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BROCKPORT INTERNAL MEDICINE, P.C.

Company Details

Name: BROCKPORT INTERNAL MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Dec 2004 (20 years ago)
Entity Number: 3133394
County: Monroe
Place of Formation: New York
Address: 34 WEST AVE, BROCKPORT, NY, United States, 14420
Address ZIP Code: 14420

Contact Details

Phone +1 585-589-0146

Phone +1 585-637-2161

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
NSGFZQHJX4F5 2024-06-05 34 WEST AVE, BROCKPORT, NY, 14420, 1304, USA 34 WEST AVE, BROCKPORT, NY, 14420, 1304, USA

Business Information
Congressional District 25
State/Country of Incorporation NY, USA
Activation Date 2023-06-08
Initial Registration Date 2023-06-06
Entity Start Date 2004-10-04
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ANITA GARG
Address 34 WEST AVE, BROCKPORT, NY, 14420, USA
Government Business
Title PRIMARY POC
Name ANITA GARG
Address 34 WEST AVE, BROCKPORT, NY, 14420, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2023 201726439 2024-07-03 BROCKPORT INTERNAL MEDICINE, P. C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2022 201726439 2023-10-12 BROCKPORT INTERNAL MEDICINE, P. C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2021 201726439 2022-10-11 BROCKPORT INTERNAL MEDICINE, P. C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2020 201726439 2021-10-12 BROCKPORT INTERNAL MEDICINE, P. C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2019 201726439 2020-10-09 BROCKPORT INTERNAL MEDICINE, P. C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2018 201726439 2019-10-11 BROCKPORT INTERNAL MEDICINE, P. C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2017 201726439 2018-07-30 BROCKPORT INTERNAL MEDICINE, P. C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2016 201726439 2017-05-31 BROCKPORT INTERNAL MEDICINE, P. C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2015 201726439 2016-07-22 BROCKPORT INTERNAL MEDICINE, P. C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2012 201726439 2013-07-23 BROCKPORT INTERNAL MEDICINE, P. C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing PANKAJ GARG
Role Employer/plan sponsor
Date 2013-07-23
Name of individual signing PANKAJ GARG

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 34 WEST AVE, BROCKPORT, NY, United States, 14420

Chief Executive Officer

Name Role Address
PANKAJ GARG Chief Executive Officer 34 WEST AVE, BROCKPORT, NY, United States, 14420

History

Start date End date Type Value
2006-11-29 2014-07-25 Address 80 WEST AVE, STE 109, BROCKPORT, NY, 14420, USA (Type of address: Chief Executive Officer)
2006-11-29 2014-07-25 Address 80 WEST AVE, STE 109, BROCKPORT, NY, 14420, USA (Type of address: Principal Executive Office)
2006-11-29 2014-07-25 Address SUITE #109, 80 WEST AVENUE, BROCKPORT, NY, 14420, USA (Type of address: Service of Process)
2004-12-03 2006-11-29 Address SUITE #109, 80 WEST AVENUE, BROCKPORT, NY, 14420, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201203060448 2020-12-03 BIENNIAL STATEMENT 2020-12-01
161213006218 2016-12-13 BIENNIAL STATEMENT 2016-12-01
141208006943 2014-12-08 BIENNIAL STATEMENT 2014-12-01
140725002235 2014-07-25 BIENNIAL STATEMENT 2013-12-01
061129002881 2006-11-29 BIENNIAL STATEMENT 2006-12-01
041203000542 2004-12-03 CERTIFICATE OF INCORPORATION 2004-12-03

Related by officers

THE CORPORATION

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Related by address

34 WEST AVE, BROCKPORT, NY, United States, 14420

BROCKPORT LASER CENTER, LLC IMMEDIATE URGENT CARE, PLLC YOUR MEDICAL STORE,LLC COMMUNITY URGENT CENTER,LLC

Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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