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RICHARD S. OBEDIAN, M.D., PLLC

Company Details

Name: RICHARD S. OBEDIAN, M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Jan 2004 (21 years ago)
Entity Number: 2999014
ZIP code: 10105
County: Nassau
Place of Formation: New York
Address: ATTN: MARSHALL J. GLUCK, ESQ., 1345 AVE OF THE AMERICAS, NEW YORK, NY, United States, 10105

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN 2017 200246444 2018-10-03 RICHARD S. OBEDIAN, M.D., PLLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5169334350
Plan sponsor’s address PO BOX 1118, SYOSSET, NY, 11791

Signature of

Role Plan administrator
Date 2018-10-03
Name of individual signing RICHARD OBEDIAN
Role Employer/plan sponsor
Date 2018-10-03
Name of individual signing RICHARD OBEDIAN
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN 2016 200246444 2017-09-05 RICHARD S. OBEDIAN, M.D., PLLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5169334350
Plan sponsor’s address PO BOX 1118, SYOSSET, NY, 11791

Signature of

Role Plan administrator
Date 2017-09-05
Name of individual signing RICHARD OBEDIAN
Role Employer/plan sponsor
Date 2017-09-05
Name of individual signing RICHARD OBEDIAN
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN 2015 200246444 2016-09-14 RICHARD S. OBEDIAN, M.D., PLLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5169334350
Plan sponsor’s address PO BOX 1118, SYOSSET, NY, 11791

Signature of

Role Plan administrator
Date 2016-09-14
Name of individual signing RICHARD OBEDIAN
Role Employer/plan sponsor
Date 2016-09-14
Name of individual signing RICHARD OBEDIAN
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN 2014 200246444 2015-09-16 RICHARD S. OBEDIAN, M.D., PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5169334350
Plan sponsor’s address 81 N. BROADWAY, HICKSVILLE, NY, 11801

Signature of

Role Plan administrator
Date 2015-09-16
Name of individual signing RICHARD OBEDIAN
Role Employer/plan sponsor
Date 2015-09-16
Name of individual signing RICHARD OBEDIAN
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN 2013 200246444 2014-09-22 RICHARD S. OBEDIAN, M.D., PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5169334350
Plan sponsor’s address 81 N. BROADWAY, HICKSVILLE, NY, 11801

Signature of

Role Plan administrator
Date 2014-09-22
Name of individual signing RICHARD OBEDIAN
Role Employer/plan sponsor
Date 2014-09-22
Name of individual signing RICHARD OBEDIAN
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN 2012 200246444 2013-10-14 RICHARD S. OBEDIAN, M.D., PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5169334350
Plan sponsor’s address 81 N. BROADWAY, HICKSVILLE, NY, 11801

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing RICHARD OBEDIAN
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing RICHARD OBEDIAN
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN 2011 200246444 2012-10-10 RICHARD S. OBEDIAN, M.D., PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5169334350
Plan sponsor’s address 305 CIRCLE ROAD, SYOSSET, NY, 11791

Plan administrator’s name and address

Administrator’s EIN 200246444
Plan administrator’s name RICHARD S. OBEDIAN, M.D., PLLC
Plan administrator’s address 305 CIRCLE ROAD, SYOSSET, NY, 11791
Administrator’s telephone number 5169334350

Signature of

Role Plan administrator
Date 2012-10-10
Name of individual signing ROYA OBEDIAN
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing ROYA OBEDIAN
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN 2010 200246444 2011-10-14 RICHARD S. OBEDIAN, M.D., PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5169334350
Plan sponsor’s address 305 CIRCLE ROAD, SYOSSET, NY, 11791

Plan administrator’s name and address

Administrator’s EIN 200246444
Plan administrator’s name RICHARD S. OBEDIAN, M.D., PLLC
Plan administrator’s address 305 CIRCLE ROAD, SYOSSET, NY, 11791
Administrator’s telephone number 5169334350

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing ROYA OBEDIAN
Role Employer/plan sponsor
Date 2011-10-14
Name of individual signing ROYA OBEDIAN
RICHARD S. OBEDIAN, M.D., PLLC 401(K) PROFIT SHARING PLAN 2009 200246444 2010-09-23 RICHARD S. OBEDIAN, M.D., PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5169334350
Plan sponsor’s address 305 CIRCLE ROAD, SYOSSET, NY, 11791

Plan administrator’s name and address

Administrator’s EIN 200246444
Plan administrator’s name RICHARD S. OBEDIAN, M.D., PLLC
Plan administrator’s address 305 CIRCLE ROAD, SYOSSET, NY, 11791
Administrator’s telephone number 5169334350

Signature of

Role Plan administrator
Date 2010-09-23
Name of individual signing ROYA OBEDIAN
Role Employer/plan sponsor
Date 2010-09-23
Name of individual signing ROYA OBEDIAN

DOS Process Agent

Name Role Address
ROBINSON BROG LEINWAND GREENE GENOVESE & GLUCK P.C. DOS Process Agent ATTN: MARSHALL J. GLUCK, ESQ., 1345 AVE OF THE AMERICAS, NEW YORK, NY, United States, 10105

Filings

Filing Number Date Filed Type Effective Date
100204002158 2010-02-04 BIENNIAL STATEMENT 2010-01-01
080131002215 2008-01-31 BIENNIAL STATEMENT 2008-01-01
060216002048 2006-02-16 BIENNIAL STATEMENT 2006-01-01
040113000035 2004-01-13 ARTICLES OF ORGANIZATION 2004-01-13

Date of last update: 10 Nov 2024

Sources: New York Secretary of State