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THEODORE W. LIEBERMAN, M.D., P.C.

Company Details

Name: THEODORE W. LIEBERMAN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Jul 1976 (48 years ago)
Entity Number: 405135
County: New York
Place of Formation: New York
Address: 1370 AVE OF THE AMERICAS, NEW YORK, NY, United States, 10019
Address ZIP Code: 10019

Shares Details

Shares issued 1000

Share Par Value 0.1

Type PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THEODORE W LIEBERMAN MD PC PENSION TRUST 2018 132863800 2019-11-14 THEODORE W. LIEBERMAN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-06-30
Business code 621320
Sponsor’s telephone number 2127225477
Plan sponsor’s address 1165 PARK AVENUE, APT.5-A, NEW YORK, NY, 10128

Signature of
Role Plan administrator
Date 2019-11-14
Name of individual signing THEODORE W LIEBERMAN
THEODORE W LIEBERMAN MD PC PENSION TRUST 2017 132863800 2018-08-15 THEODORE W. LIEBERMAN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-06-30
Business code 621320
Sponsor’s telephone number 2127225477
Plan sponsor’s address 1165 PARK AVENUE, APT.5-A, NEW YORK, NY, 10128

Signature of
Role Plan administrator
Date 2018-08-15
Name of individual signing THEODORE W LIEBERMAN
THEODORE W LIEBERMAN MD PC PENSION TRUST 2016 132863800 2017-11-09 THEODORE W. LIEBERMAN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-06-30
Business code 621320
Sponsor’s telephone number 2127225477
Plan sponsor’s address 70 EAST 96TH STREET, NEW YORK, NY, 10128

Signature of
Role Plan administrator
Date 2017-11-09
Name of individual signing THEODORE W LIEBERMAN
THEODORE W LIEBERMAN MD PC PENSION TRUST 2015 132863800 2016-12-20 THEODORE W. LIEBERMAN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-06-30
Business code 621320
Sponsor’s telephone number 2127225477
Plan sponsor’s address 70 EAST 96TH STREET, NEW YORK, NY, 10128

Signature of
Role Plan administrator
Date 2016-12-20
Name of individual signing THEODORE W LIEBERMAN
THEODORE W LIEBERMAN MD PC PENSION TRUST 2014 132863800 2016-01-06 THEODORE W. LIEBERMAN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-06-30
Business code 621320
Sponsor’s telephone number 2127225477
Plan sponsor’s address 70 EAST 96TH STREET, NEW YORK, NY, 10128

Signature of
Role Plan administrator
Date 2016-01-06
Name of individual signing THEODORE W LIEBERMAN
THEODORE W. LIEBERMAN, M.D., P.C. PENSION TRUST 2013 132863800 2015-03-15 THEODORE W LIEBERMAN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-06-30
Business code 621320
Sponsor’s telephone number 2127225477
Plan sponsor’s address 70 EAST 96 STREET, 70 EAST 96 STREET, NEW YORK, NY, 10128

Signature of
Role Plan administrator
Date 2015-03-15
Name of individual signing THEODORE W. LIEBERMAN
THEODORE W. LIEBERMAN, M.D., P.C. PENSION TRUST 2012 132863800 2013-12-22 THEODORE W LIEBERMAN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-06-30
Business code 621320
Sponsor’s telephone number 2127225477
Plan sponsor’s address 70 EAST 96 STREET, 70 EAST 96 STREET, NEW YORK, NY, 10128

Signature of
Role Plan administrator
Date 2013-12-22
Name of individual signing THEODORE W. LIEBERMAN
THEODORE W. LIEBERMAN, M.D., P.C. PENSION TRUST 2011 132863800 2012-12-20 THEODORE W LIEBERMAN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-06-30
Business code 621320
Sponsor’s telephone number 2127225477
Plan sponsor’s address 70 EAST 96 STREET, 70 EAST 96 STREET, NEW YORK, NY, 10128

Plan administrator’s name and address
Administrator’s EIN 132863800
Plan administrator’s name THEODORE W LIEBERMAN, M.D., P.C.
Plan administrator’s address 70 EAST 96 STREET, 70 EAST 96 STREET, NEW YORK, NY, 10128
Administrator’s telephone number 2127225477

Signature of
Role Plan administrator
Date 2012-12-20
Name of individual signing THEODORE W LIEBERMAN
THEODORE W. LIEBERMAN, M.D., P.C. PENSION TRUST 2010 132863800 2012-02-03 THEODORE W LIEBERMAN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-06-30
Business code 621320
Sponsor’s telephone number 2127225477
Plan sponsor’s address 70 EAST 96 STREET, 70 EAST 96 STREET, NEW YORK, NY, 10128

Plan administrator’s name and address
Administrator’s EIN 132863800
Plan administrator’s name THEODORE W LIEBERMAN, M.D., P.C.
Plan administrator’s address 70 EAST 96 STREET, 70 EAST 96 STREET, NEW YORK, NY, 10128
Administrator’s telephone number 2127225477

Signature of
Role Plan administrator
Date 2012-02-03
Name of individual signing THEODORE W LIEBERMAN
THEODORE W. LIEBERMAN, M.D., P.C. PENSION TRUST 2009 132863800 2010-12-17 THEODORE W LIEBERMAN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-06-30
Business code 621320
Sponsor’s telephone number 2127225477
Plan sponsor’s address 70 EAST 96 STREET, NEW YORK, NY, 101280000000

Plan administrator’s name and address
Administrator’s EIN 132863800
Plan administrator’s name THEODORE W LIEBERMAN, M.D., P.C.
Plan administrator’s address 70 EAST 96 STREET, NEW YORK, NY, 101280000000
Administrator’s telephone number 2127225477

Signature of
Role Plan administrator
Date 2010-12-17
Name of individual signing THEODORE W LIEBERMAN

DOS Process Agent

Name Role Address
STEIN ROSEN & OHRENSTEIN DOS Process Agent 1370 AVE OF THE AMERICAS, NEW YORK, NY, United States, 10019

Filings

Filing Number Date Filed Type Effective Date
20100802032 2010-08-02 ASSUMED NAME CORP AMENDMENT 2010-08-02
20080626029 2008-06-26 ASSUMED NAME CORP INITIAL FILING 2008-06-26
A329289-4 1976-07-15 CERTIFICATE OF INCORPORATION 1976-07-15

Related by officers

STEIN ROSEN & OHRENSTEIN

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Related by address

1370 AVE OF THE AMERICAS, NEW YORK, NY, United States, 10019

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Date of last update: 29 Oct 2024

Sources: New York Secretary of State

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