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STEVEN DIVACK M.D., P.C.

Company Details

Name: STEVEN DIVACK M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Jan 1974 (51 years ago)
Entity Number: 335904
County: Kings
Place of Formation: New York
Address: 875 AVE.OF THE AMERICAS, NEW YORK, NY, United States, 10001
Address ZIP Code: 10001

Contact Details

Phone +1 718-529-2020

Phone +1 718-638-8484

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
STEVEN DIVACK, M.D., P.C. PENSION TRUST 2023 112318535 2024-09-07 STEVEN DIVACK, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 7186388484
Plan sponsor’s address 115 EASTERN PARKWAY, BROOKLYN, NY, 11238

Signature of

Role Plan administrator
Date 2024-09-07
Name of individual signing STEVEN DIVACK
Valid signature Filed with authorized/valid electronic signature
STEVEN DIVACK, M.D., P.C. PENSION TRUST 2022 112318535 2023-09-16 STEVEN DIVACK, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 7186388484
Plan sponsor’s address 115 EASTERN PARKWAY, BROOKLYN, NY, 11238

Signature of

Role Plan administrator
Date 2023-09-16
Name of individual signing STEVEN DIVACK
STEVEN DIVACK, M.D., P.C. PENSION TRUST 2021 112318535 2022-09-02 STEVEN DIVACK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 7186388484
Plan sponsor’s address 115 EASTERN PARKWAY, BROOKLYN, NY, 11238

Signature of

Role Plan administrator
Date 2022-09-02
Name of individual signing STEVEN DIVACK
STEVEN DIVACK, M.D., P.C. PENSION TRUST 2020 112318535 2021-02-18 STEVEN DIVACK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 7186388484
Plan sponsor’s address 115 EASTERN PARKWAY, BROOKLYN, NY, 11238

Signature of

Role Plan administrator
Date 2021-02-18
Name of individual signing STEVEN DIVACK
STEVEN DIVACK, M.D., P.C. PENSION TRUST 2019 112318535 2020-09-08 STEVEN DIVACK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 7186388484
Plan sponsor’s address 115 EASTERN PARKWAY, BROOKLYN, NY, 11238

Signature of

Role Plan administrator
Date 2020-09-08
Name of individual signing STEVEN DIVACK
STEVEN DIVACK, M.D., P.C. PENSION TRUST 2018 112318535 2019-10-09 STEVEN DIVACK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 7186388484
Plan sponsor’s address 115 EASTERN PARKWAY, BROOKLYN, NY, 11238

Signature of

Role Plan administrator
Date 2019-10-09
Name of individual signing STEVEN DIVACK
STEVEN DIVACK, M.D., P.C. PENSION TRUST 2017 112318535 2018-10-03 STEVEN DIVACK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 7186388484
Plan sponsor’s address 115 EASTERN PARKWAY, BROOKLYN, NY, 11238

Signature of

Role Plan administrator
Date 2018-10-03
Name of individual signing STEVEN DIVACK
STEVEN DIVACK, M.D., P.C. PENSION TRUST 2016 112318535 2017-10-12 STEVEN DIVACK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 7186388484
Plan sponsor’s address 115 EASTERN PARKWAY, BROOKLYN, NY, 11238

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing STEVEN DIVACK
STEVEN DIVACK, M.D., P.C. PENSION TRUST 2015 112318535 2016-09-09 STEVEN DIVACK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 7186388484
Plan sponsor’s address 115 EASTERN PARKWAY, BROOKLYN, NY, 11238

Signature of

Role Plan administrator
Date 2016-09-09
Name of individual signing STEVEN DIVACK
STEVEN DIVACK, M.D., P.C. PENSION TRUST 2014 112318535 2015-10-14 STEVEN DIVACK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 7186388484
Plan sponsor’s address 115 EASTERN PARKWAY, BROOKLYN, NY, 11238

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing STEVEN DIVACK

DOS Process Agent

Name Role Address
ABRAHAM DUBENSKY DOS Process Agent 875 AVE.OF THE AMERICAS, NEW YORK, NY, United States, 10001

History

Start date End date Type Value
1987-04-02 1990-04-12 Name MARTIN BODIAN, M.D. & STEVEN DIVACK, M.D., P.C.
1974-01-31 1987-04-02 Name MARTIN BODIAN, M. D., P. C.

Filings

Filing Number Date Filed Type Effective Date
C342707-2 2004-02-05 ASSUMED NAME CORP INITIAL FILING 2004-02-05
C129743-3 1990-04-12 CERTIFICATE OF AMENDMENT 1990-04-12
B478894-3 1987-04-02 CERTIFICATE OF AMENDMENT 1987-04-02
A132462-4 1974-01-31 CERTIFICATE OF INCORPORATION 1974-01-31

Date of last update: 30 Oct 2024

Sources: New York Secretary of State