| Name: | SOUTH SHORE MEDICAL CARE, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 18 Feb 2005 (20 years ago) |
| Entity Number: | 3166796 |
| ZIP code: | 11702 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 91 SOUTH CARLL AVENUE, BABYLON, NY, United States, 11702 |
| Principal Address: | 16 VAN COTT RD, STE 2-E, DEER PARK, NY, United States, 11729 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE SOUTH SHORE MEDICAL CARE, P.C. PROFIT SHARING PLAN AND TRUST | 2011 | 202377356 | 2012-10-15 | SOUTH SHORE MEDICAL CARE, P.C. | 6 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 202377356 |
| Plan administrator’s name | SOUTH SHORE MEDICAL CARE, P.C. |
| Plan administrator’s address | 16 VAN COTT ROAD, SUITE 2E, DEER PARK, NY, 11729 |
| Administrator’s telephone number | 6312740777 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-15 |
| Name of individual signing | MARC LEWANDOSKI |
| Role | Employer/plan sponsor |
| Date | 2012-10-15 |
| Name of individual signing | MARC LEWANDOSKI |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6312740777 |
| Plan sponsor’s address | 16 VAN COTT ROAD, SUITE 2E, DEER PARK, NY, 11729 |
Plan administrator’s name and address
| Administrator’s EIN | 202377356 |
| Plan administrator’s name | SOUTH SHORE MEDICAL CARE, P.C. |
| Plan administrator’s address | 16 VAN COTT ROAD, SUITE 2E, DEER PARK, NY, 11729 |
| Administrator’s telephone number | 6312740777 |
Signature of
| Role | Plan administrator |
| Date | 2011-11-10 |
| Name of individual signing | MARC LEWANDOSKI |
| Role | Employer/plan sponsor |
| Date | 2011-11-10 |
| Name of individual signing | MARC LEWANDOSKI |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6312740777 |
| Plan sponsor’s address | 16 VAN COTT ROAD, SUITE 2E, DEER PARK, NY, 11729 |
Plan administrator’s name and address
| Administrator’s EIN | 202377356 |
| Plan administrator’s name | SOUTH SHORE MEDICAL CARE, P.C. |
| Plan administrator’s address | 16 VAN COTT ROAD, SUITE 2E, DEER PARK, NY, 11729 |
| Administrator’s telephone number | 6312740777 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-31 |
| Name of individual signing | MARC LEWANDOSKI |
| Role | Employer/plan sponsor |
| Date | 2011-10-31 |
| Name of individual signing | MARC LEWANDOSKI |
| Name | Role | Address |
|---|---|---|
| MARK LEWANDOSKI | DOS Process Agent | 91 SOUTH CARLL AVENUE, BABYLON, NY, United States, 11702 |
| Name | Role | Address |
|---|---|---|
| MARC LEWANDOSKI | Chief Executive Officer | 16 VAN COTT RD, STE 2-E, DEER PARK, NY, United States, 11729 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2007-06-07 | 2014-12-30 | Address | 718 LONG ISLAND AVENUE, DEER PARK, NY, 11729, USA (Type of address: Chief Executive Officer) |
| 2007-06-07 | 2014-12-30 | Address | 718 LONG ISLAND AVENUE, DEER PARK, NY, 11729, USA (Type of address: Principal Executive Office) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 141230002046 | 2014-12-30 | BIENNIAL STATEMENT | 2013-02-01 |
| 070607002443 | 2007-06-07 | BIENNIAL STATEMENT | 2007-02-01 |
| 050218000952 | 2005-02-18 | CERTIFICATE OF INCORPORATION | 2005-02-18 |
Date of last update: 28 Nov 2024
Sources: New York Secretary of State
