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  5. MID-SUFFOLK MEDICAL CARE, P.C.

MID-SUFFOLK MEDICAL CARE, P.C.

Company Details

Name: MID-SUFFOLK MEDICAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Aug 2007 (17 years ago)
Entity Number: 3559321
ZIP code: 11767
County: Suffolk
Place of Formation: New York
Principal Address: 6277 JERICHO TURNPIKE, COMMACK, NY, United States, 11725
Address: 10 NICOLA LANE, NESCONSET, NY, United States, 11767

Contact Details

Phone +1 631-462-6644

Phone +1 631-467-3621

Phone +1 631-361-3363

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
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2023 260797131 2024-04-18 MID-SUFFOLK MEDICAL CARE P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2024-04-18
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2022 260797131 2023-09-07 MID-SUFFOLK MEDICAL CARE P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2021 260797131 2022-09-28 MID-SUFFOLK MEDICAL CARE P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2022-09-28
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2020 260797131 2021-10-05 MID-SUFFOLK MEDICAL CARE P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2019 260797131 2021-06-17 MID-SUFFOLK MEDICAL CARE P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2018 260797131 2019-10-11 MID-SUFFOLK MEDICAL CARE P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2017 260797131 2018-10-12 MID-SUFFOLK MEDICAL CARE P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2016 260797131 2017-10-13 MID-SUFFOLK MEDICAL CARE P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2015 260797131 2016-10-11 MID-SUFFOLK MEDICAL CARE P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2014 260797131 2015-06-18 MID-SUFFOLK MEDICAL CARE P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2015-06-12
Name of individual signing KELLY ROXBY

Chief Executive Officer

Name Role Address
MOHAMMED R. AZAZ Chief Executive Officer 10 NICOLA LANE, NESCONSET, NY, United States, 11767

DOS Process Agent

Name Role Address
MOHAMMED R. AZAZ DOS Process Agent 10 NICOLA LANE, NESCONSET, NY, United States, 11767

History

Start date End date Type Value
2009-09-16 2019-06-06 Address 10 NICOLA LN, NESCONSET, NY, 11767, USA (Type of address: Chief Executive Officer)
2009-09-16 2019-06-06 Address 10 NICOLA LN, NESCONSET, NY, 11767, USA (Type of address: Principal Executive Office)
2009-09-16 2019-06-06 Address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725, USA (Type of address: Service of Process)
2007-08-22 2009-09-16 Address 10 NICOLA LANE, NESCONSET, NY, 11767, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
190606002022 2019-06-06 BIENNIAL STATEMENT 2017-08-01
110826002296 2011-08-26 BIENNIAL STATEMENT 2011-08-01
090916002372 2009-09-16 BIENNIAL STATEMENT 2009-08-01
070822000629 2007-08-22 CERTIFICATE OF INCORPORATION 2007-08-22

Related by officers

No related officers

Related by address

6277 JERICHO TURNPIKE, COMMACK, NY, United States, 11725

50 E. CHESTNUT LLC ISLAND MEDICAL REALTY, LLC NORTH SHORE CHILD PSYCHIATRY, P.C. OSTRUM CONSULTANTS, INC. COLORADO SHELL, INC. YOU OUGHT TO BE IN PICTURES, INC. ALL PROFESSIONAL EXTERMINATORS, INC. COMMACK SERVICE CENTER INC. M.V.P. ELECTRICAL CONTRACTORS, INC.

10 NICOLA LANE, NESCONSET, NY, United States, 11767

AZAZ PROPERTIES, LLC LUCKY EIGHT HOLDINGS LLC SUFFOLK MEDICAL MANAGEMENT GROUP, INC. WOODBOSS CONSTRUCTION INC.

Date of last update: 27 Nov 2024

Sources: New York Secretary of State

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