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  5. JILL FISHBANE-MAYER, M.D., P.C.

JILL FISHBANE-MAYER, M.D., P.C.

Company Details

Name: JILL FISHBANE-MAYER, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Dec 1990 (34 years ago)
Entity Number: 1498165
ZIP code: 10128
County: New York
Place of Formation: New York
Address: 4 E 95TH STREET, NEW YORK, NY, United States, 10128

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
JILL FISHBANE-MAYER, M.D., P.C. DEFINED BENEFIT PLAN 2013 133597163 2014-03-10 JILL FISHBANE-MAYER, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2123481111
Plan sponsor’s mailing address 4 EAST 95TH STREET, NEW YORK, NY, 10128
Plan sponsor’s address 4 EAST 95TH STREET, NEW YORK, NY, 10128

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
JILL FISHBANE-MAYER, M.D., P.C. DEFINED BENEFIT PLAN 2012 133597163 2013-09-16 JILL FISHBANE-MAYER, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2123481111
Plan sponsor’s mailing address 4 EAST 95TH STREET, NEW YORK, NY, 10128
Plan sponsor’s address 4 EAST 95TH STREET, NEW YORK, NY, 10128

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-09-16
Name of individual signing JILL FISHBANE-MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-16
Name of individual signing JILL FISHBANE-MAYER
Valid signature Filed with authorized/valid electronic signature
JILL FISHBANE-MAYER, M.D., P.C. DEFINED BENEFIT PLAN 2011 133597163 2012-09-28 JILL FISHBANE-MAYER, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2123481111
Plan sponsor’s mailing address 4 EAST 95TH STREET, NEW YORK, NY, 10128
Plan sponsor’s address 4 EAST 95TH STREET, NEW YORK, NY, 10128

Plan administrator’s name and address
Administrator’s EIN 133597163
Plan administrator’s name JILL FISHBANE-MAYER, M.D., P.C.
Plan administrator’s address 4 EAST 95TH STREET, NEW YORK, NY, 10128
Administrator’s telephone number 2123481111

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-09-28
Name of individual signing JILL FISHBANE-MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-28
Name of individual signing JILL FISHBANE-MAYER
Valid signature Filed with authorized/valid electronic signature
JILL FISHBANE-MAYER, M.D., P.C. DEFINED BENEFIT PLAN 2010 133597163 2011-09-16 JILL FISHBANE-MAYER, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2123481111
Plan sponsor’s mailing address 4 EAST 95TH STREET, NEW YORK, NY, 10128
Plan sponsor’s address 4 EAST 95TH STREET, NEW YORK, NY, 10128

Plan administrator’s name and address
Administrator’s EIN 133597163
Plan administrator’s name JILL FISHBANE-MAYER, M.D., P.C.
Plan administrator’s address 4 EAST 95TH STREET, NEW YORK, NY, 10128
Administrator’s telephone number 2123481111

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-09-16
Name of individual signing JILL FISHBANE-MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-16
Name of individual signing JILL FISHBANE-MAYER
Valid signature Filed with authorized/valid electronic signature
JILL FISHBANE-MAYER, M.D., P.C. DEFINED BENEFIT PLAN 2009 133597163 2010-09-23 JILL FISHBANE-MAYER, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2123481111
Plan sponsor’s mailing address 4 EAST 95TH STREET, NEW YORK, NY, 10128
Plan sponsor’s address 4 EAST 95TH STREET, NEW YORK, NY, 10128

Plan administrator’s name and address
Administrator’s EIN 133597163
Plan administrator’s name JILL FISHBANE-MAYER, M.D., P.C.
Plan administrator’s address 4 EAST 95TH STREET, NEW YORK, NY, 10128
Administrator’s telephone number 2123481111

Number of participants as of the end of the plan year
Active participants 3

Signature of
Role Plan administrator
Date 2010-09-23
Name of individual signing JILL FISHBANE-MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-23
Name of individual signing JILL FISHBANE-MAYER
Valid signature Filed with authorized/valid electronic signature
JILL FISHBANE-MAYER, M.D., P.C. DEFINED BENEFIT PLAN 2009 133597163 2010-09-23 JILL FISHBANE-MAYER, M.D., P.C. 3
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2123481111
Plan sponsor’s mailing address 4 EAST 95TH STREET, NEW YORK, NY, 10128
Plan sponsor’s address 4 EAST 95TH STREET, NEW YORK, NY, 10128

Plan administrator’s name and address
Administrator’s EIN 133597163
Plan administrator’s name JILL FISHBANE-MAYER, M.D., P.C.
Plan administrator’s address 4 EAST 95TH STREET, NEW YORK, NY, 10128
Administrator’s telephone number 2123481111

Number of participants as of the end of the plan year
Active participants 3

Signature of
Role Plan administrator
Date 2010-09-23
Name of individual signing JILL FISHBANE-MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-23
Name of individual signing JILL FISHBANE-MAYER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
JILL FISHBANE-MAYER, MD Chief Executive Officer 4 E 95TH STREET, NEW YORK, NY, United States, 10128

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 4 E 95TH STREET, NEW YORK, NY, United States, 10128

History

Start date End date Type Value
2002-11-22 2006-11-28 Address 4 EAST 95TH STREET, NEW YORK, NY, 10128, USA (Type of address: Chief Executive Officer)
2002-11-22 2006-11-28 Address 4 EAST 95TH STREET, NEW YORK, NY, 10128, USA (Type of address: Principal Executive Office)
2002-11-22 2006-11-28 Address 4 EAST 95TH STREET, NEW YORK, NY, 10128, USA (Type of address: Service of Process)
1992-12-23 2002-11-22 Address 4 EAST 95TH STREET, NEW YORK, NY, 10128, USA (Type of address: Chief Executive Officer)
1992-12-23 2002-11-22 Address 4 EAST 95TH STREET, NEW YORK, NY, 10128, USA (Type of address: Principal Executive Office)
1990-12-28 2002-11-22 Address 4 EAST 95TH STREET, NEW YORK, NY, 10128, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201202061082 2020-12-02 BIENNIAL STATEMENT 2020-12-01
181204007100 2018-12-04 BIENNIAL STATEMENT 2018-12-01
161201007128 2016-12-01 BIENNIAL STATEMENT 2016-12-01
141203007144 2014-12-03 BIENNIAL STATEMENT 2014-12-01
121218006682 2012-12-18 BIENNIAL STATEMENT 2012-12-01
081126002795 2008-11-26 BIENNIAL STATEMENT 2008-12-01
061128002843 2006-11-28 BIENNIAL STATEMENT 2006-12-01
050112002911 2005-01-12 BIENNIAL STATEMENT 2004-12-01
021122002207 2002-11-22 BIENNIAL STATEMENT 2002-12-01
001121002600 2000-11-21 BIENNIAL STATEMENT 2000-12-01

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 22 Jan 2025

Sources: New York Secretary of State

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