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  5. PETER K. KELLER M.D., P.C.

PETER K. KELLER M.D., P.C.

Company Details

Name: PETER K. KELLER M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 01 Mar 1994 (31 years ago)
Date of dissolution: 15 Sep 2014
Entity Number: 1799358
ZIP code: 10461
County: Bronx
Place of Formation: New York
Address: 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, United States, 10461

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
PETER K. KELLER, M.D., P.C. PROFIT SHARING PLAN 2015 133759783 2016-07-25 PETER K. KELLER, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 7188927814
Plan sponsor’s address 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, 104616265

Signature of
Role Plan administrator
Date 2016-07-24
Name of individual signing PETER KELLER
Role Employer/plan sponsor
Date 2016-07-24
Name of individual signing PETER KELLER
PETER K. KELLER, M.D., P.C. PROFIT SHARING PLAN 2014 133759783 2015-10-10 PETER K. KELLER, M.D., P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 7188927814
Plan sponsor’s address 1578 WILLIAMBRIDGE ROAD, BRONX, NY, 104616265

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing PETER KELLER
PETER K. KELLER, M.D., P.C. PROFIT SHARING PALN 2013 133759783 2014-10-10 PETER K. KELLER, M.D., P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 7188927817
Plan sponsor’s address 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, 104616265

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing PETER KELLER
PETER K. KELLER, M.D., P.C. PROFIT SHARING PALN 2012 133759783 2013-07-16 PETER K. KELLER, M.D., P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 7188927817
Plan sponsor’s address 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, 104616265

Plan administrator’s name and address
Administrator’s EIN 133759783
Plan administrator’s name PETER K. KELLER, M.D., P.C.
Plan administrator’s address 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, 104616265
Administrator’s telephone number 7188927817

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing PETER KELLER
PETER K. KELLER, M.D., P.C. PROFIT SHARING PALN 2011 133759783 2012-07-26 PETER K. KELLER, M.D., P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 7188927817
Plan sponsor’s address 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, 104616265

Plan administrator’s name and address
Administrator’s EIN 133759783
Plan administrator’s name PETER K. KELLER, M.D., P.C.
Plan administrator’s address 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, 104616265
Administrator’s telephone number 7188927817

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing PETER KELLER
PETER K. KELLER, M.D., P.C. PROFIT SHARING PALN 2010 133759783 2011-07-22 PETER K. KELLER, M.D., P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 7188927817
Plan sponsor’s address 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, 104616265

Plan administrator’s name and address
Administrator’s EIN 133759783
Plan administrator’s name PETER K. KELLER, M.D., P.C.
Plan administrator’s address 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, 104616265
Administrator’s telephone number 7188927817

Signature of
Role Plan administrator
Date 2011-07-22
Name of individual signing PETER KELLER
PETER K. KELLER, M.D., P.C. PROFIT SHARING PALN 2009 133759783 2010-10-11 PETER K. KELLER, M.D., P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 7188927817
Plan sponsor’s address 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, 104616265

Plan administrator’s name and address
Administrator’s EIN 133759783
Plan administrator’s name PETER K. KELLER, M.D., P.C.
Plan administrator’s address 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, 104616265
Administrator’s telephone number 7188927817

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing PETER KELLER

DOS Process Agent

Name Role Address
PETER K KELLER DOS Process Agent 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, United States, 10461

Chief Executive Officer

Name Role Address
PETER K KELLER Chief Executive Officer 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, United States, 10461

History

Start date End date Type Value
1994-03-01 1996-04-02 Address 1578 WILLIAMSBRIDGE ROAD, BRONX, NY, 10461, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140915000705 2014-09-15 CERTIFICATE OF DISSOLUTION 2014-09-15
140327006232 2014-03-27 BIENNIAL STATEMENT 2014-03-01
120504002564 2012-05-04 BIENNIAL STATEMENT 2012-03-01
100325003070 2010-03-25 BIENNIAL STATEMENT 2010-03-01
080303003272 2008-03-03 BIENNIAL STATEMENT 2008-03-01
060530002893 2006-05-30 BIENNIAL STATEMENT 2006-03-01
040322002080 2004-03-22 BIENNIAL STATEMENT 2004-03-01
020515002379 2002-05-15 BIENNIAL STATEMENT 2002-03-01
000321002250 2000-03-21 BIENNIAL STATEMENT 2000-03-01
960402002093 1996-04-02 BIENNIAL STATEMENT 1996-03-01

Related by officers

No related officers

Related by address

1578 WILLIAMSBRIDGE ROAD, BRONX, NY, United States, 10461

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Date of last update: 04 Jan 2025

Sources: New York Secretary of State

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