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  5. ADELAIDE L. MASAKAYAN, M.D. PEDIATRICS, P.C.

ADELAIDE L. MASAKAYAN, M.D. PEDIATRICS, P.C.

Company Details

Name: ADELAIDE L. MASAKAYAN, M.D. PEDIATRICS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Jan 2008 (17 years ago)
Entity Number: 3623726
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, United States, 11776

Shares Details

Shares issued 1500

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. CASH OR DEFERRED PLAN 2023 261846323 2024-02-08 ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6318483155
Plan sponsor’s address 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11766
ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. CASH OR DEFERRED PLAN 2022 261846323 2023-03-16 ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6318483155
Plan sponsor’s address 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11766
ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. CASH OR DEFERRED PLAN 2021 261846323 2022-03-14 ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6318483155
Plan sponsor’s address 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11766
ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. CASH OR DEFERRED PLAN 2020 261846323 2021-08-23 ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6318483155
Plan sponsor’s address 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11766
ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. CASH OR DEFERRED PLAN 2019 261846323 2020-10-10 ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6318483155
Plan sponsor’s address 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11766
ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. CASH OR DEFERRED PLAN 2018 261846323 2019-10-01 ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6318483155
Plan sponsor’s address 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11766
ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. CASH OR DEFERRED PLAN 2017 261846323 2018-09-26 ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6318483155
Plan sponsor’s address 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11766
ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. CASH OR DEFERRED PLAN 2016 261846323 2017-08-21 ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6318483155
Plan sponsor’s address 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11766

Signature of
Role Plan administrator
Date 2017-08-21
Name of individual signing ADELAIDE L. MASAKAYAN
ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. CASH OR DEFERRED PLAN 2015 261846323 2016-08-24 ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6318483155
Plan sponsor’s address 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11766

Signature of
Role Plan administrator
Date 2016-08-24
Name of individual signing ADELAIDE L. MASAKAYAN
ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. CASH OR DEFERRED PLAN AND TRUST 2014 261846323 2015-07-07 ADELAIDE L. MASAKAYAN, M.D., PEDIATRICS, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6318483155
Plan sponsor’s address 565 ROUTE 25A - SUITE 104, MILLER PLACE, NY, 11764

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing ADELAIDE L. MASAKAYAN

DOS Process Agent

Name Role Address
ADELAIDE L. MASAKAYAN, M.D. PEDIATRICS, P.C. DOS Process Agent 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, United States, 11776

Chief Executive Officer

Name Role Address
ADELAIDE L MASAKAYAN Chief Executive Officer 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, United States, 11776

History

Start date End date Type Value
2024-01-03 2024-01-03 Address 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776, USA (Type of address: Chief Executive Officer)
2018-01-03 2024-01-03 Address 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776, USA (Type of address: Service of Process)
2018-01-03 2024-01-03 Address 112 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776, USA (Type of address: Chief Executive Officer)
2012-03-07 2018-01-03 Address 565 RTE 25A, STE 104, MILLER PLACE, NY, 11764, USA (Type of address: Service of Process)
2010-02-17 2018-01-03 Address 565 RTE 25A, STE 104, MILLER PLACE, NY, 11764, USA (Type of address: Principal Executive Office)
2010-02-17 2018-01-03 Address 565 RTE 25A, STE 104, MILLER PLACE, NY, 11764, USA (Type of address: Chief Executive Officer)
2010-02-17 2012-03-07 Address 1565 RTE 25A, STE 104, MILLER PLACE, NY, 11764, USA (Type of address: Service of Process)
2008-01-28 2010-02-17 Address 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process)
2008-01-28 2024-01-03 Shares Share type: NO PAR VALUE, Number of shares: 1500, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240103002923 2024-01-03 BIENNIAL STATEMENT 2024-01-03
220101000863 2022-01-01 BIENNIAL STATEMENT 2022-01-01
200102062552 2020-01-02 BIENNIAL STATEMENT 2020-01-01
180103006521 2018-01-03 BIENNIAL STATEMENT 2018-01-01
160104008299 2016-01-04 BIENNIAL STATEMENT 2016-01-01
140425002243 2014-04-25 BIENNIAL STATEMENT 2014-01-01
120307002713 2012-03-07 BIENNIAL STATEMENT 2012-01-01
100217002134 2010-02-17 BIENNIAL STATEMENT 2010-01-01
080128001459 2008-01-28 CERTIFICATE OF INCORPORATION 2008-01-28

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 09 Nov 2024

Sources: New York Secretary of State

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