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  5. ERNEST C. CHISENA, M.D., P.C.

ERNEST C. CHISENA, M.D., P.C.

Company Details

Name: ERNEST C. CHISENA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 29 May 1981 (44 years ago)
Date of dissolution: 26 Feb 2018
Entity Number: 702719
ZIP code: 11768
County: Suffolk
Place of Formation: New York
Address: 6 ALLENBY DRIVE, NORTHPORT, NY, United States, 11768
Principal Address: 101 CENTERPORT ROAD, CENTERPORT, NY, United States, 11721

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
ERNEST C. CHISENA, M.D., P.C. MONEY PURCHASE PENSION PLAN 2015 112570730 2016-08-31 ERNEST C. CHISENA, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-01
Business code 621111
Sponsor’s telephone number 6312610110
Plan sponsor’s address 101 CENTERPORT ROAD, CENTERPORT, NY, 11721
ERNEST C. CHISENA, M.D., P.C. MONEY PURCHASE PENSION PLAN 2014 112570730 2015-08-28 ERNEST C. CHISENA, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-01
Business code 621111
Sponsor’s telephone number 6312610110
Plan sponsor’s address 101 CENTERPORT ROAD, CENTERPORT, NY, 11721
ERNEST C. CHISENA, M.D., P.C. MONEY PURCHASE PENSION PLAN 2013 112570730 2014-08-29 ERNEST C. CHISENA, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-01
Business code 621111
Sponsor’s telephone number 6312610110
Plan sponsor’s address 101 CENTERPORT ROAD, CENTERPORT, NY, 11721
ERNEST C. CHISENA, M.D., P.C. MONEY PURCHASE PENSION PLAN 2012 112570730 2013-08-29 ERNEST C. CHISENA, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-01
Business code 621111
Sponsor’s telephone number 6312610110
Plan sponsor’s address 101 CENTERPORT ROAD, CENTERPORT, NY, 11721

Signature of
Role Plan administrator
Date 2013-08-29
Name of individual signing MICHAEL WASSERSTEIN
ERNEST C. CHISENA, M.D., P.C. MONEY PURCHASE PENSION PLAN 2011 112570730 2012-08-30 ERNEST C. CHISENA, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-01
Business code 621111
Sponsor’s telephone number 6312610110
Plan sponsor’s address 101 CENTERPORT ROAD, CENTERPORT, NY, 11721

Plan administrator’s name and address
Administrator’s EIN 112570730
Plan administrator’s name ERNEST C. CHISENA, M.D., P.C.
Plan administrator’s address 101 CENTERPORT ROAD, CENTERPORT, NY, 11721
Administrator’s telephone number 6312610110

Signature of
Role Plan administrator
Date 2012-08-30
Name of individual signing MICHAEL WASSERSTEIN
ERNEST C. CHISENA, M.D., P.C. MONEY PURCHASE PENSION PLAN 2010 112570730 2011-08-26 ERNEST C. CHISENA, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-01
Business code 621111
Sponsor’s telephone number 6312610110
Plan sponsor’s address 101 CENTERPORT ROAD, CENTERPORT, NY, 11721

Plan administrator’s name and address
Administrator’s EIN 112570730
Plan administrator’s name ERNEST C. CHISENA, M.D., P.C.
Plan administrator’s address 101 CENTERPORT ROAD, CENTERPORT, NY, 11721
Administrator’s telephone number 6312610110

Signature of
Role Plan administrator
Date 2011-08-26
Name of individual signing MICHAEL WASSERSTEIN
ERNEST C. CHISENA, M.D., P.C. MONEY PURCHASE PENSION PLAN 2009 112570730 2010-08-30 ERNEST C. CHISENA, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-01
Business code 621111
Sponsor’s telephone number 6312610110
Plan sponsor’s address 101 CENTERPORT ROAD, CENTERPORT, NY, 11721

Plan administrator’s name and address
Administrator’s EIN 112570730
Plan administrator’s name ERNEST C. CHISENA, M.D., P.C.
Plan administrator’s address 101 CENTERPORT ROAD, CENTERPORT, NY, 11721
Administrator’s telephone number 6312610110

Signature of
Role Plan administrator
Date 2010-08-30
Name of individual signing MICHAEL WASSERSTEIN

Chief Executive Officer

Name Role Address
ERNEST C. CHISENA, M.D. Chief Executive Officer 101 CENTERPORT ROAD, CENTERPORT, NY, United States, 11721

DOS Process Agent

Name Role Address
ERNEST C. CHISENA, M.D., P.C. DOS Process Agent 6 ALLENBY DRIVE, NORTHPORT, NY, United States, 11768

History

Start date End date Type Value
2001-05-29 2017-05-02 Address 101 CENTERPORT ROAD, CENTERPORT, NY, 11721, USA (Type of address: Service of Process)
1981-05-29 2001-05-29 Address 2 CHERRY LANE, HUNTINGTON, NY, 11743, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180226000598 2018-02-26 CERTIFICATE OF DISSOLUTION 2018-02-26
170502008313 2017-05-02 BIENNIAL STATEMENT 2017-05-01
130508006563 2013-05-08 BIENNIAL STATEMENT 2013-05-01
110516002593 2011-05-16 BIENNIAL STATEMENT 2011-05-01
090514002453 2009-05-14 BIENNIAL STATEMENT 2009-05-01
051027002195 2005-10-27 BIENNIAL STATEMENT 2005-05-01
030514002508 2003-05-14 BIENNIAL STATEMENT 2003-05-01
010529002176 2001-05-29 BIENNIAL STATEMENT 2001-05-01
970515002754 1997-05-15 BIENNIAL STATEMENT 1997-05-01
921127002445 1992-11-27 BIENNIAL STATEMENT 1992-05-01

Related by officers

No related officers

Related by address

101 CENTERPORT ROAD, CENTERPORT, NY, United States, 11721

INES MUIA-CHISENA MD P.C.

Date of last update: 16 Nov 2024

Sources: New York Secretary of State

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