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SOUTH SHORE CARDIOVASCULAR MEDICINE, P.C.

Company Details

Name: SOUTH SHORE CARDIOVASCULAR MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 19 Jan 2010 (15 years ago)
Entity Number: 3901182
County: Suffolk
Date of dissolution: 11 Sep 2018
Place of Formation: New York
Address: 137 BROADWAY, SUITE A, AMITYVILLE, NY, United States, 11701
Address ZIP Code: 11701
Principal Address: 137 BROADWAY STE A, AMITYVILLE, NY, United States, 11706
Principal Address ZIP Code: 11706

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
SOUTH SHORE CARDIOVASCULAR MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2011 113394918 2012-02-22 SOUTH SHORE CARDIOVASCULAR MEDICINE, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6312642424
Plan sponsor’s address 137 BROADWAY, SUITE A, AMITYVILLE, NY, 11701

Plan administrator’s name and address

Administrator’s EIN 113394918
Plan administrator’s name SOUTH SHORE CARDIOVASCULAR MEDICINE, P.C.
Plan administrator’s address 137 BROADWAY, SUITE A, AMITYVILLE, NY, 11701
Administrator’s telephone number 6312642424

Signature of

Role Plan administrator
Date 2012-02-22
Name of individual signing DR. JOHN A. RUISI
SOUTH SHORE CARDIOVASCULAR MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2010 113394918 2011-10-06 SOUTH SHORE CARDIOVASCULAR MEDICINE, P.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6312642424
Plan sponsor’s address 137 BROADWAY, SUITE A, AMITYVILLE, NY, 11701

Plan administrator’s name and address

Administrator’s EIN 113394918
Plan administrator’s name SOUTH SHORE CARDIOVASCULAR MEDICINE, P.C.
Plan administrator’s address 137 BROADWAY, SUITE A, AMITYVILLE, NY, 11701
Administrator’s telephone number 6312642424

Signature of

Role Plan administrator
Date 2011-10-06
Name of individual signing DR. JOHN A. RUISI

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 137 BROADWAY, SUITE A, AMITYVILLE, NY, United States, 11701

Chief Executive Officer

Name Role Address
JOHN A RUISI Chief Executive Officer 137 BROADWAY STE A, AMITYVILLE, NY, United States, 11701

Filings

Filing Number Date Filed Type Effective Date
180911000080 2018-09-11 CERTIFICATE OF DISSOLUTION 2018-09-11
140306002057 2014-03-06 BIENNIAL STATEMENT 2014-01-01
120501002647 2012-05-01 BIENNIAL STATEMENT 2012-01-01
100329000968 2010-03-29 CERTIFICATE OF AMENDMENT 2010-03-29
100119000449 2010-01-19 CERTIFICATE OF INCORPORATION 2010-01-19

Date of last update: 08 Nov 2024

Sources: New York Secretary of State