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  5. LONG ISLAND LAPAROSCOPIC SURGERY, PLLC

LONG ISLAND LAPAROSCOPIC SURGERY, PLLC

Company Details

Name: LONG ISLAND LAPAROSCOPIC SURGERY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Apr 2004 (21 years ago)
Entity Number: 3037993
ZIP code: 11777
County: Suffolk
Place of Formation: New York
Address: SUITE 202, 625 BELLE TERRE ROAD, PORT JEFFERSON, NY, United States, 11777

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LONG ISLAND LAPAROSCOPIC SURGERY PLLC 401K PROFIT SHARING PLAN 2023 201014889 2024-09-11 LONG ISLAND LAPAROSCOPIC SURGERY PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6316890220
Plan sponsor’s address 625 BELLE TERRE RD SUITE 202, PORT JEFFERSON, NY, 11777

Signature of
Role Plan administrator
Date 2024-09-12
Name of individual signing ARIF AHMAD
Valid signature Filed with authorized/valid electronic signature
LONG ISLAND LAPAROSCOPIC SURGERY PLLC DEFINED BENEFIT PLAN 2023 201014889 2024-09-11 LONG ISLAND LAPAROSCOPIC SURGERY PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6316890220
Plan sponsor’s address 625 BELLE TERRE RD SUITE 202, PORT JEFFERSON, NY, 11777

Signature of
Role Plan administrator
Date 2024-09-12
Name of individual signing ARIF AHMAD
Valid signature Filed with authorized/valid electronic signature
LONG ISLAND LAPAROSCOPIC SURGERY PLLC DEFINED BENEFIT PLAN 2022 201014889 2023-08-28 LONG ISLAND LAPAROSCOPIC SURGERY PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6316890220
Plan sponsor’s address 625 BELLE TERRE RD SUITE 202, PORT JEFFERSON, NY, 11777

Signature of
Role Plan administrator
Date 2023-08-29
Name of individual signing ARIF AHMAD
LONG ISLAND LAPAROSCOPIC SURGERY PLLC 401K PROFIT SHARING PLAN 2022 201014889 2023-08-28 LONG ISLAND LAPAROSCOPIC SURGERY PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6316890220
Plan sponsor’s address 625 BELLE TERRE RD SUITE 202, PORT JEFFERSON, NY, 11777

Signature of
Role Plan administrator
Date 2023-08-29
Name of individual signing ARIF AHMAD
LONG ISLAND LAPAROSCOPIC SURGERY PLLC DEFINED BENEFIT PLAN 2021 201014889 2022-09-19 LONG ISLAND LAPAROSCOPIC SURGERY PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6316890220
Plan sponsor’s address 625 BELLE TERRE RD SUITE 202, PORT JEFFERSON, NY, 11777

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing ARIF AHMAD
LONG ISLAND LAPAROSCOPIC SURGERY PLLC 401K PROFIT SHARING PLAN 2021 201014889 2022-09-19 LONG ISLAND LAPAROSCOPIC SURGERY PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6316890220
Plan sponsor’s address 625 BELLE TERRE RD SUITE 202, PORT JEFFERSON, NY, 11777

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing ARIF AHMAD
LONG ISLAND LAPAROSCOPIC SURGERY PLLC DEFINED BENEFIT PLAN 2020 201014889 2021-08-13 LONG ISLAND LAPAROSCOPIC SURGERY PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6316890220
Plan sponsor’s address 625 BELLE TERRE RD SUITE 202, PORT JEFFERSON, NY, 11777

Signature of
Role Plan administrator
Date 2021-08-13
Name of individual signing ARIF AHMAD
LONG ISLAND LAPAROSCOPIC SURGERY PLLC 401K PROFIT SHARING PLAN 2020 201014889 2021-08-13 LONG ISLAND LAPAROSCOPIC SURGERY PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6316890220
Plan sponsor’s address 625 BELLE TERRE RD SUITE 202, PORT JEFFERSON, NY, 11777

Signature of
Role Plan administrator
Date 2021-08-13
Name of individual signing ARIF AHMAD
LONG ISLAND LAPAROSCOPIC SURGERY PLLC 401K PROFIT SHARING PLAN 2019 201014889 2020-05-07 LONG ISLAND LAPAROSCOPIC SURGERY PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6316890220
Plan sponsor’s address 625 BELLE TERRE RD SUITE 202, PORT JEFFERSON, NY, 11777

Signature of
Role Plan administrator
Date 2020-05-07
Name of individual signing ARIF AHMAD
LONG ISLAND LAPAROSCOPIC SURGERY PLLC DEFINED BENEFIT PLAN 2019 201014889 2020-05-07 LONG ISLAND LAPAROSCOPIC SURGERY PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6316890220
Plan sponsor’s address 625 BELLE TERRE RD SUITE 202, PORT JEFFERSON, NY, 11777

Signature of
Role Plan administrator
Date 2020-05-07
Name of individual signing ARIF AHMAD

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent SUITE 202, 625 BELLE TERRE ROAD, PORT JEFFERSON, NY, United States, 11777

History

Start date End date Type Value
2004-05-05 2004-08-23 Address 7 CAPTAINS WALK, SETAUKET, NY, 11733, USA (Type of address: Service of Process)
2004-04-08 2004-05-05 Address 7 CAPTAIN'S WAY, SETAUKET, NY, 11733, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
060621002713 2006-06-21 BIENNIAL STATEMENT 2006-04-01
040823001127 2004-08-23 CERTIFICATE OF CHANGE 2004-08-23
040625000111 2004-06-25 AFFIDAVIT OF PUBLICATION 2004-06-25
040625000113 2004-06-25 AFFIDAVIT OF PUBLICATION 2004-06-25
040505000114 2004-05-05 CERTIFICATE OF CHANGE 2004-05-05
040408000445 2004-04-08 ARTICLES OF ORGANIZATION 2004-04-08

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Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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