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NASSAU PULMONARY & CRITICAL CARE MEDICINE P.C.

Company Details

Name: NASSAU PULMONARY & CRITICAL CARE MEDICINE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Feb 2007 (18 years ago) (Companies founded in February 2007)
Entity Number: 3471108
ZIP code: 11548 (Companies in Nassau, 11548)
County: Nassau
Place of Formation: New York
Address: PO BOX 260, GREENVALE, NY, United States, 11548
Principal Address: 1000 NORTHERN BLVD, STE 380, GREAT NECK, NY, United States, 11021

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
NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 401(K) PLAN 2023 208379750 2024-10-06 NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5167736300
Plan sponsor’s address 891 NORTHERN BLVD., SUITE 203, GREAT NECK, NY, 11021

Signature of
Role Plan administrator
Date 2024-10-06
Name of individual signing MITCHEL JACOBS
Valid signature Filed with authorized/valid electronic signature
NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. CASH BALANCE PLAN 2023 208379750 2024-10-08 NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5167736300
Plan sponsor’s address 891 NORTHERN BLVD., SUITE 203, GREAT NECK, NY, 11021

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing MITCHEL JACOBS
Valid signature Filed with authorized/valid electronic signature
NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. CASH BALANCE PLAN 2022 208379750 2023-10-16 NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5167736300
Plan sponsor’s address 891 NORTHERN BLVD., SUITE 203, GREAT NECK, NY, 11021

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing MITCHEL JACOBS
NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 401(K) PLAN 2022 208379750 2023-10-16 NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5167736300
Plan sponsor’s address 891 NORTHERN BLVD., SUITE 203, GREAT NECK, NY, 11021

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing MITCHEL JACOBS
NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. CASH BALANCE PLAN 2021 208379750 2022-10-12 NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5167736300
Plan sponsor’s address 891 NORTHERN BLVD., SUITE 203, GREAT NECK, NY, 11021

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing MITCHEL JACOBS
NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 401(K) PLAN 2021 208379750 2022-10-13 NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5167736300
Plan sponsor’s address 891 NORTHERN BLVD., SUITE 203, GREAT NECK, NY, 11021

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing MITCHEL JACOBS
NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 401(K) PLAN 2020 208379750 2022-01-14 NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5167736300
Plan sponsor’s address 891 NORTHERN BLVD., SUITE 203, GREAT NECK, NY, 11021

Signature of
Role Plan administrator
Date 2022-01-14
Name of individual signing MITCHEL JACOBS
NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. CASH BALANCE PLAN 2020 208379750 2022-01-14 NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5167736300
Plan sponsor’s address 891 NORTHERN BLVD., SUITE 203, GREAT NECK, NY, 11021

Signature of
Role Plan administrator
Date 2022-01-14
Name of individual signing MITCHEL JACOBS
NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 401(K) PLAN 2019 208379750 2020-10-14 NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5167736300
Plan sponsor’s address 891 NORTHERN BLVD., SUITE 203, GREAT NECK, NY, 11021

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing MITCHEL JACOBS
NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. CASH BALANCE PLAN 2019 208379750 2020-10-14 NASSAU PULMONARY & CRITICAL CARE MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5167736300
Plan sponsor’s address 891 NORTHERN BLVD., SUITE 203, GREAT NECK, NY, 11021

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing MITCHEL JACOBS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent PO BOX 260, GREENVALE, NY, United States, 11548

Chief Executive Officer

Name Role Address
MITCHELL JACOBS MD Chief Executive Officer 1000 NORTHERN BLVD, STE 380, GREAT NECK, NY, United States, 11021

Filings

Filing Number Date Filed Type Effective Date
130301002460 2013-03-01 BIENNIAL STATEMENT 2013-02-01
110408002259 2011-04-08 BIENNIAL STATEMENT 2011-02-01
070201000748 2007-02-01 CERTIFICATE OF INCORPORATION 2007-02-01

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 09 Nov 2024

Sources: New York Secretary of State

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