| Name: | MOLAVE A. ADANIEL, PHYSICIAN, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Inactive |
| Date of registration: | 26 Jun 1981 (43 years ago) |
| Entity Number: | 707622 |
| County: | Suffolk |
| Date of dissolution: | 03 Aug 2011 |
| Place of Formation: | New York |
| Principal Address: | 510 MONTAUK HIGHWAY, WEST ISLIP, NY, United States, 11795 |
| Principal Address ZIP Code: | 11795 |
| Address: | 86 WILDWOOD DRIVE, DIX HILLS, NY, United States, 11746 |
| Address ZIP Code: | 11746 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MOLAVE A. ADANIEL, PHYSICIAN, P.C. PROFIT SHARING TRUST | 2010 | 112561692 | 2011-11-10 | MOLAVE A. ADANIEL, PHYSICIAN, P.C. | 5 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 112561692 |
| Plan administrator’s name | MOLAVE A. ADANIEL, PHYSICIAN, P.C. |
| Plan administrator’s address | 86 WILDWOOD DRIVE, DIX HILLS, NY, 11746 |
| Administrator’s telephone number | 6315871451 |
Signature of
| Role | Plan administrator |
| Date | 2011-11-10 |
| Name of individual signing | MOLAVE A ADANIEL |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1994-02-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6315871451 |
| Plan sponsor’s address | 86 WILDWOOD DRIVE, DIX HILLS, NY, 11746 |
Plan administrator’s name and address
| Administrator’s EIN | 112561692 |
| Plan administrator’s name | MOLAVE A. ADANIEL, PHYSICIAN, P.C. |
| Plan administrator’s address | 86 WILDWOOD DRIVE, DIX HILLS, NY, 11746 |
| Administrator’s telephone number | 6315871451 |
Signature of
| Role | Plan administrator |
| Date | 2010-11-10 |
| Name of individual signing | PATRICIA AMOROSO |
| Name | Role | Address |
|---|---|---|
| MOLAVE A ADANIEL | Chief Executive Officer | 510 MONTAUK HIGHWAY, WEST ISLIP, NY, United States, 11795 |
| Name | Role | Address |
|---|---|---|
| MOLAVE A ADANIEL | DOS Process Agent | 86 WILDWOOD DRIVE, DIX HILLS, NY, United States, 11746 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1997-10-16 | 2005-11-18 | Address | 510 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Principal Executive Office) |
| 1993-02-12 | 2005-11-18 | Address | 510 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer) |
| 1993-02-12 | 1997-10-16 | Address | 510 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Principal Executive Office) |
| 1993-02-12 | 2005-11-18 | Address | 86 WILDWOOD DRIVE, DIX HILLS, NY, 11746, USA (Type of address: Service of Process) |
| 1981-06-26 | 1993-02-12 | Address | 86 WILDWOOD DRIVE, DIX HILLS, NY, 11746, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 110803000993 | 2011-08-03 | CERTIFICATE OF DISSOLUTION | 2011-08-03 |
| 051118002054 | 2005-11-18 | BIENNIAL STATEMENT | 2005-06-01 |
| 031027002718 | 2003-10-27 | BIENNIAL STATEMENT | 2003-06-01 |
| 990722002052 | 1999-07-22 | BIENNIAL STATEMENT | 1999-06-01 |
| 971016002775 | 1997-10-16 | BIENNIAL STATEMENT | 1997-06-01 |
| 000055004998 | 1993-10-26 | BIENNIAL STATEMENT | 1993-06-01 |
| 930212002514 | 1993-02-12 | BIENNIAL STATEMENT | 1992-06-01 |
| A776607-4 | 1981-06-26 | CERTIFICATE OF INCORPORATION | 1981-06-26 |
Date of last update: 16 Nov 2024
Sources: New York Secretary of State
