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SELECT PEDIATRICS, P.C.

Company Details

Name: SELECT PEDIATRICS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 24 Jan 2007 (18 years ago)
Date of dissolution: 18 Nov 2021
Entity Number: 3466961
ZIP code: 11042
County: Nassau
Place of Formation: New York
Address: ATTN: PATRICIA HERKO, M.D., 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, United States, 11042
Principal Address: 410 LAKEVILLE RD, STE 202, NEW HYDE PARK, NY, United States, 11042

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
SELECT PEDIATRICS, P.C. 401(K) PLAN 2014 208353723 2015-07-10 SELECT PEDIATRICS, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 5162161777
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Signature of

Role Plan administrator
Date 2015-06-24
Name of individual signing ONEALL PARRIS
Role Employer/plan sponsor
Date 2015-06-24
Name of individual signing ONEALL PARRIS
SELECT PEDIATRICS, P.C. 401(K) PLAN 2013 208353723 2014-07-23 SELECT PEDIATRICS, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 5162161777
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Signature of

Role Plan administrator
Date 2014-07-23
Name of individual signing ONEALL PARRIS
Role Employer/plan sponsor
Date 2014-07-23
Name of individual signing ONEALL PARRIS
SELECT PEDIATRICS, P.C. 401(K) PLAN 2012 208353723 2013-09-06 SELECT PEDIATRICS, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 5162161777
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Signature of

Role Plan administrator
Date 2013-09-06
Name of individual signing ONEALL PARRIS
Role Employer/plan sponsor
Date 2013-09-06
Name of individual signing ONEALL PARRIS
SELECT PEDIATRICS, P.C. 401(K) PLAN 2011 208353723 2012-07-19 SELECT PEDIATRICS, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 5162161777
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 208353723
Plan administrator’s name SELECT PEDIATRICS, P.C.
Plan administrator’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5162161777

Signature of

Role Plan administrator
Date 2012-07-16
Name of individual signing ONEALL PARRIS
SELECT PEDIATRICS, P.C. 401(K) PLAN 2010 208353723 2011-07-19 SELECT PEDIATRICS, P.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 5162161777
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 208353723
Plan administrator’s name SELECT PEDIATRICS, P.C.
Plan administrator’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5162161777

Signature of

Role Plan administrator
Date 2011-06-27
Name of individual signing ONEALL PARRIS
SELECT PEDIATRICS, P.C. 401(K) PLAN 2009 208353723 2010-09-17 SELECT PEDIATRICS, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 5162161777
Plan sponsor’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 208353723
Plan administrator’s name SELECT PEDIATRICS, P.C.
Plan administrator’s address 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5162161777

Signature of

Role Plan administrator
Date 2010-09-13
Name of individual signing ONEALL PARRIS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: PATRICIA HERKO, M.D., 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, United States, 11042

Chief Executive Officer

Name Role Address
PATRICIA HERKO, MD Chief Executive Officer 410 LAKEVILLE RD, STE 202, NEW HYDE PARK, NY, United States, 11042

History

Start date End date Type Value
2009-01-22 2022-05-21 Address 410 LAKEVILLE RD, STE 202, NEW HYDE PARK, NY, 11042, USA (Type of address: Chief Executive Officer)
2007-01-24 2021-11-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2007-01-24 2022-05-21 Address ATTN: PATRICIA HERKO, M.D., 410 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11042, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220521000517 2021-11-18 CERTIFICATE OF DISSOLUTION-CANCELLATION 2021-11-18
150129006100 2015-01-29 BIENNIAL STATEMENT 2015-01-01
130122002091 2013-01-22 BIENNIAL STATEMENT 2013-01-01
110126002929 2011-01-26 BIENNIAL STATEMENT 2011-01-01
090122002367 2009-01-22 BIENNIAL STATEMENT 2009-01-01
070124000673 2007-01-24 CERTIFICATE OF INCORPORATION 2007-01-24

Date of last update: 27 Nov 2024

Sources: New York Secretary of State