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EDWARD J. MOHR, M.D., P.C.

Company Details

Name: EDWARD J. MOHR, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 21 Dec 1977 (47 years ago)
Entity Number: 460670
County: Suffolk
Date of dissolution: 28 Jun 2018
Place of Formation: New York
Address: 1111 MONTAUK HGWY, WEST ISLIP, NY, United States, 11795
Address ZIP Code: 11795

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
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST 2017 112439941 2018-06-07 EDWARD J. MOHR, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-01-01
Business code 621111
Sponsor’s telephone number 6314221110
Plan sponsor’s address 360 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST 2017 112439941 2018-02-27 EDWARD J. MOHR, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-01-01
Business code 621111
Sponsor’s telephone number 6317892214
Plan sponsor’s address 365 BROADWAY, AMITYVILLE, NY, 117012716
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST 2016 112439941 2017-06-02 EDWARD J. MOHR, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-01-01
Business code 621111
Sponsor’s telephone number 6317892214
Plan sponsor’s address 365 BROADWAY, AMITYVILLE, NY, 117012716
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST 2015 112439941 2016-02-09 EDWARD J. MOHR, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-01-01
Business code 621111
Sponsor’s telephone number 6317892214
Plan sponsor’s address 365 BROADWAY, AMITYVILLE, NY, 117012716
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST 2014 112439941 2015-03-11 EDWARD J. MOHR, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-01-01
Business code 621111
Sponsor’s telephone number 6317892214
Plan sponsor’s address 365 BROADWAY, AMITYVILLE, NY, 117012716

Signature of

Role Plan administrator
Date 2015-03-11
Name of individual signing EDWARD J. MOHR
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST 2013 112439941 2014-10-14 EDWARD J. MOHR, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-01-01
Business code 621111
Sponsor’s telephone number 6317892214
Plan sponsor’s address 365 BROADWAY, AMITYVILLE, NY, 117012716

Signature of

Role Plan administrator
Date 2014-10-14
Name of individual signing EDWARD J. MOHR
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST 2012 112439941 2013-07-15 EDWARD J. MOHR, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-01-01
Business code 621111
Sponsor’s telephone number 6317892214
Plan sponsor’s address 365 BROADWAY, AMITYVILLE, NY, 117012716

Signature of

Role Plan administrator
Date 2013-07-15
Name of individual signing EDWARD J. MOHR
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST 2011 112439941 2012-08-30 EDWARD J. MOHR, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-01-01
Business code 621111
Sponsor’s telephone number 6317892214
Plan sponsor’s address 365 BROADWAY, AMITYVILLE, NY, 117012716

Plan administrator’s name and address

Administrator’s EIN 112439941
Plan administrator’s name EDWARD J. MOHR, M.D., P.C.
Plan administrator’s address 365 BROADWAY, AMITYVILLE, NY, 117012716
Administrator’s telephone number 6317892214

Signature of

Role Plan administrator
Date 2012-08-30
Name of individual signing EDWARD J. MOHR
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST 2010 112439941 2011-06-10 EDWARD J. MOHR, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-01-01
Business code 621111
Sponsor’s telephone number 6317892214
Plan sponsor’s address 365 BROADWAY, AMITYVILLE, NY, 117012716

Plan administrator’s name and address

Administrator’s EIN 112439941
Plan administrator’s name EDWARD J. MOHR, M.D., P.C.
Plan administrator’s address 365 BROADWAY, AMITYVILLE, NY, 117012716
Administrator’s telephone number 6317892214

Signature of

Role Plan administrator
Date 2011-06-10
Name of individual signing EDWARD J. MOHR
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST 2009 112439941 2010-10-07 EDWARD J. MOHR, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-01-01
Business code 621111
Sponsor’s telephone number 6317892214
Plan sponsor’s address 365 BROADWAY, AMITYVILLE, NY, 117012716

Plan administrator’s name and address

Administrator’s EIN 112439941
Plan administrator’s name EDWARD J. MOHR, M.D., P.C.
Plan administrator’s address 365 BROADWAY, AMITYVILLE, NY, 117012716
Administrator’s telephone number 6317892214

Signature of

Role Plan administrator
Date 2010-10-07
Name of individual signing TERRY RIFENBURGH

DOS Process Agent

Name Role Address
EDWARD J. MOHR, M.D., P.C. DOS Process Agent 1111 MONTAUK HGWY, WEST ISLIP, NY, United States, 11795

Filings

Filing Number Date Filed Type Effective Date
180628000430 2018-06-28 CERTIFICATE OF DISSOLUTION 2018-06-28
20120223022 2012-02-23 ASSUMED NAME CORP INITIAL FILING 2012-02-23
A451800-5 1977-12-21 CERTIFICATE OF INCORPORATION 1977-12-21

Date of last update: 16 Nov 2024

Sources: New York Secretary of State