| Name: | KINGS-QUEENS DENTAL SERVICES, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Inactive |
| Date of registration: | 13 Nov 1990 (34 years ago) |
| Date of dissolution: | 19 Oct 2016 |
| Entity Number: | 1487989 |
| ZIP code: | 10016 |
| County: | Kings |
| Place of Formation: | New York |
| Address: | C/O PETER SHERMAN DDS, 110 EAST 36TH ST, NEW YORK, NY, United States, 10016 |
| Principal Address: | 110 EAST 36TH STREET, NEW YORK, NY, United States, 10016 |
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 | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KINGS-QUEENS DENTAL SERVICES, P.C. 401K PROFIT SHARING PLAN | 2013 | 133591521 | 2014-06-26 | KINGS-QUEENS DENTAL SERVICES, P.C. | 10 | |||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2014-06-26 |
| Name of individual signing | PETER SHERMAN, D.D.S. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2126836210 |
| Plan sponsor’s address | 110 EAST 36TH STREET, NEW YORK, NY, 100163464 |
Plan administrator’s name and address
| Administrator’s EIN | 133591521 |
| Plan administrator’s name | KINGS-QUEENS DENTAL SERVICES, P.C. |
| Plan administrator’s address | 110 EAST 36TH STREET, NEW YORK, NY, 100163464 |
| Administrator’s telephone number | 2126836210 |
Signature of
| Role | Plan administrator |
| Date | 2013-02-20 |
| Name of individual signing | PETER SHERMAN, D.D.S. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2126836210 |
| Plan sponsor’s address | 110 EAST 36TH STREET, NEW YORK, NY, 100163464 |
Plan administrator’s name and address
| Administrator’s EIN | 133591521 |
| Plan administrator’s name | KINGS-QUEENS DENTAL SERVICES, P.C. |
| Plan administrator’s address | 110 EAST 36TH STREET, NEW YORK, NY, 100163464 |
| Administrator’s telephone number | 2126836210 |
Signature of
| Role | Plan administrator |
| Date | 2012-03-30 |
| Name of individual signing | PETER SHERMAN, D.D.S. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2126836210 |
| Plan sponsor’s address | 110 EAST 36TH STREET, NEW YORK, NY, 100163464 |
Plan administrator’s name and address
| Administrator’s EIN | 133591521 |
| Plan administrator’s name | KINGS-QUEENS DENTAL SERVICES, P.C. |
| Plan administrator’s address | 110 EAST 36TH STREET, NEW YORK, NY, 100163464 |
| Administrator’s telephone number | 2126836210 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-16 |
| Name of individual signing | PETER SHERMAN, D.D.S. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2126836210 |
| Plan sponsor’s address | 110 EAST 36TH STREET, NEW YORK, NY, 100163464 |
Plan administrator’s name and address
| Administrator’s EIN | 133591521 |
| Plan administrator’s name | KINGS-QUEENS DENTAL SERVICES, P.C. |
| Plan administrator’s address | 110 EAST 36TH STREET, NEW YORK, NY, 100163464 |
| Administrator’s telephone number | 2126836210 |
Signature of
| Role | Plan administrator |
| Date | 2010-05-27 |
| Name of individual signing | PETER SHERMAN, D.D.S. |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | C/O PETER SHERMAN DDS, 110 EAST 36TH ST, NEW YORK, NY, United States, 10016 |
| Name | Role | Address |
|---|---|---|
| PETER SHERMAN, D.D.S. | Chief Executive Officer | 110 EAST 36TH STREET, NEW YORK, NY, United States, 10016 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1993-12-01 | 1998-10-30 | Address | %PETER SHERMAN, D.D.S., 110 EAST 36TH STREET, NEW YORK, NY, 10016, USA (Type of address: Service of Process) |
| 1992-11-10 | 1993-12-01 | Address | 110 EAST 36TH STREET, NEW YORK, NY, 10016, USA (Type of address: Principal Executive Office) |
| 1992-11-10 | 1993-12-01 | Address | C/O PETER SHERMAN, D.D.S., 110 EAST 36TH STREET, NEW YORK, NY, 10016, USA (Type of address: Service of Process) |
