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  5. BASUK MEDICAL SERVICES PLLC

BASUK MEDICAL SERVICES PLLC

Company Details

Name: BASUK MEDICAL SERVICES PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Nov 2012 (12 years ago)
Entity Number: 4323511
ZIP code: 11706
County: Suffolk
Place of Formation: New York
Address: 2011 UNION BOULEVARD SUITE 1, BAY SHORE, NY, United States, 11706

Contact Details

Phone +1 631-666-2900

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BASUK MEDICAL SERVICES PLLC PS PLAN 2023 461508984 2024-05-02 BASUK MEDICAL SERVICES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2024-05-02
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN 2022 461508984 2023-04-08 BASUK MEDICAL SERVICES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2023-04-08
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN 2021 461508984 2022-05-10 BASUK MEDICAL SERVICES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2022-05-10
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN 2020 461508984 2021-05-27 BASUK MEDICAL SERVICES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2021-05-27
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN 2019 461508984 2021-05-21 BASUK MEDICAL SERVICES, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2021-05-21
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN 2019 461508984 2020-02-19 BASUK MEDICAL SERVICES, PLLC 11
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2020-02-19
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN (FORMERLY PAMELA BASUK, MD PROFIT SHARING PLAN) 2018 461508984 2019-03-17 BASUK MEDICAL SERVICES, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2019-03-17
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN (FORMERLY PAMELA BASUK, MD PROFIT SHARING PLAN) 2017 461508984 2018-02-16 BASUK MEDICAL SERVICES, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2018-02-16
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN (FORMERLY PAMELA BASUK, MD PROFIT SHARING PLAN) 2016 461508984 2017-01-26 BASUK MEDICAL SERVICES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2017-01-26
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN (FORMERLY PAMELA BASUK, MD PROFIT SHARING PLAN) 2015 461508984 2016-05-19 BASUK MEDICAL SERVICES, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2016-05-19
Name of individual signing EDWARD GOLDBERG

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2011 UNION BOULEVARD SUITE 1, BAY SHORE, NY, United States, 11706

Filings

Filing Number Date Filed Type Effective Date
130222000127 2013-02-22 CERTIFICATE OF PUBLICATION 2013-02-22
121123000237 2012-11-23 ARTICLES OF ORGANIZATION 2012-11-23

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Date of last update: 25 Nov 2024

Sources: New York Secretary of State

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