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  5. HARVEY R. HORN, M.D., P.C.

HARVEY R. HORN, M.D., P.C.

Company Details

Name: HARVEY R. HORN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Sep 1988 (36 years ago)
Entity Number: 1289050
ZIP code: 12550
County: Orange
Place of Formation: New York
Address: 419 ROBINSON AVE, NEWBURGH, NY, United States, 12550

Contact Details

Phone +1 845-562-2277

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
HARVEY R. HORN, M.D., P.C. 401(K) PLAN 2017 141711541 2018-09-27 HARVEY R. HORN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8455622277
Plan sponsor’s address 419 ROBINSON AVE., NEWBURGH, NY, 12550
HARVEY R. HORN, M.D., P.C. 401(K) PLAN 2016 141711541 2017-10-09 HARVEY R. HORN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8455622277
Plan sponsor’s address 419 ROBINSON AVE., NEWBURGH, NY, 12550
HARVEY R. HORN, M.D., P.C. 401(K) PLAN 2015 141711541 2016-10-04 HARVEY R. HORN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8455622277
Plan sponsor’s address 419 ROBINSON AVE., NEWBURGH, NY, 12550
HARVEY R. HORN, M.D., P.C. 401(K) PLAN 2014 141711541 2015-10-05 HARVEY R. HORN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9145622277
Plan sponsor’s address 419 ROBINSON AVE., NEWBURGH, NY, 12550

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing HARVEY R. HORN
HARVEY R. HORN, M.D., P.C. 401(K) PLAN 2013 141711541 2014-10-10 HARVEY R. HORN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9145622277
Plan sponsor’s address 419 ROBINSON AVE., NEWBURGH, NY, 12550

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing HARVEY R. HORN
HARVEY R. HORN, MD, PC 401(K) PLAN 2012 141711541 2013-10-11 HARVEY R. HORN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9145622277
Plan sponsor’s address 419 ROBINSON AVE., NEWBURGH, NY, 12550

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing VALERI R. DEDICH, ERPA, QPA, QKA
HARVEY R. HORN, MD, PC 401(K) PLAN 2011 141711541 2012-10-05 HARVEY R. HORN, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9145622277
Plan sponsor’s address 419 ROBINSON AVE., NEWBURGH, NY, 12550

Plan administrator’s name and address
Administrator’s EIN 141711541
Plan administrator’s name HARVEY R. HORN, M.D., P.C.
Plan administrator’s address 419 ROBINSON AVE., NEWBURGH, NY, 12550
Administrator’s telephone number 9145622277

Signature of
Role Plan administrator
Date 2012-10-05
Name of individual signing VALERI R. DEDICH, QKA
HARVEY R. HORN, MD, PC 401(K) PLAN 2010 141711541 2011-10-11 HARVEY R. HORN, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9145622277
Plan sponsor’s address 419 ROBINSON AVE., NEWBURGH, NY, 12550

Plan administrator’s name and address
Administrator’s EIN 141711541
Plan administrator’s name HARVEY R. HORN, M.D., P.C.
Plan administrator’s address 419 ROBINSON AVE., NEWBURGH, NY, 12550
Administrator’s telephone number 9145622277

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing J. KHRISTINE ERCUMS, ERPA, QPA, QKA
HARVEY R. HORN, MD, PC 401(K) PLAN 2009 141711541 2010-10-04 HARVEY R. HORN, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9145622277
Plan sponsor’s address 419 ROBINSON AVE., NEWBURGH, NY, 12550

Plan administrator’s name and address
Administrator’s EIN 141711541
Plan administrator’s name HARVEY R. HORN, M.D., P.C.
Plan administrator’s address 419 ROBINSON AVE., NEWBURGH, NY, 12550
Administrator’s telephone number 9145622277

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing J. KHRISTINE ERCUMS, QKA

DOS Process Agent

Name Role Address
HARVEY R. HORN, M.D., P.C. DOS Process Agent 419 ROBINSON AVE, NEWBURGH, NY, United States, 12550

Chief Executive Officer

Name Role Address
HARVEY R HORN MD Chief Executive Officer 419 ROBSINSON AVE, NEWBURGH, NY, United States, 12550

History

Start date End date Type Value
2008-09-11 2020-09-01 Address 419 ROBINSON AVE, NEWBURGH, NY, 12550, USA (Type of address: Service of Process)
2006-09-15 2008-09-11 Address 419 ROBINSON AVE, NORTH BABYLON, NY, 12550, USA (Type of address: Principal Executive Office)
2006-09-15 2008-09-11 Address 419 ROBINSON AVE, NORTH BABYLON, NY, 12550, USA (Type of address: Service of Process)
2006-09-15 2008-09-11 Address 419 ROBSINSON AVE, NORTH BABYLON, NY, 12550, USA (Type of address: Chief Executive Officer)
2000-10-17 2006-09-15 Address 419 ROBINSON AVE, NEWBURGH, NY, 12550, USA (Type of address: Principal Executive Office)
2000-10-17 2006-09-15 Address 419 ROBINSON AVE, NEWBURGH, NY, 12550, USA (Type of address: Service of Process)
1998-10-13 2000-10-17 Address 419 ROBINSON AVE, NEWBURGH, NY, 12550, USA (Type of address: Service of Process)
1996-10-02 2006-09-15 Address 419 ROBINSON AVE, NEWBURGH, NY, 12550, USA (Type of address: Chief Executive Officer)
1993-08-03 1996-10-02 Address 10 LITTLE BRITAIN ROAD, SUITE 203, NEWBURGH, NY, 12550, USA (Type of address: Chief Executive Officer)
1993-08-03 2000-10-17 Address 10 LITTLE BRITAIN ROAD, SUITE 203, NEWBURGH, NY, 12550, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
200901061190 2020-09-01 BIENNIAL STATEMENT 2020-09-01
180906006803 2018-09-06 BIENNIAL STATEMENT 2018-09-01
141216006708 2014-12-16 BIENNIAL STATEMENT 2014-09-01
120920002086 2012-09-20 BIENNIAL STATEMENT 2012-09-01
100922002607 2010-09-22 BIENNIAL STATEMENT 2010-09-01
080911002016 2008-09-11 BIENNIAL STATEMENT 2008-09-01
060915002059 2006-09-15 BIENNIAL STATEMENT 2006-09-01
041116002669 2004-11-16 BIENNIAL STATEMENT 2004-09-01
020911002191 2002-09-11 BIENNIAL STATEMENT 2002-09-01
001017002312 2000-10-17 BIENNIAL STATEMENT 2000-09-01

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 05 Jan 2025

Sources: New York Secretary of State

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