| 1990-11-13 | 1992-11-10 | Address | %PETER SHERMAN, D.D.S., 110 EAST 36TH STREET, NEW YORK, NY, 10016, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 161019000057 | 2016-10-19 | CERTIFICATE OF DISSOLUTION | 2016-10-19 |
| 121116002657 | 2012-11-16 | BIENNIAL STATEMENT | 2012-11-01 |
| 101116002875 | 2010-11-16 | BIENNIAL STATEMENT | 2010-11-01 |
| 081028002546 | 2008-10-28 | BIENNIAL STATEMENT | 2008-11-01 |
| 061106002941 | 2006-11-06 | BIENNIAL STATEMENT | 2006-11-01 |
| 041209002465 | 2004-12-09 | BIENNIAL STATEMENT | 2004-11-01 |
| 021023002367 | 2002-10-23 | BIENNIAL STATEMENT | 2002-11-01 |
| 001220002395 | 2000-12-20 | BIENNIAL STATEMENT | 2000-11-01 |
| 981030002274 | 1998-10-30 | BIENNIAL STATEMENT | 1998-11-01 |
| 961113002203 | 1996-11-13 | BIENNIAL STATEMENT | 1996-11-01 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 114123854 | 0215000 | 1997-03-25 | 374 STOCKHOLM STREET,& WYCKOFF HTS MED. CTR, BROOKLYN, NY, 11237 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Complaint |
| Activity Nr | 76884808 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19101030 D04 IIIB1 |
| Issuance Date | 1997-04-24 |
| Abatement Due Date | 1997-04-29 |
| Current Penalty | 750.0 |
| Initial Penalty | 1500.0 |
| Nr Instances | 1 |
| Nr Exposed | 15 |
| Related Event Code (REC) | Complaint |
| Gravity | 10 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19101030 C01 IIB |
| Issuance Date | 1997-04-24 |
| Abatement Due Date | 1997-06-11 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Related Event Code (REC) | Complaint |
| Gravity | 01 |
| Inspection Type | Complaint |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 1994-06-20 |
| Case Closed | 1995-03-28 |
Related Activity
| Type | Complaint |
| Activity Nr | 72773526 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100134 A02 |
| Issuance Date | 1994-09-28 |
| Abatement Due Date | 1995-02-24 |
| Current Penalty | 3500.0 |
| Initial Penalty | 5000.0 |
| Nr Instances | 1 |
| Nr Exposed | 100 |
| Gravity | 10 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19040002 A |
| Issuance Date | 1994-09-28 |
| Abatement Due Date | 1994-11-02 |
| Current Penalty | 700.0 |
| Initial Penalty | 1000.0 |
| Nr Instances | 2 |
| Nr Exposed | 2 |
| Gravity | 00 |
| Inspection Type | Complaint |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 1991-04-23 |
| Emphasis | N: BLOOD |
| Case Closed | 1991-12-31 |
Related Activity
| Type | Complaint |
| Activity Nr | 72774565 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100147 C04 I |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-10-07 |
| Current Penalty | 800.0 |
| Initial Penalty | 1125.0 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 01 |
| Citation ID | 01002 |
| Citaton Type | Serious |
| Standard Cited | 19100151 C |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-12-09 |
| Current Penalty | 800.0 |
| Initial Penalty | 1125.0 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 01 |
| Citation ID | 01003 |
| Citaton Type | Serious |
| Standard Cited | 19101048 D03 I |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-11-01 |
| Current Penalty | 1100.0 |
| Initial Penalty | 1500.0 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Related Event Code (REC) | Complaint |
| Gravity | 02 |
| Citation ID | 01004 |
| Citaton Type | Serious |
| Standard Cited | 19101048 H01 I |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-09-06 |
| Current Penalty | 800.0 |
| Initial Penalty | 1125.0 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 01 |
| Citation ID | 01005A |
| Citaton Type | Serious |
| Standard Cited | 19101048 J02 |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-11-01 |
| Current Penalty | 1100.0 |
