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  5. BROOKHAVEN HEART PLLC

BROOKHAVEN HEART PLLC

Company Details

Name: BROOKHAVEN HEART PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Jul 2006 (18 years ago)
Entity Number: 3384408
ZIP code: 11772
County: Suffolk
Place of Formation: New York
Address: 325 E MAIN STREET, STE 120, PATCHOGUE, NY, United States, 11772

Contact Details

Phone +1 631-654-3278

Phone +1 631-689-8333

Phone +1 718-470-7330

Phone +1 516-562-0100

Phone +1 631-968-3000

Phone +1 516-358-8100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROOKHAVEN HEART 401(K) PLAN 2023 205201428 2024-09-19 BROOKHAVEN HEART PLLC 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6316543278
Plan sponsor’s address 325 EAST MAIN STREET, SUITE 120, PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2024-09-18
Name of individual signing SATHEESH JOSEPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-18
Name of individual signing SATHEESH JOSEPH
Valid signature Filed with authorized/valid electronic signature
BROOKHAVEN HEART 401(K) PLAN 2022 205201428 2023-07-07 BROOKHAVEN HEART PLLC 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6316543278
Plan sponsor’s address 325 EAST MAIN STREET, SUITE 120, PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2023-07-07
Name of individual signing SATHEESH JOSEPH
Role Employer/plan sponsor
Date 2023-07-07
Name of individual signing SATHEESH JOSEPH
BROOKHAVEN HEART 401(K) PLAN 2021 205201428 2022-10-05 BROOKHAVEN HEART PLLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6316543278
Plan sponsor’s address 325 EAST MAIN STREET, SUITE 120, PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing SATHEESH JOSEPH
BROOKHAVEN HEART 401(K) PLAN 2020 205201428 2021-07-27 BROOKHAVEN HEART PLLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6316543278
Plan sponsor’s address 325 EAST MAIN STREET, SUITE 120, PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing SATHEESH JOSEPH
BROOKHAVEN HEART 401(K) PLAN 2019 205201428 2020-07-23 BROOKHAVEN HEART PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6316543278
Plan sponsor’s address 325 EAST MAIN STREET, SUITE 120, PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing SATHEESH JOSEPH
BROOKHAVEN HEART 401(K) PLAN 2018 205201428 2019-07-29 BROOKHAVEN HEART PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6316543278
Plan sponsor’s address 325 EAST MAIN STREET, SUITE 120, PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing SATHEESH JOSEPH
BROOKHAVEN HEART 401(K) PLAN 2017 205201428 2018-09-24 BROOKHAVEN HEART PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6316543278
Plan sponsor’s address 325 EAST MAIN STREET, SUITE 120, PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2018-09-24
Name of individual signing SATHEESH JOSEPH
BROOKHAVEN HEART 401(K) PLAN 2016 205201428 2017-10-06 BROOKHAVEN HEART PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6316543278
Plan sponsor’s address 325 EAST MAIN STREET, SUITE 120, PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2017-10-06
Name of individual signing SATHEESH JOSEPH

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 325 E MAIN STREET, STE 120, PATCHOGUE, NY, United States, 11772

History

Start date End date Type Value
2017-05-02 2023-09-19 Address 325 E MAIN STREET, STE 120, PATCHOGUE, NY, 11772, USA (Type of address: Service of Process)
2008-07-23 2017-05-02 Address 100 HOSPITAL RD, STE 120, EAST PATCHOGUE, NY, 11772, USA (Type of address: Service of Process)
2006-07-05 2008-07-23 Address 151 NORTH 12TH STREET, NEW HYDE PARK, NY, 11040, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230919000108 2023-09-19 BIENNIAL STATEMENT 2022-07-01
170502002013 2017-05-02 BIENNIAL STATEMENT 2016-07-01
080723002498 2008-07-23 BIENNIAL STATEMENT 2008-07-01
061003000889 2006-10-03 CERTIFICATE OF PUBLICATION 2006-10-03
060705000272 2006-07-05 ARTICLES OF ORGANIZATION 2006-07-05

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Date of last update: 27 Nov 2024

Sources: New York Secretary of State

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