Entity Number 3277980
Status Inactive
NamePECONIC EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY, P.C.
CountySuffolk
Date of registration 07 Nov 2005 (19 years ago) 07 Nov 2005
Date of dissolution 14 Feb 2013 14 Feb 2013
Legal typeDOMESTIC PROFESSIONAL SERVICE CORPORATION
Place of FormationNew York
Address P.O. BOX 2668, AQUEBOQUE, NY, United States, 11931
Address ZIP code
Principal Address PO BOX 2668, 292 SHADETREE LANE, AQUEBOQUE, NY, United States, 11931
Principal Address ZIP code
Shares Details
Shares issued 1000
Share Par Value 0
Type NO PAR VALUE
PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY, P.C. PROFIT SHARING PLAN AND TRUST
2011
203800653
2012-08-01
PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY P.C.
20
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6317278050 |
| Plan sponsor’s address | P.O. BOX 2814, AQUEBOGUE, NY, 119312814 |
Plan administrator’s name and address
| Administrator’s EIN | 203800653 |
| Plan administrator’s name | PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY P.C. |
| Plan administrator’s address | P.O. BOX 2814, AQUEBOGUE, NY, 119312814 |
| Administrator’s telephone number | 6317278050 |
Signature of
| Role | Plan administrator |
| Date | 2012-08-01 |
| Name of individual signing | KEVIN BRAAT |
| Role | Employer/plan sponsor |
| Date | 2012-08-01 |
| Name of individual signing | KEVIN BRAAT |
PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY, P.C. PROFIT SHARING PLAN AND TRUST
2011
203800653
2012-08-08
PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY P.C.
20
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6317278050 |
| Plan sponsor’s address | P.O. BOX 2814, AQUEBOGUE, NY, 119312814 |
Plan administrator’s name and address
| Administrator’s EIN | 203800653 |
| Plan administrator’s name | PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY P.C. |
| Plan administrator’s address | P.O. BOX 2814, AQUEBOGUE, NY, 119312814 |
| Administrator’s telephone number | 6317278050 |
Signature of
| Role | Plan administrator |
| Date | 2012-08-08 |
| Name of individual signing | KEVIN BRAAT |
| Role | Employer/plan sponsor |
| Date | 2012-08-08 |
| Name of individual signing | KEVIN BRAAT |
PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY, P.C. DEFINED BENEFIT PENSION PLAN
2011
203800653
2012-06-15
PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY P.C.
21
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6317278050 |
| Plan sponsor’s address | P.O. BOX 2668, AQUEBOGUE, NY, 119312668 |
Plan administrator’s name and address
| Administrator’s EIN | 203800653 |
| Plan administrator’s name | PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY P.C. |
| Plan administrator’s address | P.O. BOX 2668, AQUEBOGUE, NY, 119312668 |
| Administrator’s telephone number | 6317278050 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-15 |
| Name of individual signing | KEVIN BRAAT |
| Role | Employer/plan sponsor |
| Date | 2012-06-15 |
| Name of individual signing | KEVIN BRAAT |
PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY, P.C. PROFIT SHARING PLAN AND TRUST
2010
203800653
2011-09-19
PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY P.C.
14
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6317278050 |
| Plan sponsor’s address | P.O. BOX 2668, AQUEBOGUE, NY, 119312668 |
Plan administrator’s name and address
| Administrator’s EIN | 203800653 |
| Plan administrator’s name | PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY P.C. |
| Plan administrator’s address | P.O. BOX 2668, AQUEBOGUE, NY, 119312668 |
| Administrator’s telephone number | 6317278050 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-19 |
| Name of individual signing | KEVIN BRAAT |
| Role | Employer/plan sponsor |
| Date | 2011-09-19 |
| Name of individual signing | KEVIN BRAAT |
PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY, P.C. DEFINED BENEFIT PENSION PLAN
2010
203800653
2011-09-09
PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY P.C.
17
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6317278050 |
| Plan sponsor’s address | P.O. BOX 2668, AQUEBOGUE, NY, 119312668 |
Plan administrator’s name and address
| Administrator’s EIN | 203800653 |
| Plan administrator’s name | PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY P.C. |
| Plan administrator’s address | P.O. BOX 2668, AQUEBOGUE, NY, 119312668 |
| Administrator’s telephone number | 6317278050 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-09 |
| Name of individual signing | KEVIN BRAAT |
| Role | Employer/plan sponsor |
| Date | 2011-09-09 |
| Name of individual signing | KEVIN BRAAT |
KEVIN BRAAT, MD
Chief Executive Officer
PO BOX 2668, AQUEBOQUE, NY, United States, 11931
KEVIN BRAAT, M.D.
DOS Process Agent
P.O. BOX 2668, AQUEBOQUE, NY, United States, 11931
130214001102
2013-02-14
CERTIFICATE OF DISSOLUTION
2013-02-14
091104002581
2009-11-04
BIENNIAL STATEMENT
2009-11-01
071114002404
2007-11-14
BIENNIAL STATEMENT
2007-11-01
051107000332
2005-11-07
CERTIFICATE OF INCORPORATION
2005-11-07
Date of last update: 08 Aug 2024
Sources: Companies info , Historical Data , Complaints , Contacts
