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BROOKHAVEN ANESTHESIA ASSOCIATES, LLP

Company Details

Name: BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 19 Feb 2016 (9 years ago)
Entity Number: 4898735
ZIP code: 11772
County: Blank
Place of Formation: New York
Address: 475 E. MAIN STREET SUITE 114, PATCHOGUE, NY, United States, 11772

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 401(K) PROFIT SHARING PLAN 2017 111810744 2018-03-15 BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 6
File View Page
Three-digit plan number (PN) 013
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314757680
Plan sponsor’s address 101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870

Signature of

Role Plan administrator
Date 2018-03-15
Name of individual signing DR. SATYAN TANGUTURI
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP CASH BALANCE PLAN 2017 111810744 2019-04-12 BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 1
File View Page
Three-digit plan number (PN) 014
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314757680
Plan sponsor’s address 285 SILLS ROAD, BLDG. 15, SUITE F, EAST PATCHOGUE, NY, 11772
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP CASH BALANCE PLAN 2016 111810744 2017-10-10 BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 26
File View Page
Three-digit plan number (PN) 014
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314757680
Plan sponsor’s address 285 SILLS ROAD, BLDG. 15, SUITE F, EAST PATCHOGUE, NY, 11772
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 401(K) PROFIT SHARING PLAN 2016 111810744 2017-03-08 BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 33
File View Page
Three-digit plan number (PN) 013
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314757680
Plan sponsor’s address 101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870

Signature of

Role Plan administrator
Date 2017-03-08
Name of individual signing DR. SATYAN TANGUTURI
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP CASH BALANCE PLAN 2015 111810744 2016-10-17 BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 28
File View Page
Three-digit plan number (PN) 014
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314757680
Plan sponsor’s address 250 PATCHOGUE YAPHANK RD, UNIT 3, EAST PATCHOGUE, NY, 117724870
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 401(K) PROFIT SHARING PLAN 2015 111810744 2016-07-18 BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 31
File View Page
Three-digit plan number (PN) 013
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314757680
Plan sponsor’s address 101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870

Signature of

Role Plan administrator
Date 2016-07-18
Name of individual signing DR. SATYAN TANGUTURI
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP CASH BALANCE PLAN 2014 111810744 2015-07-31 BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 25
File View Page
Three-digit plan number (PN) 014
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314757680
Plan sponsor’s address 250 PATCHOGUE YAPHANK RD, UNIT 3, EAST PATCHOGUE, NY, 117724870

Signature of

Role Plan administrator
Date 2015-07-31
Name of individual signing WILLIAM KRUGER, M.D.
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 401(K) PROFIT SHARING PLAN 2014 111810744 2015-07-21 BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 32
File View Page
Three-digit plan number (PN) 013
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314757680
Plan sponsor’s address 101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870

Plan administrator’s name and address

Administrator’s EIN 111810744
Plan administrator’s name BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
Plan administrator’s address 101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870
Administrator’s telephone number 6314757680

Signature of

Role Plan administrator
Date 2015-07-21
Name of individual signing DR. SATYAN TANGUTURI
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 401(K) PROFIT SHARING PLAN 2013 111810744 2014-07-17 BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 33
File View Page
Three-digit plan number (PN) 013
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314757680
Plan sponsor’s address 101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870

Plan administrator’s name and address

Administrator’s EIN 111810744
Plan administrator’s name BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
Plan administrator’s address 101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870
Administrator’s telephone number 6314757680

Signature of

Role Plan administrator
Date 2014-07-17
Name of individual signing DR. SATYAN TANGUTURI
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP CASH BALANCE PLAN 2013 111810744 2014-10-15 BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 24
File View Page
Three-digit plan number (PN) 014
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6314757680
Plan sponsor’s address 250 PATCHOGUE YAPHANK RD, UNIT 3, EAST PATCHOGUE, NY, 117724870

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing WILLIAM KRUGER, M.D.

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 475 E. MAIN STREET SUITE 114, PATCHOGUE, NY, United States, 11772

Filings

Filing Number Date Filed Type Effective Date
160219000207 2016-02-19 NOTICE OF REGISTRATION 2016-02-19

Date of last update: 23 Nov 2024

Sources: New York Secretary of State