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JAGDISH K. GUPTA, M.D., P.C.

Company Details

Name: JAGDISH K. GUPTA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 24 Mar 1978 (47 years ago)
Date of dissolution: 23 Oct 2019
Entity Number: 479028
ZIP code: 11217
County: Kings
Place of Formation: New York
Address: 207 BERKELEY PLACE, BROOKLYN, NY, United States, 11217

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
JAGDISH K. GUPTA, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2015 116261899 2016-09-26 JAGDISH K. GUPTA, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 7186383150
Plan sponsor’s address 207 BERKELEY PL, BROOKLYN, NY, 112173801

Signature of

Role Plan administrator
Date 2016-09-25
Name of individual signing JAGDISH GUPTA
JAGDISH K. GUPTA, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2014 116261899 2015-07-21 JAGDISH K. GUPTA, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 7186383150
Plan sponsor’s address 207 BERKELEY PLACE, BROOKLYN, NY, 11217

Signature of

Role Plan administrator
Date 2015-07-21
Name of individual signing JAGDISH GUPTA
JAGDISH K. GUPTA, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2013 116261899 2015-05-27 JAGDISH K. GUPTA, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 7186383150
Plan sponsor’s address 207 BERKELEY PLACE, BROOKLYN, NY, 11217

Signature of

Role Plan administrator
Date 2015-05-26
Name of individual signing JAGDISH GUPTA
JAGDISH K. GUPTA, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2013 116261899 2014-09-22 JAGDISH K. GUPTA, M.D., P.C. 4
Three-digit plan number (PN) 003
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 7186383150
Plan sponsor’s address 207 BEREKLEY PLACE, BROOKLYN, NY, 11217

Signature of

Role Plan administrator
Date 2014-09-22
Name of individual signing JAGDISH GUPTA
JAGDISH K. GUPTA,M.D.,P.C. MONEY PURCHASE PLAN &TRUST 2012 116261899 2013-07-17 JAGDISH K. GUPTA, M.D.,P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-01
Business code 621111
Sponsor’s telephone number 5167465264
Plan sponsor’s address 207 BERKLEY PLACE, BROOKLYN, NY, 11217

Signature of

Role Plan administrator
Date 2013-07-17
Name of individual signing JAGDISH GUPTA
JAGDISH K. GUPTA,M.D.,P.C. MONEY PURCHASE PLAN &TRUST 2011 116261899 2012-09-21 JAGDISH K. GUPTA, M.D.,P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-01
Business code 621111
Sponsor’s telephone number 5167465264
Plan sponsor’s address 207 BERKLEY PLACE, BROOKLYN, NY, 11217

Plan administrator’s name and address

Administrator’s EIN 116261899
Plan administrator’s name JAGDISH K. GUPTA, M.D.,P.C.
Plan administrator’s address 207 BERKLEY PLACE, BROOKLYN, NY, 11217
Administrator’s telephone number 5167465264

Signature of

Role Plan administrator
Date 2012-09-20
Name of individual signing JAGDISH GUPTA
2012 FINAL JAGDISH K. GUPTA, M.D.,P.C. WELFARE BENEFIT PLAN 2011 116261899 2012-09-25 JAGDISH K. GUPTA, M.D.,P.C. 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-12-31
Business code 621111
Sponsor’s telephone number 7186383150
Plan sponsor’s address 207 BERKELEY PLACE, BROOKLYN, NY, 11217

Plan administrator’s name and address

Administrator’s EIN 116261899
Plan administrator’s name JAGDISH K. GUPTA, M.D.,P.C.
Plan administrator’s address 207 BERKELEY PLACE, BROOKLYN, NY, 11217
Administrator’s telephone number 7186383150

Signature of

Role Plan administrator
Date 2012-09-25
Name of individual signing JAGDISH GUPTA
JAGDISH K. GUPTA,M.D.,P.C. MONEY PURCHASE PLAN &TRUST 2010 116261899 2011-10-17 JAGDISH K. GUPTA, M.D.,P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-01
Business code 621111
Sponsor’s telephone number 5167465264
Plan sponsor’s address 207 BERKLEY PLACE, BROOKLYN, NY, 11217

Plan administrator’s name and address

Administrator’s EIN 116261899
Plan administrator’s name JAGDISH K. GUPTA, M.D.,P.C.
Plan administrator’s address 207 BERKLEY PLACE, BROOKLYN, NY, 11217
Administrator’s telephone number 5167465264

