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  5. CHARLES H. DEBROVNER, M.D., P.C.

CHARLES H. DEBROVNER, M.D., P.C.

Company Details

Name: CHARLES H. DEBROVNER, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 02 Mar 1972 (53 years ago)
Date of dissolution: 22 Sep 2023
Entity Number: 324827
ZIP code: 10017
County: New York
Place of Formation: New York
Address: 277 PARK AVE., NEW YORK, NY, United States, 10017

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
CHARLES H. DEBROVNER, M.D., P.C. RETIREMENT SAVINGS PLAN 2020 132729241 2021-06-29 CHARLES H. DEBROVNER, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 2126830090
Plan sponsor’s address 338 E 30TH ST, NEW YORK, NY, 100168318

Signature of
Role Plan administrator
Date 2021-06-29
Name of individual signing CARYN SELICK
Role Employer/plan sponsor
Date 2021-06-29
Name of individual signing CARYN SELICK
CHARLES H. DEBROVNER, M.D., P.C. RETIREMENT SAVINGS PLAN 2019 132729241 2020-04-27 CHARLES H. DEBROVNER, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 2126830090
Plan sponsor’s address 338 E 30TH ST, NEW YORK, NY, 100168318

Signature of
Role Plan administrator
Date 2020-04-27
Name of individual signing CARYN SELICK
Role Employer/plan sponsor
Date 2020-04-27
Name of individual signing CARYN SELICK
CHARLES H. DEBROVNER, M.D., P.C. RETIREMENT SAVINGS PLAN 2018 132729241 2019-07-01 CHARLES H. DEBROVNER, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 2126830090
Plan sponsor’s address 338 E 30TH ST, NEW YORK, NY, 100168318

Signature of
Role Plan administrator
Date 2019-07-01
Name of individual signing CARYN SELICK
Role Employer/plan sponsor
Date 2019-07-01
Name of individual signing CARYN SELICK
CHARLES H. DEBROVNER, M.D., P.C. RETIREMENT SAVINGS PLAN 2017 132729241 2018-07-20 CHARLES H. DEBROVNER, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 2126830090
Plan sponsor’s address 338 E 30TH ST, NEW YORK, NY, 100168318

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing CARYN SELICK
Role Employer/plan sponsor
Date 2018-07-20
Name of individual signing CARYN SELICK
CHARLES H. DEBROVNER, M.D., P.C. RETIREMENT SAVINGS PLAN 2016 132729241 2017-07-08 CHARLES H. DEBROVNER, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 2126830090
Plan sponsor’s address 338 E 30TH ST, NEW YORK, NY, 100168318

Signature of
Role Plan administrator
Date 2017-07-08
Name of individual signing CARYN SELICK
Role Employer/plan sponsor
Date 2017-07-08
Name of individual signing CARYN SELICK
CHARLES H. DEBROVNER, M.D., P.C. RETIREMENT SAVINGS PLAN 2015 132729241 2016-07-09 CHARLES H. DEBROVNER, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 2126830090
Plan sponsor’s address 338 E 30TH ST, NEW YORK, NY, 100168318

Signature of
Role Plan administrator
Date 2016-07-09
Name of individual signing CARYN SELICK
Role Employer/plan sponsor
Date 2016-07-09
Name of individual signing CARYN SELICK
CHARLES H. DEBROVNER, M.D., P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2014 132729241 2015-09-04 CHARLES H. DEBROVNER, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 2126830090
Plan sponsor’s address 338 EAST 30TH STREET, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2015-09-04
Name of individual signing CARYN SELICK
Role Employer/plan sponsor
Date 2015-09-04
Name of individual signing CARYN SELICK
CHARLES H. DEBROVNER, M.D., P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2013 132729241 2014-07-12 CHARLES H. DEBROVNER, M.D., P.C 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 2126830090
Plan sponsor’s address 338 EAST 30TH STREET, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2014-07-12
Name of individual signing CARYN SELICK
Role Employer/plan sponsor
Date 2014-07-12
Name of individual signing CARYN SELICK
CHARLES H. DEBROVNER, M.D.,P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2012 132729241 2013-07-25 CHARLES H. DEBROVNER, M.D.,P.C. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 2126830090
Plan sponsor’s address 338 EAST 30TH STREET, NEW YORK, NY, 10016

Plan administrator’s name and address
Administrator’s EIN 132729241
Plan administrator’s name CHARLES H. DEBROVNER, M.D.,P.C.
Plan administrator’s address 338 EAST 30TH STREET, NEW YORK, NY, 10016
Administrator’s telephone number 2126830090

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing CARYN SELICK
Role Employer/plan sponsor
Date 2013-07-25
Name of individual signing CARYN SELICK
CHARLES H. DEBROVNER, M.D.,P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2011 132729241 2012-07-21 CHARLES H. DEBROVNER, M.D.,P.C. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 2126830090
Plan sponsor’s address 338 EAST 30TH STREET, NEW YORK, NY, 10016

Plan administrator’s name and address
Administrator’s EIN 132729241
Plan administrator’s name CHARLES H. DEBROVNER, M.D.,P.C.
Plan administrator’s address 338 EAST 30TH STREET, NEW YORK, NY, 10016
Administrator’s telephone number 2126830090

Signature of
Role Plan administrator
Date 2012-07-21
Name of individual signing CARYN SELICK

Agent

Name Role Address
W. HATFIELD , HATFIELD & Agent BRADY & TAFT, 277 PARK AVE., NEW YORK, NY, 10017

DOS Process Agent

Name Role Address
% HATFIELD BRADY & TAFT DOS Process Agent 277 PARK AVE., NEW YORK, NY, United States, 10017

History

Start date End date Type Value
1972-03-02 2023-09-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1972-03-02 2023-09-22 Address BRADY & TAFT, 277 PARK AVE., NEW YORK, NY, 10017, USA (Type of address: Registered Agent)
1972-03-02 2023-09-22 Address 277 PARK AVE., NEW YORK, NY, 10017, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230922002022 2023-09-18 CERTIFICATE OF DISSOLUTION-CANCELLATION 2023-09-18
20051102041 2005-11-02 ASSUMED NAME LLC AMENDMENT 2005-11-02
20041222027 2004-12-22 ASSUMED NAME LLC INITIAL FILING 2004-12-22
A483080-4 1978-05-01 CERTIFICATE OF AMENDMENT 1978-05-01
970880-6 1972-03-02 CERTIFICATE OF INCORPORATION 1972-03-02

Related by officers

% HATFIELD BRADY & TAFT

J. BEALL RODGERS, M.D., P.C. FINE CHILD, INC. CARL R. FEIND, M.D., P.C. JOHN LO CASCIO, M.D., P.C.

Related by address

277 PARK AVE., NEW YORK, NY, United States, 10017

A. BELANGER & SONS, INC. A. V. RESEARCH CORP. ABBEY AUTOMATION, INC. ADAM HAT STORES, INC. ADMIRAL BENBOW, INC. AERIAL SERVICES CORPORATION AEROL CO., INC. AEROSOL FOODS CORPORATION AFTERTHOUGHT PRODUCTIONS CORP. AGRAS INDUSTRIES, INC.

Date of last update: 17 Nov 2024

Sources: New York Secretary of State

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