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LONG ISLAND PATHOLOGY, P.C.

Company Details

Name: LONG ISLAND PATHOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Jun 2016 (8 years ago)
Entity Number: 4958023
ZIP code: 11968
County: Suffolk
Place of Formation: New York
Address: 196 MEETING HOUSE LANE, RM-3, SOUTHAMPTON, NY, United States, 11968

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
LONG ISLAND PATHOLOGY 401(K) PROFIT SHARING PLAN 2013 113186717 2014-06-30 LONG ISLAND PATHOLOGY, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621510
Sponsor’s telephone number 6317268268
Plan sponsor’s address 240 MEETING HOUSE LANE, SUITE 3, SOUTHAMPTON, NY, 11968

Signature of

Role Plan administrator
Date 2014-06-30
Name of individual signing DR. ALI TAMSEN
Role Employer/plan sponsor
Date 2014-06-30
Name of individual signing ALI TAMSEN
LONG ISLAND PATHOLOGY 401(K) PROFIT SHARING PLAN 2012 113186717 2013-03-05 LONG ISLAND PATHOLOGY, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621510
Sponsor’s telephone number 6317268268
Plan sponsor’s address 240 MEETING HOUSE LANE, SUITE 3, SOUTHAMPTON, NY, 11968

Signature of

Role Plan administrator
Date 2013-03-05
Name of individual signing DR. ALI TAMSEN
LONG ISLAND PATHOLOGY 401(K) PROFIT SHARING PLAN 2011 113186717 2012-07-05 LONG ISLAND PATHOLOGY, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621510
Sponsor’s telephone number 6317268268
Plan sponsor’s address 240 MEETING HOUSE LANE, SUITE 3, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address

Administrator’s EIN 113186717
Plan administrator’s name LONG ISLAND PATHOLOGY, P.C.
Plan administrator’s address 240 MEETING HOUSE LANE, SUITE 3, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6317268268

Signature of

Role Plan administrator
Date 2012-07-05
Name of individual signing DR. ALI TAMSEN
LONG ISLAND PATHOLOGY 401(K) PROFIT SHARING PLAN 2010 113186717 2011-06-01 LONG ISLAND PATHOLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621510
Sponsor’s telephone number 6317268268
Plan sponsor’s address 240 MEETING HOUSE LANE, SUITE 3, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address

Administrator’s EIN 113186717
Plan administrator’s name LONG ISLAND PATHOLOGY, P.C.
Plan administrator’s address 240 MEETING HOUSE LANE, SUITE 3, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6317268268

Signature of

Role Plan administrator
Date 2011-06-01
Name of individual signing DR. ALI TAMSEN
LONG ISLAND PATHOLOGY 401(K) PROFIT SHARING PLAN 2009 113186717 2010-07-26 LONG ISLAND PATHOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621510
Sponsor’s telephone number 6317268268
Plan sponsor’s address P.O. BOX 2098, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address

Administrator’s EIN 113186717
Plan administrator’s name LONG ISLAND PATHOLOGY, P.C.
Plan administrator’s address P.O. BOX 2098, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6317268268

Signature of

Role Plan administrator
Date 2010-07-26
Name of individual signing DR. ALI TAMSEN
LONG ISLAND PATHOLOGY 401(K) PROFIT SHARING PLAN 2009 113186717 2010-07-26 LONG ISLAND PATHOLOGY, P.C. 8
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621510
Sponsor’s telephone number 6317268268
Plan sponsor’s address P.O. BOX 2098, SOUTHAMPTON, NY, 11968

Plan administrator’s name and address

Administrator’s EIN 113186717
Plan administrator’s name LONG ISLAND PATHOLOGY, P.C.
Plan administrator’s address P.O. BOX 2098, SOUTHAMPTON, NY, 11968
Administrator’s telephone number 6317268268

Signature of

Role Plan administrator
Date 2010-07-26
Name of individual signing DR. ALI TAMSEN

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 196 MEETING HOUSE LANE, RM-3, SOUTHAMPTON, NY, United States, 11968

Filings

Filing Number Date Filed Type Effective Date
160606000265 2016-06-06 CERTIFICATE OF INCORPORATION 2016-06-06

Date of last update: 23 Nov 2024

Sources: New York Secretary of State