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  5. BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C.

BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C.

Company Details

Name: BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Feb 1992 (33 years ago)
Entity Number: 1608234
ZIP code: 11209
County: Kings
Place of Formation: New York
Address: 441 BAY RIDGE PARKWAY, BROOKLYN, NY, United States, 11209
Principal Address: 648 74TH STREET, BROOKLYN, NY, United States, 11209

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
BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2015 113096855 2016-06-28 BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7187488282
Plan sponsor’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing JEFFREY J. BASTI
BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 113096855 2015-10-08 BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7187488282
Plan sponsor’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing JEFRFREY J. BASTI
BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2013 113096855 2014-10-09 BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7187488282
Plan sponsor’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing JEFRFREY J. BASTI
BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2012 113096855 2013-10-11 BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7187488282
Plan sponsor’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing JEFRFREY J. BASTI
BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2011 113096855 2012-07-27 BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7187488282
Plan sponsor’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209

Plan administrator’s name and address
Administrator’s EIN 113096855
Plan administrator’s name BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C.
Plan administrator’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209
Administrator’s telephone number 7187488282

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing JEFRFREY J. BASTI
BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2010 113096855 2011-10-17 BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7187488282
Plan sponsor’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209

Plan administrator’s name and address
Administrator’s EIN 113096855
Plan administrator’s name BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C.
Plan administrator’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209
Administrator’s telephone number 7187488282

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing JEFRFREY J. BASTI
BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2010 113096855 2011-10-17 BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. 24
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7187488282
Plan sponsor’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209

Plan administrator’s name and address
Administrator’s EIN 113096855
Plan administrator’s name BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C.
Plan administrator’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209
Administrator’s telephone number 7187488282

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing JEFRFREY J. BASTI
BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2010 113096855 2011-10-14 BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. 24
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7187488282
Plan sponsor’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209

Plan administrator’s name and address
Administrator’s EIN 113096855
Plan administrator’s name BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C.
Plan administrator’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209
Administrator’s telephone number 7187488282

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing JEFRFREY J. BASTI
BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2009 113096855 2010-10-15 BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7187488282
Plan sponsor’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209

Plan administrator’s name and address
Administrator’s EIN 113096855
Plan administrator’s name BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P.C.
Plan administrator’s address 648 BAY RIDGE PKY, BROOKLYN, NY, 11209
Administrator’s telephone number 7187488282

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing JEFRFREY J. BASTI

Chief Executive Officer

Name Role Address
JEFFREY J BASTI Chief Executive Officer 648 74TH STREET, BROOKLYN, NY, United States, 11209

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 441 BAY RIDGE PARKWAY, BROOKLYN, NY, United States, 11209

History

Start date End date Type Value
1992-02-03 1994-02-17 Address 648 74TH STREET, BROOKLYN, NY, 11209, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
980223000225 1998-02-23 CERTIFICATE OF MERGER 1998-02-23
980129000484 1998-01-29 CERTIFICATE OF AMENDMENT 1998-01-29
940217002627 1994-02-17 BIENNIAL STATEMENT 1994-02-01
930609002388 1993-06-09 BIENNIAL STATEMENT 1993-02-01
920203000293 1992-02-03 CERTIFICATE OF INCORPORATION 1992-02-03

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Related by address

441 BAY RIDGE PARKWAY, BROOKLYN, NY, United States, 11209

ARDENT BUSINESS LIAISONS, LLC

Date of last update: 05 Jan 2025

Sources: New York Secretary of State

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