| Name: | NORMAN P. HAYWOOD, D.O., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 03 Jan 2006 (19 years ago) |
| Entity Number: | 3299404 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 224 N WELLWOOD AVE, LINDENHURST, NY, United States, 11757 |
| Address ZIP Code: | 11757 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORMAN P. HAYWOOD D.O. 401(K) PLAN | 2012 | 113405594 | 2013-10-15 | NORMAN P. HAYWOOD D.O., P.C. | 4 | |||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2013-10-11 |
| Name of individual signing | NORMAN P. HAYWOOD |
| Role | Employer/plan sponsor |
| Date | 2013-10-11 |
| Name of individual signing | NORMAN P. HAYWOOD |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6312260011 |
| Plan sponsor’s address | 224 N. WELLWOOD AVE., LINDENHURST, NY, 117573705 |
Plan administrator’s name and address
| Administrator’s EIN | 113405594 |
| Plan administrator’s name | NORMAN P. HAYWOOD D.O., P.C. |
| Plan administrator’s address | 224 N. WELLWOOD AVE., LINDENHURST, NY, 117573705 |
| Administrator’s telephone number | 6312260011 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-09 |
| Name of individual signing | NORMAN P.HAYWOOD |
| Role | Employer/plan sponsor |
| Date | 2012-10-09 |
| Name of individual signing | NORMAN P.HAYWOOD |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6312260011 |
| Plan sponsor’s address | 224 N. WELLWOOD AVE., LINDENHURST, NY, 117573705 |
Plan administrator’s name and address
| Administrator’s EIN | 113405594 |
| Plan administrator’s name | NORMAN P. HAYWOOD D.O., P.C. |
| Plan administrator’s address | 224 N. WELLWOOD AVE., LINDENHURST, NY, 117573705 |
| Administrator’s telephone number | 6312260011 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-14 |
| Name of individual signing | JEANETTE HAYWOOD |
| Role | Employer/plan sponsor |
| Date | 2011-10-14 |
| Name of individual signing | JEANETTE HAYWOOD |
| Name | Role | Address |
|---|---|---|
| NORMAN P HAYWOOD | DOS Process Agent | 224 N WELLWOOD AVE, LINDENHURST, NY, United States, 11757 |
| Name | Role | Address |
|---|---|---|
| NORMAN P HAYWOOD | Chief Executive Officer | 224 N WELLWOOD AVE, LINDENHURST, NY, United States, 11757 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2006-01-03 | 2008-01-10 | Address | 224 NORTH WELLWOOD AVENUE, LINDENHURST, NY, 11757, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 140710002196 | 2014-07-10 | BIENNIAL STATEMENT | 2014-01-01 |
| 120516002251 | 2012-05-16 | BIENNIAL STATEMENT | 2012-01-01 |
| 100219002026 | 2010-02-19 | BIENNIAL STATEMENT | 2010-01-01 |
| 080110002629 | 2008-01-10 | BIENNIAL STATEMENT | 2008-01-01 |
| 060103000136 | 2006-01-03 | CERTIFICATE OF INCORPORATION | 2006-01-03 |
Date of last update: 10 Nov 2024
Sources: New York Secretary of State
