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GREGORY R. BREVETTI, MD, P.C.

Company Details

Name: GREGORY R. BREVETTI, MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Feb 2013 (12 years ago)
Entity Number: 4354100
County: Kings
Place of Formation: New York
Address: 429 atlantic ave, freeport, NY, United States, 11520
Address ZIP Code: 11520
Principal Address: 27 victorian lane, brookville, NY, United States, 11030
Principal Address ZIP Code: 11030

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
GREGORY R. BREVETTI MD, P.C. 401K PROFIT SHARING PLAN 2023 461986677 2024-09-16 GREGORY R. BREVETTI MD, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9175758907
Plan sponsor’s address 27 VICTORIAN LANE, BROOKVILLE, NY, 11545

Signature of

Role Plan administrator
Date 2024-09-16
Name of individual signing GREGORY BREVETTI
Valid signature Filed with authorized/valid electronic signature
GREGORY R. BREVETTI MD, P.C. DEFINED BENEFIT PENSION PLAN 2023 461986677 2024-09-14 GREGORY R. BREVETTI MD, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9175758907
Plan sponsor’s address 27 VICTORIAN LANE, BROOKVILLE, NY, 11545

Signature of

Role Plan administrator
Date 2024-09-14
Name of individual signing GREGORY BREVETTI
Valid signature Filed with authorized/valid electronic signature
GREGORY R. BREVETTI MD, P.C. DEFINED BENEFIT PENSION PLAN 2022 461986677 2023-09-08 GREGORY R. BREVETTI MD, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9175758907
Plan sponsor’s address 27 VICTORIAN LANE, BROOKVILLE, NY, 11545

Signature of

Role Plan administrator
Date 2023-09-08
Name of individual signing GREGORY BREVETTI
GREGORY R. BREVETTI MD, P.C. 401K PROFIT SHARING PLAN 2022 461986677 2023-09-06 GREGORY R. BREVETTI MD, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9175758907
Plan sponsor’s address 27 VICTORIAN LANE, BROOKVILLE, NY, 11545

Signature of

Role Plan administrator
Date 2023-09-06
Name of individual signing GREGORY BREVETTI
GREGORY R. BREVETTI MD, P.C. DEFINED BENEFIT PENSION PLAN 2021 461986677 2022-09-16 GREGORY R. BREVETTI MD, P.C. 3
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9175758907
Plan sponsor’s address 27 VICTORIAN LANE, BROOKVILLE, NY, 11545

Signature of

Role Plan administrator
Date 2022-09-16
Name of individual signing GREGORY BREVETTI
GREGORY R. BREVETTI MD, P.C. 401K PROFIT SHARING PLAN 2021 461986677 2022-09-16 GREGORY R. BREVETTI MD, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9175758907
Plan sponsor’s address 27 VICTORIAN LANE, BROOKVILLE, NY, 11545

Signature of

Role Plan administrator
Date 2022-09-16
Name of individual signing GREGORY BREVETTI
GREGORY R. BREVETTI MD, P.C. DEFINED BENEFIT PENSION PLAN 2021 461986677 2023-05-02 GREGORY R. BREVETTI MD, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9175758907
Plan sponsor’s address 27 VICTORIAN LANE, BROOKVILLE, NY, 11545

Signature of

Role Plan administrator
Date 2023-05-02
Name of individual signing GREGORY BREVETTI
Role Employer/plan sponsor
Date 2023-05-02
Name of individual signing GREGORY BREVETTI

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 429 atlantic ave, freeport, NY, United States, 11520

Chief Executive Officer

Name Role Address
GREGORY BREVETTI Chief Executive Officer 27 VICTORIAN LANE, BROOKVILLE, NY, United States, 11030

Filings

Filing Number Date Filed Type Effective Date
221230000281 2022-12-30 BIENNIAL STATEMENT 2021-02-01
130201000062 2013-02-01 CERTIFICATE OF INCORPORATION 2013-02-01

Date of last update: 07 Nov 2024

Sources: New York Secretary of State