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DWAYNE E. ROLLINS, MD, P.C.

Company Details

Name: DWAYNE E. ROLLINS, MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Nov 2005 (19 years ago) (Companies founded in November 2005)
Entity Number: 3285698
ZIP code: 10538 (Companies in Queens, 10538)
County: Queens
Place of Formation: New York
Address: 2065 BOSTON POST RD, LARCHMONT, NY, United States, 10538

Contact Details

Phone +1 718-978-5447

Phone +1 718-670-5000

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
DWAYNE E. ROLLINS, MD, P.C. 401(K) PROFIT SHARING PLAN 2022 203845062 2023-10-06 DWAYNE E. ROLLINS, MD, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189785447
Plan sponsor’s address 25302 147TH AVE, ROSEDALE, NY, 114222541

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing DWAYNE ROLLINS
DWAYNE E. ROLLINS, MD, P.C. 401(K) PROFIT SHARING PLAN 2021 203845062 2022-10-10 DWAYNE E. ROLLINS, MD, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189785447
Plan sponsor’s address 25302 147TH AVE, ROSEDALE, NY, 114222541

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing DWAYNE ROLLINS
DWAYNE E. ROLLINS, MD, P.C. 401(K) PROFIT SHARING PLAN 2020 203845062 2021-10-13 DWAYNE E. ROLLINS, MD, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189785447
Plan sponsor’s address 25302 147TH AVE, ROSEDALE, NY, 114222541

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing DWAYNE ROLLINS
DWAYNE E. ROLLINS, MD, P.C. 401(K) PROFIT SHARING PLAN 2019 203845062 2020-09-15 DWAYNE E. ROLLINS, MD, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189785447
Plan sponsor’s address 25302 147TH AVE, ROSEDALE, NY, 114222541

Signature of
Role Plan administrator
Date 2020-09-15
Name of individual signing DWAYNE ROLLINS
DWAYNE E. ROLLINS, MD, P.C. 401(K) PROFIT SHARING PLAN 2018 203845062 2019-07-31 DWAYNE E. ROLLINS, MD, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189785447
Plan sponsor’s address 12042 231ST ST, CAMBRIA HEIGHTS, NY, 114112220

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing DWAYNE ROLLINS
Role Employer/plan sponsor
Date 2019-07-31
Name of individual signing DWAYNE ROLLINS
DWAYNE E. ROLLINS, MD, P.C. 401(K) PROFIT SHARING PLAN 2017 203845062 2018-09-19 DWAYNE E. ROLLINS, MD, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189785447
Plan sponsor’s address 12042 231ST ST, CAMBRIA HEIGHTS, NY, 114112220

Signature of
Role Plan administrator
Date 2018-09-17
Name of individual signing DWAYNE ROLLINS
DWAYNE E. ROLLINS, MD, P.C. 401(K) PROFIT SHARING PLAN 2016 203845062 2017-10-15 DWAYNE E. ROLLINS, MD, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189785447
Plan sponsor’s address 12042 231ST ST, CAMBRIA HEIGHTS, NY, 114112220

Signature of
Role Plan administrator
Date 2017-10-15
Name of individual signing DWAYNE ROLLINS
DWAYNE E. ROLLINS, MD, P.C. 401(K) PROFIT SHARING PLAN 2015 203845062 2016-10-16 DWAYNE E. ROLLINS, MD, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7189785447
Plan sponsor’s address 12042 231ST ST, CAMBRIA HEIGHTS, NY, 114112220

Signature of
Role Plan administrator
Date 2016-10-16
Name of individual signing DWAYNE ROLLINS

DOS Process Agent

Name Role Address
C/O TEPPER & ASSOCIATES DOS Process Agent 2065 BOSTON POST RD, LARCHMONT, NY, United States, 10538

History

Start date End date Type Value
2005-11-28 2024-09-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
051128000651 2005-11-28 CERTIFICATE OF INCORPORATION 2005-11-28

Related by officers

C/O TEPPER & ASSOCIATES

PALMER 905 LLC A-1 SPICE COMPANY, INC.

Related by address

2065 BOSTON POST RD, LARCHMONT, NY, United States, 10538

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Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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