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S. CHUNGFAT, M.D., P.C.

Company Details

Name: S. CHUNGFAT, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 27 Oct 1980 (44 years ago) (Companies founded in October 1980)
Date of dissolution: 19 Jul 2016
Entity Number: 659175
ZIP code: 13676 (Companies in St. Lawrence, 13676)
County: St. Lawrence
Place of Formation: New York
Address: 111 LEROY STREET, POTSDAM, NY, United States, 13676
Principal Address: 74 MARKET STREET, POTSDAM, NY, United States, 13676

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
S. CHUNGFAT, M.D., P.C. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN 2015 161150547 2016-05-16 S. CHUNGFAT, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 3152658053
Plan sponsor’s address 111 LEROY STREET, POTSDAM, NY, 13676

Signature of
Role Plan administrator
Date 2016-05-13
Name of individual signing IRENE CHUNGFAT
Role Employer/plan sponsor
Date 2016-05-13
Name of individual signing IRENE CHUNGFAT
S. CHUNGFAT, M.D., P.C. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN 2014 161150547 2016-02-10 S. CHUNGFAT, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 3152653108
Plan sponsor’s address 111 LEROY STREET, POTSDAM, NY, 13676

Signature of
Role Plan administrator
Date 2016-02-10
Name of individual signing IRENE CHUNGFAT
Role Employer/plan sponsor
Date 2016-02-10
Name of individual signing IRENE CHUNGFAT
S. CHUNGFAT, M.D., P.C. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN 2013 161150547 2015-02-27 S. CHUNGFAT, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 3152653108
Plan sponsor’s address 74 MARKET STREET, POTSDAM, NY, 13676

Signature of
Role Plan administrator
Date 2015-02-27
Name of individual signing IRENE CHUNGFAT
Role Employer/plan sponsor
Date 2015-02-27
Name of individual signing IRENE CHUNGFAT
S. CHUNGFAT, M.D., P.C. EMPLOYEES' DEFERRED SAVINGS & PROFIT SHARING PLAN 2012 161150547 2014-04-02 S. CHUNGFAT, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 3152653108
Plan sponsor’s address 74 MARKET STREET, POTSDAM, NY, 13676

Signature of
Role Plan administrator
Date 2014-04-02
Name of individual signing IRENE CHUNGFAT
Role Employer/plan sponsor
Date 2014-04-02
Name of individual signing IRENE CHUNGFAT
S. CHUNGFAT, M.D., P.C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN 2011 161150547 2013-03-04 S. CHUNGFAT, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 3152653108
Plan sponsor’s address 74 MARKET STREET, POTSDAM, NY, 13676

Plan administrator’s name and address
Administrator’s EIN 161150547
Plan administrator’s name S. CHUNGFAT, M.D., P.C.
Plan administrator’s address 74 MARKET STREET, POTSDAM, NY, 13676
Administrator’s telephone number 3152653108

Signature of
Role Plan administrator
Date 2013-03-04
Name of individual signing IRENE CHUNGFAT
Role Employer/plan sponsor
Date 2013-03-04
Name of individual signing IRENE CHUNGFAT
S. CHUNGFAT, M.D., P.C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN 2010 161150547 2012-04-23 S. CHUNGFAT, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 3152653108
Plan sponsor’s address 74 MARKET STREET, POTSDAM, NY, 13676

Plan administrator’s name and address
Administrator’s EIN 161150547
Plan administrator’s name S. CHUNGFAT, M.D., P.C.
Plan administrator’s address 74 MARKET STREET, POTSDAM, NY, 13676
Administrator’s telephone number 3152653108

Signature of
Role Plan administrator
Date 2012-04-21
Name of individual signing IRENE CHUNGFAT
Role Employer/plan sponsor
Date 2012-04-21
Name of individual signing IRENE CHUNGFAT
S. CHUNGFAT, M.D., P.C. EMPLOYEES DEFERRED SAVINGS & PROFIT SHARING PLAN 2009 161150547 2011-03-09 S. CHUNGFAT, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 3152653108
Plan sponsor’s address 74 MARKET STREET, POTSDAM, NY, 13676

Plan administrator’s name and address
Administrator’s EIN 161150547
Plan administrator’s name S. CHUNGFAT, M.D., P.C.
Plan administrator’s address 74 MARKET STREET, POTSDAM, NY, 13676
Administrator’s telephone number 3152653108

Signature of
Role Plan administrator
Date 2011-03-08
Name of individual signing IRENE CHUNGFAT
Role Employer/plan sponsor
Date 2011-03-08
Name of individual signing IRENE CHUNGFAT

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 111 LEROY STREET, POTSDAM, NY, United States, 13676

Chief Executive Officer

Name Role Address
SHOCKPIN CHUNGFAT Chief Executive Officer 111 LEROY STREET, POTSDAM, NY, United States, 13676

Filings

Filing Number Date Filed Type Effective Date
160719000594 2016-07-19 CERTIFICATE OF DISSOLUTION 2016-07-19
141008006753 2014-10-08 BIENNIAL STATEMENT 2014-10-01
121010006478 2012-10-10 BIENNIAL STATEMENT 2012-10-01
101108002345 2010-11-08 BIENNIAL STATEMENT 2010-10-01
081015002307 2008-10-15 BIENNIAL STATEMENT 2008-10-01
061024002631 2006-10-24 BIENNIAL STATEMENT 2006-10-01
041207002141 2004-12-07 BIENNIAL STATEMENT 2004-10-01
021021002436 2002-10-21 BIENNIAL STATEMENT 2002-10-01
001026002123 2000-10-26 BIENNIAL STATEMENT 2000-10-01
981023002396 1998-10-23 BIENNIAL STATEMENT 1998-10-01

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THE CORPORATION

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Related by address

74 MARKET STREET, POTSDAM, NY, United States, 13676

NORTH COUNTRY MEDISPA, LLC

Date of last update: 16 Nov 2024

Sources: New York Secretary of State

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