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  5. JAMES B. ISRAEL, M.D., P.C.

JAMES B. ISRAEL, M.D., P.C.

Company Details

Name: JAMES B. ISRAEL, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Sep 1981 (43 years ago)
Entity Number: 722216
ZIP code: 10952
County: Rockland
Place of Formation: New York
Address: 6 LOCUST HOLLOW DRIVE, MONSEY, NY, United States, 10952
Principal Address: 222 ROUTE 59 / SUITE 105, SUFERN, NY, United States, 10901

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
JAMES B. ISRAEL M.D., P.C. RETIREMENT TRUST PROFIT SHARING PLAN 2022 133082037 2024-05-07 JAMES B. ISRAEL M.D., P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-04-01
Business code 621111
Sponsor’s telephone number 8453680331
Plan sponsor’s address 222 ROUTE 59, SUITE 105, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2024-05-07
Name of individual signing JAMES ISRAEL
JAMES B. ISRAEL M.D., P.C. RETIREMENT TRUST PROFIT SHARING PLAN 2021 133082037 2023-02-21 JAMES B. ISRAEL M.D., P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-04-01
Business code 621111
Sponsor’s telephone number 8453680331
Plan sponsor’s address 222 ROUTE 59, SUITE 105, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2023-02-21
Name of individual signing JAMES ISRAEL
JAMES B. ISRAEL M.D., P.C. RETIREMENT TRUST PROFIT SHARING PLAN 2020 133082037 2022-03-08 JAMES B. ISRAEL M.D., P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-04-01
Business code 621111
Sponsor’s telephone number 8453680331
Plan sponsor’s address 222 ROUTE 59, SUITE 105, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2022-03-08
Name of individual signing JAMES ISRAEL
JAMES B. ISRAEL M.D., P.C. RETIREMENT TRUST PROFIT SHARING PLAN 2019 133082037 2021-03-02 JAMES B. ISRAEL M.D., P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-04-01
Business code 621111
Sponsor’s telephone number 8453680331
Plan sponsor’s address 222 ROUTE 59, SUITE 105, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2021-03-02
Name of individual signing JAMES ISRAEL
JAMES B. ISRAEL M.D., P.C. RETIREMENT TRUST PROFIT SHARING PLAN 2018 133082037 2020-06-01 JAMES B. ISRAEL M.D., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-04-01
Business code 621111
Sponsor’s telephone number 8453680331
Plan sponsor’s address 222 ROUTE 59, SUITE 105, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2020-05-28
Name of individual signing JAMES ISRAEL
JAMES B. ISRAEL M.D., P.C. RETIREMENT TRUST PROFIT SHARING PLAN 2017 133082037 2019-06-11 JAMES B. ISRAEL M.D., P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-04-01
Business code 621111
Sponsor’s telephone number 8453680331
Plan sponsor’s address 222 ROUTE 59, SUITE 105, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2019-06-06
Name of individual signing JAMES ISRAEL
JAMES B. ISRAEL M.D., P.C. RETIREMENT TRUST PROFIT SHARING PLAN 2016 133082037 2018-05-24 JAMES B. ISRAEL M.D., P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-04-01
Business code 621111
Sponsor’s telephone number 8453680331
Plan sponsor’s address 222 ROUTE 59, SUITE 105, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2018-05-24
Name of individual signing JAMES ISRAEL
JAMES B. ISRAEL M.D., P.C. RETIREMENT TRUST PROFIT SHARING PLAN 2015 133082037 2017-06-12 JAMES B. ISRAEL M.D., P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-04-01
Business code 621111
Sponsor’s telephone number 8453680331
Plan sponsor’s address 222 ROUTE 59, SUITE 105, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing JAMES ISRAEL
JAMES B. ISRAEL M.D., P.C. RETIREMENT TRUST PROFIT SHARING PLAN 2014 133082037 2016-06-09 JAMES B. ISRAEL M.D., P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-04-01
Business code 621111
Sponsor’s telephone number 8453680331
Plan sponsor’s address 222 ROUTE 59, SUITE 105, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing JAMES ISRAEL
JAMES B. ISRAEL M.D., P.C. RETIREMENT TRUST PROFIT SHARING PLAN 2013 133082037 2015-05-11 JAMES B. ISRAEL M.D., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-04-01
Business code 621111
Sponsor’s telephone number 8453680331
Plan sponsor’s address 222 ROUTE 59, SUITE 105, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2015-05-11
Name of individual signing JAMES ISRAEL

DOS Process Agent

Name Role Address
JAMES B. ISRAEL, M.D. DOS Process Agent 6 LOCUST HOLLOW DRIVE, MONSEY, NY, United States, 10952

Chief Executive Officer

Name Role Address
JAMES B. ISRAEL, MD Chief Executive Officer 222 ROUTE 59 / SUITE 105, SUFFERN, NY, United States, 10901

History

Start date End date Type Value
1999-09-24 2007-09-10 Address 222 ROUTE 59, SUITE 105, SUFFERN, NY, 10901, 5204, USA (Type of address: Chief Executive Officer)
1997-10-03 1999-09-24 Address 222 ROUTE 59, SUITE 105, SUFFERN, NY, 10901, 5204, USA (Type of address: Chief Executive Officer)
1997-10-03 2007-09-10 Address 222 ROUTE 59, SUITE 105, SUFERN, NY, 10901, 5204, USA (Type of address: Principal Executive Office)
1993-04-28 1997-10-03 Address 222 ROUTE 59, SUFFERN, NY, 10901, USA (Type of address: Chief Executive Officer)
1993-04-28 1997-10-03 Address 222 ROUTE 59, SUFFERN, NY, 10901, USA (Type of address: Principal Executive Office)
1981-09-15 2007-09-10 Address 6 LOCUST HOLLOW DRIVE, MONSEY, NY, 10952, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
190909060266 2019-09-09 BIENNIAL STATEMENT 2019-09-01
170901006744 2017-09-01 BIENNIAL STATEMENT 2017-09-01
150910006251 2015-09-10 BIENNIAL STATEMENT 2015-09-01
130909006710 2013-09-09 BIENNIAL STATEMENT 2013-09-01
110922002170 2011-09-22 BIENNIAL STATEMENT 2011-09-01
090828002512 2009-08-28 BIENNIAL STATEMENT 2009-09-01
070910002380 2007-09-10 BIENNIAL STATEMENT 2007-09-01
051102002929 2005-11-02 BIENNIAL STATEMENT 2005-09-01
030908002156 2003-09-08 BIENNIAL STATEMENT 2003-09-01
010824002609 2001-08-24 BIENNIAL STATEMENT 2001-09-01

Related by officers

No related officers

Related by address

6 LOCUST HOLLOW DRIVE, MONSEY, NY, United States, 10952

NEW REHAB CONSULTANT LLC

Date of last update: 16 Nov 2024

Sources: New York Secretary of State

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