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MAZEN KAMEN M.D., P.C.

Company Details

Name: MAZEN KAMEN M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Mar 1992 (33 years ago)
Entity Number: 1621184
ZIP code: 10028
County: New York
Place of Formation: New York
Address: 1021 PARK AVE STE 101, NEW YORK, NY, United States, 10028

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
MAZEN KAMEN M.D., P.C. 401(K) PROFIT SHARING PLAN 2023 223161126 2024-10-10 MAZEN KAMEN M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2124275800
Plan sponsor’s address 1021 PARK AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing MAZEN KAMEN
Valid signature Filed with authorized/valid electronic signature
MAZEN KAMEN M.D., P.C. CASH BALANCE PLAN 2023 223161126 2024-10-10 MAZEN KAMEN M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2124275800
Plan sponsor’s address 1021 PARK AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing MAZEN KAMEN
Valid signature Filed with authorized/valid electronic signature
MAZEN KAMEN M.D., P.C. 401(K) PROFIT SHARING PLAN 2022 223161126 2023-10-11 MAZEN KAMEN M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2124275800
Plan sponsor’s address 1021 PARK AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing MAZEN KAMEN
MAZEN KAMEN M.D., P.C. CASH BALANCE PLAN 2022 223161126 2023-10-11 MAZEN KAMEN M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2124275800
Plan sponsor’s address 1021 PARK AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing MAZEN KAMEN
MAZEN KAMEN M.D., P.C. CASH BALANCE PLAN 2021 223161126 2022-10-13 MAZEN KAMEN M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2124275800
Plan sponsor’s address 1021 PARK AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing MAZEN KAMEN
MAZEN KAMEN M.D., P.C. 401(K) PROFIT SHARING PLAN 2021 223161126 2022-10-13 MAZEN KAMEN M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2124275800
Plan sponsor’s address 1021 PARK AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing MAZEN KAMEN
MAZEN KAMEN M.D., P.C. CASH BALANCE PLAN 2020 223161126 2021-10-02 MAZEN KAMEN M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2124275800
Plan sponsor’s address 1021 PARK AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2021-10-02
Name of individual signing MAZEN KAMEN
MAZEN KAMEN M.D., P.C. 401(K) PROFIT SHARING PLAN 2020 223161126 2021-10-02 MAZEN KAMEN M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2124275800
Plan sponsor’s address 1021 PARK AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2021-10-02
Name of individual signing MAZEN KAMEN
MAZEN KAMEN M.D., P.C. CASH BALANCE PLAN 2019 223161126 2020-10-06 MAZEN KAMEN M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2124275800
Plan sponsor’s address 1021 PARK AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2020-10-06
Name of individual signing MAZEN KAMEN
MAZEN KAMEN M.D., P.C. 401(K) PROFIT SHARING PLAN 2019 223161126 2020-10-06 MAZEN KAMEN M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2124275800
Plan sponsor’s address 1021 PARK AVENUE, NEW YORK, NY, 10028

Signature of

Role Plan administrator
Date 2020-10-06
Name of individual signing MAZEN KAMEN

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1021 PARK AVE STE 101, NEW YORK, NY, United States, 10028

Chief Executive Officer

Name Role Address
MAZEN KAMEN Chief Executive Officer 1021 PARK AVE, NEW YORK, NY, United States, 10028

History

Start date End date Type Value
1994-02-18 2010-04-09 Address 31 STURBRIDGE DRIVE, UPPER SADDLE RIVER, NJ, 00000, USA (Type of address: Chief Executive Officer)
1994-02-18 2009-03-04 Address 520 EAST 72ND STREET, NEW YORK, NY, 10021, 0001, USA (Type of address: Principal Executive Office)
1994-02-18 2009-03-04 Address 520 EAST 72ND STREET, NEW YORK, NY, 10021, 0001, USA (Type of address: Service of Process)
1994-01-25 1994-02-18 Address 31 STURBRIDGE DRIVE, UPPER SADDLE RIVER, NJ, 07458, USA (Type of address: Chief Executive Officer)
1994-01-25 1994-02-18 Address 520 EAST 72ND STREET, NEW YORK, NY, 10021, USA (Type of address: Principal Executive Office)
1992-03-17 1994-02-18 Address 520 EAST 72ND STREET, NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160302006698 2016-03-02 BIENNIAL STATEMENT 2016-03-01
140311006187 2014-03-11 BIENNIAL STATEMENT 2014-03-01
120420002958 2012-04-20 BIENNIAL STATEMENT 2012-03-01
100409002491 2010-04-09 BIENNIAL STATEMENT 2010-03-01
090304002937 2009-03-04 BIENNIAL STATEMENT 2008-03-01
020305002744 2002-03-05 BIENNIAL STATEMENT 2002-03-01
000316002352 2000-03-16 BIENNIAL STATEMENT 2000-03-01
980316002361 1998-03-16 BIENNIAL STATEMENT 1998-03-01
940512002466 1994-05-12 BIENNIAL STATEMENT 1994-03-01
940218002526 1994-02-18 BIENNIAL STATEMENT 1993-03-01

Date of last update: 22 Jan 2025

Sources: New York Secretary of State