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JEROME S. BRESLAW, M.D., P.C.

Company Details

Name: JEROME S. BRESLAW, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Oct 1974 (50 years ago) (Companies founded in October 1974)
Entity Number: 353220
ZIP code: 10065 (Companies in New York, 10065)
County: New York
Place of Formation: New York
Address: 1175 YORK AVENUE, NEW YORK, NY, United States, 10065

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
JEROME S. BRESLAW, M.D., P.C. PENSION PLAN AND TRUST 2014 132790512 2015-07-21 JEROME S. BRESLAW, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2128323664
Plan sponsor’s address 1175 YORK AVENUE APT.PHA 3, NEW YORK, NY, 10065

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing MADELINE S. BRESLAW
JEROME S. BRESLAW, M.D., P.C. PENSION PLAN AND TRUST 2013 132790512 2014-07-15 JEROME S. BRESLAW, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126285700
Plan sponsor’s address 235 EAST 67 STREET, NEW YORK, NY, 10065

Signature of
Role Plan administrator
Date 2014-07-15
Name of individual signing JEROME BRESLAW
JEROME S. BRESLAW, M.D., P.C. PENSION PLAN & TRUST 2012 132790512 2013-04-08 JEROME S. BRESLAW, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2126285700
Plan sponsor’s address 235 EAST 67TH STREET, NEW YORK, NY, 100656040

Plan administrator’s name and address
Administrator’s EIN 132790512
Plan administrator’s name JEROME S. BRESLAW, M.D., P.C.
Plan administrator’s address 235 EAST 67TH STREET, NEW YORK, NY, 100656040
Administrator’s telephone number 2126285700

Signature of
Role Plan administrator
Date 2013-04-08
Name of individual signing MADELINE BRESLAW
JEROME S. BRESLAW, M.D., P.C. PENSION PLAN 2012 132790512 2013-07-15 JEROME S. BRESLAW, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126285700
Plan sponsor’s address 235 EAST 67 STREET, NEW YORK, NY, 10021

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing JEROME S. BRESLAW, M.D.
JEROME S. BRESLAW, M.D., P.C. PENSION PLAN & TRUST 2011 132790512 2012-09-05 JEROME S. BRESLAW, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2126285700
Plan sponsor’s address 235 EAST 67TH STREET, NEW YORK, NY, 100656040

Plan administrator’s name and address
Administrator’s EIN 132790512
Plan administrator’s name JEROME S. BRESLAW, M.D., P.C.
Plan administrator’s address 235 EAST 67TH STREET, NEW YORK, NY, 100656040
Administrator’s telephone number 2126285700

Signature of
Role Plan administrator
Date 2012-09-05
Name of individual signing MADELINE BRESLAW
JEROME S. BRESLAW, M.D., P.C. PENSION PLAN 2011 132790512 2013-06-03 JEROME S. BRESLAW, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126285700
Plan sponsor’s address 235 EAST 67 STREET, NEW YORK, NY, 10021

Plan administrator’s name and address
Administrator’s EIN 132790512
Plan administrator’s name JEROME S. BRESLAW, M.D., P.C.
Plan administrator’s address 235 EAST 67 STREET, NEW YORK, NY, 10021
Administrator’s telephone number 2126285700

Signature of
Role Plan administrator
Date 2013-06-03
Name of individual signing JEROME S. BRESLAW, MD
Role Employer/plan sponsor
Date 2013-06-03
Name of individual signing JEROME S. BRESLAW MD
JEROME S. BRESLAW, M.D., P.C. PENSION PLAN 2010 132790512 2013-06-03 JEROME S. BRESLAW, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126285700
Plan sponsor’s address 235 EAST 67 STREET, NEW YORK, NY, 10021

Plan administrator’s name and address
Administrator’s EIN 132790512
Plan administrator’s name JEROME S. BRESLAW, M.D., P.C.
Plan administrator’s address 235 EAST 67 STREET, NEW YORK, NY, 10021
Administrator’s telephone number 2126285700

