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BARRY MILES BELGOROD, M.D., P.C.

Company Details

Name: BARRY MILES BELGOROD, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Mar 1982 (43 years ago)
Entity Number: 757184
ZIP code: 10065
County: New York
Place of Formation: New York
Address: 115 E 61ST STREET, NEW YORK, NY, United States, 10065

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
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2022 133109268 2023-09-14 BARRY MILES BELGOROD M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, STE 1C, NEW YORK, NY, 100658183

Signature of

Role Plan administrator
Date 2023-09-14
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2021 133109268 2022-12-01 BARRY MILES BELGOROD M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, STE 1C, NEW YORK, NY, 100658183

Signature of

Role Plan administrator
Date 2022-12-01
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2020 133109268 2021-04-05 BARRY MILES BELGOROD M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address

Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of

Role Plan administrator
Date 2021-04-05
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2019 133109268 2020-06-25 BARRY MILES BELGOROD M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address

Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of

Role Plan administrator
Date 2020-06-25
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2018 133109268 2019-05-11 BARRY MILES BELGOROD M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address

Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of

Role Plan administrator
Date 2019-05-11
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2017 133109268 2018-09-17 BARRY MILES BELGOROD M.D. P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address

Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of

Role Plan administrator
Date 2018-09-17
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2016 133109268 2017-09-18 BARRY MILES BELGOROD M.D. P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address

Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of

Role Plan administrator
Date 2017-09-18
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2015 133109268 2016-09-15 BARRY MILES BELGOROD M.D. P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address

Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of

Role Plan administrator
Date 2016-09-15
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2014 133109268 2015-09-15 BARRY MILES BELGOROD M.D. P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address

Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of

Role Plan administrator
Date 2015-09-15
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2013 133109268 2014-09-22 BARRY MILES BELGOROD M.D. P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address

Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of

Role Plan administrator
Date 2014-09-22
Name of individual signing BARRY MILES BELGOROD

Chief Executive Officer

Name Role Address
BARRY BELGOROD Chief Executive Officer 115 E 61ST STREET, NEW YORK, NY, United States, 10065

DOS Process Agent

Name Role Address
BARRY BELGOROD DOS Process Agent 115 E 61ST STREET, NEW YORK, NY, United States, 10065

History

Start date End date Type Value
1993-04-27 2010-04-01 Address 115 EAST 61 STREET, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
1993-04-27 2010-04-01 Address 115 EAST 61 STREET, NEW YORK, NY, 10021, USA (Type of address: Principal Executive Office)
1993-04-27 2010-04-01 Address 115 EAST 61 STREET, NEW YORK, NY, 10021, USA (Type of address: Service of Process)
1982-03-15 1993-04-27 Address 115 E. 61ST ST., NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140509002155 2014-05-09 BIENNIAL STATEMENT 2014-03-01
120413002027 2012-04-13 BIENNIAL STATEMENT 2012-03-01
100401002013 2010-04-01 BIENNIAL STATEMENT 2010-03-01
080306002168 2008-03-06 BIENNIAL STATEMENT 2008-03-01
060405002538 2006-04-05 BIENNIAL STATEMENT 2006-03-01
040322002975 2004-03-22 BIENNIAL STATEMENT 2004-03-01
020318002228 2002-03-18 BIENNIAL STATEMENT 2002-03-01
000316002132 2000-03-16 BIENNIAL STATEMENT 2000-03-01
980313002370 1998-03-13 BIENNIAL STATEMENT 1998-03-01
940408002402 1994-04-08 BIENNIAL STATEMENT 1994-03-01

Date of last update: 16 Nov 2024

Sources: New York Secretary of State