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  5. SIMON LIPETZ, M.D., P.C.

SIMON LIPETZ, M.D., P.C.

Company Details

Name: SIMON LIPETZ, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 May 1992 (33 years ago)
Entity Number: 1633854
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 104-60 QUEENS BLVD, FOREST HILLS, NY, United States, 11375

Contact Details

Phone +1 718-275-4849

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
SIMON LIPETZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2020 113110198 2021-08-09 SIMON LIPETZ, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7182754849
Plan sponsor’s address 10460 QUEENS BOULEVARD, FOREST HILLS, NY, 113757301
SIMON LIPETZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2019 113110198 2020-08-31 SIMON LIPETZ, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7182754849
Plan sponsor’s address 10460 QUEENS BOULEVARD, FOREST HILLS, NY, 113757301
SIMON LIPETZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2018 113110198 2019-09-28 SIMON LIPETZ, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7182754849
Plan sponsor’s address 10460 QUEENS BOULEVARD, FOREST HILLS, NY, 113757301
SIMON LIPETZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2017 113110198 2018-09-24 SIMON LIPETZ, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7182754849
Plan sponsor’s address 10460 QUEENS BOULEVARD, FOREST HILLS, NY, 113757301
SIMON LIPETZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2016 113110198 2017-11-30 SIMON LIPETZ, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7182754849
Plan sponsor’s address 10460 QUEENS BOULEVARD, FOREST HILLS, NY, 113757301
SIMON LIPETZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2015 113110198 2016-10-06 SIMON LIPETZ, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7182754849
Plan sponsor’s address 10460 QUEENS BOULEVARD, FOREST HILLS, NY, 113757301
SIMON LIPETZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2014 113110198 2015-10-11 SIMON LIPETZ, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7182754849
Plan sponsor’s address 10460 QUEENS BOULEVARD, FOREST HILLS, NY, 113757301

Signature of
Role Plan administrator
Date 2015-10-11
Name of individual signing SIMON LIPETZ, M.D.
SIMON LIPETZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2013 113110198 2014-10-09 SIMON LIPETZ, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7182754849
Plan sponsor’s address 10460 QUEENS BOULEVARD, FOREST HILLS, NY, 113757301

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing SIMON LIPETZ, M.D.
SIMON LIPETZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2012 113110198 2013-08-01 SIMON LIPETZ, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7182754849
Plan sponsor’s address 10460 QUEENS BOULEVARD, FOREST HILLS, NY, 113757301

Signature of
Role Plan administrator
Date 2013-08-01
Name of individual signing SIMON LIPETZ, M.D.
SIMON LIPETZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2011 113110198 2012-07-26 SIMON LIPETZ, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7182754849
Plan sponsor’s address 10460 QUEENS BOULEVARD, FOREST HILLS, NY, 113757301

Plan administrator’s name and address
Administrator’s EIN 113110198
Plan administrator’s name SIMON LIPETZ, M.D., P.C.
Plan administrator’s address 10460 QUEENS BOULEVARD, FOREST HILLS, NY, 113757301
Administrator’s telephone number 7182754849

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing SIMON LIPETZ, M.D.

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 104-60 QUEENS BLVD, FOREST HILLS, NY, United States, 11375

Chief Executive Officer

Name Role Address
SIMON LIPETZ, MD Chief Executive Officer 104-60 QUEENS BLVD, FOREST HILLS, NY, United States, 11375

History

Start date End date Type Value
2004-06-08 2010-05-19 Address 104-60 QUEENS BLVD, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2004-06-08 2010-05-19 Address 104-60 QUEENS BLVD, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
2004-06-08 2010-05-19 Address 104-60 QUEENS BLVD, FOREST HILLS, NY, 11375, USA (Type of address: Principal Executive Office)
2001-05-03 2004-06-08 Address ATTN: HOWARD M. RUBIN, ESQ., ONE PENN PLAZA, SUITE 4401, NEW YORK, NY, 10119, USA (Type of address: Service of Process)
2000-05-12 2004-06-08 Address 104-60 QUEENS BLVD., FOREST HILLS, NY, 11375, USA (Type of address: Principal Executive Office)
2000-05-12 2001-05-03 Address THREE NEW YORK PLAZA, NEW YORK, NY, 10004, USA (Type of address: Service of Process)
2000-05-12 2004-06-08 Address 104-60 QUEENS BLVD., FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
1993-10-05 2000-05-12 Address THREE NEW YORK PLAZA, NEW YORK, NY, 10004, USA (Type of address: Service of Process)
1993-10-05 2000-05-12 Address 104-60 QUEENS BOULEVARD, SUITE - CH, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
1993-10-05 2000-05-12 Address 104-60 QUEENS BOULEVARD, SUITE - CH, FOREST HILLS, NY, 11375, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
160519006052 2016-05-19 BIENNIAL STATEMENT 2016-05-01
140606007057 2014-06-06 BIENNIAL STATEMENT 2014-05-01
100519003121 2010-05-19 BIENNIAL STATEMENT 2010-05-01
080522002932 2008-05-22 BIENNIAL STATEMENT 2008-05-01
061031002581 2006-10-31 BIENNIAL STATEMENT 2006-05-01
040608002091 2004-06-08 BIENNIAL STATEMENT 2004-05-01
020501002635 2002-05-01 BIENNIAL STATEMENT 2002-05-01
010503000288 2001-05-03 CERTIFICATE OF CHANGE 2001-05-03
000512002368 2000-05-12 BIENNIAL STATEMENT 2000-05-01
980506002635 1998-05-06 BIENNIAL STATEMENT 1998-05-01

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

104-60 QUEENS BLVD, FOREST HILLS, NY, United States, 11375

ALLEN RUBIN, M.D. P.C. BECK INTERNATIONAL CORPORATION D.J.G. SERVICE CORP. RST OF QUEENS LLC SERENITY RELAXATION CENTER, LLC SIMON CHEIRIF D.D.S., P.C. L & S AUTOMOTIVE PRODUCTS, INC. ALLIED CABINET CORP 3-D METALS CO INC.

Date of last update: 18 Dec 2024

Sources: New York Secretary of State

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