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CARMEN J. RODRIGUEZ, M.D., P.C.

Company Details

Name: CARMEN J. RODRIGUEZ, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Sep 2005 (19 years ago)
Entity Number: 3258066
County: Nassau
Place of Formation: New York
Principal Address: 800 COMMUNITY DRIVE, STE 302, MANHASSET, NY, United States, 11030
Principal Address ZIP Code: 11030
Address: NO 2098 STRATFORD DRIVE, WESTBURY, NY, United States, 11590
Address ZIP Code: 11590

Shares Details

Shares issued 200

Share Par Value 1

Type PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARMEN J. RODRIGUEZ, M.D., P.C. 401(K) PLAN AND TRUST 2023 203427370 2024-10-14 CARMEN J. RODRIGUEZ, M.D., P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5163652100
Plan sponsor’s address 2098 STRATFORD DRIVE, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing CARLOS RIOS
Valid signature Filed with authorized/valid electronic signature
CARMEN J. RODRIGUEZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2023 203427370 2024-10-14 CARMEN J. RODRIGUEZ, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163652100
Plan sponsor’s address 2098 STRATFORD DRIVE, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing CARLOS RIOS
Valid signature Filed with authorized/valid electronic signature
CARMEN J. RODRIGUEZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2022 203427370 2023-10-02 CARMEN J. RODRIGUEZ, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163652100
Plan sponsor’s address 2098 STRATFORD DRIVE, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing CARMEN RODRIGUEZ
Role Employer/plan sponsor
Date 2023-10-02
Name of individual signing CARMEN RODRIGUEZ
CARMEN J. RODRIGUEZ, M.D., P.C. 401(K) PLAN AND TRUST 2022 203427370 2023-10-02 CARMEN J. RODRIGUEZ, M.D., P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5163652100
Plan sponsor’s address 2098 STRATFORD DRIVE, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing CARMEN RODRIGUEZ
Role Employer/plan sponsor
Date 2023-10-02
Name of individual signing CARMEN RODRIGUEZ
CARMEN J. RODRIGUEZ, M.D., P.C. 401K PLAN AND TRUST 2021 203427370 2022-10-03 CARMEN J. RODRIGUEZ, M.D., P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5163652100
Plan sponsor’s address 2098 STRATFORD DRIVE, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing MR. CARLOS RIOS
CARMEN J. RODRIGUEZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2021 203427370 2022-10-03 CARMEN J. RODRIGUEZ, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163652100
Plan sponsor’s address 2098 STRATFORD DRIVE, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing MR. CARLOS RIOS
CARMEN J. RODRIGUEZ, M.D., P.C. 401K PLAN AND TRUST 2020 203427370 2021-10-07 CARMEN J. RODRIGUEZ, M.D., P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5163652100
Plan sponsor’s address 2098 STRATFORD DRIVE, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing CARLOS RIOS
Role Employer/plan sponsor
Date 2021-10-07
Name of individual signing CARLOS RIOS
CARMEN J. RODRIGUEZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2020 203427370 2021-10-07 CARMEN J. RODRIGUEZ, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163652100
Plan sponsor’s address 2098 STRATFORD DRIVE, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing CARLOS RIOS
Role Employer/plan sponsor
Date 2021-10-07
Name of individual signing CARLOS RIOS
CARMEN J. RODRIGUEZ, M.D., P.C. 401K PLAN AND TRUST 2019 203427370 2020-10-05 CARMEN J. RODRIGUEZ, M.D., P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5163652100
Plan sponsor’s address 2098 STRATFORD DRIVE, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing CARMEN J RODRIGUEZ
Role Employer/plan sponsor
Date 2020-10-05
Name of individual signing CARMEN J RODRIGUEZ
CARMEN J. RODRIGUEZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2019 203427370 2020-10-05 CARMEN J. RODRIGUEZ, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163652100
Plan sponsor’s address 2098 STRATFORD DRIVE, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing CARMEN J RODRIGUEZ
Role Employer/plan sponsor
Date 2020-10-05
Name of individual signing CARMEN J RODRIGUEZ

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent NO 2098 STRATFORD DRIVE, WESTBURY, NY, United States, 11590

Chief Executive Officer

Name Role Address
CARMEN J RODRIGUEZ Chief Executive Officer 800 COMMUNITY DRIVE, SUITE 302, MANHASSET, NY, United States, 11030

Filings

Filing Number Date Filed Type Effective Date
111223000097 2011-12-23 ERRONEOUS ENTRY 2011-12-23
DP-2079954 2011-10-26 DISSOLUTION BY PROCLAMATION 2011-10-26
111003002457 2011-10-03 BIENNIAL STATEMENT 2011-09-01
071011002293 2007-10-11 BIENNIAL STATEMENT 2007-09-01
050919000827 2005-09-19 CERTIFICATE OF INCORPORATION 2005-09-19

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Related by address

800 COMMUNITY DRIVE, STE 302, MANHASSET, NY, United States, 11030

BRANCACCIO/CHRISTOFER/SHIELDS ADVERTISING INC.

Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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