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  5. STONEYWELL MEDICAL, P.C.

STONEYWELL MEDICAL, P.C.

Company Details

Name: STONEYWELL MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Dec 2005 (19 years ago)
Entity Number: 3288916
ZIP code: 11746
County: Suffolk
Place of Formation: New York
Address: C/O DR. SPENCER LUBIN, 7 STONYWELL COURT, DIX HILLS, NY, United States, 11746
Principal Address: 7 STONYWELL COURT, DIX HILLS, NY, United States, 11746

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
STONEYWELL MEDICAL, P.C.401(K) PROFIT SHARING PLAN 2022 203973459 2023-10-16 STONEYWELL MEDICAL, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314623559
Plan sponsor’s address 7 STONEYWELL COURT, DIX HILLS, NY, 11746

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing SPENCER LUBIN, MD
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing SPENCER LUBIN, MD
STONEYWELL MEDICAL, P.C. PENSION PLAN 2022 203973459 2023-10-16 STONEYWELL MEDICAL, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314623559
Plan sponsor’s address 7 STONEYWELL COURT, DIX HILLS, NY, 11746

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing SPENCER LUBIN, MD
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing SPENCER LUBIN, MD
STONEYWELL MEDICAL, P.C.401(K) PROFIT SHARING PLAN 2021 203973459 2022-10-12 STONEYWELL MEDICAL, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314623559
Plan sponsor’s address 7 STONEYWELL COURT, DIX HILLS, NY, 11746

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing SPENCER LUBIN, MD
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing SPENCER LUBIN, MD
STONEYWELL MEDICAL, P.C. PENSION PLAN 2021 203973459 2022-10-12 STONEYWELL MEDICAL, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314623559
Plan sponsor’s address 7 STONEYWELL COURT, DIX HILLS, NY, 11746

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing SPENCER LUBIN, MD
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing SPENCER LUBIN, MD
STONEYWELL MEDICAL, P.C.401(K) PROFIT SHARING PLAN 2020 203973459 2021-10-05 STONEYWELL MEDICAL, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314623559
Plan sponsor’s address 7 STONEYWELL COURT, DIX HILLS, NY, 11746

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing SPENCER LUBIN, MD
Role Employer/plan sponsor
Date 2021-10-05
Name of individual signing SPENCER LUBIN, MD
STONEYWELL MEDICAL, P.C. PENSION PLAN 2020 203973459 2021-10-06 STONEYWELL MEDICAL, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314623559
Plan sponsor’s address 7 STONEYWELL COURT, DIX HILLS, NY, 11746

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing SPENCER LUBIN, MD
Role Employer/plan sponsor
Date 2021-10-06
Name of individual signing SPENCER LUBIN, MD
STONEYWELL MEDICAL, P.C. PENSION PLAN 2019 203973459 2020-10-17 STONEYWELL MEDICAL, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314623559
Plan sponsor’s address 7 STONEYWELL COURT, DIX HILLS, NY, 11746

Signature of
Role Plan administrator
Date 2020-10-17
Name of individual signing SPENCER LUBIN, MD
Role Employer/plan sponsor
Date 2020-10-17
Name of individual signing SPENCER LUBIN, MD
STONEYWELL MEDICAL, P.C.401(K) PROFIT SHARING PLAN 2019 203973459 2020-06-10 STONEYWELL MEDICAL, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314623559
Plan sponsor’s address 7 STONEYWELL COURT, DIX HILLS, NY, 11746

Signature of
Role Plan administrator
Date 2020-06-10
Name of individual signing SPENCER LUBIN, MD
Role Employer/plan sponsor
Date 2020-06-10
Name of individual signing SPENCER LUBIN, MD
STONEYWELL MEDICAL, P.C. PENSION PLAN 2018 203973459 2019-11-01 STONEYWELL MEDICAL, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314623559
Plan sponsor’s address 7 STONEYWELL COURT, DIX HILLS, NY, 11746

Signature of
Role Plan administrator
Date 2019-11-01
Name of individual signing SPENCER LUBIN, MD
Role Employer/plan sponsor
Date 2019-11-01
Name of individual signing SPENCER LUBIN, MD
STONEYWELL MEDICAL, P.C.401(K) PROFIT SHARING PLAN 2018 203973459 2019-10-16 STONEYWELL MEDICAL, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314623559
Plan sponsor’s address 7 STONEYWELL COURT, DIX HILLS, NY, 11746

Signature of
Role Plan administrator
Date 2019-10-16
Name of individual signing SPENCER LUBIN, MD
Role Employer/plan sponsor
Date 2019-10-16
Name of individual signing SPENCER LUBIN, MD

Chief Executive Officer

Name Role Address
SPENCER LUBIN Chief Executive Officer 7 STONYWELL COURT, DIX HILLS, NY, United States, 11746

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent C/O DR. SPENCER LUBIN, 7 STONYWELL COURT, DIX HILLS, NY, United States, 11746

History

Start date End date Type Value
2010-03-18 2014-01-27 Address 7 SONYWELL COURT, DIX HILLS, NY, 11746, USA (Type of address: Principal Executive Office)
2005-12-06 2014-01-27 Address C/O DR. SPENCER LUBIN, 7 STONEYWELL COURT, DIX HILLS, NY, 11746, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140127002578 2014-01-27 BIENNIAL STATEMENT 2013-12-01
111227002217 2011-12-27 BIENNIAL STATEMENT 2011-12-01
100318002941 2010-03-18 BIENNIAL STATEMENT 2009-12-01
051206000049 2005-12-06 CERTIFICATE OF INCORPORATION 2005-12-06

Related by officers

SPENCER LUBIN

AMBUCARE ANESTHESIA, P.C. SPENCER LUBIN, M.D., P.C.

THE CORPORATION

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Related by address

7 STONYWELL COURT, DIX HILLS, NY, United States, 11746

AMBUCARE ANESTHESIA, P.C.

Date of last update: 27 Nov 2024

Sources: New York Secretary of State

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