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JITENDRA K. PATEL PHYSICIAN P.C.

Company Details

Name: JITENDRA K. PATEL PHYSICIAN P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Feb 2004 (21 years ago)
Entity Number: 3017207
ZIP code: 11568
County: Kings
Place of Formation: New York
Address: 3 COLT PLACE, OLD WESTBURY, NY, United States, 11568

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
JITENDRA K. PATEL, PHYSICIAN, P.C. DEFINED BENEFIT PENSION PLAN 2012 200889282 2013-06-20 JITENDRA K. PATEL, PHYSICIAN, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 5166268318
Plan sponsor’s address 3 COLT PLACE, OLD WESTBURY, NY, 115681101

Signature of

Role Plan administrator
Date 2013-06-20
Name of individual signing SCOTT MARIN
JITENDRA K. PATEL, PHYSICIAN, P.C. DEFINED BENEFIT PENSION PLAN 2011 200889282 2012-07-09 JITENDRA K. PATEL, PHYSICIAN, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 5166268318
Plan sponsor’s address 3 COLT PLACE, OLD WESTBURY, NY, 115681101

Plan administrator’s name and address

Administrator’s EIN 200889282
Plan administrator’s name JITENDRA K. PATEL, PHYSICIAN, P.C.
Plan administrator’s address 3 COLT PLACE, OLD WESTBURY, NY, 115681101
Administrator’s telephone number 5166268318

Signature of

Role Plan administrator
Date 2012-07-09
Name of individual signing SCOTT MARIN
JITENDRA K. PATEL, PHYSICIAN, P.C. DEFINED BENEFIT PENSION PLAN 2010 200889282 2011-10-15 JITENDRA K. PATEL, PHYSICIAN, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 5166268318
Plan sponsor’s address 3 COLT PLACE, OLD WESTBURY, NY, 115681101

Plan administrator’s name and address

Administrator’s EIN 200889282
Plan administrator’s name JITENDRA K. PATEL, PHYSICIAN, P.C.
Plan administrator’s address 3 COLT PLACE, OLD WESTBURY, NY, 115681101
Administrator’s telephone number 5166268318

Signature of

Role Plan administrator
Date 2011-10-15
Name of individual signing SCOTT MARIN
JITENDRA K. PATEL, PHYSICIAN, P.C. DEFINED BENEFIT PENSION PLAN 2009 200889282 2010-09-29 JITENDRA K. PATEL, PHYSICIAN, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 5166268318
Plan sponsor’s address 3 COLT PLACE, OLD WESTBURY, NY, 11568

Plan administrator’s name and address

Administrator’s EIN 200889282
Plan administrator’s name JITENDRA K. PATEL, PHYSICIAN, P.C.
Plan administrator’s address 3 COLT PLACE, OLD WESTBURY, NY, 11568
Administrator’s telephone number 5166268318

Signature of

Role Plan administrator
Date 2010-09-29
Name of individual signing SCOTT MARIN

Chief Executive Officer

Name Role Address
JITENDRA K. PATEL Chief Executive Officer 3 COLT PLACE, OLD WESTBURY, NY, United States, 11568

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3 COLT PLACE, OLD WESTBURY, NY, United States, 11568

History

Start date End date Type Value
2006-02-27 2008-01-31 Address 3 COLT PLACE, OLD WESTBURY, NY, 11568, USA (Type of address: Chief Executive Officer)
2006-02-27 2008-01-31 Address 3 COLT PLACE, OLD WESTBURY, NY, 11568, USA (Type of address: Principal Executive Office)
2004-02-24 2008-01-31 Address 3 COLT PLACE, OLD WESTBURY, NY, 11568, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140404002119 2014-04-04 BIENNIAL STATEMENT 2014-02-01
120305002078 2012-03-05 BIENNIAL STATEMENT 2012-02-01
100308002489 2010-03-08 BIENNIAL STATEMENT 2010-02-01
080131002631 2008-01-31 BIENNIAL STATEMENT 2008-02-01
060227002940 2006-02-27 BIENNIAL STATEMENT 2006-02-01
040224000539 2004-02-24 CERTIFICATE OF INCORPORATION 2004-02-24

Date of last update: 28 Nov 2024

Sources: New York Secretary of State