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JAY M. KORNGOLD, MD, P.C.

Company Details

Name: JAY M. KORNGOLD, MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Sep 2005 (19 years ago)
Entity Number: 3257663
ZIP code: 10956
County: Rockland
Place of Formation: New York
Address: 125 SOUTH MAIN STREET, NEW CITY, NY, United States, 10956
Principal Address: 125 S MAIN ST, NEW CITY, NY, United States, 10956

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
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVINGS PLAN 2023 204004156 2024-07-19 JAY M. KORNGOLD, MD, P. C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8456344554
Plan sponsor’s address 125 SOUTH MAIN STREET, NEW CITY, NY, 10956

Signature of

Role Plan administrator
Date 2024-07-19
Name of individual signing TRUDY DESCARFINO
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVING SAVINGS PLAN 2022 204004156 2023-07-13 JAY M. KORNGOLD, MD, P. C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8456344554
Plan sponsor’s address 125 SOUTH MAIN STREET, NEW CITY, NY, 10956

Signature of

Role Plan administrator
Date 2023-07-13
Name of individual signing TRUDY DESCARFINO
Role Employer/plan sponsor
Date 2023-07-13
Name of individual signing JAY KORNGOLD
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVING SAVINGS PLAN 2021 204004156 2022-07-13 JAY M. KORNGOLD, MD, P. C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8456344554
Plan sponsor’s address 125 SOUTH MAIN STREET, NEW CITY, NY, 10956

Signature of

Role Plan administrator
Date 2022-07-13
Name of individual signing TRUDY DESCARFINO
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVING SAVINGS PLAN 2020 204004156 2021-04-15 JAY M. KORNGOLD, MD, P. C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8456344554
Plan sponsor’s address 125 SOUTH MAIN STREET, NEW CITY, NY, 10956

Signature of

Role Plan administrator
Date 2021-04-15
Name of individual signing TRUDY DESCARFINO
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVING SAVINGS PLAN 2019 204004156 2020-05-18 JAY M. KORNGOLD, MD, P. C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8456344554
Plan sponsor’s address 125 SOUTH MAIN STREET, NEW CITY, NY, 10956

Signature of

Role Plan administrator
Date 2020-05-18
Name of individual signing TRUDY DESCARFINO
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVING SAVINGS PLAN 2018 204004156 2019-10-07 JAY M. KORNGOLD, MD, P. C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8456344554
Plan sponsor’s address 125 SOUTH MAIN STREET, NEW CITY, NY, 10956

Signature of

Role Plan administrator
Date 2019-10-07
Name of individual signing TRUDY DESCARFINO
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVINGS PLAN 2017 204004156 2018-06-28 JAY M. KORNGOLD, MD, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8456344554
Plan sponsor’s address 125 SOUTH MAIN STREET, NEW CITY, NY, 10956

Signature of

Role Plan administrator
Date 2018-06-28
Name of individual signing TRUDY DESCARFINO
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVINGS PLAN 2016 204004156 2017-10-10 JAY M. KORNGOLD, MD, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8456344554
Plan sponsor’s address 125 SOUTH MAIN STREET, NEW CITY, NY, 10956

Signature of

Role Plan administrator
Date 2017-10-10
Name of individual signing TRUDY DESCARFINO

Chief Executive Officer

Name Role Address
JAY M KORNGOLD Chief Executive Officer 125 S MAIN ST, NEW CITY, NY, United States, 10956

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 125 SOUTH MAIN STREET, NEW CITY, NY, United States, 10956

Filings

Filing Number Date Filed Type Effective Date
150910006067 2015-09-10 BIENNIAL STATEMENT 2015-09-01
131022006493 2013-10-22 BIENNIAL STATEMENT 2013-09-01
110929002179 2011-09-29 BIENNIAL STATEMENT 2011-09-01
090917002291 2009-09-17 BIENNIAL STATEMENT 2009-09-01
070919002004 2007-09-19 BIENNIAL STATEMENT 2007-09-01
050919000101 2005-09-19 CERTIFICATE OF INCORPORATION 2005-09-19

Date of last update: 27 Nov 2024

Sources: New York Secretary of State