Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Suffolk
    4. ›
  4. 11720
    5. ›
  5. JASON HALEGOUA, M.D., P.C.

JASON HALEGOUA, M.D., P.C.

Company Details

Name: JASON HALEGOUA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Oct 2009 (15 years ago)
Entity Number: 3865654
ZIP code: 11720
County: Suffolk
Place of Formation: New York
Address: 11 Lily Drive, South Setauket, NY, United States, 11720

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
JASON HALEGOUA, M.D., P.C. 401K PLAN 2014 270611895 2015-08-13 JASON HALEGOUA, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621111
Sponsor’s telephone number 6317325222
Plan sponsor’s address 3241 ROUTE 112 BLDG STE 7, MEDFORD, NY, 11763

Signature of
Role Plan administrator
Date 2015-08-13
Name of individual signing JASON HALEGOUA
JASON HALEGOUA, M.D., P.C. 401K PLAN 2014 270611895 2015-06-24 JASON HALEGOUA, M.D., P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621111
Sponsor’s telephone number 6317325222
Plan sponsor’s address 3241 ROUTE 112 BLDG STE 7, MEDFORD, NY, 11763

Signature of
Role Plan administrator
Date 2015-06-24
Name of individual signing STACEY LACARRUBBA
JASON HALEGOUA, M.D., P.C. 401K PLAN 2013 270611895 2014-07-15 JASON HALEGOUA, M.D., P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621111
Sponsor’s telephone number 6317325222
Plan sponsor’s address 3241 ROUTE 112 BLDG STE 7, MEDFORD, NY, 11763

Signature of
Role Plan administrator
Date 2014-07-15
Name of individual signing JASON HALEGOUA
JASON HALEGOUA, M.D., P.C. 401K PLAN 2012 270611895 2013-07-12 JASON HALEGOUA, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621111
Sponsor’s telephone number 6317325222
Plan sponsor’s address 3241 ROUTE 112 BLDG STE 7, MEDFORD, NY, 11763

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing JASON HALEGOUA
JASON HALEGOUA, M.D., P.C. 401K PLAN 2011 270611895 2012-07-24 JASON HALEGOUA, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621111
Sponsor’s telephone number 6317325222
Plan sponsor’s address 3241 ROUTE 112 BLDG STE 7, MEDFORD, NY, 11763

Plan administrator’s name and address
Administrator’s EIN 270611895
Plan administrator’s name JASON HALEGOUA, M.D., P.C.
Plan administrator’s address 3241 ROUTE 112 BLDG STE 7, MEDFORD, NY, 11763
Administrator’s telephone number 6317325222

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing JASON HALEGOUA

Chief Executive Officer

Name Role Address
JASON HALEGOUA Chief Executive Officer 11 LILY DRIVE, SOUTH SETAUKET, NY, United States, 11720

DOS Process Agent

Name Role Address
JASON HALEGOUA, M.D., P.C. DOS Process Agent 11 Lily Drive, South Setauket, NY, United States, 11720

History

Start date End date Type Value
2024-03-01 2024-03-01 Address 2799 ROUTE 112, STE 11, MEDFORD, NY, 11763, USA (Type of address: Chief Executive Officer)
2016-07-27 2024-03-01 Address 2799 ROUTE 112, STE 11, MEDFORD, NY, 11763, USA (Type of address: Service of Process)
2016-07-27 2024-03-01 Address 2799 ROUTE 112, STE 11, MEDFORD, NY, 11763, USA (Type of address: Chief Executive Officer)
2012-01-23 2016-07-27 Address 69 WINTHROP RD, PLAINVIEW, NY, 11803, USA (Type of address: Principal Executive Office)
2012-01-23 2016-07-27 Address 3241 RTE 112, STE 7, MEDFORD, NY, 11763, USA (Type of address: Chief Executive Officer)
2012-01-23 2016-07-27 Address 3241 RTE 112, BLDG 7 STE 7, MEDFORD, NY, 11763, USA (Type of address: Service of Process)
2009-10-09 2024-03-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2009-10-09 2012-01-23 Address 3241 ROUTE 112, BLDG. 7, STE.7, MEDFORD, NY, 11763, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240301062511 2024-03-01 BIENNIAL STATEMENT 2024-03-01
160727006152 2016-07-27 BIENNIAL STATEMENT 2015-10-01
120123002054 2012-01-23 BIENNIAL STATEMENT 2011-10-01
091009000230 2009-10-09 CERTIFICATE OF INCORPORATION 2009-10-09

Related by officers

JASON HALEGOUA

HALEGOUA NASTASI IYPE LLC JASON HALEGOUA INCORPORATED

Related by address

11 Lily Drive, South Setauket, NY, United States, 11720

HALEGOUA NASTASI IYPE LLC

Date of last update: 26 Nov 2024

Sources: New York Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 nycompanysearch.com, Part of Big Data Integrated