Search icon

ATUL N. SHAH, MD, P.C.

Company Details

Name: ATUL N. SHAH, MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Jan 2008 (17 years ago)
Entity Number: 3623749
County: Suffolk
Place of Formation: New York
Address: 2 CORACI BLVD, STE 13 & 14, SHIRLEY, NY, United States, 11967
Address ZIP Code: 11967

Contact Details

Phone +1 631-395-5464

Phone +1 631-446-1436

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
ATUL N. SHAH MD PC PROFIT SHARING PLAN 2023 261867273 2024-08-23 ATUL N. SHAH, MD, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 6313955464
Plan sponsor’s address 2 CORACI BLVD, SUITES 13 AND 14, SHIRELY, NY, 11967

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2024-08-23
Name of individual signing TARA EVANS, FOR TAG RESOURCES
ATUL N. SHAH MD PC PROFIT SHARING PLAN 2022 261867273 2023-10-16 ATUL N. SHAH, MD, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 6313955464
Plan sponsor’s address 2 CORACI BLVD, SUITES 13 AND 14, SHIRELY, NY, 11967

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing TARA EVANS, FOR TAG RESOURCES
ATUL N. SHAH MD PC PROFIT SHARING PLAN 2021 261867273 2022-10-17 ATUL N. SHAH, MD, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 6313955464
Plan sponsor’s address 2 CORACI BLVD, SUITES 13 AND 14, SHIRELY, NY, 11967

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing TARA EVANS

Chief Executive Officer

Name Role Address
ATUL N SHAH, MD Chief Executive Officer 2 CORACI BLVD, STE 13 & 14, SHIRLEY, NY, United States, 11967

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2 CORACI BLVD, STE 13 & 14, SHIRLEY, NY, United States, 11967

History

Start date End date Type Value
2010-06-03 2012-05-25 Address 2 CORACI BLVD STE 13 & 14, SHIRLEY, NY, 11967, USA (Type of address: Chief Executive Officer)
2010-06-03 2012-05-25 Address 2 CORACI BLVD STE 13 & 14, SHIRLEY, NY, 11967, USA (Type of address: Principal Executive Office)
2008-01-29 2022-10-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2008-01-29 2012-05-25 Address 2 CORACI BOULEVARD, SUITE 13 & 14, SHIRLEY, NY, 11967, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140321002096 2014-03-21 BIENNIAL STATEMENT 2014-01-01
120525002506 2012-05-25 BIENNIAL STATEMENT 2012-01-01
100603003267 2010-06-03 BIENNIAL STATEMENT 2010-01-01
080129000030 2008-01-29 CERTIFICATE OF INCORPORATION 2008-01-29

Date of last update: 09 Nov 2024

Sources: New York Secretary of State