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SUNRISE FAMILY MEDICAL, P.C.

Company Details

Name: SUNRISE FAMILY MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Feb 2005 (20 years ago)
Entity Number: 3165846
County: Suffolk
Place of Formation: New York
Address: 762 ELMWOOD ROAD, WEST BABYLON, NY, United States, 11704
Address ZIP Code: 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
SUNRISE FAMILY MEDICAL, P.C. 401(K) PROFIT SHARING PLAN 2012 202363808 2013-07-09 SUNRISE FAMILY MEDICAL, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6314726000
Plan sponsor’s address 382 ROSEVALE AVENUE, RONKONKOMA, NY, 11779

Signature of

Role Plan administrator
Date 2013-07-09
Name of individual signing THERESA MCNULTY
SUNRISE FAMILY MEDICAL, P.C. 401(K) PROFIT SHARING PLAN 2011 202363808 2012-06-18 SUNRISE FAMILY MEDICAL, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6314726000
Plan sponsor’s address 4568 SUNRISE HIGHWAY, OAKDALE, NY, 11769

Plan administrator’s name and address

Administrator’s EIN 202363808
Plan administrator’s name SUNRISE FAMILY MEDICAL, P.C.
Plan administrator’s address 4568 SUNRISE HIGHWAY, OAKDALE, NY, 11769
Administrator’s telephone number 6314726000

Signature of

Role Plan administrator
Date 2012-06-18
Name of individual signing THERESA MCNULTY
SUNRISE FAMILY MEDICAL, P.C. 401(K) PROFIT SHARING PLAN 2010 202363808 2011-11-04 SUNRISE FAMILY MEDICAL, P.C. 19
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6314726000
Plan sponsor’s address 4568 SUNRISE HIGHWAY, OAKDALE, NY, 11769

Plan administrator’s name and address

Administrator’s EIN 202363808
Plan administrator’s name SUNRISE FAMILY MEDICAL, P.C.
Plan administrator’s address 4568 SUNRISE HIGHWAY, OAKDALE, NY, 11769
Administrator’s telephone number 6314726000

Signature of

Role Plan administrator
Date 2011-11-04
Name of individual signing THERESA MCNULTY
SUNRISE FAMILY MEDICAL, P.C. 401(K) PROFIT SHARING PLAN 2010 202363808 2012-01-05 SUNRISE FAMILY MEDICAL, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6314726000
Plan sponsor’s address 4568 SUNRISE HIGHWAY, OAKDALE, NY, 11769

Plan administrator’s name and address

Administrator’s EIN 202363808
Plan administrator’s name SUNRISE FAMILY MEDICAL, P.C.
Plan administrator’s address 4568 SUNRISE HIGHWAY, OAKDALE, NY, 11769
Administrator’s telephone number 6314726000

Signature of

Role Plan administrator
Date 2012-01-05
Name of individual signing THERESA MCNULTY

DOS Process Agent

Name Role Address
PATRICK BARRETT DOS Process Agent 762 ELMWOOD ROAD, WEST BABYLON, NY, United States, 11704

Filings

Filing Number Date Filed Type Effective Date
050217000601 2005-02-17 CERTIFICATE OF INCORPORATION 2005-02-17

Date of last update: 10 Nov 2024

Sources: New York Secretary of State