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  5. BHOLA N. BANIK, M.D., P.C

BHOLA N. BANIK, M.D., P.C

Company Details

Name: BHOLA N. BANIK, M.D., P.C
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Aug 1978 (46 years ago)
Entity Number: 503838
ZIP code: 11803
County: Nassau
Place of Formation: New York
Address: 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, United States, 11803

Contact Details

Phone +1 516-931-3131

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
BHOLA N. BANIK, M.D., P.C., RETIREMENT TRUST (PSP) 2013 112474156 2014-09-15 BHOLA N. BANIK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-08-02
Business code 621111
Sponsor’s telephone number 5169313131
Plan sponsor’s address 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803

Signature of
Role Plan administrator
Date 2014-09-15
Name of individual signing BHOLA BANIK
BHOLA N. BANIK, M.D., P.C., RETIREMENT TRUST (PSP) 2012 112474156 2013-06-25 BHOLA N. BANIK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-08-02
Business code 621111
Sponsor’s telephone number 5169313131
Plan sponsor’s address 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803

Signature of
Role Plan administrator
Date 2013-06-25
Name of individual signing BHOLA BANIK
BHOLA N. BANIK, M.D., P.C., RETIREMENT TRUST (PSP) 2011 112474156 2012-10-09 BHOLA N. BANIK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-08-02
Business code 621111
Sponsor’s telephone number 5169313131
Plan sponsor’s address 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803

Plan administrator’s name and address
Administrator’s EIN 112474156
Plan administrator’s name BHOLA N. BANIK, M.D., P.C.
Plan administrator’s address 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803
Administrator’s telephone number 5169313131

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing BHOLA BANIK
BHOLA N. BANIK, M.D., P.C., RETIREMENT TRUST (PSP) 2010 112474156 2011-10-03 BHOLA N. BANIK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-08-02
Business code 621111
Sponsor’s telephone number 5169313131
Plan sponsor’s address 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803

Plan administrator’s name and address
Administrator’s EIN 112474156
Plan administrator’s name BHOLA N. BANIK, M.D., P.C.
Plan administrator’s address 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803
Administrator’s telephone number 5169313131

Signature of
Role Plan administrator
Date 2011-10-03
Name of individual signing BHOLA BANIK
BHOLA N. BANIK, M.D., P.C., RETIREMENT TRUST (PSP) 2009 112474156 2010-10-14 BHOLA N. BANIK, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-08-02
Business code 621111
Sponsor’s telephone number 5169313131
Plan sponsor’s address 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803

Plan administrator’s name and address
Administrator’s EIN 112474156
Plan administrator’s name BHOLA N. BANIK, M.D., P.C.
Plan administrator’s address 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803
Administrator’s telephone number 5169313131

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing LINDA GITTELSON

Chief Executive Officer

Name Role Address
BHOLA N BANIK, MD Chief Executive Officer 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, United States, 11803

DOS Process Agent

Name Role Address
BHOLA N BANIK, MD DOS Process Agent 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, United States, 11803

History

Start date End date Type Value
1996-08-13 2010-08-17 Address 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803, 6505, USA (Type of address: Service of Process)
1996-08-13 2010-08-17 Address 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803, 6505, USA (Type of address: Chief Executive Officer)
1996-08-13 2010-08-17 Address 1097 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803, 6505, USA (Type of address: Principal Executive Office)
1993-05-18 1996-08-13 Address 456 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801, USA (Type of address: Principal Executive Office)
1993-05-18 1996-08-13 Address 456 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801, USA (Type of address: Chief Executive Officer)
1993-05-18 1996-08-13 Address 456 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801, USA (Type of address: Service of Process)
1978-08-02 2022-09-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1978-08-02 1993-05-18 Address 33 ADELPHIA RD, HICKSVILLE, NY, 11801, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
20170614037 2017-06-14 ASSUMED NAME CORP INITIAL FILING 2017-06-14
120823002817 2012-08-23 BIENNIAL STATEMENT 2012-08-01
100817002012 2010-08-17 BIENNIAL STATEMENT 2010-08-01
080807002907 2008-08-07 BIENNIAL STATEMENT 2008-08-01
060803002572 2006-08-03 BIENNIAL STATEMENT 2006-08-01
041004002156 2004-10-04 BIENNIAL STATEMENT 2004-08-01
020802002659 2002-08-02 BIENNIAL STATEMENT 2002-08-01
000810002234 2000-08-10 BIENNIAL STATEMENT 2000-08-01
980803002476 1998-08-03 BIENNIAL STATEMENT 1998-08-01
960813002601 1996-08-13 BIENNIAL STATEMENT 1996-08-01

Related by officers

No related officers

Related by address

1097 OLD COUNTRY ROAD, PLAINVIEW, NY, United States, 11803

DBM MEDICAL, PLLC STEVEN S. PLOTNICK, M.D., P.C. 1097 ACQUISITION CORP. PLAINVIEW INTERNAL MEDICINE, P.C. WGW ORTHODONTICS PLLC

Date of last update: 16 Nov 2024

Sources: New York Secretary of State

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