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DELTA ANESTHESIA, P.C.

Company Details

Name: DELTA ANESTHESIA, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Dec 2007 (17 years ago)
Entity Number: 3603464
ZIP code: 11542
County: Nassau
Place of Formation: New York
Address: 57 VIOLA DR, GLEN COVE, NY, United States, 11542

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
DELTA ANESTHESIA, P.C. 401(K) PLAN 2023 261574988 2024-10-11 DELTA ANESTHESIA, P.C. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7183211995
Plan sponsor’s address 55-16 MAIN STREET, FLUSHING, NY, 11355

Signature of

Role Plan administrator
Date 2024-10-11
Name of individual signing KAIZAD SANJANA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing KAIZAD SANJANA
Valid signature Filed with authorized/valid electronic signature
DELTA ANESTHESIA, P.C. 401(K) PLAN 2022 261574988 2023-10-12 DELTA ANESTHESIA, P.C. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7183211995
Plan sponsor’s address 55-16 MAIN STREET, FLUSHING, NY, 11355

Signature of

Role Plan administrator
Date 2023-10-12
Name of individual signing KAIZAD SANJANA
Role Employer/plan sponsor
Date 2023-10-12
Name of individual signing KAIZAD SANJANA
DELTA ANESTHESIA, P. C. CASH BALANCE PLAN 2021 261574988 2022-10-17 DELTA ANESTHESIA, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7183211995
Plan sponsor’s address 55-16 MAIN STREET, FLUSHING, NY, 11355
DELTA ANESTHESIA, P.C. 401(K) PLAN 2021 261574988 2022-07-13 DELTA ANESTHESIA, P.C. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7183211995
Plan sponsor’s address 55-16 MAIN STREET, FLUSHING, NY, 11355

Signature of

Role Plan administrator
Date 2022-07-13
Name of individual signing KAIZAD SANJANA
Role Employer/plan sponsor
Date 2022-07-13
Name of individual signing KAIZAD SANJANA
DELTA ANESTHESIA, P. C. CASH BALANCE PLAN 2021 261574988 2022-07-13 DELTA ANESTHESIA, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7183211995
Plan sponsor’s address 55-16 MAIN STREET, FLUSHING, NY, 11355
DELTA ANESTHESIA, P.C. 401(K) PLAN 2020 261574988 2021-05-24 DELTA ANESTHESIA, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7183211995
Plan sponsor’s address 55-16 MAIN STREET, FLUSHING, NY, 11355

Signature of

Role Plan administrator
Date 2021-05-24
Name of individual signing KAIZAD SANJANA
Role Employer/plan sponsor
Date 2021-05-24
Name of individual signing KAIZAD SANJANA
DELTA ANESTHESIA, P. C. CASH BALANCE PLAN 2020 261574988 2021-08-25 DELTA ANESTHESIA, P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7183211995
Plan sponsor’s address 55-16 MAIN STREET, FLUSHING, NY, 11355
DELTA ANESTHESIA, P. C. CASH BALANCE PLAN 2020 261574988 2021-05-27 DELTA ANESTHESIA, P.C. 22
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7183211995
Plan sponsor’s address 55-16 MAIN STREET, FLUSHING, NY, 11355
DELTA ANESTHESIA, P.C. 401(K) PLAN 2019 261574988 2020-10-12 DELTA ANESTHESIA, P.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7183211995
Plan sponsor’s address 55-16 MAIN STREET, FLUSHING, NY, 11355

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing KAIZAD SANJANA
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing KAIZAD SANJANA
DELTA ANESTHESIA, P. C. CASH BALANCE PLAN 2019 261574988 2020-10-12 DELTA ANESTHESIA, P.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7183211995
Plan sponsor’s address 55-16 MAIN STREET, FLUSHING, NY, 11355

Chief Executive Officer

Name Role Address
USHA KRISHNAMURTHY, MD Chief Executive Officer 57 VIOLA DR, GLEN COVE, NY, United States, 11542

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 57 VIOLA DR, GLEN COVE, NY, United States, 11542

History

Start date End date Type Value
2010-01-22 2014-01-07 Address 57 VIOLA DR, GLEN COVE, NY, 11542, USA (Type of address: Chief Executive Officer)
2010-01-22 2014-01-07 Address 57 VIOLA DR, GLEN COVE, NY, 11542, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
140107002411 2014-01-07 BIENNIAL STATEMENT 2013-12-01
120103002197 2012-01-03 BIENNIAL STATEMENT 2011-12-01
100122002044 2010-01-22 BIENNIAL STATEMENT 2009-12-01
071211000043 2007-12-11 CERTIFICATE OF INCORPORATION 2007-12-11

Date of last update: 27 Nov 2024

Sources: New York Secretary of State