETER J. MICELI, M.D., P.C. 3
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189820480
Plan sponsor’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Plan administrator’s name and address
Administrator’s EIN 770613188
Plan administrator’s name PETER J. MICELI, M.D., P.C.
Plan administrator’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
Administrator’s telephone number 7189820480

Signature of
Role Employer/plan sponsor
Date 2010-09-16
Name of individual signing PETER MICELI
PETER J. MICELI, M.D., P.C. EMPLOYEES' SAVINGS PLAN 2009 770613188 2010-09-16 PETER J. MICELI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189820480
Plan sponsor’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Plan administrator’s name and address
Administrator’s EIN 770613188
Plan administrator’s name PETER J. MICELI, M.D., P.C.
Plan administrator’s address 1550 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
Administrator’s telephone number 7189820480

Signature of
Role Plan administrator
Date 2010-09-16
Name of individual signing PETER J. MICELI
Role Employer/plan sponsor
Date 2010-09-16
Name of individual signing PETER MICELI

Chief Executive Officer

Name Role Address
PETER J MICELI Chief Executive Officer 1550 RICHMOND AVENUE, STATEN ISLAND, NY, United States, 10314

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 20 TRICIA WAY, STATEN ISLAND, NY, United States, 10307

Filings

Filing Number Date Filed Type Effective Date
180517000280 2018-05-17 CERTIFICATE OF DISSOLUTION 2018-05-17
151112006400 2015-11-12 BIENNIAL STATEMENT 2015-11-01
131112007180 2013-11-12 BIENNIAL STATEMENT 2013-11-01
111118002502 2011-11-18 BIENNIAL STATEMENT 2011-11-01
091102002048 2009-11-02 BIENNIAL STATEMENT 2009-11-01
071108002066 2007-11-08 BIENNIAL STATEMENT 2007-11-01
060111002850 2006-01-11 BIENNIAL STATEMENT 2005-11-01
031126000291 2003-11-26 CERTIFICATE OF INCORPORATION 2003-11-26

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

1550 RICHMOND AVENUE, STATEN ISLAND, NY, United States, 10314

CARY GOLDSMAN, M.D., P.C. JOHN M. PEPE, M.D., P.L.L.C. PATRICIA C. MCCORMACK MD, P.C. PATRICIA C. MCCORMACK, M.D., PLLC

Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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