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SUFFOLK INTERNAL MEDICINE ASSOCIATES, P.C.

Company Details

Name: SUFFOLK INTERNAL MEDICINE ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 13 Aug 1981 (43 years ago)
Entity Number: 716523
County: Suffolk
Date of dissolution: 05 Aug 2016
Place of Formation: New York
Address: 747 MONTAUK HIGHWAY, WEST ISLIP, NY, United States, 11795
Address ZIP Code: 11795

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
SUFFOLK INTERNAL MEDICINE ASSOC. , P. C. PROFIT SHARING PLAN 2015 112574860 2016-03-22 SUFFOLK INTERNAL MEDICINE ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-25
Business code 621111
Sponsor’s telephone number 6315877733
Plan sponsor’s address 500 MONTAUK HIGHWAY, SUITE S, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2016-03-22
Name of individual signing BERNARD NASH
SUFFOLK INTERNAL MEDICINE ASSOC., P.C. PROFIT SHARING PLAN 2014 112574860 2015-06-24 SUFFOLK INTERNAL MEDICINE ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-25
Business code 621111
Sponsor’s telephone number 6315877733
Plan sponsor’s address 500 MONTAUK HIGHWAY, SUITE S, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2015-06-24
Name of individual signing BERNARD NASH
SUFFOLK INTERNAL MEDICINE ASSOC., P.C. PROFIT SHARING PLAN 2014 112574860 2015-03-25 SUFFOLK INTERNAL MEDICINE ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-04-25
Business code 621111
Sponsor’s telephone number 6315877733
Plan sponsor’s address 500 MONTAUK HIGHWAY, SUITE S, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2015-03-25
Name of individual signing BERNARD NASH
SUFFOLK INTERNAL MEDICINE ASSOCIATES, P.C. PROFIT SHARING PLAN 2010 112574860 2011-08-27 SUFFOLK INTERNAL MEDICINE ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-25
Business code 621111
Sponsor’s telephone number 6315877733
Plan sponsor’s address 500 MONTAUK HIGHWAY, SUITE S, WEST ISLIP, NY, 11795

Plan administrator’s name and address
Administrator’s EIN 112574860
Plan administrator’s name SUFFOLK INTERNAL MEDICINE ASSOCIATES, P.C.
Plan administrator’s address 500 MONTAUK HIGHWAY, SUITE S, WEST ISLIP, NY, 11795
Administrator’s telephone number 6315877733

Signature of
Role Plan administrator
Date 2011-08-27
Name of individual signing BERNARD NASH
SUFFOLK INTERNAL MEDICINE ASSOCIATES, P.C. PROFIT SHARING PLAN 2009 112574860 2010-09-27 SUFFOLK INTERNAL MEDICINE ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-25
Business code 621111
Sponsor’s telephone number 6315877733
Plan sponsor’s address 500 MONTAUK HIGHWAY, SUITE S, WEST ISLIP, NY, 11795

Plan administrator’s name and address
Administrator’s EIN 112574860
Plan administrator’s name SUFFOLK INTERNAL MEDICINE ASSOCIATES, P.C.
Plan administrator’s address 500 MONTAUK HIGHWAY, SUITE S, WEST ISLIP, NY, 11795
Administrator’s telephone number 6315877733

Signature of
Role Plan administrator
Date 2010-09-27
Name of individual signing BERNARD NASH

DOS Process Agent

Name Role Address
STEVEN SAMUELS M.D., P.C. DOS Process Agent 747 MONTAUK HIGHWAY, WEST ISLIP, NY, United States, 11795

History

Start date End date Type Value
1982-08-06 1986-10-09 Name SUFFOLK INFECTIOUS DISEASE ASSOCIATES, P.C.
1981-08-13 1982-08-06 Name STEVEN SAMUELS, M.D., P.C.

Filings

Filing Number Date Filed Type Effective Date
160805000166 2016-08-05 CERTIFICATE OF DISSOLUTION 2016-08-05
B411063-3 1986-10-09 CERTIFICATE OF AMENDMENT 1986-10-09
A892674-3 1982-08-06 CERTIFICATE OF AMENDMENT 1982-08-06
A789475-4 1981-08-13 CERTIFICATE OF INCORPORATION 1981-08-13

Related by officers

No related officers

Related by address

747 MONTAUK HIGHWAY, WEST ISLIP, NY, United States, 11795

HEALTHSTAR MEDICAL, P.C. OMAR F. SHEIKH, M. D., FRANK P. CARIELLO, M. D., AND FRANCIS B. O'BRIEN, JR., M.D., P.C. ROBERT A. SMOLARZ, M. D., P. C. SOUTH BAY UROLOGIC ASSOCIATES P.C.

Date of last update: 29 Oct 2024

Sources: New York Secretary of State

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