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QUEENS DIABETES AND ENDOCRINOLOGY, P.C.

Company Details

Name: QUEENS DIABETES AND ENDOCRINOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Dec 1987 (37 years ago)
Entity Number: 1223481
ZIP code: 11365
County: Queens
Place of Formation: New York
Address: 59-45 161ST ST, FLUSHING, NY, United States, 11365

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
QUEENS DIABETES AND ENDOCRINOLOGY, P.C. 401(K) PLAN 2013 133442196 2014-05-06 QUEENS DIABETES AND ENDOCRINOLOGY, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7187623111
Plan sponsor’s address 59-45 161ST STREET, FLUSHING, NY, 11365

Signature of

Role Plan administrator
Date 2014-05-06
Name of individual signing KHALILAH BURGOS
QUEENS DIABETES AND ENDOCRINOLOGY, P.C. 401(K) PLAN 2013 133442196 2014-04-29 QUEENS DIABETES AND ENDOCRINOLOGY, P.C. 22
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7187623111
Plan sponsor’s address 59-45 161ST STREET, FLUSHING, NY, 11365

Signature of

Role Plan administrator
Date 2014-04-29
Name of individual signing KHALILAH BURGOS
QUEENS DIABETES AND ENDOCRINOLOGY, P.C. 401(K) PLAN 2013 133442196 2014-02-05 QUEENS DIABETES AND ENDOCRINOLOGY, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7187623111
Plan sponsor’s address 59-45 161ST STREET, FLUSHING, NY, 11365

Signature of

Role Plan administrator
Date 2014-02-05
Name of individual signing KHALILAH BURGOS
QUEENS DIABETES AND ENDOCRINOLOGY, P.C. 401(K) PLAN 2012 133442196 2013-04-24 QUEENS DIABETES AND ENDOCRINOLOGY, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7187623111
Plan sponsor’s address 59-45 161ST STREET, FLUSHING, NY, 11365

Signature of

Role Plan administrator
Date 2013-04-24
Name of individual signing KHALILAH BURGOS
QUEENS DIABETES AND ENDOCRINOLOGY, P.C. 401(K) PLAN 2011 133442196 2012-02-17 QUEENS DIABETES AND ENDOCRINOLOGY, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7187623111
Plan sponsor’s address 59-45 161ST STREET, FLUSHING, NY, 11365

Plan administrator’s name and address

Administrator’s EIN 133442196
Plan administrator’s name QUEENS DIABETES AND ENDOCRINOLOGY, P.C.
Plan administrator’s address 59-45 161ST STREET, FLUSHING, NY, 11365
Administrator’s telephone number 7187623111

Signature of

Role Plan administrator
Date 2012-02-17
Name of individual signing KHALILAH BURGOS
QUEENS DIABETES AND ENDOCRINOLOGY, P.C. 401(K) PLAN 2010 133442196 2011-09-09 QUEENS DIABETES AND ENDOCRINOLOGY, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7187623111
Plan sponsor’s address 59-45 161ST STREET, FLUSHING, NY, 11365

Plan administrator’s name and address

Administrator’s EIN 133442196
Plan administrator’s name QUEENS DIABETES AND ENDOCRINOLOGY, P.C.
Plan administrator’s address 59-45 161ST STREET, FLUSHING, NY, 11365
Administrator’s telephone number 7187623111

Signature of

Role Plan administrator
Date 2011-09-09
Name of individual signing KHALILAH BURGOS

Chief Executive Officer

Name Role Address
DANIEL L LORBER MD Chief Executive Officer 59-45 161ST ST, FLUSHING, NY, United States, 11365

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 59-45 161ST ST, FLUSHING, NY, United States, 11365

History

Start date End date Type Value
1993-01-13 1998-01-02 Address 138-26 58TH AVE., FLUSHING, NY, 11355, USA (Type of address: Chief Executive Officer)
1993-01-13 1998-01-02 Address 138-26 58TH AVE., FLUSHING, NY, 11355, USA (Type of address: Principal Executive Office)
1993-01-13 1998-01-02 Address 138-26 58TH AVE., FLUSHING, NY, 11355, USA (Type of address: Service of Process)
1987-12-31 1993-01-13 Address 138-26 58TH AVE., FLUSHING, NY, 11355, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140411002289 2014-04-11 BIENNIAL STATEMENT 2013-12-01
120112002483 2012-01-12 BIENNIAL STATEMENT 2011-12-01
100112002156 2010-01-12 BIENNIAL STATEMENT 2009-12-01
080130003290 2008-01-30 BIENNIAL STATEMENT 2007-12-01
060126002474 2006-01-26 BIENNIAL STATEMENT 2005-12-01
040712000449 2004-07-12 CERTIFICATE OF AMENDMENT 2004-07-12
000111002642 2000-01-11 BIENNIAL STATEMENT 1999-12-01
980102002271 1998-01-02 BIENNIAL STATEMENT 1997-12-01
931214002493 1993-12-14 BIENNIAL STATEMENT 1993-12-01
930113002409 1993-01-13 BIENNIAL STATEMENT 1992-12-01

Date of last update: 23 Jan 2025

Sources: New York Secretary of State