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  5. JAFFEE OPHTHALMOLOGY, PLLC

JAFFEE OPHTHALMOLOGY, PLLC

Company Details

Name: JAFFEE OPHTHALMOLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 03 Jan 2006 (19 years ago)
Date of dissolution: 22 Oct 2012
Entity Number: 3299506
ZIP code: 10941
County: Orange
Place of Formation: New York
Address: ONE RYKOWSKI LANE, MIDDLETOWN, NY, United States, 10941

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAFFEE OPHTHALMOLOGY, PLLC DBA JAFFEE EYE ASSOCIATES PROFIT SHARING PLAN AND TRUST 2011 204046131 2012-11-27 JAFFEE OPHTHALMOLOGY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621320
Sponsor’s telephone number 8456923937
Plan sponsor’s DBA name JAFFEE EYE ASSOCIATES
Plan sponsor’s address 1 RYKOWSKI LANE, MIDDLETOWN, NY, 10940

Plan administrator’s name and address
Administrator’s EIN 204046131
Plan administrator’s name JAFFEE OPHTHALMOLOGY, PLLC
Plan administrator’s address 1 RYKOWSKI LANE, MIDDLETOWN, NY, 10940
Administrator’s telephone number 8456923937

Signature of
Role Plan administrator
Date 2012-11-27
Name of individual signing ROBERT M. JAFFEE
JAFFEE OPHTHALMOLOGY, PLLC DBA JAFFEE EYE ASSOCIATES PROFIT SHARING PLAN AND TRUST 2011 204046131 2012-04-10 JAFFEE OPHTHALMOLOGY, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621320
Sponsor’s telephone number 8456923937
Plan sponsor’s DBA name JAFFEE EYE ASSOCIATES
Plan sponsor’s address 1 RYKOWSKI LANE, MIDDLETOWN, NY, 10940

Plan administrator’s name and address
Administrator’s EIN 204046131
Plan administrator’s name JAFFEE OPHTHALMOLOGY, PLLC
Plan administrator’s address 1 RYKOWSKI LANE, MIDDLETOWN, NY, 10940
Administrator’s telephone number 8456923937

Signature of
Role Plan administrator
Date 2012-04-10
Name of individual signing ROBERT M. JAFFEE
JAFFEE OPHTHALMOLOGY, PLLC DBA JAFFEE EYE ASSOCIATES PROFIT SHARING PLAN AND TRUST 2010 204046131 2011-06-02 JAFFEE OPHTHALMOLOGY, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621320
Sponsor’s telephone number 8456923937
Plan sponsor’s DBA name JAFFEE EYE ASSOCIATES
Plan sponsor’s address 1 RYKOWSKI LANE, MIDDLETOWN, NY, 10940

Plan administrator’s name and address
Administrator’s EIN 204046131
Plan administrator’s name JAFFEE OPHTHALMOLOGY, PLLC
Plan administrator’s address 1 RYKOWSKI LANE, MIDDLETOWN, NY, 10940
Administrator’s telephone number 8456923937

Signature of
Role Plan administrator
Date 2011-06-02
Name of individual signing ROBERT M. JAFFEE
JAFFEE OPHTHALMOLOGY, PLLC DBA JAFFEE EYE ASSOCIATES PROFIT SHARING PLAN AND TRUST 2009 204046131 2010-09-17 JAFFEE OPHTHALMOLOGY, PLLC 7
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621320
Sponsor’s telephone number 8456923937
Plan sponsor’s DBA name JAFFEE EYE ASSOCIATES
Plan sponsor’s address 1 RYKOWSKI LANE, MIDDLETOWN, NY, 10940

Plan administrator’s name and address
Administrator’s EIN 204046131
Plan administrator’s name JAFFEE OPHTHALMOLOGY, PLLC
Plan administrator’s address 1 RYKOWSKI LANE, MIDDLETOWN, NY, 10940
Administrator’s telephone number 8456923937

Signature of
Role Plan administrator
Date 2010-09-17
Name of individual signing ROBERT M. JAFFEE
JAFFEE OPHTHALMOLOGY, PLLC DBA JAFFEE EYE ASSOCIATES PROFIT SHARING PLAN AND TRUST 2009 204046131 2010-09-17 JAFFEE OPHTHALMOLOGY, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621320
Sponsor’s telephone number 8456923937
Plan sponsor’s DBA name JAFFEE EYE ASSOCIATES
Plan sponsor’s address 1 RYKOWSKI LANE, MIDDLETOWN, NY, 10940

Plan administrator’s name and address
Administrator’s EIN 204046131
Plan administrator’s name JAFFEE OPHTHALMOLOGY, PLLC
Plan administrator’s address 1 RYKOWSKI LANE, MIDDLETOWN, NY, 10940
Administrator’s telephone number 8456923937

Signature of
Role Plan administrator
Date 2010-09-17
Name of individual signing ROBERT M. JAFFEE

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent ONE RYKOWSKI LANE, MIDDLETOWN, NY, United States, 10941

Filings

Filing Number Date Filed Type Effective Date
121022001237 2012-10-22 CERTIFICATE OF DISSOLUTION 2012-10-22
100112002369 2010-01-12 BIENNIAL STATEMENT 2010-01-01
071231002413 2007-12-31 BIENNIAL STATEMENT 2008-01-01
060316000173 2006-03-16 AFFIDAVIT OF PUBLICATION 2006-03-16
060316000178 2006-03-16 AFFIDAVIT OF PUBLICATION 2006-03-16
060103000643 2006-01-03 ARTICLES OF ORGANIZATION 2006-01-03

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Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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