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  5. ISLAND INTERNAL MEDICINE, P.C.

ISLAND INTERNAL MEDICINE, P.C.

Company Details

Name: ISLAND INTERNAL MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 May 1982 (43 years ago)
Entity Number: 767684
ZIP code: 11510
County: Nassau
Place of Formation: New York
Address: 456 HARVARD AVENUE, BALDWIN, NY, United States, 11510
Principal Address: 267 LINCOLN BLVD, LONG BEACH, NY, United States, 11561

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ISLAND INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2014 112603833 2015-06-18 ISLAND INTERNAL MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-05-04
Business code 621111
Sponsor’s telephone number 5163782070
Plan sponsor’s address 680 MERRICK RD., BALDWIN, NY, 11510
ISLAND INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2013 112603833 2014-04-09 ISLAND INTERNAL MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-05-04
Business code 621111
Sponsor’s telephone number 5163782070
Plan sponsor’s address 267 LINCOLN BLVD., LONG BEACH, NY, 11561

Signature of
Role Plan administrator
Date 2014-04-09
Name of individual signing HERBERT STOLOVE
ISLAND INTERNAL MEDICINE, P.C. PROFIT SHARING PLA 2012 112603833 2013-05-06 ISLAND INTERNAL MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-05-04
Business code 621111
Sponsor’s telephone number 5163782070
Plan sponsor’s address 267 LINCOLN BLVD., LONG BEACH, NY, 11561

Signature of
Role Plan administrator
Date 2013-05-03
Name of individual signing HERBERT STOLOVE
ISLAND INTERNAL MEDICINE, P.C. PROFIT SHARING PLA 2011 112603833 2012-08-01 ISLAND INTERNAL MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-05-04
Business code 621111
Sponsor’s telephone number 5163782070
Plan sponsor’s address 267 LINCOLN BLVD., LONG BEACH, NY, 11561

Plan administrator’s name and address
Administrator’s EIN 112603833
Plan administrator’s name ISLAND INTERNAL MEDICINE, P.C.
Plan administrator’s address 267 LINCOLN BLVD., LONG BEACH, NY, 11561
Administrator’s telephone number 5163782070

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing HERBERT STOLOVE
ISLAND INTERNAL MEDICINE, P.C. PROFIT SHARING PLA 2010 112603833 2011-10-05 ISLAND INTERNAL MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-05-04
Business code 621111
Sponsor’s telephone number 5163782070
Plan sponsor’s address 267 LINCOLN BLVD, LONG BEACH, NY, 11561

Plan administrator’s name and address
Administrator’s EIN 112603833
Plan administrator’s name ISLAND INTERNAL MEDICINE, P.C.
Plan administrator’s address 267 LINCOLN BLVD, LONG BEACH, NY, 11561
Administrator’s telephone number 5163782070

Signature of
Role Plan administrator
Date 2011-10-05
Name of individual signing HERBERT STOLOVE
ISLAND INTERNAL MEDICINE, P.C. PROFIT SHARING PLA 2009 112603833 2010-11-15 ISLAND INTERNAL MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-05-04
Business code 621111
Sponsor’s telephone number 5163782070
Plan sponsor’s address 267 LINCOLN BLVD, LONG BEACH, NY, 11561

Plan administrator’s name and address
Administrator’s EIN 112603833
Plan administrator’s name ISLAND INTERNAL MEDICINE, P.C.
Plan administrator’s address 267 LINCOLN BLVD, LONG BEACH, NY, 11561
Administrator’s telephone number 5163782070

Signature of
Role Plan administrator
Date 2010-11-15
Name of individual signing HERBERT STOLOVE

Chief Executive Officer

Name Role Address
HARISH C SOOD, MD Chief Executive Officer 267 LINCOLN BLVD, LONG BEACH, NY, United States, 11561

DOS Process Agent

Name Role Address
HARISH C. SOOD DOS Process Agent 456 HARVARD AVENUE, BALDWIN, NY, United States, 11510

History

Start date End date Type Value
1992-12-09 1996-05-14 Address 267 LINCOLN BLVD., LONG BEACH, NY, 11561, USA (Type of address: Chief Executive Officer)
1992-12-09 1996-05-14 Address 267 LINCOLN BLVD., LONG BEACH, NY, 11561, USA (Type of address: Principal Executive Office)
1982-05-04 1992-12-09 Address 456 HARVARD AVE., BALDWIN, NY, 11510, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120626002751 2012-06-26 BIENNIAL STATEMENT 2012-05-01
100524002384 2010-05-24 BIENNIAL STATEMENT 2010-05-01
080520002764 2008-05-20 BIENNIAL STATEMENT 2008-05-01
060516003141 2006-05-16 BIENNIAL STATEMENT 2006-05-01
040616002010 2004-06-16 BIENNIAL STATEMENT 2004-05-01
020425002683 2002-04-25 BIENNIAL STATEMENT 2002-05-01
000517002163 2000-05-17 BIENNIAL STATEMENT 2000-05-01
980506002822 1998-05-06 BIENNIAL STATEMENT 1998-05-01
960514002076 1996-05-14 BIENNIAL STATEMENT 1996-05-01
000044005965 1993-08-30 BIENNIAL STATEMENT 1993-05-01

Related by officers

HARISH C. SOOD

V.S.S. REALTY CORP.

Related by address

456 HARVARD AVENUE, BALDWIN, NY, United States, 11510

V.S.S. REALTY CORP.

Date of last update: 16 Nov 2024

Sources: New York Secretary of State

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