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  5. MICHAEL L. INNERFIELD, M.D., P.C.

MICHAEL L. INNERFIELD, M.D., P.C.

Company Details

Name: MICHAEL L. INNERFIELD, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Feb 2007 (18 years ago)
Entity Number: 3478729
ZIP code: 10901
County: Rockland
Place of Formation: New York
Address: 2 EXECUTIVE BLVD, STE 406, SUFFERN, NY, United States, 10901

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
MICHAEL L. INNERFIELD, M.D., P.C. 401(K) RETIREMENT PLAN 2017 208494869 2018-07-26 MICHAEL L. INNERFIELD, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8453680048
Plan sponsor’s address 257 LAFAYETTE AVENUE, SUITE 330, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing MICHAEL L. INNERFIELD, M.D., PRES.
Role Employer/plan sponsor
Date 2018-07-26
Name of individual signing MICHAEL L. INNERFIELD, M.D.,TRUSTEE
MICHAEL L. INNERFIELD, M.D., P.C. 401(K) RETIREMENT PLAN 2016 208494869 2017-10-13 MICHAEL L. INNERFIELD, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8453680048
Plan sponsor’s address 257 LAFAYETTE AVENUE, SUITE 330, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing MICHAEL L. INNERFIELD, M.D., PRES.
Role Employer/plan sponsor
Date 2017-10-13
Name of individual signing MICHAEL L. INNERFIELD, M.D.,TRUSTEE
MICHAEL L. INNERFIELD, M.D., P.C. 401(K) RETIREMENT PLAN 2015 208494869 2016-10-16 MICHAEL L. INNERFIELD, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8453680048
Plan sponsor’s address 257 LAFAYETTE AVENUE, SUITE 330, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2016-10-16
Name of individual signing MICHAEL L. INNERFIELD, M.D., PRES.
Role Employer/plan sponsor
Date 2016-10-16
Name of individual signing MICHAEL L. INNERFIELD, M.D.,TRUSTEE
MICHAEL L. INNERFIELD, M.D., P.C. 401(K) RETIREMENT PLAN 2014 208494869 2015-10-15 MICHAEL L. INNERFIELD, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8453680048
Plan sponsor’s address 257 LAFAYETTE AVENUE, SUITE 330, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing MICHAEL L. INNERFIELD, M.D., PRES.
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing MICHAEL L. INNERFIELD, M.D.,TRUSTEE
MICHAEL L. INNERFIELD, M.D., P.C. 401(K) RETIREMENT PLAN 2013 208494869 2014-10-14 MICHAEL L. INNERFIELD, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8453680048
Plan sponsor’s address 2 EXECUTIVE BOULEVARD, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing MICHAEL L. INNERFIELD, M.D., PRES.
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing MICHAEL L. INNERFIELD, M.D.,TRUSTEE
MICHAEL L. INNERFIELD, M.D., P.C. 401(K) RETIREMENT PLAN 2012 208494869 2013-10-12 MICHAEL L. INNERFIELD, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8453680048
Plan sponsor’s address 2 EXECUTIVE BOULEVARD, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2013-10-12
Name of individual signing MICHAEL L. INNERFIELD, M.D., PRES.
Role Employer/plan sponsor
Date 2013-10-12
Name of individual signing MICHAEL L. INNERFIELD, M.D.,TRUSTEE
MICHAEL L. INNERFIELD, M.D., P.C. 401(K) RETIREMENT PLAN 2011 208494869 2012-10-08 MICHAEL L. INNERFIELD, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8453680048
Plan sponsor’s address 2 EXECUTIVE BOULEVARD, SUFFERN, NY, 10901

Plan administrator’s name and address
Administrator’s EIN 208494869
Plan administrator’s name MICHAEL L. INNERFIELD, M.D., P.C.
Plan administrator’s address 2 EXECUTIVE BOULEVARD, SUFFERN, NY, 10901
Administrator’s telephone number 8453680048

Signature of
Role Plan administrator
Date 2012-09-04
Name of individual signing MICHAEL L INNERFIELD, M.D., TRUSTEE
Role Employer/plan sponsor
Date 2012-09-04
Name of individual signing MICHAEL L. INNERFIELD, M.D., TRUSTE
MICHAEL L. INNERFIELD, M.D., P.C. 401(K) RETIREMENT PLAN 2010 208494869 2011-10-15 MICHAEL L. INNERFIELD, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8453680048
Plan sponsor’s address 2 EXECUTIVE BOULEVARD, SUFFERN, NY, 10901

Plan administrator’s name and address
Administrator’s EIN 208494869
Plan administrator’s name MICHAEL L. INNERFIELD, M.D., P.C.
Plan administrator’s address 2 EXECUTIVE BOULEVARD, SUFFERN, NY, 10901
Administrator’s telephone number 8453680048

Signature of
Role Plan administrator
Date 2011-10-15
Name of individual signing MICHAEL L. INNERFIELD, M.D., PRES.
Role Employer/plan sponsor
Date 2011-10-15
Name of individual signing MICHAEL L. INNERFIELD, M.D.,TRUSTEE

Chief Executive Officer

Name Role Address
MICHAEL INNERFIELD Chief Executive Officer 2 EXECUTIVE BLVD, STE 406, SUFFERN, NY, United States, 10901

DOS Process Agent

Name Role Address
MICHAEL INNERFIELD DOS Process Agent 2 EXECUTIVE BLVD, STE 406, SUFFERN, NY, United States, 10901

History

Start date End date Type Value
2007-02-20 2009-04-16 Address 4 DEARBORN ROAD, WEST NYACK, NY, 10994, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
110315002491 2011-03-15 BIENNIAL STATEMENT 2011-02-01
090416002863 2009-04-16 BIENNIAL STATEMENT 2009-02-01
070220000908 2007-02-20 CERTIFICATE OF INCORPORATION 2007-02-20

Related by officers

No related officers

Related by address

2 EXECUTIVE BLVD, STE 406, SUFFERN, NY, United States, 10901

RICHARD S. CANTOR, M.D., PLLC

Date of last update: 27 Nov 2024

Sources: New York Secretary of State

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