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LONG ISLAND FAMILY MEDICAL GROUP, P.C.

Company Details

Name: LONG ISLAND FAMILY MEDICAL GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 04 Mar 1985 (40 years ago)
Entity Number: 978024
County: Suffolk
Date of dissolution: 26 Aug 2016
Place of Formation: New York
Address: 120 ELDER ROAD, ISLIP, NY, United States, 11751
Address ZIP Code: 11751

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
LONG ISLAND FAMILY MEDICAL GROUP , P.C. PROFIT SHARING PLAN 2014 112731890 2015-08-18 LONG ISLAND FAMILY MEDICAL GROUP, P.C. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 5165894747
Plan sponsor’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782
LONG ISLAND FAMILY MEDICAL GROUP, P.C. 401(K) PLAN 2013 112731890 2014-10-15 LONG ISLAND FAMILY MEDICAL GROUP, P.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5165894747
Plan sponsor’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782
LONG ISLAND FAMILY MEDICAL GROUP , P.C. PROFIT SHARING PLAN 2013 112731890 2014-10-15 LONG ISLAND FAMILY MEDICAL GROUP, P.C. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 5165894747
Plan sponsor’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782
LONG ISLAND FAMILY MEDICAL GROUP, P.C. 401(K) PLAN 2012 112731890 2013-10-15 LONG ISLAND FAMILY MEDICAL GROUP, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6315894747
Plan sponsor’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing DONALD MEANEY
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing DONALD MEANEY
LONG ISLAND FAMILY MEDICAL GROUP , P.C. PROFIT SHARING PLAN 2012 112731890 2013-10-15 LONG ISLAND FAMILY MEDICAL GROUP, P.C. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6315894747
Plan sponsor’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing DONALD MEANEY
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing DONALD MEANEY
LONG ISLAND FAMILY MEDICAL GROUP, P.C. 401(K) PLAN 2011 112731890 2012-10-10 LONG ISLAND FAMILY MEDICAL GROUP, P.C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6315894747
Plan sponsor’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782

Plan administrator’s name and address
Administrator’s EIN 112731890
Plan administrator’s name LONG ISLAND FAMILY MEDICAL GROUP, P.C.
Plan administrator’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782
Administrator’s telephone number 6315894747

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing ERNEST FREILER
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing ERNEST FREILER
LONG ISLAND FAMILY MEDICAL GROUP , P.C. PROFIT SHARING PLAN 2011 112731890 2012-10-10 LONG ISLAND FAMILY MEDICAL GROUP, P.C. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6315894747
Plan sponsor’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782

Plan administrator’s name and address
Administrator’s EIN 112731890
Plan administrator’s name LONG ISLAND FAMILY MEDICAL GROUP, P.C.
Plan administrator’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782
Administrator’s telephone number 6315894747

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing ERNEST FREILER
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing ERNEST FREILER
LONG ISLAND FAMILY MEDICAL GROUP, P.C. 401(K) PLAN 2010 112731890 2011-11-16 LONG ISLAND FAMILY MEDICAL GROUP, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6315894747
Plan sponsor’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782

Plan administrator’s name and address
Administrator’s EIN 112731890
Plan administrator’s name LONG ISLAND FAMILY MEDICAL GROUP, P.C.
Plan administrator’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782
Administrator’s telephone number 6315894747

Signature of
Role Plan administrator
Date 2011-11-16
Name of individual signing MARGARET SIMAT
Role Employer/plan sponsor
Date 2011-11-16
Name of individual signing MARGARET SIMAT
LONG ISLAND FAMILY MEDICAL GROUP , P.C. PROFIT SHARING PLAN 2010 112731890 2011-11-15 LONG ISLAND FAMILY MEDICAL GROUP, P.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6315894747
Plan sponsor’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782

Plan administrator’s name and address
Administrator’s EIN 112731890
Plan administrator’s name LONG ISLAND FAMILY MEDICAL GROUP, P.C.
Plan administrator’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782
Administrator’s telephone number 6315894747

Signature of
Role Plan administrator
Date 2011-11-15
Name of individual signing MARGARET SIMAT
Role Employer/plan sponsor
Date 2011-11-15
Name of individual signing MARGARET SIMAT
LONG ISLAND FAMILY MEDICAL GROUP, P.C. 401(K) PLAN 2010 112731890 2011-10-10 LONG ISLAND FAMILY MEDICAL GROUP, P.C. 9
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6315894747
Plan sponsor’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782

Plan administrator’s name and address
Administrator’s EIN 112731890
Plan administrator’s name LONG ISLAND FAMILY MEDICAL GROUP, P.C.
Plan administrator’s address 160 MIDDLE ROAD, SAYVILLE, NY, 11782
Administrator’s telephone number 6315894747

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing ERNEST FREILER
Role Employer/plan sponsor
Date 2011-10-10
Name of individual signing ERNEST FREILER

DOS Process Agent

Name Role Address
ERNEST FREILER DOS Process Agent 120 ELDER ROAD, ISLIP, NY, United States, 11751

Chief Executive Officer

Name Role Address
ERNEST FREILER Chief Executive Officer 120 ELDER ROAD, ISLIP, NY, United States, 11751

History

Start date End date Type Value
1993-04-30 1999-03-18 Address 182 SHADY BROOK LANE, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
1993-04-30 1999-03-18 Address 182 SHADY BROOK LANE, WEST ISLIP, NY, 11795, USA (Type of address: Principal Executive Office)
1993-04-30 1999-03-18 Address 182 SHADY BROOK LANE, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process)
1985-03-04 1993-04-30 Address 182 SHADYBROOK LANE, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160826000298 2016-08-26 CERTIFICATE OF DISSOLUTION 2016-08-26
110325002398 2011-03-25 BIENNIAL STATEMENT 2011-03-01
090225002009 2009-02-25 BIENNIAL STATEMENT 2009-03-01
070316002237 2007-03-16 BIENNIAL STATEMENT 2007-03-01
050405002648 2005-04-05 BIENNIAL STATEMENT 2005-03-01
030228002713 2003-02-28 BIENNIAL STATEMENT 2003-03-01
010312002438 2001-03-12 BIENNIAL STATEMENT 2001-03-01
990318002412 1999-03-18 BIENNIAL STATEMENT 1999-03-01
970305002346 1997-03-05 BIENNIAL STATEMENT 1997-03-01
960910000529 1996-09-10 CERTIFICATE OF AMENDMENT 1996-09-10

Related by officers

ERNEST FREILER

WALK IN MANAGEMENT CORP. ERNEST FREILER, M.D. P.C.

Related by address

No related companies by address

Date of last update: 15 Nov 2024

Sources: New York Secretary of State

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