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PROMEDICA IMAGING, P.C.

Company Details

Name: PROMEDICA IMAGING, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Dec 1986 (38 years ago)
Entity Number: 1133794
ZIP code: 11020
County: Nassau
Place of Formation: New York
Principal Address: 2001 MARCUS AVENUE, LAKE SUCCESS, NY, United States, 11042
Address: 2001 MARCUS AVENUE, LAKE SUCCESS, NY, United States, 11020

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
PROMEDICA IMAGING PC 401K PROFIT SHARING PLAN & TRUST 2014 112850144 2015-06-24 PROMEDICA IMAGING P. C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5164371077
Plan sponsor’s address 2001 MARCUS AVE, LAKE SUCCESS, NY, 11042

Signature of

Role Plan administrator
Date 2015-06-24
Name of individual signing ROSA PERCEVEJO
PROMEDICA IMAGING PC 401K PROFIT SHARING PLAN & TRUST 2014 112850144 2015-12-27 PROMEDICA IMAGING P. C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5164371077
Plan sponsor’s address 2001 MARCUS AVE, LAKE SUCCESS, NY, 11042

Signature of

Role Plan administrator
Date 2015-12-27
Name of individual signing GAIL PHILLIPS, M.D.
Role Employer/plan sponsor
Date 2015-12-27
Name of individual signing GAIL PHILLLIPS, M.D.
PROMEDICA IMAGING PC 401K PROFIT SHARING PLAN & TRUST 2013 112850144 2014-05-29 PROMEDICA IMAGING P. C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5164371077
Plan sponsor’s address 2001 MARCUS AVE, LAKE SUCCESS, NY, 11042

Signature of

Role Plan administrator
Date 2014-05-29
Name of individual signing ROSA PERCEVEJO
PROMEDICA IMAGING PC 401K PROFIT SHARING PLAN & TRUST 2012 112850144 2013-06-05 PROMEDICA IMAGING P. C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5164371077
Plan sponsor’s address 2001 MARCUS AVE, LAKE SUCCESS, NY, 11042

Signature of

Role Plan administrator
Date 2013-06-05
Name of individual signing ROSA PERCEVEJO
PROMEDICA IMAGING PC 401K PROFIT SHARING PLAN & TRUST 2011 112850144 2012-06-07 PROMEDICA IMAGING P. C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5164371077
Plan sponsor’s address 2001 MARCUS AVE, LAKE SUCCESS, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112850144
Plan administrator’s name PROMEDICA IMAGING P. C.
Plan administrator’s address 2001 MARCUS AVE, LAKE SUCCESS, NY, 11042
Administrator’s telephone number 5164371077

Signature of

Role Plan administrator
Date 2012-06-07
Name of individual signing ROSA PERCEVEJO
PROMEDICA IMAGING PC 401K PROFIT SHARING PLAN & TRUST 2010 112850144 2011-06-09 PROMEDICA IMAGING P. C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5164371077
Plan sponsor’s address 2001 MARCUS AVE, LAKE SUCCESS, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112850144
Plan administrator’s name PROMEDICA IMAGING P. C.
Plan administrator’s address 2001 MARCUS AVE, LAKE SUCCESS, NY, 11042
Administrator’s telephone number 5164371077

Signature of

Role Plan administrator
Date 2011-06-09
Name of individual signing ROSA PERCEVEJO

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2001 MARCUS AVENUE, LAKE SUCCESS, NY, United States, 11020

Chief Executive Officer

Name Role Address
GAIL PHILLIPS, M.D. Chief Executive Officer 2001 MARCUS AVENUE, LAKE SUCCESS, NY, United States, 11042

History

Start date End date Type Value
1986-12-29 1993-12-10 Address 2001 MARCUS AVE, LAKE SUCCESS, NY, 11020, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
141201006263 2014-12-01 BIENNIAL STATEMENT 2014-12-01
121211006258 2012-12-11 BIENNIAL STATEMENT 2012-12-01
101220002478 2010-12-20 BIENNIAL STATEMENT 2010-12-01
081201002975 2008-12-01 BIENNIAL STATEMENT 2008-12-01
061204002099 2006-12-04 BIENNIAL STATEMENT 2006-12-01
050111002626 2005-01-11 BIENNIAL STATEMENT 2004-12-01
021126002698 2002-11-26 BIENNIAL STATEMENT 2002-12-01
001201002393 2000-12-01 BIENNIAL STATEMENT 2000-12-01
981230002285 1998-12-30 BIENNIAL STATEMENT 1998-12-01
970103002405 1997-01-03 BIENNIAL STATEMENT 1996-12-01

Date of last update: 20 Dec 2024

Sources: New York Secretary of State