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WEIYAN TAN PHYSICIAN, P.C.

Company Details

Name: WEIYAN TAN PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Sep 2013 (11 years ago)
Entity Number: 4454365
County: Nassau
Place of Formation: New York
Address: 281 SYOSSET WOODBURY ROAD, WOODBURY, NY, United States, 11797
Address ZIP Code: 11797

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
WEIYAN TAN PHYSICIAN P.C. PROFIT SHARING PLAN 2023 463596332 2024-09-19 WEIYAN TAN PHYSICIAN P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2024-09-19
Name of individual signing WEIYAN TAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-19
Name of individual signing WEIYAN TAN
Valid signature Filed with authorized/valid electronic signature
WEIYAN TAN PHYSICIAN P.C. DEFINED BENEFIT PLAN 2023 463596332 2024-09-19 WEIYAN TAN PHYSICIAN P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2024-09-19
Name of individual signing WEIYAN TAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-19
Name of individual signing WEIYAN TAN
Valid signature Filed with authorized/valid electronic signature
WEIYAN TAN PHYSICIAN P.C. DEFINED BENEFIT PLAN 2022 463596332 2023-10-04 WEIYAN TAN PHYSICIAN P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2023-10-04
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2023-10-04
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. PROFIT SHARING PLAN 2022 463596332 2023-10-04 WEIYAN TAN PHYSICIAN P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2023-10-04
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2023-10-04
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. PROFIT SHARING PLAN 2021 463596332 2022-07-23 WEIYAN TAN PHYSICIAN P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2022-07-23
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2022-07-23
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. DEFINED BENEFIT PLAN 2021 463596332 2022-07-23 WEIYAN TAN PHYSICIAN P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2022-07-23
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2022-07-23
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. PROFIT SHARING PLAN 2020 463596332 2021-06-17 WEIYAN TAN PHYSICIAN P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2021-06-17
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2021-06-17
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. DEFINED BENEFIT PLAN 2020 463596332 2021-06-17 WEIYAN TAN PHYSICIAN P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2021-06-17
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2021-06-17
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. DEFINED BENEFIT PLAN 2019 463596332 2020-05-22 WEIYAN TAN PHYSICIAN P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2020-05-22
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2020-05-22
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. PROFIT SHARING PLAN 2019 463596332 2020-05-22 WEIYAN TAN PHYSICIAN P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2020-05-22
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2020-05-22
Name of individual signing WEIYAN TAN

DOS Process Agent

Name Role Address
ATTN: WEIYAN TAN DOS Process Agent 281 SYOSSET WOODBURY ROAD, WOODBURY, NY, United States, 11797

Chief Executive Officer

Name Role Address
WEIYAN TAN Chief Executive Officer 281 SYOSSET WOODBURY ROAD, 281 SYOSSET WOODBURY ROAD, WOODBURY, NY, United States, 11797

History

Start date End date Type Value
2013-09-04 2024-03-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
220302000861 2022-03-02 BIENNIAL STATEMENT 2022-03-02
130904000414 2013-09-04 CERTIFICATE OF INCORPORATION 2013-09-04

Date of last update: 07 Nov 2024

Sources: New York Secretary of State