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STANFORD N. SULLUM, MD, PLLC

Company Details

Name: STANFORD N. SULLUM, MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Jun 2010 (14 years ago)
Entity Number: 3961223
County: New York
Place of Formation: New York
Address: 1136 5TH AVENUE, NEW YORK, NY, United States, 10128
Address ZIP Code: 10128

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STANFORD N. SULLUM, MD, LLC PROFIT SHARING PLAN 2023 760714052 2024-07-01 STANFORD N. SULLUM, MD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2128764630
Plan sponsor’s address 1136 FIFTH AVENUE, NEW YORK, NY, 10128
STANFORD N. SULLUM, MD, LLC PROFIT SHARING PLAN 2022 760714052 2023-09-11 STANFORD N. SULLUM, MD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2128764630
Plan sponsor’s address 1136 FIFTH AVENUE, NEW YORK, NY, 10128
STANFORD N. SULLUM, MD, LLC PROFIT SHARING PLAN 2021 760714052 2022-09-12 STANFORD N. SULLUM, MD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2128764630
Plan sponsor’s address 1136 FIFTH AVENUE, NEW YORK, NY, 10128
STANFORD N. SULLUM, MD, LLC PROFIT SHARING PLAN 2020 760714052 2021-05-14 STANFORD N. SULLUM, MD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2128764630
Plan sponsor’s address 1136 FIFTH AVENUE, NEW YORK, NY, 10128
STANFORD N. SULLUM, MD, LLC PROFIT SHARING PLAN 2019 760714052 2020-08-19 STANFORD N. SULLUM, MD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2128764630
Plan sponsor’s address 1136 FIFTH AVENUE, NEW YORK, NY, 10128
STANFORD N. SULLUM, MD, LLC PROFIT SHARING PLAN 2018 760714052 2019-05-29 STANFORD N. SULLUM, MD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2128764630
Plan sponsor’s address 1136 FIFTH AVENUE, NEW YORK, NY, 10128
STANFORD N. SULLUM, MD, LLC PROFIT SHARING PLAN 2017 760714052 2018-05-17 STANFORD N. SULLUM, MD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2128764630
Plan sponsor’s address 1136 FIFTH AVENUE, NEW YORK, NY, 10128
STANFORD N. SULLUM, MD, LLC PROFIT SHARING PLAN 2016 760714052 2017-06-21 STANFORD N. SULLUM, MD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2128764630
Plan sponsor’s address 1136 FIFTH AVENUE, NEW YORK, NY, 10128

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing STANFORD SULLUM, MD
STANFORD N. SULLUM, MD, LLC PROFIT SHARING PLAN 2015 760714052 2016-08-17 STANFORD N. SULLUM, MD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2128764630
Plan sponsor’s address 1136 FIFTH AVENUE, NEW YORK, NY, 10128

Signature of
Role Plan administrator
Date 2016-08-17
Name of individual signing STANFORD SULLUM, MD
STANFORD N. SULLUM, MD, LLC PROFIT SHARING PLAN 2014 760714052 2015-06-01 STANFORD N. SULLUM, MD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2128764630
Plan sponsor’s address 1136 FIFTH AVENUE, NEW YORK, NY, 10128

Signature of
Role Plan administrator
Date 2015-06-01
Name of individual signing STANFORD SULLUM, MD

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1136 5TH AVENUE, NEW YORK, NY, United States, 10128

Filings

Filing Number Date Filed Type Effective Date
200616060181 2020-06-16 BIENNIAL STATEMENT 2020-06-01
120605006650 2012-06-05 BIENNIAL STATEMENT 2012-06-01
100614000325 2010-06-14 ARTICLES OF ORGANIZATION 2010-06-14

Related by officers

THE LLC

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Related by address

1136 5TH AVENUE, NEW YORK, NY, United States, 10128

GARY ZUCKER, M. D., P. C. JAMAL RAHAMAN, GYN ONCOLOGIST, PLLC

Date of last update: 08 Nov 2024

Sources: New York Secretary of State

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