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  5. 1986 MEDICAL, PLLC

1986 MEDICAL, PLLC

Company Details

Name: 1986 MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Sep 2016 (8 years ago)
Entity Number: 5005796
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 108-16 63RD RD., FOREST HILLS, NY, United States, 11375

Contact Details

Phone +1 212-739-7804

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
1986 MEDICAL, PLLC 401(K) PLAN 2023 813801320 2024-06-05 1986 MEDICAL, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-28
Business code 621900
Sponsor’s telephone number 7188975331
Plan sponsor’s address 108-16 63RD ROAD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2024-06-05
Name of individual signing KELLY DURANTE
1986 MEDICAL, PLLC 401(K) PLAN 2022 813801320 2023-06-14 1986 MEDICAL, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-28
Business code 621900
Sponsor’s telephone number 7188975331
Plan sponsor’s address 108-16 63RD ROAD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2023-06-14
Name of individual signing KELLY DURANTE
1986 MEDICAL PLLC 401(K) PLAN 2021 813801320 2022-07-18 1986 MEDICAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621900
Sponsor’s telephone number 7188975331
Plan sponsor’s address 108-16 63RD ROAD, FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing KELLY DURANTE
1986 MEDICAL PLLC 401(K) PLAN 2020 813801320 2021-11-05 1986 MEDICAL PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621900
Sponsor’s telephone number 7188975331
Plan sponsor’s address 108-16 63RD ROAD, FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-11-05
Name of individual signing CAROL HO

DOS Process Agent

Name Role Address
SPECTRAFEM LLC DOS Process Agent 108-16 63RD RD., FOREST HILLS, NY, United States, 11375

History

Start date End date Type Value
2023-02-16 2024-09-03 Address 108-16 63RD RD., FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2016-09-09 2023-02-16 Address 108-16 63RD RD., FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240903001806 2024-09-03 BIENNIAL STATEMENT 2024-09-03
230216003278 2023-02-16 BIENNIAL STATEMENT 2022-09-01
210920002384 2021-09-20 BIENNIAL STATEMENT 2021-09-20
170216000500 2017-02-16 CERTIFICATE OF PUBLICATION 2017-02-16
160909000221 2016-09-09 ARTICLES OF ORGANIZATION 2016-09-09

Related by officers

SPECTRAFEM LLC

J GOHAR MEDICAL P.C. JA GOHAR MEDICAL P.C.

Related by address

108-16 63RD RD., FOREST HILLS, NY, United States, 11375

SOUKKARY REALTY LLC MODERN PHYSICAL THERAPY P.C.

Date of last update: 23 Nov 2024

Sources: New York Secretary of State

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