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SUZANNE SIROTA ROZENBERG D.O., P.C.

Company Details

Name: SUZANNE SIROTA ROZENBERG D.O., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Jan 2006 (19 years ago)
Entity Number: 3305004
County: Nassau
Place of Formation: New York
Address: 11 IRVING PLACE, WOODMERE, NY, United States, 11598
Address ZIP Code: 11598

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
SUZANNE SIROTA ROZENBERG, D.O., P.C. 401(K) PROFIT SHARING PLAN 2023 020764564 2024-09-10 SUZANNE SIROTA ROZENBERG, D.O., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5162955570
Plan sponsor’s address 881 IVY HILL ROAD, WOODSBURGH, NY, 11598

Signature of
Role Plan administrator
Date 2024-09-10
Name of individual signing SUZANNE SIROTA ROZENBERG
Valid signature Filed with authorized/valid electronic signature
SUZANNE SIROTA ROZENBERG, D.O., P.C. 401(K) PROFIT SHARING PLAN 2022 020764564 2023-07-26 SUZANNE SIROTA ROZENBERG, D.O., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5162955570
Plan sponsor’s address 881 IVY HILL RD, WOODSBURGH, NY, 11598

Signature of
Role Plan administrator
Date 2023-07-26
Name of individual signing SUZANNE SIROTA ROZENBERG
Role Employer/plan sponsor
Date 2023-07-26
Name of individual signing SUZANNE SIROTA ROZENBERG
SUZANNE SIROTA ROZENBERG, D.O., P.C. 401(K) PROFIT SHARING PLAN 2021 020764564 2022-09-22 SUZANNE SIROTA ROZENBERG, D.O., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5162955570
Plan sponsor’s address 881 IVY HILL RD, WOODSBURGH, NY, 11598

Signature of
Role Plan administrator
Date 2022-09-22
Name of individual signing SUZANNE S ROZENBERG
Role Employer/plan sponsor
Date 2022-09-22
Name of individual signing SUZANNE S ROZENBERG
SUZANNE SIROTA ROZENBERG, D.O., P.C. 401(K) PROFIT SHARING PLAN 2020 020764564 2021-06-07 SUZANNE SIROTA ROZENBERG, D.O., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5162955570
Plan sponsor’s address 881 IVY HILL RD, WOODSBURGH, NY, 11598

Signature of
Role Plan administrator
Date 2021-06-07
Name of individual signing SUZANNE SIROTA ROZENBERG
Role Employer/plan sponsor
Date 2021-06-07
Name of individual signing SUZANNE SIROTA ROZENBERG
SUZANNE SIROTA ROZENBERG, D.O., P.C. 401(K) PROFIT SHARING PLAN 2019 020764564 2020-06-08 SUZANNE SIROTA ROZENBERG, D.O., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5162955570
Plan sponsor’s address 881 IVY HILL RD, WOODSBURGH, NY, 11598

Signature of
Role Plan administrator
Date 2020-06-08
Name of individual signing SUZANNE SIROTA ROZENBERG
Role Employer/plan sponsor
Date 2020-06-08
Name of individual signing SUZANNE SIROTA ROZENBERG
SUZANNE SIROTA ROZENBERG, D.O., P.C. 401(K) PROFIT SHARING PLAN 2018 020764564 2019-05-02 SUZANNE SIROTA ROZENBERG, D.O., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5162955570
Plan sponsor’s address 881 IVY HILL RD, WOODSBURGH, NY, 11598

Signature of
Role Plan administrator
Date 2019-05-02
Name of individual signing SUZANNE SIROTA ROZENBERG
Role Employer/plan sponsor
Date 2019-05-02
Name of individual signing SUZANNE SIROTA ROZENBERG
SUZANNE SIROTA ROZENBERG, D.O., P.C. 2017 020764564 2018-05-07 SUZANNE SIROTA ROZENBERG, D.O., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5162955570
Plan sponsor’s address 881 IVY HILL RD, WOODSBURGH, NY, 11598

Signature of
Role Plan administrator
Date 2018-05-07
Name of individual signing SUZANNE SIROTA ROZENBERG
Role Employer/plan sponsor
Date 2018-05-07
Name of individual signing SUZANNE SIROTA ROZENBERG
SUZANNE SIROTA ROZENBERG, D.O., P.C. 2016 020764564 2017-04-19 SUZANNE SIROTA ROZENBERG, D.O., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5162955570
Plan sponsor’s address 881 IVY HILL RD, WOODSBURGH, NY, 11598

Signature of
Role Plan administrator
Date 2017-04-19
Name of individual signing SUZANNE SIRORTA ROZENBERG
Role Employer/plan sponsor
Date 2017-04-19
Name of individual signing SUZANNE SIRORTA ROZENBERG
SUZANNE SIROTA ROZENBERG, D.O., P.C. 2015 020764564 2016-07-28 SUZANNE SIROTA ROZENBERG, D.O., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5162955570
Plan sponsor’s address 881 IVY HILL RD, WOODSBURGH, NY, 11598

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing SUZANNE SIROTA ROZENBERG, DO PC
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing SUZANNE SIROTA ROZENBERG, DO PC
SUZANNE SIROTA ROZENBERG, D.O., P.C. 401(K) PROFIT SHARING PLAN 2014 020764564 2015-07-09 SUZANNE SIROTA ROZENBERG, D.O., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5162955570
Plan sponsor’s address 881 IVY HILL RD, WOODSBURGH, NY, 11598

Signature of
Role Plan administrator
Date 2015-07-09
Name of individual signing SUZANNE SIROTA ROZENBERG
Role Employer/plan sponsor
Date 2015-07-09
Name of individual signing SUZANNE SIROTA ROZENBERG

Chief Executive Officer

Name Role Address
SUZANNE SIROTA ROZENBERG Chief Executive Officer 11 IRVING PL, WOODMERE, NY, United States, 11598

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 11 IRVING PLACE, WOODMERE, NY, United States, 11598

Filings

Filing Number Date Filed Type Effective Date
200102060673 2020-01-02 BIENNIAL STATEMENT 2020-01-01
191104062826 2019-11-04 BIENNIAL STATEMENT 2018-01-01
140219002403 2014-02-19 BIENNIAL STATEMENT 2014-01-01
120130003039 2012-01-30 BIENNIAL STATEMENT 2012-01-01
100125002827 2010-01-25 BIENNIAL STATEMENT 2010-01-01
080208002535 2008-02-08 BIENNIAL STATEMENT 2008-01-01
060112000417 2006-01-12 CERTIFICATE OF INCORPORATION 2006-01-12

Related by officers

SUZANNE SIROTA ROZENBERG

SKIN ANTHROPOLOGY INC.

THE CORPORATION

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Related by address

11 IRVING PLACE, WOODMERE, NY, United States, 11598

BALANCE PATHWAYS, LLC FRM COUNSELING PLLC JJSFB, LLC SUZANNE ROZENBERG D.O. BROOKLYN, P.C. CONTINENTAL PAINTING & WATERPROOFING, INC. SKIN ANTHROPOLOGY INC.

Date of last update: 09 Nov 2024

Sources: New York Secretary of State

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