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing JAGDISH GUPTA
JAGDISH K. GUPTA,M.D.,P.C. MONEY PURCHASE PLAN &TRUST 2009 116261899 2010-10-04 JAGDISH K. GUPTA, M.D.,P.C. 5
Three-digit plan number (PN) 001
Effective date of plan 1978-04-01
Business code 621111
Sponsor’s telephone number 5167465264
Plan sponsor’s address 15 HAMILTON DRIVE, ROSLYN, NY, 11570

Plan administrator’s name and address

Administrator’s EIN 116261899
Plan administrator’s name JAGDISH K. GUPTA, M.D.,P.C.
Plan administrator’s address 15 HAMILTON DRIVE, ROSLYN, NY, 11570
Administrator’s telephone number 5167465264

Signature of

Role Plan administrator
Date 2010-09-28
Name of individual signing JAGDISH GUPTA
JAGDISH K. GUPTA,M.D.,P.C. MONEY PURCHASE PLAN &TRUST 2009 116261899 2010-10-14 JAGDISH K. GUPTA, M.D.,P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-01
Business code 621111
Sponsor’s telephone number 5167465264
Plan sponsor’s address 15 HAMILTON DRIVE, ROSLYN, NY, 11570

Plan administrator’s name and address

Administrator’s EIN 116261899
Plan administrator’s name JAGDISH K. GUPTA, M.D.,P.C.
Plan administrator’s address 15 HAMILTON DRIVE, ROSLYN, NY, 11570
Administrator’s telephone number 5167465264

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing JAGDISH GUPTA

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 207 BERKELEY PLACE, BROOKLYN, NY, United States, 11217

Chief Executive Officer

Name Role Address
JAGDISH K GUPTA, MD Chief Executive Officer 207 BERKELEY PLACE, BROOKLYN, NY, United States, 11217

History

Start date End date Type Value
2008-03-07 2010-03-26 Address 15 HAMILTON DRIVE, ROSLYN, NY, 11576, 3103, USA (Type of address: Service of Process)
2008-03-07 2010-03-26 Address 15 HAMILTON DRIVE, ROSLYN, NY, 11576, 3103, USA (Type of address: Chief Executive Officer)
2008-03-07 2010-03-26 Address 15 HAMILTON DRIVE, ROSLYN, NY, 11576, 3103, USA (Type of address: Principal Executive Office)
2004-03-03 2008-03-07 Address 15 HAMILTON DR, ROSLYN, NY, 11576, 3103, USA (Type of address: Service of Process)
1998-04-13 2008-03-07 Address 15 HAMILTON DRIVE, ROSLYN, NY, 11576, 3103, USA (Type of address: Chief Executive Officer)
1998-04-13 2008-03-07 Address 15 HAMILTON DRIVE, ROSLYN, NY, 11576, 3103, USA (Type of address: Principal Executive Office)
1995-08-07 1998-04-13 Address 15 HAMILTON DR, ROSLYN, NY, 11576, 3103, USA (Type of address: Principal Executive Office)
1995-08-07 1998-04-13 Address 15 HAMILTON DR, ROSLYN, NY, 11576, 3103, USA (Type of address: Chief Executive Officer)
1995-08-07 2004-03-03 Address 15 HAMILTON DR, ROSLYN, NY, 11576, USA (Type of address: Service of Process)
1984-11-26 1995-08-07 Address 15 HAMILTON DR., ROSLYN, NY, 11576, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191023000496 2019-10-23 CERTIFICATE OF DISSOLUTION 2019-10-23
160301006669 2016-03-01 BIENNIAL STATEMENT 2016-03-01
140514002006 2014-05-14 BIENNIAL STATEMENT 2014-03-01
20130722080 2013-07-22 ASSUMED NAME LLC INITIAL FILING 2013-07-22
120412002845 2012-04-12 BIENNIAL STATEMENT 2012-03-01
100326002468 2010-03-26 BIENNIAL STATEMENT 2010-03-01
080307002840 2008-03-07 BIENNIAL STATEMENT 2008-03-01
060323003282 2006-03-23 BIENNIAL STATEMENT 2006-03-01
040303002543 2004-03-03 BIENNIAL STATEMENT 2004-03-01
020529002657 2002-05-29 BIENNIAL STATEMENT 2002-03-01

Date of last update: 16 Nov 2024

Sources: New York Secretary of State