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SOUTH SHORE CARDIOLOGISTS, P.C.

Company Details

Name: SOUTH SHORE CARDIOLOGISTS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 10 Dec 1971 (53 years ago)
Entity Number: 319390
County: Suffolk
Date of dissolution: 23 Jul 2018
Place of Formation: New York
Address: 31 SKIPPER DR., WEST ISLIP, NY, United States, 11795
Address ZIP Code: 11795

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
SOUTH SHORE CARDIOLOGISTS, P.C. PROFIT-SHARING TRUST 2013 112249119 2014-01-17 SOUTH SHORE CARDIOLOGISTS, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 6315870574
Plan sponsor’s address 79 DEER PARK AVENUE, BABYLON, NY, 11702

Signature of
Role Plan administrator
Date 2014-01-17
Name of individual signing JEFFREY ROTHBURD
SOUTH SHORE CARDIOLOGISTS, P.C. PROFIT-SHARING TRUST 2012 112249119 2013-04-30 SOUTH SHORE CARDIOLOGISTS, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 6315870574
Plan sponsor’s address 79 DEER PARK AVENUE, BABYLON, NY, 11702

Signature of
Role Plan administrator
Date 2013-04-30
Name of individual signing JEFFREY ROTHBURD
SOUTH SHORE CARDIOLOGISTS, P.C. PROFIT-SHARING TRUST 2011 112249119 2012-05-02 SOUTH SHORE CARDIOLOGISTS, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 6315870574
Plan sponsor’s address 79 DEER PARK AVENUE, BABYLON, NY, 11702

Plan administrator’s name and address
Administrator’s EIN 112249119
Plan administrator’s name SOUTH SHORE CARDIOLOGISTS, P.C.
Plan administrator’s address 79 DEER PARK AVENUE, BABYLON, NY, 11702
Administrator’s telephone number 6315870574

Signature of
Role Plan administrator
Date 2012-05-02
Name of individual signing JEFFREY ROTHBURD
SOUTH SHORE CARDIOLOGISTS, P.C. PROFIT-SHARING TRUST 2010 112249119 2011-06-07 SOUTH SHORE CARDIOLOGISTS, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 6315870574
Plan sponsor’s address 79 DEER PARK AVENUE, BABYLON, NY, 11702

Plan administrator’s name and address
Administrator’s EIN 112249119
Plan administrator’s name SOUTH SHORE CARDIOLOGISTS, P.C.
Plan administrator’s address 79 DEER PARK AVENUE, BABYLON, NY, 11702
Administrator’s telephone number 6315870574

Signature of
Role Plan administrator
Date 2011-06-07
Name of individual signing JEFFREY ROTHBURD
Role Employer/plan sponsor
Date 2011-06-07
Name of individual signing JEFFREY ROTHBURD
SOUTH SHORE CARDIOLOGISTS, P.C. PROFIT-SHARING TRUST 2009 112249119 2010-08-20 SOUTH SHORE CARDIOLOGISTS, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-02-01
Business code 621111
Sponsor’s telephone number 6315870574
Plan sponsor’s address 79 DEER PARK AVENUE, BABYLON, NY, 11702

Plan administrator’s name and address
Administrator’s EIN 112249119
Plan administrator’s name SOUTH SHORE CARDIOLOGISTS, P.C.
Plan administrator’s address 79 DEER PARK AVENUE, BABYLON, NY, 11702
Administrator’s telephone number 6315870574

Signature of
Role Plan administrator
Date 2010-08-20
Name of individual signing JEFFREY ROTHBURD
Role Employer/plan sponsor
Date 2010-08-20
Name of individual signing JEFFREY ROTHBURD

DOS Process Agent

Name Role Address
SOUTH SHORE CARDIOLOGISTS, P.C. DOS Process Agent 31 SKIPPER DR., WEST ISLIP, NY, United States, 11795

Filings

Filing Number Date Filed Type Effective Date
180723000836 2018-07-23 CERTIFICATE OF DISSOLUTION 2018-07-23
C352121-2 2004-08-30 ASSUMED NAME LLC INITIAL FILING 2004-08-30
951240-5 1971-12-10 CERTIFICATE OF INCORPORATION 1971-12-10

Related by officers

No related officers

Related by address

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Date of last update: 17 Nov 2024

Sources: New York Secretary of State

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