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DR. ROBERT GROSSMAN, MD, PLLC

Company Details

Name: DR. ROBERT GROSSMAN, MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Aug 2006 (18 years ago)
Entity Number: 3396986
ZIP code: 11566
County: New York
Place of Formation: New York
Address: 18 SILVERBIRCH ROAD, MERRICK, NY, United States, 11566

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. ROBERT GROSSMAN, MD, PLLC CASH BALANCE PLAN 2023 205332096 2024-09-24 DR. ROBERT GROSSMAN, MD, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 9178053241
Plan sponsor’s address 925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2024-09-24
Name of individual signing ROBERT GROSSMAN
Valid signature Filed with authorized/valid electronic signature
DR. ROBERT GROSSMAN, MD, PLLC 401(K) PLAN 2023 205332096 2024-09-02 DR. ROBERT GROSSMAN, MD, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 9178053241
Plan sponsor’s address 925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2024-09-02
Name of individual signing ROBERT GROSSMAN
DR. ROBERT GROSSMAN, MD, PLLC CASH BALANCE PLAN 2022 205332096 2023-09-27 DR. ROBERT GROSSMAN, MD, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 9178053241
Plan sponsor’s address 925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2023-09-27
Name of individual signing ROBERT GROSSMAN
DR. ROBERT GROSSMAN, MD, PLLC 401(K) PLAN 2022 205332096 2023-09-28 DR. ROBERT GROSSMAN, MD, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 9178053241
Plan sponsor’s address 925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2023-09-28
Name of individual signing ROBERT GROSSMAN
DR. ROBERT GROSSMAN, MD, PLLC CASH BALANCE PLAN 2021 205332096 2022-10-03 DR. ROBERT GROSSMAN, MD, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 9178053241
Plan sponsor’s address 925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2022-10-03
Name of individual signing ROBERT GROSSMAN
DR. ROBERT GROSSMAN, MD, PLLC 401(K) PLAN 2021 205332096 2022-10-03 DR. ROBERT GROSSMAN, MD, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 9178053241
Plan sponsor’s address 925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2022-10-03
Name of individual signing ROBERT GROSSMAN
Role Employer/plan sponsor
Date 2022-10-03
Name of individual signing ROBERT GROSSMAN
DR. ROBERT GROSSMAN, MD, PLLC 401(K) PLAN 2020 205332096 2021-10-12 DR. ROBERT GROSSMAN, MD, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 9178053241
Plan sponsor’s address 925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing ROBERT GROSSMAN
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing ROBERT GROSSMAN
DR. ROBERT GROSSMAN, MD, PLLC CASH BALANCE PLAN 2020 205332096 2021-09-14 DR. ROBERT GROSSMAN, MD, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 9178053241
Plan sponsor’s address 925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2021-09-14
Name of individual signing ROBERT GROSSMAN
DR. ROBERT GROSSMAN, MD, PLLC CASH BALANCE PLAN 2019 205332096 2020-10-06 DR. ROBERT GROSSMAN, MD, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 9178053241
Plan sponsor’s address 925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2020-10-06
Name of individual signing ROBERT GROSSMAN
DR. ROBERT GROSSMAN, MD, PLLC 401(K) PLAN 2019 205332096 2020-09-28 DR. ROBERT GROSSMAN, MD, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 9178053241
Plan sponsor’s address 925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2020-09-28
Name of individual signing ROBERT GROSSMAN

DOS Process Agent

Name Role Address
DAVID MOGEL, ESQ. DOS Process Agent 18 SILVERBIRCH ROAD, MERRICK, NY, United States, 11566

Filings

Filing Number Date Filed Type Effective Date
060804000598 2006-08-04 ARTICLES OF ORGANIZATION 2006-08-04

Date of last update: 09 Nov 2024

Sources: New York Secretary of State