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  5. SOUTH SHORE FAMILY MEDICINE, P.C.

SOUTH SHORE FAMILY MEDICINE, P.C.

Company Details

Name: SOUTH SHORE FAMILY MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Jun 1995 (30 years ago)
Entity Number: 1932084
ZIP code: 11510
County: Nassau
Place of Formation: New York
Address: 2280 GRAND AVE, STE 208, BALDWIN, NY, United States, 11510

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
SOUTH SHORE FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2015 113271166 2016-09-27 SOUTH SHORE FAMILY MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5166234800
Plan sponsor’s DBA name P.C.
Plan sponsor’s address 14 FAIRBANKS BLVD, WOODBURY, NY, 117972619

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing STACY OSTRAGER
SOUTH SHORE FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2014 113271166 2015-10-08 SOUTH SHORE FAMILY MEDICINE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5166234800
Plan sponsor’s DBA name P.C.
Plan sponsor’s address 14 FAIRBANKS BLVD, WOODBURY, NY, 117972619

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing BRET OSTRAGER
SOUTH SHORE FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2013 113271166 2014-08-08 SOUTH SHORE FAMILY MEDICINE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5166234800
Plan sponsor’s DBA name P.C.
Plan sponsor’s address 14 FAIRBANKS BLVD, WOODBURY, NY, 117972619

Signature of
Role Plan administrator
Date 2014-08-08
Name of individual signing BRET OSTRAGER
SOUTH SHORE FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2012 113271166 2013-10-11 SOUTH SHORE FAMILY MEDICINE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5166234800
Plan sponsor’s address 14 FAIRBANKS BLVD, WOODBURY, NY, 117972619

Plan administrator’s name and address
Administrator’s EIN 113271166
Plan administrator’s name SOUTH SHORE FAMILY MEDICINE, P.C.
Plan administrator’s address 14 FAIRBANKS BLVD, WOODBURY, NY, 117972619
Administrator’s telephone number 5166234800

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing BRET OSTRAGER
SOUTH SHORE FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2011 113271166 2012-07-16 SOUTH SHORE FAMILY MEDICINE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5166234800
Plan sponsor’s address 14 FAIRBANKS BLVD, WOODBURY, NY, 117972619

Plan administrator’s name and address
Administrator’s EIN 113271166
Plan administrator’s name SOUTH SHORE FAMILY MEDICINE, P.C.
Plan administrator’s address 14 FAIRBANKS BLVD, WOODBURY, NY, 117972619
Administrator’s telephone number 5166234800

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing BRET OSTRAGER
SOUTH SHORE FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2010 113271166 2011-10-11 SOUTH SHORE FAMILY MEDICINE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5166234800
Plan sponsor’s address 14 FAIRBANKS BLVD, WOODBURY, NY, 117972619

Plan administrator’s name and address
Administrator’s EIN 113271166
Plan administrator’s name SOUTH SHORE FAMILY MEDICINE, P.C.
Plan administrator’s address 14 FAIRBANKS BLVD, WOODBURY, NY, 117972619
Administrator’s telephone number 5166234800

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing BRET OSTRAGER
SOUTH SHORE FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2009 113271166 2010-10-06 SOUTH SHORE FAMILY MEDICINE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5166234800
Plan sponsor’s address 14 FAIRBANKS BLVD, WOODBURY, NY, 117972619

Plan administrator’s name and address
Administrator’s EIN 113271166
Plan administrator’s name SOUTH SHORE FAMILY MEDICINE, P.C.
Plan administrator’s address 14 FAIRBANKS BLVD, WOODBURY, NY, 117972619
Administrator’s telephone number 5166234800

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing BRET OSTRAGER

Chief Executive Officer

Name Role Address
BRET OSTRAGER Chief Executive Officer 2280 GRAND AVE, STE 208, BALDWIN, NY, United States, 11510

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2280 GRAND AVE, STE 208, BALDWIN, NY, United States, 11510

History

Start date End date Type Value
1995-06-19 2008-09-04 Address 258 MERRICK ROAD, OCEANSIDE, NY, 11572, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130806006049 2013-08-06 BIENNIAL STATEMENT 2013-06-01
090615002151 2009-06-15 BIENNIAL STATEMENT 2009-06-01
080904002060 2008-09-04 BIENNIAL STATEMENT 2008-06-01
950619000431 1995-06-19 CERTIFICATE OF INCORPORATION 1995-06-19

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

No related companies by address

Date of last update: 04 Jan 2025

Sources: New York Secretary of State

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