| Name: | DOUGLAS A. GOLDBERG, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Inactive |
| Date of registration: | 09 May 2008 (17 years ago) |
| Date of dissolution: | 18 May 2020 |
| Entity Number: | 3669837 |
| ZIP code: | 11579 |
| County: | Nassau |
| Place of Formation: | New York |
| Address: | 4 DIXON CT, SEA CLIFF, NY, United States, 11579 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOUGLAS A. GOLDBERG, M.D., P.C. RETIREMENT PLAN | 2014 | 262592499 | 2015-04-06 | DOUGLAS A. GOLDBERG, M.D., P.C. | 2 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-04-05 |
| Name of individual signing | DOUGLAS GOLDBERG |
| Role | Employer/plan sponsor |
| Date | 2015-04-05 |
| Name of individual signing | DOUGLAS GOLDBERG |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5168010225 |
| Plan sponsor’s address | 4 DIXON CT, SEA CLIFF, NY, 11577 |
Signature of
| Role | Plan administrator |
| Date | 2014-03-20 |
| Name of individual signing | DOUGLAS GOLDBERG |
| Name | Role | Address |
|---|---|---|
| DOUGLAS A. GOLDBERG, M.D., P.C. | DOS Process Agent | 4 DIXON CT, SEA CLIFF, NY, United States, 11579 |
| Name | Role | Address |
|---|---|---|
| DOUGLAS A GOLDBERG MD | Chief Executive Officer | 4 DIXON CT, SEA CLIFF, NY, United States, 11579 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2012-07-09 | 2014-05-12 | Address | 4 DIXON CT, SEA CLIFF, NY, 11599, USA (Type of address: Principal Executive Office) |
| 2012-07-09 | 2014-05-12 | Address | 4 DIXON CT, SEA CLIFF, NY, 11599, USA (Type of address: Chief Executive Officer) |
| 2012-07-09 | 2014-05-12 | Address | 4 DIXON CT, SEA CLIFF, NY, 11599, USA (Type of address: Service of Process) |
| 2011-02-10 | 2012-07-09 | Address | 4 DIXON CT., SEA CLIFF, NY, 11579, 2002, USA (Type of address: Service of Process) |
| 2010-05-28 | 2012-07-09 | Address | 80 RANSOM AVE, SEA CLIFF, NY, 11579, USA (Type of address: Chief Executive Officer) |
| 2010-05-28 | 2012-07-09 | Address | 80 RANSOM AVE, SEA CLIFF, NY, 11579, USA (Type of address: Principal Executive Office) |
| 2008-05-09 | 2011-02-10 | Address | 80 RANSOM AVENUE, SEA CLIFF, NY, 11579, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 200518000127 | 2020-05-18 | CERTIFICATE OF DISSOLUTION | 2020-05-18 |
| 180503006728 | 2018-05-03 | BIENNIAL STATEMENT | 2018-05-01 |
| 140512006037 | 2014-05-12 | BIENNIAL STATEMENT | 2014-05-01 |
| 120709002079 | 2012-07-09 | BIENNIAL STATEMENT | 2012-05-01 |
| 110210000807 | 2011-02-10 | CERTIFICATE OF CHANGE | 2011-02-10 |
| 100528002447 | 2010-05-28 | BIENNIAL STATEMENT | 2010-05-01 |
| 080509000726 | 2008-05-09 | CERTIFICATE OF INCORPORATION | 2008-05-09 |
Date of last update: 26 Nov 2024
Sources: New York Secretary of State
