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SOUTH ISLAND FAMILY MEDICAL, LLC

Company Details

Name: SOUTH ISLAND FAMILY MEDICAL, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Oct 2007 (17 years ago) (Companies founded in October 2007)
Entity Number: 3580259
ZIP code: 11558 (Companies in Nassau, 11558)
County: Nassau
Place of Formation: New York
Address: 3 CALIFORNIA PLACE SOUTH, ISLAND PARK, NY, United States, 11558

Contact Details

Phone +1 516-670-8800

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH ISLAND FAMILY MEDICAL LLC - 401K 2023 113599064 2024-05-31 SOUTH ISLAND FAMILY MEDICAL LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 5168517179
Plan sponsor’s address 3 CALIFORNIA PI S, ISLAND PARK, NY, 11558

Signature of
Role Plan administrator
Date 2024-05-31
Name of individual signing CAROLYN CASTIGLIA
SOUTH ISLAND FAMILY MEDICAL LLC - 401K 2022 113599064 2023-06-08 SOUTH ISLAND FAMILY MEDICAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 5168517179
Plan sponsor’s address 3 CALIFORNIA PI S, ISLAND PARK, NY, 11558

Signature of
Role Plan administrator
Date 2023-06-08
Name of individual signing CAROLYN CASTIGLIA
SOUTH ISLAND FAMILY MEDICAL LLC - 401K 2021 113599064 2022-07-04 SOUTH ISLAND FAMILY MEDICAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 5168517179
Plan sponsor’s address 3 CALIFORNIA PI S, ISLAND PARK, NY, 11558

Signature of
Role Plan administrator
Date 2022-07-04
Name of individual signing CAROLYN CASTIGLIA
SOUTH ISLAND FAMILY MEDICAL LLC - 401K 2020 113599064 2021-06-19 SOUTH ISLAND FAMILY MEDICAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 5168517179
Plan sponsor’s address 3 CALIFORNIA PI S, ISLAND PARK, NY, 11558

Signature of
Role Plan administrator
Date 2021-06-19
Name of individual signing CAROLYN CASTIGLIA
SOUTH ISLAND FAMILY MEDICAL LLC - 401K 2019 113599064 2020-08-04 SOUTH ISLAND FAMILY MEDICAL LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 5168517179
Plan sponsor’s address 3 CALIFORNIA PI S, ISLAND PARK, NY, 11558

Signature of
Role Plan administrator
Date 2020-08-04
Name of individual signing CAROLYN CASTIGLIA
SOUTH ISLAND FAMILY MEDICAL LLC - 401K 2018 113599064 2019-09-04 SOUTH ISLAND FAMILY MEDICAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 5168517179
Plan sponsor’s address 3 CALIFORNIA PI S, ISLAND PARK, NY, 11558

Signature of
Role Plan administrator
Date 2019-09-04
Name of individual signing CAROLYN CASTIGLIA
SOUTH ISLAND FAMILY MEDICAL LLC - 401K 2017 113599064 2018-08-14 SOUTH ISLAND FAMILY MEDICAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 5168517179
Plan sponsor’s address 3 CALIFORNIA PI S, ISLAND PARK, NY, 11558

Signature of
Role Plan administrator
Date 2018-08-14
Name of individual signing JAMES WOLFANGER
SOUTH ISLAND FAMILY MEDICAL LLC - 401K 2016 113599064 2017-07-05 SOUTH ISLAND FAMILY MEDICAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 5168517179
Plan sponsor’s address 3 CALIFORNIA PI S, ISLAND PARK, NY, 11558

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing JAMES WOLFANGER

DOS Process Agent

Name Role Address
SOUTH ISLAND FAMILY MEDICAL, LLC DOS Process Agent 3 CALIFORNIA PLACE SOUTH, ISLAND PARK, NY, United States, 11558

History

Start date End date Type Value
2013-10-23 2023-10-02 Address 3 CALIFORNIA PLACE SOUTH, ISLAND PARK, NY, 11558, USA (Type of address: Service of Process)
2009-10-20 2013-10-23 Address SOUTH ISLAND MEDICAL, 4042A AUSTIN BLVD, ISLAND PARK, NY, 11558, USA (Type of address: Service of Process)
2007-10-18 2009-10-20 Address 4042A AUSTIN BOULEVARD, ISLAND PARK, NY, 11558, USA (Type of address: Service of Process)
2007-10-15 2007-10-18 Address 4042A AUSTIN BOULEVARD, ISLAND PARK, NY, 11558, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231002003791 2023-10-02 BIENNIAL STATEMENT 2023-10-01
220913002436 2022-09-13 BIENNIAL STATEMENT 2021-10-01
191003061983 2019-10-03 BIENNIAL STATEMENT 2019-10-01
131023002200 2013-10-23 BIENNIAL STATEMENT 2013-10-01
111103002558 2011-11-03 BIENNIAL STATEMENT 2011-10-01
091020002065 2009-10-20 BIENNIAL STATEMENT 2009-10-01
080102000342 2008-01-02 CERTIFICATE OF PUBLICATION 2008-01-02
071018000205 2007-10-18 CERTIFICATE OF CONVERSION 2007-10-18
071015001101 2007-10-15 ARTICLES OF ORGANIZATION 2007-10-15

Related by officers

No related officers

Related by address

3 CALIFORNIA PLACE SOUTH, ISLAND PARK, NY, United States, 11558

AUSTIN-CALIFORNIA REALTY LLC

Date of last update: 09 Nov 2024

Sources: New York Secretary of State

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