Signature of
Role Plan administrator
Date 2013-06-03
Name of individual signing JEROME S. BRESLAW MD
Role Employer/plan sponsor
Date 2013-06-03
Name of individual signing JEROME S. BRESLAW MD
JEROME S. BRESLAW, M.D., P.C. PENSION PLAN & TRUST 2010 132790512 2011-06-17 JEROME S. BRESLAW, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2126285700
Plan sponsor’s address 235 EAST 67TH STREET, NEW YORK, NY, 100656040

Plan administrator’s name and address
Administrator’s EIN 132790512
Plan administrator’s name JEROME S. BRESLAW, M.D., P.C.
Plan administrator’s address 235 EAST 67TH STREET, NEW YORK, NY, 100656040
Administrator’s telephone number 2126285700

Signature of
Role Plan administrator
Date 2011-06-17
Name of individual signing MADELINE BRESLAW
JEROME S. BRESLAW, M.D., P.C. PENSION PLAN & TRUST 2009 132790512 2010-08-19 JEROME S. BRESLAW, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2126285700
Plan sponsor’s address 235 EAST 67TH STREET, NEW YORK, NY, 100656040

Plan administrator’s name and address
Administrator’s EIN 132790512
Plan administrator’s name JEROME S. BRESLAW, M.D., P.C.
Plan administrator’s address 235 EAST 67TH STREET, NEW YORK, NY, 100656040
Administrator’s telephone number 2126285700

Signature of
Role Plan administrator
Date 2010-08-19
Name of individual signing MADELINE BRESLAW

DOS Process Agent

Name Role Address
JEROME S. BRESLAW, M.D., P.C. DOS Process Agent 1175 YORK AVENUE, NEW YORK, NY, United States, 10065

Chief Executive Officer

Name Role Address
JEROME S. BRESLAW M.D. Chief Executive Officer 1175 YORK AVENUE, NEW YORK, NY, United States, 10065

History

Start date End date Type Value
2008-10-10 2014-11-14 Address 235 E. 67TH STREET, NEW YORK, NY, 10065, 6040, USA (Type of address: Principal Executive Office)
2008-10-10 2014-11-14 Address 235 EAST 67TH STREET, NEW YORK, NY, 10065, 6040, USA (Type of address: Chief Executive Officer)
2008-10-10 2014-11-14 Address 235 E. 67TH STREET, NEW YORK, NY, 10065, 6040, USA (Type of address: Service of Process)
1992-11-05 2008-10-10 Address 235 EAST 67TH STREET, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
1992-11-05 2008-10-10 Address 235 E. 67TH STREET, NEW YORK, NY, 10021, USA (Type of address: Service of Process)
1992-11-05 2008-10-10 Address 235 E. 67TH STREET, NEW YORK, NY, 10021, USA (Type of address: Principal Executive Office)
1974-10-03 1992-11-05 Address 235 E. 67TH ST., NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
141114006392 2014-11-14 BIENNIAL STATEMENT 2014-10-01
121024002227 2012-10-24 BIENNIAL STATEMENT 2012-10-01
101014002911 2010-10-14 BIENNIAL STATEMENT 2010-10-01
081010002473 2008-10-10 BIENNIAL STATEMENT 2008-10-01
20071012064 2007-10-12 ASSUMED NAME CORP INITIAL FILING 2007-10-12
061018002042 2006-10-18 BIENNIAL STATEMENT 2006-10-01
050103002474 2005-01-03 BIENNIAL STATEMENT 2004-10-01
021011002088 2002-10-11 BIENNIAL STATEMENT 2002-10-01
010202002552 2001-02-02 BIENNIAL STATEMENT 2000-10-01
981019002397 1998-10-19 BIENNIAL STATEMENT 1998-10-01

Related by officers

No related officers

Related by address

1175 YORK AVENUE, NEW YORK, NY, United States, 10065

JIM MURTAUGH CO., INC.

Date of last update: 17 Nov 2024

Sources: New York Secretary of State

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