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ITCHIE STATFELD MD PLLC

ITCHIE STATFELD MD PLLC

Company Details

Name:	ITCHIE STATFELD MD PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	29 Mar 2018 (7 years ago)
Entity Number:	5313646
ZIP code:	11211
County:	Albany
Place of Formation:	New York
Address:	531 BEDFORD AVENUE, BROOKLYN, NY, United States, 11211

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

ITCHIE STATFELD, MD DEFINED BENEFIT PENSION PLAN

2021

113080600

2022-08-02

ITCHIE STATFELD, MD

1

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621111
Sponsor’s telephone number	7187825053
Plan sponsor’s address	531 BEDFORD AVENUE, BROOKLYN, NY, 11211

Signature of

Role	Plan administrator
Date	2022-08-02
Name of individual signing	ITCHIE STATFELD

ITCHIE STATFELD, MD DEFINED BENEFIT PENSION PLAN

2020

113080600

2021-10-11

ITCHIE STATFELD, MD

1

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621111
Sponsor’s telephone number	7187825053
Plan sponsor’s address	531 BEDFORD AVENUE, BROOKLYN, NY, 11211

Signature of

Role	Plan administrator
Date	2021-10-11
Name of individual signing	ITCHIE STATFELD

ITCHIE STATFELD, MD DEFINED BENEFIT PENSION PLAN

2019

113080600

2020-10-14

ITCHIE STATFELD, MD

1

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621111
Sponsor’s telephone number	7187825053
Plan sponsor’s address	531 BEDFORD AVENUE, BROOKLYN, NY, 11211

Signature of

Role	Plan administrator
Date	2020-10-14
Name of individual signing	ITCHIE STATFELD

ITCHIE STATFELD, MD DEFINED BENEFIT PENSION PLAN

2018

113080600

2019-10-10

ITCHIE STATFELD, MD

1

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621111
Sponsor’s telephone number	7187825053
Plan sponsor’s address	531 BEDFORD AVENUE, BROOKLYN, NY, 11211

Signature of

Role	Plan administrator
Date	2019-10-10
Name of individual signing	ITCHIE STATFELD

ITCHIE STATFELD, MD DEFINED BENEFIT PENSION PLAN

2017

113080600

2018-10-11

ITCHIE STATFELD, MD

1

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621111
Sponsor’s telephone number	7187825053
Plan sponsor’s address	531 BEDFORD AVENUE, BROOKLYN, NY, 11211

Signature of

Role	Plan administrator
Date	2018-10-11
Name of individual signing	ITCHIE STATFELD

ITCHIE STATFELD, MD DEFINED BENEFIT PENSION PLAN

2016

113080600

2017-10-18

ITCHIE STATFELD, MD

1

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621111
Sponsor’s telephone number	7187825053
Plan sponsor’s address	531 BEDFORD AVE, BROOKLYN, NY, 112118534

Signature of

Role	Plan administrator
Date	2017-10-18
Name of individual signing	ITCHIE STATFELD

DOS Process Agent

Name	Role	Address
THE LLC	DOS Process Agent	531 BEDFORD AVENUE, BROOKLYN, NY, United States, 11211

Filings

Filing Number	Date Filed	Type	Effective Date
181113000198	2018-11-13	CERTIFICATE OF PUBLICATION	2018-11-13
180329000358	2018-03-29	ARTICLES OF ORGANIZATION	2018-03-29

Date of last update: 22 Nov 2024

Sources: New York Secretary of State