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NASSAU CARDIOLOGY P.C.

Company Details

Name: NASSAU CARDIOLOGY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Apr 2005 (20 years ago)
Entity Number: 3194230
County: Nassau
Place of Formation: New York
Principal Address: 300 FRANKLIN AVENUE, VALLEY STREAM, NY, United States, 11580
Principal Address ZIP Code: 11580
Address: 110 CORPORATE PARK DRIVE, WHITE PLAINS, NY, United States, 10604
Address ZIP Code: 10604

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
NASSAU CARDIOLOGY, P. C. 401(K) PLAN 2016 113408336 2017-10-29 NASSAU CARDIOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5165998280
Plan sponsor’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 11580

Signature of

Role Plan administrator
Date 2017-10-29
Name of individual signing LESLIE WOODBNE
NASSAU CARDIOLOGY, P.C. 401(K) PLAN 2016 113408336 2017-09-08 NASSAU CARDIOLOGY P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5165998280
Plan sponsor’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 11580

Signature of

Role Plan administrator
Date 2017-09-08
Name of individual signing LESLIE WOODBINE
NASSAU CARDIOLOGY, P.C. 401(K) PLAN 2015 113408336 2016-08-29 NASSAU CARDIOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5165998280
Plan sponsor’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 11580

Signature of

Role Plan administrator
Date 2016-08-29
Name of individual signing FRED FEFER
Role Employer/plan sponsor
Date 2016-08-29
Name of individual signing FRED FEFER
NASSAU CARDIOLOGY, P.C. 401(K) PLAN 2014 113408336 2015-07-14 NASSAU CARDIOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5165998280
Plan sponsor’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 11580

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing FRED FEFER
NASSAU CARDIOLOGY, P.C. PROFIT SHARING PLAN 2013 342045796 2014-09-26 NASSAU CARDIOLOGY, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-02-01
Business code 621111
Sponsor’s telephone number 5165998280
Plan sponsor’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 115802107

Signature of

Role Plan administrator
Date 2014-09-26
Name of individual signing LESLIE WOODBINE
Role Employer/plan sponsor
Date 2014-09-26
Name of individual signing LESLIE WOODBINE
NASSAU CARDIOLOGY, P.C. 401(K) PLAN 2013 113408336 2014-09-05 NASSAU CARDIOLOGY, P.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5165998280
Plan sponsor’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 11580

Signature of

Role Plan administrator
Date 2014-09-05
Name of individual signing LESLIE WOODBINE
NASSAU CARDIOLOGY, P.C. PROFIT SHARING PLAN 2012 342045796 2013-09-17 NASSAU CARDIOLOGY, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-02-01
Business code 621111
Sponsor’s telephone number 5165998280
Plan sponsor’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 115802107

Signature of

Role Plan administrator
Date 2013-09-17
Name of individual signing LESLIE WOODBINE
Role Employer/plan sponsor
Date 2013-09-17
Name of individual signing LESLIE WOODBINE
NASSAU CARDIOLOGY, P.C. PROFIT SHARING PLAN 2011 342045796 2012-09-24 NASSAU CARDIOLOGY, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-02-01
Business code 621111
Sponsor’s telephone number 5165998280
Plan sponsor’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 115802107

Plan administrator’s name and address

Administrator’s EIN 342045796
Plan administrator’s name NASSAU CARDIOLOGY, P.C.
Plan administrator’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 115802107
Administrator’s telephone number 5165998280

Signature of

Role Plan administrator
Date 2012-09-24
Name of individual signing EDWARD DAVISON
Role Employer/plan sponsor
Date 2012-09-24
Name of individual signing EDWARD DAVISON
NASSAU CARDIOLOGY, P.C. PROFIT SHARING PLAN 2010 342045796 2011-07-19 NASSAU CARDIOLOGY, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-02-01
Business code 621111
Sponsor’s telephone number 5165998280
Plan sponsor’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 115802107

Plan administrator’s name and address

Administrator’s EIN 342045796
Plan administrator’s name NASSAU CARDIOLOGY, P.C.
Plan administrator’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 115802107
Administrator’s telephone number 5165998280

Signature of

Role Plan administrator
Date 2011-07-19
Name of individual signing LESLIE WOODBINE
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing LESLIE WOODBINE
NASSAU CARDIOLOGY, P.C. PROFIT SHARING PLAN 2009 342045796 2010-10-07 NASSAU CARDIOLOGY, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-02-01
Business code 621111
Sponsor’s telephone number 5165998280
Plan sponsor’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 115802107

Plan administrator’s name and address

Administrator’s EIN 342045796
Plan administrator’s name NASSAU CARDIOLOGY, P.C.
Plan administrator’s address 300 FRANKLIN AVENUE, VALLEY STREAM, NY, 115802107
Administrator’s telephone number 5165998280

Signature of

Role Plan administrator
Date 2010-10-07
Name of individual signing EDWARD T. DAVISON
Role Employer/plan sponsor
Date 2010-10-07
Name of individual signing EDWARD T. DAVISON

DOS Process Agent

Name Role Address
C/O FAIR FITZGERALD HERSHAFT DOS Process Agent 110 CORPORATE PARK DRIVE, WHITE PLAINS, NY, United States, 10604

Chief Executive Officer

Name Role Address
EDWARD T DAVISON Chief Executive Officer 300 FRANKLIN AVENUE, VALLEY STREAM, NY, United States, 11580

Filings

Filing Number Date Filed Type Effective Date
110502002653 2011-05-02 BIENNIAL STATEMENT 2011-04-01
090414003321 2009-04-14 BIENNIAL STATEMENT 2009-04-01
050421000311 2005-04-21 CERTIFICATE OF INCORPORATION 2005-04-21

Date of last update: 10 Nov 2024

Sources: New York Secretary of State