| Name: | JACK L BRENNER, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 07 Dec 1976 (48 years ago) |
| Entity Number: | 416996 |
| ZIP code: | 10598 |
| County: | Westchester |
| Place of Formation: | New York |
| Address: | 1974 MAPLE HILL ST / SUITE 6, YORKTOWN HEIGHTS, NY, United States, 10598 |
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 | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JACK L. BRENNER, M.D., P.C. RETIREMENT TRUST (PROFIT SHARING PLAN) | 2010 | 132877774 | 2011-10-12 | JACK L. BRENNER, M.D., P.C. | 5 | |||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 132877774 |
| Plan administrator’s name | JACK L. BRENNER, M.D., P.C. |
| Plan administrator’s address | 1940 COMMERCE STREET, YORKTOWN HEIGHTS, NY, 10598 |
| Administrator’s telephone number | 9149625596 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-12 |
| Name of individual signing | JACK L. BRENNER |
| File | View Page |
| Three-digit plan number (PN) | 004 |
| Effective date of plan | 1994-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9149625596 |
| Plan sponsor’s address | 1940 COMMERCE STREET, YORKTOWN HEIGHTS, NY, 10598 |
Plan administrator’s name and address
| Administrator’s EIN | 132877774 |
| Plan administrator’s name | JACK L. BRENNER, M.D., P.C. |
| Plan administrator’s address | 1940 COMMERCE STREET, YORKTOWN HEIGHTS, NY, 10598 |
| Administrator’s telephone number | 9149625596 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | JACK L. BRENNER |
| Role | Employer/plan sponsor |
| Date | 2010-10-14 |
| Name of individual signing | JACK L. BRENNER |
| Name | Role | Address |
|---|---|---|
| JACK L BRENNER, MD | Chief Executive Officer | 1974 MAPLE HILL ST / SUITE 6, YORKTOWN HEIGHTS, NY, United States, 10598 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 1974 MAPLE HILL ST / SUITE 6, YORKTOWN HEIGHTS, NY, United States, 10598 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1997-02-03 | 2011-01-11 | Address | 1940 COMMERCE ST, YORKTOWN HEIGHTS, NY, 10598, USA (Type of address: Chief Executive Officer) |
| 1997-02-03 | 2011-01-11 | Address | 1940 COMMERCE ST, YORKTOWN HEIGHTS, NY, 10598, USA (Type of address: Principal Executive Office) |
| 1993-02-24 | 1997-02-03 | Address | 1940 COMMERCE STREET, YORKTOWN HEIGHTS, NY, 10598, USA (Type of address: Principal Executive Office) |
| 1993-02-24 | 1997-02-03 | Address | 84 INNINGWOOD ROAD, OSSISSING, NY, 10562, USA (Type of address: Chief Executive Officer) |
| 1993-02-24 | 2011-01-11 | Address | 1940 COMMERCE STREET, YORKTOWN HEIGHTS, NY, 10598, USA (Type of address: Service of Process) |
| 1976-12-07 | 1993-02-24 | Address | 1940 COMMERCE ST, YORKTOWN HEIGHTS, NY, 10598, USA (Type of address: Service of Process) |
| 1976-12-07 | 2024-01-05 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 20170809074 | 2017-08-09 | ASSUMED NAME LLC INITIAL FILING | 2017-08-09 |
| 121213006323 | 2012-12-13 | BIENNIAL STATEMENT | 2012-12-01 |
| 110111002296 | 2011-01-11 | BIENNIAL STATEMENT | 2010-12-01 |
| 081217002814 | 2008-12-17 | BIENNIAL STATEMENT | 2008-12-01 |
| 061219002390 | 2006-12-19 | BIENNIAL STATEMENT | 2006-12-01 |
| 050125002539 | 2005-01-25 | BIENNIAL STATEMENT | 2004-12-01 |
| 030117002519 | 2003-01-17 | BIENNIAL STATEMENT | 2002-12-01 |
| 010111002027 | 2001-01-11 | BIENNIAL STATEMENT | 2000-12-01 |
| 981229002448 | 1998-12-29 | BIENNIAL STATEMENT | 1998-12-01 |
| 970203002106 | 1997-02-03 | BIENNIAL STATEMENT | 1996-12-01 |
Date of last update: 17 Nov 2024
Sources: New York Secretary of State
