| Name: | MICHAEL J. BORUCHOV, D.D.S., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 01 Oct 1976 (48 years ago) |
| Entity Number: | 411399 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 5 WHITECLIFF LANE, 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 | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL J. BORUCHOV, D.D.S., P.C. PROFIT-SHARING PLAN | 2009 | 112401011 | 2010-07-15 | MICHAEL J. BORUCHOV, D.D.S., P.C. | 1 | |||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 112401011 |
| Plan administrator’s name | MICHAEL J. BORUCHOV, D.D.S., P.C. |
| Plan administrator’s address | 800 BROADWAY AVENUE, HOLBROOK, NY, 11741 |
| Administrator’s telephone number | 6315897402 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-15 |
| Name of individual signing | MICHAEL J. BROUCHOV DDS |
| Role | Employer/plan sponsor |
| Date | 2010-07-15 |
| Name of individual signing | MICHAEL J, BROUCHOV DDS |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1977-09-30 |
| Business code | 621210 |
| Sponsor’s telephone number | 6315897402 |
| Plan sponsor’s address | 800 BROADWAY AVENUE, HOLBROOK, NY, 11741 |
Plan administrator’s name and address
| Administrator’s EIN | 112401011 |
| Plan administrator’s name | MICHAEL J. BORUCHOV, D.D.S., P.C. |
| Plan administrator’s address | 800 BROADWAY AVENUE, HOLBROOK, NY, 11741 |
| Administrator’s telephone number | 6315897402 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-15 |
| Name of individual signing | MICHAEL J. BROUCHOV DDS |
| Role | Employer/plan sponsor |
| Date | 2010-07-15 |
| Name of individual signing | MICHAEL J, BROUCHOV DDS |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1977-09-30 |
| Business code | 621210 |
| Sponsor’s telephone number | 6315897402 |
| Plan sponsor’s address | 800 BROADWAY AVENUE, HOLBROOK, NY, 11741 |
Plan administrator’s name and address
| Administrator’s EIN | 112401011 |
| Plan administrator’s name | MICHAEL J. BORUCHOV, D.D.S., P.C. |
| Plan administrator’s address | 800 BROADWAY AVENUE, HOLBROOK, NY, 11741 |
| Administrator’s telephone number | 6315897402 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-15 |
| Name of individual signing | MICHAEL J. BROUCHOV DDS |
| Name | Role | Address |
|---|---|---|
| MICHSEL J. BORUCHOV, D.D.S., P.C. | DOS Process Agent | 5 WHITECLIFF LANE, NESCONSET, NY, United States, 11767 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 20090417001 | 2009-04-17 | ASSUMED NAME CORP AMENDMENT | 2009-04-17 |
| 20090403022 | 2009-04-03 | ASSUMED NAME CORP INITIAL FILING | 2009-04-03 |
| A346267-4 | 1976-10-01 | CERTIFICATE OF INCORPORATION | 1976-10-01 |
Date of last update: 29 Oct 2024
Sources: New York Secretary of State
