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  5. ANTHONY CAPPELLINO, M.D. P.C.

ANTHONY CAPPELLINO, M.D. P.C.

Company Details

Name: ANTHONY CAPPELLINO, M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Jan 2004 (21 years ago)
Entity Number: 3004144
ZIP code: 11782
County: Suffolk
Place of Formation: New York
Address: ANTHONY CAPPELLINO, 460 GREENE AVENUE, SAYVILLE, NY, United States, 11782
Principal Address: 60 FLEETS POINT DRIVE, WEST BABYLON, NY, United States, 11704

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
ANTHONY CAPPELLINO, M.D., P.C. 401(K) SAVINGS PLAN 2017 200657574 2018-09-18 ANTHONY CAPPELLINO, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313210033
Plan sponsor’s address 60 FLEETS POINT DRIVE, WEST BABYLON, NY, 11704
ANTHONY CAPPELLINO, M.D., P.C. 401(K) SAVINGS PLAN 2016 200657574 2017-09-29 ANTHONY CAPPELLINO, M.D., P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313210033
Plan sponsor’s address 60 FLEETS POINT DRIVE, WEST BABYLON, NY, 11704
ANTHONY CAPPELLINO, M.D., P.C. 401(K) SAVINGS PLAN 2015 200657574 2016-09-28 ANTHONY CAPPELLINO, M.D., P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313210033
Plan sponsor’s address 60 FLEETS POINT DRIVE, WEST BABYLON, NY, 11704
ANTHONY CAPPELLINO, M.D., P.C. 401(K) SAVINGS PLAN 2014 200657574 2015-10-02 ANTHONY CAPPELLINO, M.D., P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313210033
Plan sponsor’s address 60 FLEETS POINT DRIVE, WEST BABYLON, NY, 11704
ANTHONY CAPPELLINO, M.D., P.C. 401(K) SAVINGS PLAN 2013 200657574 2014-06-13 ANTHONY CAPPELLINO, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313210033
Plan sponsor’s address 60 FLEETS POINT DRIVE, WEST BABYLON, NY, 11704

Signature of
Role Plan administrator
Date 2014-06-13
Name of individual signing ANTHONY CAPPELLINO
ANTHONY CAPPELLINO, M.D., P.C. 401(K) SAVINGS PLAN 2012 200657574 2013-05-28 ANTHONY CAPPELLINO, M.D., P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313210033
Plan sponsor’s address 60 FLEETS POINT DRIVE, WEST BABYLON, NY, 11704

Signature of
Role Plan administrator
Date 2013-05-28
Name of individual signing ANTHONY CAPPELLINO
ANTHONY CAPPELLINO, M.D., P.C. 401(K) SAVINGS PLAN 2011 200657574 2012-10-12 ANTHONY CAPPELLINO, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313210033
Plan sponsor’s address 400 WEST MAIN STREET, SUITE 237, BABYLON, NY, 11702

Plan administrator’s name and address
Administrator’s EIN 200657574
Plan administrator’s name ANTHONY CAPPELLINO, M.D., P.C.
Plan administrator’s address 400 WEST MAIN STREET, SUITE 237, BABYLON, NY, 11702
Administrator’s telephone number 6313210033

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing JASON EVERT
ANTHONY CAPPELLINO, M.D., P.C. 401(K) SAVINGS PLAN 2010 200657574 2011-07-13 ANTHONY CAPPELLINO, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313210033
Plan sponsor’s address 400 WEST MAIN STREET, SUITE 237, BABYLON, NY, 11702

Plan administrator’s name and address
Administrator’s EIN 200657574
Plan administrator’s name ANTHONY CAPPELLINO, M.D., P.C.
Plan administrator’s address 400 WEST MAIN STREET, SUITE 237, BABYLON, NY, 11702
Administrator’s telephone number 6313210033

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing ANTHONY CAPPELLINO
ANTHONY CAPPELLINO, M.D., P.C. 401(K) SAVINGS PLAN 2009 200657574 2010-09-15 ANTHONY CAPPELLINO, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313210033
Plan sponsor’s address 400 WEST MAIN STREET, SUITE 237, BABYLON, NY, 11702

Plan administrator’s name and address
Administrator’s EIN 200657574
Plan administrator’s name ANTHONY CAPPELLINO, M.D., P.C.
Plan administrator’s address 400 WEST MAIN STREET, SUITE 237, BABYLON, NY, 11702
Administrator’s telephone number 6313210033

Signature of
Role Plan administrator
Date 2010-09-15
Name of individual signing ANTHONY CAPPELLINO

Chief Executive Officer

Name Role Address
ANTHONY CAPPELLINO, MD Chief Executive Officer 460 GREENE AVENUE, SAYVILLE, NY, United States, 11782

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ANTHONY CAPPELLINO, 460 GREENE AVENUE, SAYVILLE, NY, United States, 11782

History

Start date End date Type Value
2008-01-25 2015-04-22 Address 400 W MAIN STREET, BABYLON, NY, 11702, USA (Type of address: Principal Executive Office)
2006-05-04 2008-01-25 Address 460 GREENE AVE, SAYVILLE, NY, 11782, USA (Type of address: Chief Executive Officer)
2006-05-04 2008-01-25 Address 400 W MAIN ST, BABYLON, NY, 11702, USA (Type of address: Principal Executive Office)
2006-05-04 2008-01-25 Address ANTHONY CAPPELLINO, 460 GREENE AVE, SAYVILLE, NY, 11782, USA (Type of address: Service of Process)
2004-01-23 2006-05-04 Address ANTHONY CAPPELLINO, 460 GREENE AVE, SAYVILLE, NY, 11782, USA (Type of address: Service of Process)
2004-01-23 2024-09-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
150422006078 2015-04-22 BIENNIAL STATEMENT 2014-01-01
100329002512 2010-03-29 BIENNIAL STATEMENT 2010-01-01
080125003002 2008-01-25 BIENNIAL STATEMENT 2008-01-01
060504002533 2006-05-04 BIENNIAL STATEMENT 2006-01-01
040123000811 2004-01-23 CERTIFICATE OF INCORPORATION 2004-01-23

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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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