| Initial Penalty | 1500.0 |
| Nr Instances | 1 |
| Nr Exposed | 5 |
| Gravity | 02 |
| Citation ID | 01005B |
| Citaton Type | Serious |
| Standard Cited | 19101048 K |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-11-01 |
| Nr Instances | 1 |
| Nr Exposed | 5 |
| Gravity | 02 |
| Citation ID | 01006 |
| Citaton Type | Serious |
| Standard Cited | 19101048 N01 |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-11-01 |
| Current Penalty | 1100.0 |
| Initial Penalty | 1500.0 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 02 |
| Citation ID | 01007 |
| Citaton Type | Serious |
| Standard Cited | 19101450 E01 |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-12-09 |
| Current Penalty | 800.0 |
| Initial Penalty | 1125.0 |
| Nr Instances | 1 |
| Nr Exposed | 20 |
| Gravity | 01 |
| Citation ID | 01008 |
| Citaton Type | Serious |
| Standard Cited | 19101450 F03 I |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-12-09 |
| Current Penalty | 800.0 |
| Initial Penalty | 1125.0 |
| Nr Instances | 1 |
| Nr Exposed | 20 |
| Gravity | 01 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19030002 A01 |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-09-06 |
| Nr Instances | 1 |
| Nr Exposed | 999 |
| Gravity | 00 |
| Citation ID | 02002 |
| Citaton Type | Other |
| Standard Cited | 19040002 A02 |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-10-24 |
| Current Penalty | 700.0 |
| Initial Penalty | 900.0 |
| Nr Instances | 1 |
| Nr Exposed | 999 |
| Gravity | 00 |
| Citation ID | 02003A |
| Citaton Type | Other |
| Standard Cited | 19100020 G01 I |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-10-07 |
| Current Penalty | 700.0 |
| Initial Penalty | 900.0 |
| Nr Instances | 1 |
| Nr Exposed | 999 |
| Gravity | 00 |
| Citation ID | 02003B |
| Citaton Type | Other |
| Standard Cited | 19100020 G01 II |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-10-07 |
| Nr Instances | 1 |
| Nr Exposed | 999 |
| Gravity | 00 |
| Citation ID | 02003C |
| Citaton Type | Other |
| Standard Cited | 19100020 G02 |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-10-07 |
| Nr Instances | 1 |
| Nr Exposed | 999 |
| Gravity | 00 |
| Citation ID | 02004 |
| Citaton Type | Other |
| Standard Cited | 19101200 E01 I |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-10-24 |
| Nr Instances | 1 |
| Nr Exposed | 30 |
| Gravity | 01 |
| Citation ID | 02005A |
| Citaton Type | Other |
| Standard Cited | 19101200 E01 |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-10-07 |
| Nr Instances | 1 |
| Nr Exposed | 30 |
| Gravity | 01 |
| Citation ID | 02005B |
| Citaton Type | Other |
| Standard Cited | 19101200 F05 I |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-10-07 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| Gravity | 01 |
| Citation ID | 02005C |
| Citaton Type | Other |
| Standard Cited | 19101200 F05 II |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-10-07 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| Gravity | 01 |
| Citation ID | 02006A |
| Citaton Type | Other |
| Standard Cited | 19101200 E01 |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-10-07 |
| Nr Instances | 1 |
| Nr Exposed | 30 |
| Gravity | 01 |
| Citation ID | 02006B |
| Citaton Type | Other |
| Standard Cited | 19101200 H01 |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-10-07 |
| Nr Instances | 1 |
| Nr Exposed | 30 |
| Gravity | 01 |
| Citation ID | 02006C |
| Citaton Type | Other |
| Standard Cited | 19101200 H02 IV |
| Issuance Date | 1991-09-03 |
| Abatement Due Date | 1991-10-07 |
| Nr Instances | 1 |
| Nr Exposed | 30 |
| Gravity | 01 |
Date of last update: 15 Mar 2025
Sources: New York Secretary of State
