| Name: | BERLIN OB/GYN ASSOCIATES, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Inactive |
| Date of registration: | 06 Dec 1982 (42 years ago) |
| Date of dissolution: | 02 Aug 2012 |
| Entity Number: | 808829 |
| ZIP code: | 11751 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 2330 UNION BLVD., ISLIP, NY, United States, 11751 |
| Principal Address: | 2330 UNION BOULEVARD, ISLIP, NY, United States, 11751 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BERLIN OB/GYN ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST | 2011 | 112620636 | 2012-10-02 | BERLIN OB/GYN ASSOCIATES, P.C. | 7 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 112620636 |
| Plan administrator’s name | BERLIN OB/GYN ASSOCIATES, P.C. |
| Plan administrator’s address | 2330 UNION BOULEVARD, ISLIP, NY, 117513172 |
| Administrator’s telephone number | 6312244200 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-02 |
| Name of individual signing | SCOTT BERLIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1994-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6312244200 |
| Plan sponsor’s address | 2330 UNION BOULEVARD, ISLIP, NY, 117513172 |
Plan administrator’s name and address
| Administrator’s EIN | 112620636 |
| Plan administrator’s name | BERLIN OB/GYN ASSOCIATES, P.C. |
| Plan administrator’s address | 2330 UNION BOULEVARD, ISLIP, NY, 117513172 |
| Administrator’s telephone number | 6312244200 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-05 |
| Name of individual signing | SCOTT BERLIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1994-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6312244200 |
| Plan sponsor’s address | 2330 UNION BOULEVARD, ISLIP, NY, 11751 |
Plan administrator’s name and address
| Administrator’s EIN | 112620636 |
| Plan administrator’s name | BERLIN OB/GYN ASSOCIATES, P.C. |
| Plan administrator’s address | 2330 UNION BOULEVARD, ISLIP, NY, 11751 |
| Administrator’s telephone number | 6312244200 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-07 |
| Name of individual signing | SCOTT BERLIN |
| Role | Employer/plan sponsor |
| Date | 2010-06-07 |
| Name of individual signing | SCOTT BERLIN |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 2330 UNION BLVD., ISLIP, NY, United States, 11751 |
| Name | Role | Address |
|---|---|---|
| MELVIN BERLIN MD | Chief Executive Officer | 100 OCEAN AVENUE, ISLIP, NY, United States, 11751 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1994-05-02 | 1999-03-26 | Address | 111 CARELTON AVENUE, ISLIP TERRACE, NY, 11753, USA (Type of address: Service of Process) |
| 1982-12-06 | 1994-05-02 | Address | 111 CARELTON AVE., ISLIP TERRACE, NY, 11753, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 120802000136 | 2012-08-02 | CERTIFICATE OF DISSOLUTION | 2012-08-02 |
| 101220002788 | 2010-12-20 | BIENNIAL STATEMENT | 2010-12-01 |
| 081205002543 | 2008-12-05 | BIENNIAL STATEMENT | 2008-12-01 |
| 061208002562 | 2006-12-08 | BIENNIAL STATEMENT | 2006-12-01 |
| 010202002702 | 2001-02-02 | BIENNIAL STATEMENT | 2000-12-01 |
| 991203000383 | 1999-12-03 | CERTIFICATE OF AMENDMENT | 1999-12-03 |
| 990326002385 | 1999-03-26 | BIENNIAL STATEMENT | 1998-12-01 |
| 940502002024 | 1994-05-02 | BIENNIAL STATEMENT | 1993-12-01 |
| A926669-5 | 1982-12-06 | CERTIFICATE OF INCORPORATION | 1982-12-06 |
Date of last update: 16 Nov 2024
Sources: New York Secretary of State
