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  5. FORMAN PHYSICAL THERAPY, P.C.

FORMAN PHYSICAL THERAPY, P.C.

Company Details

Name: FORMAN PHYSICAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 11 May 2012 (13 years ago)
Date of dissolution: 31 Aug 2016
Entity Number: 4244204
ZIP code: 10023
County: New York
Place of Formation: New York
Address: 11 WEST 67TH STREET, NEW YORK, NY, United States, 10023

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FORMAN PHYSICAL THERAPY, P.C. SAVINGS PLAN 2011 134201651 2012-07-11 FORMAN PHYSICAL THERAPY, P.C. 3
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621340
Sponsor’s telephone number 2127996700
Plan sponsor’s address 11 W 67TH ST., NEW YORK, NY, 10023

Plan administrator’s name and address
Administrator’s EIN 134201651
Plan administrator’s name FORMAN PHYSICAL THERAPY, P.C.
Plan administrator’s address 11 W 67TH ST., NEW YORK, NY, 10023
Administrator’s telephone number 2127996700

Signature of
Role Plan administrator
Date 2012-07-10
Name of individual signing MARCUS FORMAN
FORMAN PHYSICAL THERAPY, P.C. SAVINGS PLAN 2010 134201651 2011-07-20 FORMAN PHYSICAL THERAPY, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621340
Sponsor’s telephone number 2127996700
Plan sponsor’s address 11 W 67TH ST., NEW YORK, NY, 10023

Plan administrator’s name and address
Administrator’s EIN 134201651
Plan administrator’s name FORMAN PHYSICAL THERAPY, P.C.
Plan administrator’s address 11 W 67TH ST., NEW YORK, NY, 10023
Administrator’s telephone number 2127996700

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing MARCUS FORMAN
FORMAN PHYSICAL THERAPY, P.C. SAVINGS PLAN 2010 134201651 2011-07-12 FORMAN PHYSICAL THERAPY, P.C. 3
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621340
Sponsor’s telephone number 2127996700
Plan sponsor’s address 11 W 67TH ST., NEW YORK, NY, 10023

Plan administrator’s name and address
Administrator’s EIN 134201651
Plan administrator’s name FORMAN PHYSICAL THERAPY, P.C.
Plan administrator’s address 11 W 67TH ST., NEW YORK, NY, 10023
Administrator’s telephone number 2127996700

Signature of
Role Plan administrator
Date 2011-07-12
Name of individual signing MARCUS FORMAN
FORMAN PHYSICAL THERAPY, P.C. SAVINGS PLAN 2009 134201651 2010-10-12 FORMAN PHYSICAL THERAPY, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621340
Sponsor’s telephone number 2127996700
Plan sponsor’s address 11 W 67TH ST., NEW YORK, NY, 10023

Plan administrator’s name and address
Administrator’s EIN 134201651
Plan administrator’s name FORMAN PHYSICAL THERAPY, P.C.
Plan administrator’s address 11 W 67TH ST., NEW YORK, NY, 10023
Administrator’s telephone number 2127996700

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing MARCUS FORMAN

DOS Process Agent

Name Role Address
MARCUS FORMAN DOS Process Agent 11 WEST 67TH STREET, NEW YORK, NY, United States, 10023

Chief Executive Officer

Name Role Address
MARCUS FORMAN Chief Executive Officer 11 WEST 67TH STREET, NEW YORK, NY, United States, 10023

Filings

Filing Number Date Filed Type Effective Date
DP-2215283 2016-08-31 DISSOLUTION BY PROCLAMATION 2016-08-31
140917006582 2014-09-17 BIENNIAL STATEMENT 2014-05-01
120511000064 2012-05-11 CERTIFICATE OF INCORPORATION 2012-05-11

Related by officers

MARCUS FORMAN

CENTURION PHYSICAL THERAPY, P.C.

Related by address

11 WEST 67TH STREET, NEW YORK, NY, United States, 10023

CENTURION PHYSICAL THERAPY AND ASSOCIATES, P.C. LA PALESTRA, INC. COOL BEANS MEDIA, LLC

Date of last update: 25 Nov 2024

Sources: New York Secretary of State

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