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WILLIAM E. MCCORMICK, M.D., P.C.

Company Details

Name: WILLIAM E. MCCORMICK, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 May 2004 (20 years ago)
Entity Number: 3059556
County: Suffolk
Place of Formation: New York
Principal Address: 380 MONTAUK HWY, WEST ISLIP, NY, United States, 11795
Principal Address ZIP Code: 11795
Address: 287 MAPLE STREET, ISLIP, NY, United States, 11751
Address ZIP Code: 11751

Contact Details

Phone +1 631-422-5371

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
WILLIAM E. MCCORMICK, M.D., P.C. RETIREMENT PLAN 2016 201273337 2017-04-19 WILLIAM E. MCCORMICK, M.D., P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6314225371
Plan sponsor’s address 1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795

Signature of

Role Plan administrator
Date 2017-04-19
Name of individual signing WILLIAM MCCORMICK
Role Employer/plan sponsor
Date 2017-04-19
Name of individual signing WILLIAM MCCORMICK
WILLIAM E. MCCORMICK, M.D., P.C. DEFINED BENEFIT PLAN 2016 201273337 2017-07-20 WILLIAM E. MCCORMICK, M.D., P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6314225371
Plan sponsor’s address 1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795

Signature of

Role Plan administrator
Date 2017-07-20
Name of individual signing WILLIAM MCCORMICK, MD
Role Employer/plan sponsor
Date 2017-07-20
Name of individual signing WILLIAM MCCORMICK, MD
WILLIAM E. MCCORMICK, M.D., P.C. RETIREMENT PLAN 2015 201273337 2016-07-29 WILLIAM E. MCCORMICK, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6314225371
Plan sponsor’s address 1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795

Signature of

Role Plan administrator
Date 2016-07-28
Name of individual signing WILLIAM MCCORMICK
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing WILLIAM MCCORMICK
WILLIAM E. MCCORMICK, M.D., P.C. DEFINED BENEFIT PLAN 2015 201273337 2017-07-18 WILLIAM E. MCCORMICK, M.D., P.C. 15
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6314225371
Plan sponsor’s address 1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795

Signature of

Role Plan administrator
Date 2016-12-14
Name of individual signing WILLIAM MCCORMICK
Role Employer/plan sponsor
Date 2016-12-14
Name of individual signing WILLIAM MCCORMICK
WILLIAM E. MCCORMICK, M.D., P.C. DEFINED BENEFIT PLAN 2015 201273337 2016-07-19 WILLIAM E. MCCORMICK, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6314225371
Plan sponsor’s address 1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795

Signature of

Role Plan administrator
Date 2016-07-15
Name of individual signing WILLIAM MCCORMICK
Role Employer/plan sponsor
Date 2016-07-15
Name of individual signing WILLIAM MCCORMICK
WILLIAM E. MCCORMICK, M.D., P.C. RETIREMENT PLAN 2014 201273337 2015-06-30 WILLIAM E. MCCORMICK, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6314225371
Plan sponsor’s address 1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795

Signature of

Role Plan administrator
Date 2015-06-30
Name of individual signing WILLIAM MCCORMICK
Role Employer/plan sponsor
Date 2015-06-30
Name of individual signing WILLIAM MCCORMICK
WILLIAM E. MCCORMICK, M.D., P.C. DEFINED BENEFIT PLAN 2014 201273337 2015-06-30 WILLIAM E. MCCORMICK, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6314225371
Plan sponsor’s address 1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795

Signature of

Role Plan administrator
Date 2015-06-30
Name of individual signing WILLIAM MCCORMICK
Role Employer/plan sponsor
Date 2015-06-30
Name of individual signing WILLIAM MCCORMICK
WILLIAM E. MCCORMICK, M.D., P.C. RETIREMENT PLAN 2013 201273337 2014-06-26 WILLIAM E. MCCORMICK, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6314225371
Plan sponsor’s address 1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795

Signature of

Role Plan administrator
Date 2014-06-26
Name of individual signing WILLIAM MCCORMICK
Role Employer/plan sponsor
Date 2014-06-26
Name of individual signing WILLIAM MCCORMICK
WILLIAM E. MCCORMICK, M.D., P.C. RETIREMENT PLAN 2012 201273337 2013-07-16 WILLIAM E. MCCORMICK, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6314225371
Plan sponsor’s address 1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795

Signature of

Role Plan administrator
Date 2013-07-15
Name of individual signing WILLIAM MCCORMICK
Role Employer/plan sponsor
Date 2013-07-15
Name of individual signing WILLIAM MCCORMICK
WILLIAM E. MCCORMICK, M.D., P.C. RETIREMENT PLAN 2011 201273337 2012-05-25 WILLIAM E. MCCORMICK, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6314225371
Plan sponsor’s address 1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795

Plan administrator’s name and address

Administrator’s EIN 201273337
Plan administrator’s name WILLIAM E. MCCORMICK, M.D., P.C.
Plan administrator’s address 1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795
Administrator’s telephone number 6314225371

Signature of

Role Plan administrator
Date 2012-05-25
Name of individual signing WILLIAM MCCORMICK
Role Employer/plan sponsor
Date 2012-05-25
Name of individual signing WILLIAM MCCORMICK

Chief Executive Officer

Name Role Address
WILLIAM E. MCCORMICK, MD Chief Executive Officer 380 MONTAUK HWY, WEST ISLIP, NY, United States, 11795

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 287 MAPLE STREET, ISLIP, NY, United States, 11751

History

Start date End date Type Value
2024-05-02 2024-05-02 Address 380 MONTAUK HWY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2022-08-09 2024-05-02 Address 380 MONTAUK HWY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2022-08-09 2024-05-02 Address 287 MAPLE STREET, ISLIP, NY, 11751, USA (Type of address: Service of Process)
2021-08-17 2024-05-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2004-05-28 2021-08-17 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2004-05-28 2022-08-09 Address 86 CONCOURSE EAST, BRIGHT WATER, NY, 11718, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240502000843 2024-05-02 BIENNIAL STATEMENT 2024-05-02
220126000221 2022-01-26 BIENNIAL STATEMENT 2022-01-26
220809002834 2021-08-17 CERTIFICATE OF CHANGE BY ENTITY 2021-08-17
040528000156 2004-05-28 CERTIFICATE OF INCORPORATION 2004-05-28

Date of last update: 10 Nov 2024

Sources: New York Secretary of State