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SEBASTIAN A. MAZZOTTA, M.D., P.C.

Company Details

Name: SEBASTIAN A. MAZZOTTA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Dec 1980 (44 years ago)
Entity Number: 666661
County: St. Lawrence
Place of Formation: New York
Address: 4 STILLMAN DR, CANTON, NY, United States, 13617
Address ZIP Code: 13617
Principal Address: 4 STILLMAN DRIVE, CANTON, NY, United States, 13617
Principal Address ZIP Code: 13617

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
SEBASTIAN A. MAZZOTTA, M. D. , P. C. 2017 161153299 2018-04-05 SEBASTIAN A. MAZZOTTA, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-12-01
Business code 621111
Sponsor’s telephone number 3153868141
Plan sponsor’s address PO BOX 434, CANTON, NY, 13617

Signature of
Role Plan administrator
Date 2018-04-05
Name of individual signing SEBASTIAN A. MAZZOTTA, M.D.
SEBASTIAN A. MAZZOTTA, M.D., P.C. EMPLOYEES' PROFIT SHARING PLAN & TRUST 2016 161153299 2017-11-20 SEBASTIAN A. MAZZOTTA, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-12-01
Business code 621111
Sponsor’s telephone number 3153868141
Plan sponsor’s address 4 STILLMAN DRIVE, CANTON, NY, 13617

Signature of
Role Plan administrator
Date 2017-11-20
Name of individual signing SEBASTIAN A. MAZZOTTA, M.D.
SEBASTIAN A. MAZZOTTA, M.D., P.C. EMPLOYEES' PROFIT SHARING PLAN & TRUST 2015 161153299 2016-12-12 SEBASTIAN A. MAZZOTTA, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-12-01
Business code 621111
Sponsor’s telephone number 3153868141
Plan sponsor’s address 4 STILLMAN DRIVE, CANTON, NY, 13617

Signature of
Role Plan administrator
Date 2016-12-12
Name of individual signing SEBASTIAN A. MAZZOTTA, M.D.
SEBASTIAN A. MAZZOTTA, M.D., P.C. EMPLOYEES' PROFIT SHARING PLAN & TRUST 2014 161153299 2016-01-25 SEBASTIAN A. MAZZOTTA, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-12-01
Business code 621111
Sponsor’s telephone number 3153868141
Plan sponsor’s address 4 STILLMAN DRIVE, CANTON, NY, 13617

Signature of
Role Plan administrator
Date 2016-01-25
Name of individual signing SEBASTIAN A. MAZZOTTA, M.D.
SEBASTIAN A. MAZZOTTA, M.D., P.C. EMPLOYEES' PROFIT SHARING PLAN & TRUST 2013 161153299 2014-11-21 SEBASTIAN A. MAZZOTTA, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-12-01
Business code 621111
Sponsor’s telephone number 3153868141
Plan sponsor’s address 4 STILLMAN DRIVE, CANTON, NY, 13617

Signature of
Role Plan administrator
Date 2014-11-21
Name of individual signing SEBASTIAN A. MAZZOTTA, M.D.
Role Employer/plan sponsor
Date 2014-11-21
Name of individual signing SEBASTIAN A. MAZZOTTA, M.D.
SEBASTIAN A. MAZZOTTA, M.D., P.C. EMPLOYEES' PROFIT SHARING PLAN & TRUST 2012 161153299 2014-01-27 SEBASTIAN A. MAZZOTTA, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-12-01
Business code 621111
Sponsor’s telephone number 3153868141
Plan sponsor’s address 4 STILLMAN DRIVE, CANTON, NY, 13617

Signature of
Role Plan administrator
Date 2014-01-27
Name of individual signing SEBASTIAN A. MAZZOTTA, M.D.
SEBASTIAN A. MAZZOTTA, M.D., P.C. EMPLOYEES' PROFIT SHARING PLAN & TRUST 2011 161153299 2013-01-14 SEBASTIAN A. MAZZOTTA, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-12-01
Business code 621111
Sponsor’s telephone number 3153868141
Plan sponsor’s address 4 STILLMAN DRIVE, CANTON, NY, 13617

Plan administrator’s name and address
Administrator’s EIN 161153299
Plan administrator’s name SEBASTIAN A. MAZZOTTA, M.D., P.C.
Plan administrator’s address 4 STILLMAN DRIVE, CANTON, NY, 13617
Administrator’s telephone number 3153868141

Signature of
Role Plan administrator
Date 2013-01-14
Name of individual signing SEBASTIAN A. MAZZOTTA, M.D.
SEBASTIAN A. MAZZOTTA, M.D., P.C. EMPLOYEES' PROFIT SHARING PLAN & TRUST 2010 161153299 2011-09-09 SEBASTIAN A. MAZZOTTA, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-12-01
Business code 621111
Sponsor’s telephone number 3153868141
Plan sponsor’s address 4 STILLMAN DRIVE, CANTON, NY, 13617

Plan administrator’s name and address
Administrator’s EIN 161153299
Plan administrator’s name SEBASTIAN A. MAZZOTTA, M.D., P.C.
Plan administrator’s address 4 STILLMAN DRIVE, CANTON, NY, 13617
Administrator’s telephone number 3153868141

Signature of
Role Plan administrator
Date 2011-09-09
Name of individual signing SEBASTIAN A. MAZZOTTA, M.D.
SEBASTIAN A. MAZZOTTA, M.D., P.C. EMPLOYEES' PROFIT SHARING PLAN & TRUST 2009 161153299 2010-12-28 SEBASTIAN A. MAZZOTTA, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-12-01
Business code 621111
Sponsor’s telephone number 3153868141
Plan sponsor’s address 4 STILLMAN DRIVE, CANTON, NY, 13617

Plan administrator’s name and address
Administrator’s EIN 161153299
Plan administrator’s name SEBASTIAN A. MAZZOTTA, M.D., P.C.
Plan administrator’s address 4 STILLMAN DRIVE, CANTON, NY, 13617
Administrator’s telephone number 3153868141

Signature of
Role Plan administrator
Date 2010-12-28
Name of individual signing SEBASTIAN A. MAZZOTTA, M.D.

Chief Executive Officer

Name Role Address
SEBASTIAN A. MAZZOTTA, M.D. Chief Executive Officer 4 STILLMAN DRIVE, CANTON, NY, United States, 13617

DOS Process Agent

Name Role Address
SEBASTIAN A. MAZZOTTA, P.C. DOS Process Agent 4 STILLMAN DR, CANTON, NY, United States, 13617

Filings

Filing Number Date Filed Type Effective Date
161212006696 2016-12-12 BIENNIAL STATEMENT 2016-12-01
141205006548 2014-12-05 BIENNIAL STATEMENT 2014-12-01
121219006568 2012-12-19 BIENNIAL STATEMENT 2012-12-01
101229002147 2010-12-29 BIENNIAL STATEMENT 2010-12-01
081201002494 2008-12-01 BIENNIAL STATEMENT 2008-12-01
061213002533 2006-12-13 BIENNIAL STATEMENT 2006-12-01
050121002660 2005-01-21 BIENNIAL STATEMENT 2004-12-01
021120002615 2002-11-20 BIENNIAL STATEMENT 2002-12-01
001222002216 2000-12-22 BIENNIAL STATEMENT 2000-12-01
981216002369 1998-12-16 BIENNIAL STATEMENT 1998-12-01

Related by officers

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Date of last update: 29 Oct 2024

Sources: New York Secretary of State

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