| Name: | ANTHEM MEDICAL HEALTHCARE, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 10 May 2010 (15 years ago) |
| Entity Number: | 3947472 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 205 SMITHTOWN BLVD, NESCONSET, NY, United States, 11767 |
| Address ZIP Code: | 11767 |
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 | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTHEM MEDICAL HEALTHCARE 401 K PROFIT SHARING PLAN TRUST | 2010 | 272383477 | 2011-09-14 | ANTHEM MEDICAL HEALTHCARE, P.C | 0 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 272383477 |
| Plan administrator’s name | ANTHEM MEDICAL HEALTHCARE, P.C |
| Plan administrator’s address | 5 RIVIERA COURT, WADING RIVER, NY, 11792 |
| Administrator’s telephone number | 6319298336 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-14 |
| Name of individual signing | ANTHEM MEDICAL HEALTHCARE, P.C |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 6319298336 |
| Plan sponsor’s address | 5 RIVIERA COURT, WADING RIVER, NY, 11792 |
Plan administrator’s name and address
| Administrator’s EIN | 272383477 |
| Plan administrator’s name | ANTHEM MEDICAL HEALTHCARE, P.C |
| Plan administrator’s address | 5 RIVIERA COURT, WADING RIVER, NY, 11792 |
| Administrator’s telephone number | 6319298336 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-14 |
| Name of individual signing | ANTHEM MEDICAL HEALTHCARE, P.C |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 205 SMITHTOWN BLVD, NESCONSET, NY, United States, 11767 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 100510000106 | 2010-05-10 | CERTIFICATE OF INCORPORATION | 2010-05-10 |
Date of last update: 08 Nov 2024
Sources: New York Secretary of State
