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FIROZA BEGUM PHYSICIAN, P.C.

Company Details

Name: FIROZA BEGUM PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 23 Dec 1981 (43 years ago) (Companies founded in December 1981)
Date of dissolution: 25 Jan 2012
Entity Number: 670719
ZIP code: 11518 (Companies in Nassau, 11518)
County: Nassau
Place of Formation: New York
Address: 123 GRANT AVE, EAST ROCKAWAY, NY, United States, 11518

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
FIROZA BEGUM PHYSICIAN, P.C. MONEY PURCHASE PENSION PLAN 2019 112594159 2021-12-25 FIROZA BEGUM PHYSICIAN, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5165086432
Plan sponsor’s address 15 CENTRE VIEW DR, OYSTER BAY, NY, 117712815

Signature of

Role Plan administrator
Date 2021-12-25
Name of individual signing FIROZA BEGUM
Role Employer/plan sponsor
Date 2021-12-25
Name of individual signing FIROZA BEGUM
FIROZA BEGUM PHYSICIAN, P.C. MONEY PURCHASE PENSION PLAN 2018 112594159 2019-12-12 FIROZA BEGUM PHYSICIAN, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 5165086432
Plan sponsor’s address 15 CENTRE VIEW DR, OYSTER BAY, NY, 117712815

Signature of

Role Plan administrator
Date 2019-12-12
Name of individual signing FIROZA BEGUM
Role Employer/plan sponsor
Date 2019-12-12
Name of individual signing FIROZA BEGUM
FIROZA BEGUM PHYSICIAN, P.C. MONEY PURCHASE PENSION PLAN 2017 112594159 2019-12-12 FIROZA BEGUM PHYSICIAN, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 5165086432
Plan sponsor’s address 15 CENTRE VIEW DR, OYSTER BAY, NY, 117712815

Signature of

Role Plan administrator
Date 2019-12-12
Name of individual signing FIROZA BEGUM
Role Employer/plan sponsor
Date 2019-12-12
Name of individual signing FIROZA BEGUM
FIROZA BEGUM PHYSICIAN, P.C. MONEY PURCHASE PENSION PLAN 2016 112594159 2017-12-16 FIROZA BEGUM PHYSICIAN, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 5165086432
Plan sponsor’s address 15 CENTRE VIEW DR, OYSTER BAY, NY, 117712815

Signature of

Role Plan administrator
Date 2017-12-16
Name of individual signing FIROZA BEGUM
Role Employer/plan sponsor
Date 2017-12-16
Name of individual signing FIROZA BEGUM
FIROZA BEGUM PHYSICIAN, P.C. MONEY PURCHASE PENSION PLAN 2015 112594159 2017-12-16 FIROZA BEGUM PHYSICIAN, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 5165086432
Plan sponsor’s address 15 CENTRE VIEW DR, OYSTER BAY, NY, 117712815

Signature of

Role Plan administrator
Date 2017-12-16
Name of individual signing FIROZA BEGUM
Role Employer/plan sponsor
Date 2017-12-16
Name of individual signing FIROZA BEGUM
FIROZA BEGUM PHYSICIAN, P.C. MONEY PURCHASE PENSION PLAN 2014 112594159 2015-12-27 FIROZA BEGUM PHYSICIAN, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 5165086432
Plan sponsor’s address 15 CENTREVIEW DRIVE, OYSTER BAY, NY, 11771

Signature of

Role Plan administrator
Date 2015-12-27
Name of individual signing FIROZA BEGUM
FIROZA BEGUM PHYSICIAN, P.C. MONEY PURCHASE PENSION PLAN 2013 112594159 2015-12-27 FIROZA BEGUM PHYSICIAN, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Plan sponsor’s address 15 CENTREVIEW DRIVE, OYSTER BAY, NY, 11771

Signature of

Role Plan administrator
Date 2015-12-27
Name of individual signing FIROZA BEGUM
FIROZA BEGUM PHYSICIAN, P.C. MONEY PURCHASE PENSION PLAN 2012 112594159 2014-01-20 FIROZA BEGUM PHYSICIAN, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 5165086432
Plan sponsor’s address 15 CENTREVIEW DRIVE, OYSTER BAY, NY, 11771

Signature of

Role Plan administrator
Date 2014-01-20
Name of individual signing FIROZA BEGUM
Role Employer/plan sponsor
Date 2014-01-20
Name of individual signing FIROZA BEGUM
FORIZA BEGUM PHYSICIAN, P.C. MONEY PURCHASE PENSION PLAN 2011 112594159 2014-01-20 FIROZA BEGUM PHYSICIAN, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 5165086432
Plan sponsor’s address 15 CENTREVIEW DRIVE, OYSTER BAY, NY, 11771

Plan administrator’s name and address

Administrator’s EIN 112594159
Plan administrator’s name FIROZA BEGUM PHYSICIAN, P.C.
Plan administrator’s address 15 CENTREVIEW DRIVE, OYSTER BAY, NY, 11771
Administrator’s telephone number 5165086432

Signature of

Role Plan administrator
Date 2014-01-20
Name of individual signing FIROZA BEGUM
Role Employer/plan sponsor
Date 2014-01-20
Name of individual signing FIROZA BEGUM
FIROZA BEGUM PHYSICIAN P.C. MONEY PURCHASE PENSION PLAN 2010 112594159 2014-01-20 FIROZA BEGUM PHYSICIAN, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 5165086432
Plan sponsor’s address 15 CENTREVIEW DRIVE, OYSTER BAY, NY, 11771

Plan administrator’s name and address

Administrator’s EIN 112594159
Plan administrator’s name FIROZA BEGUM PHYSICIAN, P.C.
Plan administrator’s address 15 CENTREVIEW DRIVE, OYSTER BAY, NY, 11771
Administrator’s telephone number 5165086432

Signature of

Role Plan administrator
Date 2014-01-20
Name of individual signing FIROZA BEGUM
Role Employer/plan sponsor
Date 2014-01-20
Name of individual signing FIROZA BEGUM

Chief Executive Officer

Name Role Address
FIROZA BEGUM Chief Executive Officer 123 GRANT AVE, EAST ROCKAWAY, NY, United States, 11518

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 123 GRANT AVE, EAST ROCKAWAY, NY, United States, 11518

History

Start date End date Type Value
1993-01-05 2000-02-25 Address 123 GRANT AVE, EAST ROCKAWAY, NY, 11518, USA (Type of address: Chief Executive Officer)
1993-01-05 2000-02-25 Address 123 GRANT AVE, EAST ROCKAWAY, NY, 11518, USA (Type of address: Service of Process)
1981-12-23 1993-01-05 Address 123 GRANT AVE., EAST ROCKAWAY, NY, 11518, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
DP-2099692 2012-01-25 DISSOLUTION BY PROCLAMATION 2012-01-25
040115002696 2004-01-15 BIENNIAL STATEMENT 2003-12-01
000225002688 2000-02-25 BIENNIAL STATEMENT 1999-12-01
980121002494 1998-01-21 BIENNIAL STATEMENT 1997-12-01
940304002007 1994-03-04 BIENNIAL STATEMENT 1993-12-01
930105002141 1993-01-05 BIENNIAL STATEMENT 1992-12-01
A826353-4 1981-12-23 CERTIFICATE OF INCORPORATION 1981-12-23

Date of last update: 16 Nov 2024

Sources: New York Secretary of State