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MORDCAI BLAU, M.D., P.C.

Company Details

Name: MORDCAI BLAU, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Nov 1981 (43 years ago)
Entity Number: 734658
ZIP code: 10017
County: Westchester
Place of Formation: New York
Address: 280 PARK AVE., NEW YORK, NY, United States, 10017

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
MORDCAI BLAU, MD, PC RETIREMENT PLAN 2013 112583158 2014-07-10 MORDCAI BLAU, M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9144284700
Plan sponsor’s address 12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605

Signature of

Role Plan administrator
Date 2014-07-10
Name of individual signing MORDCAI BLAU
Role Employer/plan sponsor
Date 2014-07-10
Name of individual signing MORDCAI BLAU
MORDCAI BLAU, MD, PC RETIREMENT PLAN 2012 112583158 2013-09-09 MORDCAI BLAU, M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9144284700
Plan sponsor’s address 12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605

Signature of

Role Plan administrator
Date 2013-09-09
Name of individual signing MORDCAI BLAU
Role Employer/plan sponsor
Date 2013-09-09
Name of individual signing MORDCAI BLAU
MORDCAI BLAU, MD, PC RETIREMENT PLAN 2011 112583158 2012-05-25 MORDCAI BLAU, M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9144284700
Plan sponsor’s address 12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605

Plan administrator’s name and address

Administrator’s EIN 112583158
Plan administrator’s name MORDCAI BLAU, M.D., P.C
Plan administrator’s address 12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605
Administrator’s telephone number 9144284700

Signature of

Role Plan administrator
Date 2012-05-25
Name of individual signing MORDCAI BLAU
Role Employer/plan sponsor
Date 2012-05-25
Name of individual signing MORDCAI BLAU
MORDCAI BLAU, MD, PC RETIREMENT PLAN 2010 112583158 2011-07-19 MORDCAI BLAU, M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9144284700
Plan sponsor’s address 12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605

Plan administrator’s name and address

Administrator’s EIN 112583158
Plan administrator’s name MORDCAI BLAU, M.D., P.C
Plan administrator’s address 12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605
Administrator’s telephone number 9144284700

Signature of

Role Plan administrator
Date 2011-07-19
Name of individual signing MORDCAI BLAU
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing MORDCAI BLAU
MORDCAI BLAU, MD, PC RETIREMENT PLAN 2009 112583158 2010-09-29 MORDCAI BLAU, M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 9144284700
Plan sponsor’s address 12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605

Plan administrator’s name and address

Administrator’s EIN 112583158
Plan administrator’s name MORDCAI BLAU, M.D., P.C
Plan administrator’s address 12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605
Administrator’s telephone number 9144284700

Signature of

Role Plan administrator
Date 2010-09-10
Name of individual signing MORDCAI BLAU
Role Employer/plan sponsor
Date 2010-09-10
Name of individual signing MORDCAI BLAU

DOS Process Agent

Name Role Address
KRASS & KESCHNER, P.C. DOS Process Agent 280 PARK AVE., NEW YORK, NY, United States, 10017

Filings

Filing Number Date Filed Type Effective Date
A815261-4 1981-11-16 CERTIFICATE OF INCORPORATION 1981-11-16

Date of last update: 16 Nov 2024

Sources: New York Secretary of State