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  5. GERALD J. SMALLBERG, M.D., P.C.

GERALD J. SMALLBERG, M.D., P.C.

Company Details

Name: GERALD J. SMALLBERG, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Feb 1981 (44 years ago)
Entity Number: 679365
ZIP code: 10028
County: New York
Place of Formation: New York
Address: 40 EAST 83RD STREET, NEW YORK, NY, United States, 10028

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
GERALD J. SMALLBERG, M.D., P.C. PROFIT SHARING TRUST 2017 133068355 2018-12-19 GERALD J. SMALLBERG, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-02-16
Business code 621111
Sponsor’s telephone number 2125355348
Plan sponsor’s address 1010 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2018-12-19
Name of individual signing GERALD J. SMALLBERG, M.D
GERALD J. SMALLBERG, M.D., P.C. PROFIT SHARING TRUST 2017 133068355 2018-12-19 GERALD J. SMALLBERG, M.D., P.C. 3
Three-digit plan number (PN) 001
Effective date of plan 1981-02-16
Business code 621111
Sponsor’s telephone number 2125355348
Plan sponsor’s address 1010 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2018-12-19
Name of individual signing GERALD J. SMALLBERG, M.D
GERALD J. SMALLBERG, M.D., P.C. PROFIT SHARING TRUST 2017 133068355 2018-05-24 GERALD J. SMALLBERG, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-02-16
Business code 621111
Sponsor’s telephone number 2125355348
Plan sponsor’s address 1010 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2018-05-24
Name of individual signing GERALD J. SMALLBERG, M.D.
GERALD J. SMALLBERG, M.D., P.C. PROFIT SHARING TRUST 2016 133068355 2017-05-09 GERALD J. SMALLBERG, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-02-16
Business code 621111
Sponsor’s telephone number 2125355348
Plan sponsor’s address 1010 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2017-05-09
Name of individual signing GERALD J. SMALLBERG, M.D.
GERALD J. SMALLBERG, M.D., P.C. PROFIT SHARING TRUST 2015 133068355 2016-04-05 GERALD J. SMALLBERG, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-02-16
Business code 621111
Sponsor’s telephone number 2125355348
Plan sponsor’s address 1010 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2016-04-05
Name of individual signing GERALD J. SMALLBERG, M.D.
GERALD J. SMALLBERG, M.D., P.C. PROFIT SHARING TRUST 2014 133068355 2015-06-19 GERALD J. SMALLBERG, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-02-16
Business code 621111
Sponsor’s telephone number 2125355348
Plan sponsor’s address 1010 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing GERALD J. SMALLBERG, M.D.
GERALD J. SMALLBERG, M.D., P.C. PROFIT SHARING TRUST 2013 133068355 2014-07-26 GERALD J. SMALLBERG, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-02-16
Business code 621111
Sponsor’s telephone number 2125355348
Plan sponsor’s address 1010 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2014-07-26
Name of individual signing GERALD J. SMALLBERG, M.D.
GERALD J. SMALLBERG, M.D., P.C. PROFIT SHARING TRUST 2012 133068355 2013-06-20 GERALD J. SMALLBERG, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-02-16
Business code 621111
Sponsor’s telephone number 2125355348
Plan sponsor’s address 1010 FIFTH AVENUE, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing GERALD J. SMALLBERG, M.D.
GERALD J. SMALLBERG, M.D., P.C. PROFIT-SHARING TRUST 2011 133068355 2012-05-23 GERALD J. SMALLBERG, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-02-16
Business code 621111
Sponsor’s telephone number 2125355348
Plan sponsor’s address 1010 FIFTH AVENUE, NEW YORK, NY, 10028

Plan administrator’s name and address
Administrator’s EIN 133068355
Plan administrator’s name GERALD J. SMALLBERG, M.D., P.C.
Plan administrator’s address 1010 FIFTH AVENUE, NEW YORK, NY, 10028
Administrator’s telephone number 2125355348

Signature of
Role Plan administrator
Date 2012-05-23
Name of individual signing GERALD J. SMALLBERG, M.D.
GERALD J. SMALLBERG, M.D., P.C. PROFIT-SHARING TRUST 2010 133068355 2011-05-25 GERALD J. SMALLBERG, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-02-16
Business code 621111
Sponsor’s telephone number 2125355348
Plan sponsor’s address 1010 FIFTH AVENUE, NEW YORK, NY, 10028

Plan administrator’s name and address
Administrator’s EIN 133068355
Plan administrator’s name GERALD J. SMALLBERG, M.D., P.C.
Plan administrator’s address 1010 FIFTH AVENUE, NEW YORK, NY, 10028
Administrator’s telephone number 2125355348

Signature of
Role Plan administrator
Date 2011-05-25
Name of individual signing GERALD J. SMALLBERG, M.D.

Chief Executive Officer

Name Role Address
GERALD J. SMALLBERG Chief Executive Officer 40 EAST 83RD STREET, NEW YORK, NY, United States, 10028

DOS Process Agent

Name Role Address
GERALD J SMALLBERG DOS Process Agent 40 EAST 83RD STREET, NEW YORK, NY, United States, 10028

History

Start date End date Type Value
2017-02-01 2021-02-09 Address 40 EAST 83RD STREET, NEW YORK, NY, 10028, USA (Type of address: Service of Process)
1993-04-02 2017-02-01 Address 1010 FIFTH AVENUE, NEW YORK, NY, 10028, USA (Type of address: Chief Executive Officer)
1993-04-02 2017-02-01 Address 1010 FIFTH AVENUE, NEW YORK, NY, 10028, USA (Type of address: Principal Executive Office)
1981-02-13 2017-02-01 Address 1010 FIFTH AVENUE, NEW YORK, NY, 10028, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210209060550 2021-02-09 BIENNIAL STATEMENT 2021-02-01
170201007259 2017-02-01 BIENNIAL STATEMENT 2017-02-01
130311006151 2013-03-11 BIENNIAL STATEMENT 2013-02-01
110713002622 2011-07-13 BIENNIAL STATEMENT 2011-02-01
090126002939 2009-01-26 BIENNIAL STATEMENT 2009-02-01
070212002570 2007-02-12 BIENNIAL STATEMENT 2007-02-01
050303002375 2005-03-03 BIENNIAL STATEMENT 2005-02-01
010216002578 2001-02-16 BIENNIAL STATEMENT 2001-02-01
990211002510 1999-02-11 BIENNIAL STATEMENT 1999-02-01
970225002510 1997-02-25 BIENNIAL STATEMENT 1997-02-01

Related by officers

No related officers

Related by address

40 EAST 83RD STREET, NEW YORK, NY, United States, 10028

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Date of last update: 16 Nov 2024

Sources: New York Secretary of State

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